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Dear Preceptor, Thank you for agreeing to precept our nurse practitioner students. The Faculty at the
School of Nursing recognizes that this is a time commitment and wants to provide the
necessary information and support so that this will be a valuable experience for you.
This manual contains information on the philosophy of the School of Nursing, the
program objectives and course sequences. In addition, the course outlines and
evaluation tools for all three nurse practitioner courses are provided. Each course
outline contains the policies related to the course and student responsibilities. The
Letter of Agreement will note the professor for the clinical and how they may be
contacted. If a student is having difficulty in the clinical area please notify the professor,
clinical placement coordinator or the main nursing office if unavailable. As Director of
the Graduate Nursing Program, I am also available for any problems that may occur. A
listing of all the faculty are in this manual. A faculty member will conduct a site visit to
directly observe the student in the clinical area and discuss student progress. Students
are to review with you the clinical placement hours and provide you with a calendar so
that you know when the student will be present. Unless there is explicit communication
with the instructor, no student should exceed 75 hours with each preceptor/site. Do
not hesitate to contact me with any concerns. The form you will need to utilize is p. 25,
39 or 54.
Kathleen Ahern Ph.D., FNP-BC Director Graduate Nursing Evelyn L. Spiro School of Nursing Wagner College (718) 390 3444 [email protected] Lynne Tyson Clinical Placement Coordinator Evelyn L. Spiro School of Nursing Wagner College (718) 390-3440 [email protected] Evelyn L. Spiro School of Nursing Main Office (718) 390-3436
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Table of Contents
PAGE Philosophy of the School of Nursing 3 Program Objectives 4 Program of Study 6 Course Descriptions 7 Schemas for Family Nurse Practitioner 13 Course Outline / NR 641 18 Practicum Evaluation Tool / NR 641 25 Course Outline / NR 643 32 Practicum Evaluation Tool / NR 643 39 Course Outline / NR 645 47 Practicum Evaluation Tool / NR 645 54 Clinical Site Visit Evaluation Tool 61 Preceptor Information & Site Request 64 Family Nurse Preceptor Evaluation 67 Patient Tracking Form 68 Clinical Hours Preceptor Record 69 NONPF Preceptor FAQ’s 70
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Philosophy of the School of Nursing
The philosophy of the School of Nursing is to provide an educational program of
study for professional nursing and for professional nurses. The academic program for
undergraduates and graduates complements and is consistent with the mission of
Wagner College.
kWithin the philosophy there are beliefs and practices which define the means to
achieve the objectives and are expressed in the “community-based” approach to
nursing education and practice.
Nursing
Nursing is an art and a science, which provides an essential service to society by
assisting and empowering individuals to achieve optimal health. As a caring profession,
nursing promotes the health and well-being of society through the leadership of its
individual members and its professional organizations. Professional nursing education
provides critical thinking skills to assist professional nurses to become independent and
collaborative practitioners who make clinical judgments and act with responsibility. The
unique function of the professional nurse is to assist individuals and groups to foster
health and health seeking behaviors.
Advanced practice registered nurses have acquired the knowledge base and
practice experiences to prepare them for specialization, expansion and advancement in
practice, (from ANP policy statement).
Health
Health is a dynamic state of being which is formed by the individual’s holistic
responses to their environment. The optimum state of health is unique for each
individual throughout the lifespan and is affected by the bio-psychological, spiritual, and
socio-cultural influences on both one’s internal and external environment.
Individual
Human life has inherent value and dignity. Each individual is a unique, holistic
being and an integral part of a family, the community, and socio-cultural systems.
Human beings are in continual interaction with the environment across the
lifespan. Society is a cooperating group of individuals partnered with the community,
whose individuality influences the development of organized patterns of relationships,
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interactions and rules which are responsible for the prevailing social order.
Environment
Cultural values, beliefs, morals and experiences affect human beings adaptation
to the environment. Individuals are in continual interaction with the environment
across their lifespan. Each individual has an internal environment consisting of all
processes inherent to self. This internal environment is in a constant state of flux with
the external environment, which encompasses interactions with people, places, objects
and processes.
Mission of the Nursing Program at the Masters Level
The mission of the graduate nursing program is designed for professional nurses
to prepare them to advance nursing knowledge and abilities generally and in a specific
functional area. The master’s curriculum is based on the philosophy of the School of
Nursing and Wagner College. It is organized around key concepts of nursing, health,
individual, and environment. Students in the program have the opportunity to expand
their knowledge base, synthesize knowledge into new concepts and theories, test
theories, create new ideas and processes, and apply them in nursing practice. Students
are given the opportunity to learn strategies of leadership and change in order to
improve nursing practice and the health status in a diverse society. The graduate
student is prepared in the role areas of nurse educator or family nurse practitioner.
The program prepares its graduates to actively participate in improving the delivery of
safe, patient centered health care across the life span, conducting research for evidence
based practice, and acquiring a foundation for doctoral study.
Program Objectives
In order to fulfill the purposes of the Wagner College graduate nursing program,
the student must meet the following program objectives.
Upon completion of the program students will be able to:
1. Evaluate nursing practice as it influences the quality of services provided within
the health care system.
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2. Analyze nursing theories and strategies in practice to promote, restore, and
maintain the optimum level of health of populations across the life span.
3. Use research to improve nursing practice.
4. Function as catalysts for change in collegial roles with other health professionals
to improve the health care delivery system.
5. Demonstrate leadership roles by functioning as: a.) nurse educators in collegiate
nursing programs or staff development programs; or b.) family nurse
practitioners.
6. Promote responsibility and accountability in themselves and others in their roles
as educators and practitioners.
Additional Admission Requirements
The following requirements for the Master of Science in nursing are in addition to
those for all master’s degrees.
1. Completion of an accredited baccalaureate program with a major in nursing
including a course in nursing research. Other baccalaureate programs will be
individually reviewed
2. A minimum overall undergraduate G.P.A. of 3.0
3. Current Registered Nurse License.
4. Demonstration, prior to the registration for clinical courses, of: a.) annual
physical examination with current immunizations; b.) current malpractice
insurance coverage.
5. For the Family Nurse Practitioner track, the applicant must submit documentation
demonstrating current clinical practice.
6. Applicants who do not meet admission requirements have the opportunity to be
individually evaluated.
Degree Requirements: Successful completion of 44/45 credits.
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Program of Study
Required Courses for All Students
NR 611 Theoretical Components of Nursing 3 credits
NR 615 Advanced Pathophysiology 3 credits
NR 616 Advanced Health Assessment 4 credits
NR 621 Dynamics of Family Health Nursing 3 credits
NR 622 Health Care Policy Organization and Finance 3 credits
NR 623 Advanced Pharmacodynamics for Primary Care 3 credits
NR 624 Advanced Research 3 credits
NR 631 Evaluation and Instrumentation in Nursing 3 credits
NR 793 Civic Corporate Engagement Project Development
Seminar 3 credits
Elective 3 credits
Total 31 credits
Required Courses for the Family Nurse Practitioner Role
NR 609 Management of Common Conditions 3 credits
NR 617 The Advanced Practice Nurse 3 credits
NR 641 Family Health Nursing I 2 credits
NR 643 Family Health Nursing II 3 credits
NR 645 Family Health Nursing III 3 credits
Total 14 credits
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Course Descriptions:
NR609 Management of Common Conditions. Three credits. This course focuses on
the management of common conditions encountered by the advanced practice nurse in
primary care. Emphasis will be placed on developing diagnostic reasoning skills and
utilizing a holistic evidenced approach to clinical care. Prerequisite: NR 615. Offered
spring semester.
NR611 Theoretical Components of Nursing. Three credits. The purpose of this
course is to explore, discuss, and formulate concepts of individuals, environment,
health, and nursing as they relate to nursing theories. Philosophical inquiry and
historical trends, as a basis for theory development, are examined. Students examine
knowledge from the sciences, humanities, and nursing and how it can be applied to
nursing in education, administration, and advanced practice. Offered fall semester.
NR615 Advanced Pathophysiology. Three credits. This course focuses on the
pathogenesis of common conditions affecting individuals and families as a basis for
nursing primary care management. Offered fall semester.
NR616 Advanced Health Assessment. Four credits. Students develop sophistication
in the ability to assess and evaluate subtle diagnostic cues in client populations across
the life span. Emphasis is placed on enhancing students’ clinical judgment. Offered
spring semester. Required lab experience. Offered spring semester.
NR617 The Advanced Practice Nurse. Three credits. This course focuses on
exploring issues relating to graduate nursing education and the advanced practice role.
Contemporary concerns such as the politics of health care reform, the advanced
practice nurse’s usefulness and marketability, and the legal responsibility and
accountability of the professional nurse in advanced practice are analyzed. Offered
spring semester.
NR621 Dynamics of Family Health Nursing. Three credits. This course focuses on
the primary care dynamics and needs of families. Psycho-socio-cultural, economic,
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spiritual, community, and educational paradigms are explored. Risk assessment and
interventions are investigated and analyzed to promote the stability of a family’s health
status. Offered fall semester.
NR622 Health Care Policy, Organization, and Finance. Three credits. This course
presents an overview of health care policy formulation, health care organization and
financing. Nurses as health care providers, coordinators, and advocates will study the
theories and competencies needed to function in a new and complex health care
environment. Offered spring semester.
NR623 Advanced Pharmacodynamics for Primary Care. Three credits. Course
content will focus on the pharmacological management of self-limiting episodic
complaints and stable chronic disease states commonly managed by advanced practice
nurses. Offered fall semester.
NR624 Advanced Research. Three credits. The components of research design,
methodology, and statistical analysis are presented. The students develop the needed
knowledge base to prepare them to conduct research studies. Prerequisite: NR 611.
Offered spring semester.
NR631 Evaluation and Instrumentation in Nursing. Three credits. This course
offers students the knowledge and skills needed to collect, critically appraise, integrate,
generate, and evaluate evidence for nursing practice. Prerequisite: NR 624. Offered fall
semester.
NR641 Family Health Nursing I. Two credits. This course is the first course in the
supervised clinical experience for the family nurse practitioner role. The emphasis is on
developing clinical judgment in the primary care setting through critical analysis of
subjective and objective client data. The clinical experience consists of 200 hours plus a
weekly seminar. Prerequisites: NR611, 615, 616, 617, 623, Prerequisite or Corequisite
NR609 and NR621. In addition all students are required to show evidence of a current
RN license, malpractice insurance, recent physical examination with titers, and proof of
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current health insurance. Students must see the professor prior to registration to
arrange clinical experiences. Offered fall and spring semesters.
NR643 Family Health Nursing II. Three credits. This clinical course is a continuation
of Family Health Nursing I. Students is afforded the opportunity to enhance clinical skills
and judgments developed in the previous course. Supervised clinical practices in
primary care settings with preceptors are maintained. The clinical experience consists of
200 hours plus a weekly seminar. Prerequisite NR 641. In addition all students are
required to show evidence of a current RN license, malpractice insurance, recent
physical examination with titers, and proof of current health insurance. Students must
see the professor prior to registration to arrange clinical experiences. Offered fall and
spring semesters.
NR645 Family Health Nursing III. Three credits. This clinical course is a
continuation of Family Health Nursing II. Students are afforded the opportunity to
continue to enhance clinical skills and judgments developed in the previous courses.
This is the last clinical course for the family nurse practitioner. At the end of this course
students are expected to demonstrate competency in this role. Supervised clinical
practice takes place in a variety of primary care settings with preceptors. The clinical
experience consists of 200 hours plus a weekly seminar. Prerequisite: NR643. In
addition all students are required to show evidence of a current RN license, malpractice
insurance, recent physical examination with titers, and proof of current health
insurance. Students must see the professor prior to registration to arrange clinical
experiences Offered fall and spring semesters.
NR691 Special Topics in Nursing. Three credits. Content varies to meet the special
interests of graduate students and faculty. Offered periodically.
NR693 Independent Study. One to four credits. Course designed for independent
advanced level study on a topic of the student’s own choosing after advisement by
sponsoring departmental faculty. Students may use this course to engage in
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collaborative research with faculty. Prerequisite: permission of advisor and of director of
graduate nursing. Offered fall and spring semesters.
NR793 Civic Corporate Engagement Project Development Seminar. Three
credits. This course uses the parameters of the scientific process to investigate a
special, health-related problem as currently seen in society. Students are expected to
design and implement a health related project. This course is taken in the last academic
year before graduation. NR631 Prerequisite or Co-requisite. Offered fall and spring
semesters.
NR699 Summer Practicum Supervision, 0 credits. This practicum affords the nurse
practitioner student an opportunity to complete up to 75 hours of clinical precepted
practice under the guidance of faculty. The hours may be applied towards the required
clinical hours for NR643 or NR645. Students must have completed NR641 in order to
participate in this practicum. (Fee applies)
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Post Master’s Advanced Certificate Program for Family Nurse Practitioner
Program of Study
The Post Master’s Certificate Program for Family Nurse Practitioner builds on an
earned master’s degree in nursing. The student completes 27 credits, inclusive of
precepted clinical practice. Graduates completing this program will be certified by the
New York State Education Department as Family Nurse Practitioners.
Admission Requirements
1. Master’s degree in nursing from an accredited program with a minimum G.P.A. of
3.0.
2. Current New York State licensure as a Professional Registered Nurse.
3. Malpractice insurance coverage.
4. Current immunization and physical examination.
5. Two (2) letters of reference attesting to applicant’s current knowledge base, clinical
competency and experiences, professional capabilities, and potential for successfully
assuming an advanced practice role.
6. Current Curriculum Vitae/Resume.
An application can be obtained from the Graduate Admissions Office, Campus Hall.
Curriculum Schema of Courses
NR609 Management of Common Conditions 3 credits
NR615 Advanced Pathophysiology 3 credits
NR616 Advanced Health Assessment 4 credits
NR617 The Advanced Practice Nurse 3 credits
NR621 Dynamics of Family Health Nursing 3 credits
NR623 Advanced Pharmacodynamics for Primary Care 3 credits
NR641 Family Health Nursing I 2 credits
NR643 Family Health Nursing II 3 credits
NR645 Family Health Nursing III 3 credits
Total 27 credits
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GRADUATE PROGRAM OF STUDY Core Courses for All Students
Course Credits NR611 Theoretical Components of Nursing 3
NR621 Dynamics of Family Health Nursing 3
NR615 Advanced Patho-Physiology 3
NR616 Advanced Health Assessment 4
NR622 Health Care Policy Organization and Finance 3
NR623 Advanced Pharmacodynamics for Primary Care 3
NR624 Advanced Research 3
NR631 Evaluation and Instrumentation in Nursing 3
NR793 Civic Corporate Engagement Project Development 3
Elective 3
Total Credits 31
Required Courses for the Family Nurse Practitioner Role
Course Credits
NR609 Management of Common Conditions 3
NR617 The Advanced Practice Nurse 3
NR641 Family Health Nursing I 2
NR643 Family Health Nursing II 3
NR645 Family Health Nursing III 3
Total Credits 14
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Masters in Nursing Curriculum Schema for Family Nurse Practitioner
Full-Time Study, 5 Semesters
**Fall Entry**
Fall Semester Credits Spring Semester Credits NR611 Theo Components of Nursing 3 NR617 Advanced Practice Nurse 3 NR615 Advanced Pathophysiology 3 NR616 Advanced Health Assessment** 4 NR623 Advanced Pharmacology 3 NR609 Management of Common Conditions 3 Total 9 Total 10
Fall Semester Credits Spring Semester
Credits NR621 Family Dynamics 3 NR624 Advanced Research 3 Elective 3 NR643* Family Health Nursing II 3 NR641* Family Health Nursing I 2 NR622 Nursing Health Care Policy, 3 Organization & Finance
Total 8 Total 9
Fall Semester Credits NR645* Family Health Nursing III 3 NR793* Civic Corporate Engagement 3
Project Development Seminar NR631 Evaluation and Instrumentation 3 in Nursing Total 9
Total Credits = 45
*Offered Both Semesters ** Includes Lab Component
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Masters in Nursing Curriculum Schema for Family Nurse Practitioner
Full-Time Study, 5 Semesters
**Spring Entry**
Spring Semester Credits Fall Semester Credits NR617 Advanced Practice Nurse 3 NR611 Theo Components of Nursing 3 NR616 Advanced Health Assessment** 4 NR615 Advanced Pathophysiology 3 NR622 Nursing Health Care Policy, NR621 Family Dynamics 3 Organization & Finance 3 NR 623 Advanced Pharmacology 3 Total 10 Total 12 _____________________________________________________________________________
Spring Semester Credits Fall Semester Credits NR624 Advanced Research 3 NR631 Evaluation and Instrumentation 3 in Nursing NR641* Family Health Nursing I 2 Elective 3 NR609 Management of Common Conditions 3 NR643 Family Health Nursing II 3 Total 8 Total 9 _____________________________________________________________________________ Spring Semester Credits
NR645* Family Health Nursing III 3 NR793* Civic Corporate Engagement 3 Project Development Seminar Total 6 _________________________________________________________________________________________
Total Credits = 45 *Offered Both Semesters
** Includes Lab Component
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Masters in Nursing Curriculum Schema for Family Nurse Practitioner
Part-Time Study, 7 Semesters
** Spring Entry**
Spring Semester Credits Fall Semester Credits NR622 Nursing Health Care Policy, 3 NR611 Theo Components of Nursing 3 Organization & Finance NR616 Advanced Health Assessment** 4 NR615 Advanced Pathophysiology 3 Total 7 Total 6
Spring Semester Credits Fall Semester Credits NR624 Advanced Research 3 NR621 Dynamics of Family Health 3
NR617 The Advance Practice Nurse 3 NR623 Advanced Pharmacodynamics 3 Primary Care Total 6 Total 6
Spring Semester Credits Fall Semester Credits NR641* Family Health Nursing I 2 NR631 Evaluation & Instrumentation 3 NR609 Management of Common 3 NR643* Family Health Nursing II 3 Conditions
Elective 3 Total 5 Total 9
Spring Semester Credits NR645* Family Health Nursing III 3 NR793* Civic Corporate Engagement 3 Project Development Seminar
Total 6
Total Credits = 45 *Offered Both Semesters
** Includes Lab Component
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Masters in Nursing Curriculum Schema for Family Nurse Practitioner
Part-Time Study, 7 Semesters
**Fall Entry** Fall Semester Credits Spring Semester Credits NR611 Theo Components of Nursing 3 NR609 Management of Common 3 Conditions NR615 Advanced Pathophysiology 3 NR616 Advanced Health Assessment** 4 Total 6 Total 7
Fall Semester Credits Spring Semester Credits NR621 Dynamics of Family Health 3 NR624 Advanced Research 3
Nursing NR623 Advanced Pharmacodynamics 3 NR617 The Advance Practice Nurse 3 Primary Care Total 6 Total 6
Fall Semester Credits Spring Semester Credits NR631 Evaluation & Instrumentation 3 NR643* Family Health Nursing II 3 in Nursing NR641* Family Health Nursing I 2 NR622 Nursing Health Care Policy, 3
Organization & Finance 3 Total 8 Total 6
Fall Semester Credits NR645* Family Health Nursing III 3 NR793* Civic Corporate Engagement 3 Project Development Seminar
Total 6
Total Credits = 45 *Offered Both Semesters
**Includes Lab Component
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Post Master’s Advanced Certificate Program For Family Nurse Practitioner Curriculum Schema of Courses
Fall Semester Credits Spring Semester Credits NR615 Advanced Pathophysiology 3 NR609 Nursing Management of 3 Common Conditions NR621 Dynamics of Family Health 3 NR616 Advanced Health Assessment 4 Nursing** NR623 Advanced Pharmacodynamics for 3 NR617 The Advanced Practice Nurse 3 Primary Care Total 9 Total 10
Fall Semester Credits Spring Semester Credits NR641* Family Health Nursing I 2 NR643* Family Health Nursing II 3
Fall Semester NR645* Family Health Nursing III 3
TOTAL CREDITS = 27 **Includes Lab Component
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The Evelyn L. Spiro School of Nursing at Wagner College
NR 641:
Family Health Nursing I
Faculty:
Edna Aurelus, DNP, FNP-BC, RN-BC
Placement in Curriculum:
Offered each semester
Prerequisites:
NR 611, 615, 616, 617, 623 NR 609, 621 Prerequisite or Co requisite
Credits:
2
Contact Hours: 215
COURSE OVERVIEW: This is the first of three seminar/practicum courses that prepares students to function as in the advanced practice role of family nurse practitioner. The active learning experience is that of providing care to families across the life span in the community. The care provided addresses the needs of those experiencing self limited episodic complaints or those with stable chronic disease states. The student uses concepts of health promotion, applies information on diet and exercise, carries out procedural protocols, and selects guidelines of care to administer nursing treatment to individuals in various stages of wellness. Focusing on the goals of health promotion and disease prevention, students become apprised of and use information from national resources for patient/family health education. One aspect of the course is the seminar which meets for 15 clock hours throughout the semester. Seminars provide students the opportunity to offer case presentations that cover a client's presenting problem, physical findings, history, and diagnosis with differential, tests ordered, procedures, treatment plan, pharmacology, health teaching and disposition. Growth and development, epidemiology, cultural, and psychosocial issues are integrated throughout the presentation. The focus in this course is doing physical examinations, beginning focused visits in office and community, population health and adult care with some pediatrics/family health. The additional learning aspect is the clinical practicum where the student completes 200 hours in various primary care settings. The supervised clinical practicum provides the student with opportunities to design, implement, and evaluate comprehensive care provided to clients/families. Preceptor supervision is provided by practicing nurse practitioners and physicians in the community.
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Student Learning Outcomes: Upon completion of this course, the student will be able to:
1. Demonstrate beginning competency in the management of health/illness, identifying client specific health promotion needs using the principles of life span development and Evidenced Based Practice
2. Develop effective interpersonal transactions as they relate to therapeutic outcomes
3. Use effective teaching skills to impart knowledge to patients and families in primary care
4. Improve health care outcomes by interacting within health care systems to ensure quality outcomes and culturally sensitive care
5. Cultivate the role of the advanced practice nurse by demonstrating a commitment to the implementation, preservation and evaluation of the family nurse practitioner role
TEACHING STRATEGIES: 1. Seminar and discussion 2. Clinical testing & classroom testing 3. Presentations by faculty 4. Student Presented Case Studies and assigned topics 5. Video & Computer Assisted learning (EKG, Disability CD & Universal Precaution DVD) 6. PDA use 7. Interactive web based Health Assessment with Shadow Health 8. Simulation scenarios as available (Adult and M/CH) 9. Meetings or conferences as assigned 10. Students current knowledge and sharing of health issues. GRADE:
20% SOAPs and cases 20% Forms, paperwork, attendance & participation 20% Portfolio 20% Presentation 20% Quizzes and tests
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EVALUATION METHODS: 1. Preceptor Evaluations 2. Student's Practicum Logs and Portfolios 3. Case Assignment Presentations 4. Pre – Clinical Practical Testing in LAB 5. Health Fairs and community assignments 6. Shadow Health Assignments (HA & HX) 7. Quizzes 8. Attendance and participation 9. Adherence to paperwork requirement such as monthly practice calendars. 10. SOAP assignments (2)
The course will be passed by students who, in the judgment of the faculty and preceptor(s), are clinically competent and who have completed all course requirements including community assignments. Students may be asked to spend additional hours in the clinical agency until competence is demonstrated. These decisions are at the discretion of the faculty and preceptor. Students carrying an incomplete in this course are required to attend seminars until the incomplete is removed. The clinical portion of the course is P/F and, if F, this includes theory. A failure of the theory or clinical portion entails repeating the entire course. For 2 or more absences, one letter grade less. All clinical evaluation forms are available in the preceptor manual. REQUIRED TEXTS:
1. Cash, Jill C., Glass, Cheryl A., Family Practice Guidelines, 3rd Ed. Springer Pub. 2. Domino, Frank J., Baldor, Robert A., Grimes, Jill A., Golding, Jeremy, The Five
Minute Clinical Consult 2016, 24th edition. Lippincott, Williams & Wilkins 3. Prabhu, F., Bickle,L., Case Studies to Accompany Bates Guide to Physical
Examination and History Taking 9th edition. Lippincott Williams & Wilkins
RECOMMENDED READING:
1. Ewald, G.A., McKenzie, C.R. (2007) The Washington Manual: Manual of medical therapeutics. (34th edition). Little Brown & Co.
2. Chen, Michael, Pope, Thomas, Ott, David. Basic Radiology (2nd Edition).
McGraw-Hill Professional Publishing 3. Thaler, Malcom S. The only ECK book you’ll ever need (8th edition) Philadelphia:
Lippincott, Williams & Wilkins 4. Download monthly Prescriber Index and Epocrates 5. *All previous Core NP texts
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COURSE REQUIREMENTS: I Prior to beginning any clinical hours all students:
1. Must pass a competency based clinical examination in advanced health assessment skills (administered in the NRC by clinical professor who also will follow you at the site) Note that students now have access to a web based Health Assessment Program from their home computer. Please see the Director of the Nursing Resource Center for a pass word to use this program
2. copies of the following must be submitted to faculty prior to doing clinical hours and kept on file and be current: a. Current RN License b. BLS Certification c. Malpractice Insurance with “student FNP” clause d. Personal Health Insurance Policy (copy) up to date e. Yearly Physical and HIPPA signature on Wagner f. College form original, with all required labs g. Any additional requirements as dictated by the clinical agency
Please keep copies of the above documentation at all time, the office is not responsible to provide copies. Students are responsible for maintaining CURRENT documentation. Forms should be sent to agencies as required. Students will not be permitted to continue in field work if documents expire. Students in breach of this requirement will put their PASS status in jeopardy. All documents must be in student’s file as well. Students are responsible for interacting with office staff to verify contracts and forms, as well as updated calendars on file.
II IT IS THE STUDENT'S RESPONSIBILITY TO MEET THE CLINICAL TIME
REQURIEMENTS AND TO SCHEDULE THEIR CLINICAL PRACITICUM AS WELL AS TO NOTIFY THE OFFICE AND FACULTY OF THEIR PRACTICUM SCHEDULE VIA MONTHLY CURRENT PRINTED CALENDARS. FACULTY WILL CONDUCT REGULAR SUPERVISION AND SITE VISITS THROUGHOUT THE SEMESTER.
III All preceptors must be approved by the Professor or the Director of Graduate
Nursing prior to any contract or letter of agreement being generated. Complete the Preceptor Information Form and bring the completed form to the Professor for signature and approval of the experience. There will be a stipulated time to meet with the clinical placement coordinator regarding your preceptorships.
SEE PRECEPTOR HANDBOOK” which is expected to be share with your preceptor. Anyone practicing without signed preceptor contract will be immediately dismissed from the course.
Professional attire is expected when attending clinical agencies. A lab coat is required. Students must wear an identification badge at all times. If the agency
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does not provide one, students should use a badge that identifies them as an RN and a nurse practitioner student.
IV Evaluations must be completed by your preceptor after each preceptor site is over
and/or at the completion of 200 hours. Students must meet the objective of the Clinical Evaluation Tool with increasing proficiency. Students must receive a passing evaluation by the preceptor to continue in the course sequence. For students who have more than one preceptor, each preceptor will complete an evaluation form. (See Clinical Evaluation Tool). Students who fail to meet the objectives will have their situation reviewed and may jeopardize their chance of passing the course. Students must also complete a self-evaluation. All evaluations will be kept in the student’s folder. No more than 3 preceptors/sites can be utilized in one course. Evaluations are also filled out by the supervising clinical faculty doing site visits.
V Each student will lead one presentation that focuses on a specific client managed in
the clinical practicum. The presentation will include client assessment, history, analysis of situation, diagnosis, plan of care and protocol. The presentation should be limited to 15 minutes to leave time for discussion. Students may hand out pertinent information, findings, treatment plan, and/or literature review to facilitate discussion. The presentation should be concise and well organized. Fellow students will critique and discuss the presentations. This is an evidence based presentation and should be well researched. A SOAP of the case as well as current clinical guidelines will accompany what is handed in to the professor and also is part of the final portfolio.
VI The total number of practicum hours for the entire program is a minimum
of 600 hours accrued among the following areas: Care of Adult: 200 hours (150 hours are required this semester) Care of Child/Adolescent: 200 hours (50 hours are suggested this semester) Women's Health: 50 hours Urgent/Emergency Care: 50 hours Elective Primary Care: 100 hours
Completion of 200 hours by end of semester. If unable to do so, students may request an incomplete but must erase the incomplete before the beginning of the next semester. Students will not be allowed to register for the following seminar/practicum until the incomplete is satisfied.
1. Students may include a variety of experiences in their practicum. Only direct
patient/family care can be included in the 200 hours required for care. Attendance at seminars, conferences and professional meetings cannot be used for the required clinical course hours unless hands on like suturing. However, the importance of political involvement and continuing Ed is included in the portfolios and is important for currency in the discipline. All students must practice universal precautions for safety of themselves and clients.
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2. Nurse practitioners and physicians who have agreed to precept students give of their time willingly and are not compensated by Wagner College. As a matter of courtesy, the faculty asks the student to acknowledge the preceptor's efforts at the end of the semester. In addition, please give them the preceptor handbook and invite them to the Graduate Reception for Posters.
3. Students will complete evaluations of each preceptor and agency. 4. Students will keep a log of each practicum visit. See outline for logs. Log will be
turned in to faculty at each seminar meeting. Although blank forms are available in the office, students should also enter into their own excel file to track how they are meeting required distribution of hours and ages/specialties.
5. At the end of the course, students will present a portfolio of their entire experience. Sections will include documents such as license, BLS, logs, case presentation outline, evaluations and time sheets with preceptor signature. Portfolios will be kept on file in the department.
6. Students should also turn in a thumb drive or CD ROM of patient logs with their name, course title & semester to the professor for their records and the graduate program director, who will utilize to track hours for the degree by category requirements. Portfolios are unacceptable without the electronic version.
Seminar Topics (see syllabus for details)
1. Use of Standardized Clinical Guidelines 2. SOAP Charting & EHR 3. Universal Precautions & Disability DVDs (complete prior to doing hours) 4. Growth and Development through Live Cycle 5. INR Algorithms and Fluid Requirements 6. Laboratory Values and Interpretation 7. Radiology Interpretation and Ordering 8. Script Writing with Pharm review 9. EKG interpretation video (must be completed by each student prior to
clinical hours) 10. Immunizations & rashes
**NOTICE** If you have a disability for which you are or may be requesting an accommodation, you are encouraged to contact both your instructor and the Academic Advisement Center, Union Building, 390-3278 as early as possible in the term. To ensure that needs are met, students must register with the Center for Academic Advisement upon enrollment and at the start of each term for which they are requesting services.
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Academic Honesty Policy The Evelyn L. Spiro School of Nursing follows the Academic Honesty Policy of Wagner College. As members of the Wagner College Community, students are held to the highest standards with regards to academic honesty and integrity. Violations of the College’s honesty policy diminish the work of everyone at Wagner College. Open, honest inquiry stands at the foundation of our academic process, and is expected of all students, without exception. Students are solely responsible for informing themselves about acceptable forms of academic conduct. Additional information
● Please refer to Graduate Bulletin, Graduate Nursing Handbook and Preceptor book.
● Syllabus handed out in class with weekly assignments. Note all assignments and paperwork are to be in clearly marked blue folder with name into mail slot on office door. Secretaries do not do your work-no e-mail assignments.
● Every three semesters suturing is offered to all practicum students. You will be notified of requirements for participation.
● Every summer there is an opportunity in June to do 75 hours to complete a spring course or earn hours in advance for a fall practicum.
500 level humanitarian/global offerings allow 50 hours of supervised clinical to NPs. There are 2 courses spring break; one to Mexico and one to Navajo Indian site; and Peru or Haiti in the summer.
25
Evelyn L. Spiro School of Nursing at Wagner College
NR641: Family Health Nursing I
Practicum Evaluation Tool
Student Name___________________________ Date_____________________
Agency Used____________________________
Directions: To be completed at the midpoint and end of the clinical experience. The preceptor will rate each facet of clinical performance using the following scale: 4. Very good
3. Satisfactory
2. Needs Improvement*
1. Unsatisfactory*
*A rating of 1 or 2 requires comment by instructor
Rating Scale Appraisal Rating Definitions
Very Good (4) Consistently meets and exceeds criteria and demonstratessuperior proficiency in skills and application of increasing knowledge in patient care delivery & advanced practice of nursing.
Satisfactory (3) Performance that demonstrates the ability to meet the
criteria in patient care. Delivery & safe advanced nursing practice exceeds requirements in one or more major aspects of work.
Needs Improvement (2) Performance that inconsistently demonstrates advanced skills
and knowledge for patient care delivery & advanced nursing practice.
Unsatisfactory (1) Performance which does not meet normal requirements of
skill performance.
Measures used to evaluate the quality of nursing performance and other aspects of performance include the following:
26
direct observations concurrent / retrospective monitoring & review individual conferences
anecdotal records Please Circle Appropriate Evaluation: Mid Semester (100 Hours) or Final (200 Hours) Category Total Program Hours Care of Adult: 200 Care of the Child/Adolescent: 200 Women’s Health: 50 Urgent Emergency Care: 50 Elective Primary Care: 100 This is the first practicum for the Family Nurse Practitioner Student. This evaluation form will be used by the preceptor and the student after the completion of 100 and 200 practicum hours. At the completion of this practicum the student will be able to:
1. Demonstrate beginning competency in the management of health/illness by identifying client specific health promotion needs using the principles of life span development.
2. Develop effective interpersonal transactions as they relate to therapeutic outcomes.
3. Use effective teaching skills to impart knowledge to patients and families in primary care
4. Improve health care outcomes by interacting within health care systems to ensure quality outcomes and culturally sensitive care.
5. Cultivate the role of the advanced practice nurse by demonstrating a commitment to the implementation, preservation and evaluation of the family nurse practitioner role.
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Management of Client Health/Illness The family nurse practitioner student demonstrates competency in the role of management of client health/illness status when she/he:
A. Status Competencies Midterm Final Date/Comments
1. Identifies individual and family’s specific health promotion needs utilizing principles of life span development.
2. Provides health promotion services.
3. Provides disease prevention services.
4. Provides health protection services.
5. Performs an appropriate systematic physical examination.
6. Obtains a complete history and documents findings.
7. Differentiates between normal variations of normal and abnormal findings.
8. Requests appropriate laboratory tests, screening assessments, x-rays, etc. within established protocols.
9. Performs procedures consistent with clinical privileges, in accordance with established practice.
10. With preceptor guidance: a. formulates a diagnosis b. develops a plan of care c. initiates therapeutic intervention d. evaluates patient/family outcomes.
11. Counsels individual and family concerning drug regimens, drug side effects and interactions using an appropriate communication level a. prescribes within established protocols.
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The family nurse practitioner student reflects competency in the nurse/patient relationship when she/he:
B. The Nurse / Client Relationship Competencies
Midterm Final Date/Comments
1. Maintains a commitment to healing within a supportive, confidential and caring environment.
2. Negotiates a mutually acceptable plan of care.
3. Listens to the individual / family concerns and validates their values and strengths.
4. Creates a relationship which acknowledges the individual’s strengths and assists in addressing his/her needs.
5. Maintains professional boundaries.
The family nurse practitioner student reflects competency in the teaching/counseling aspects of practice when she/he evidences the following.
C. Teaching Function Competencies Midterm Final Date/Comments
1. Promotes an environment which facilitates learning by responding to appropriate individual’s references, priorities, and readiness to learn.
2. Responds to individual’s readiness to learn.
3. Assesses health behaviors and learning needs of individuals and families.
4. Provides health education.
5. Validates the individual’s understanding of his/her condition.
6. Evaluates the effectiveness of teaching / counseling.
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The family nurse practitioner student reflects competency in improving health care outcomes by interacting within health care systems to ensure quality outcomes and culturally sensitive care when she/he
D. Ensuring the quality of health care practice competencies.
Midterm Final Date/Comments
1. Defines own professional role and scope of ability to peers, clients, and colleagues.
2. Monitors and evaluates quality of own practice.
3. Utilizes best practice evidence.
4. Demonstrates current knowledge of health care system financing as it affects delivery of care.
5. Evaluates the impact of the healthcare delivery system on care.
6. Prevents personal biases from interfering with the delivery of quality care.
7. Provides culturally sensitive care.
8. Assists patients of diverse cultures to access quality care.
9. Incorporates cultural preferences, values, health beliefs and behaviors into the management plan.
10. Assists patients and families to meet their spiritual needs.
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The family nurse practitioner student demonstrates cultivating the role of the advance practice nurse when she/he:
E. Organizational Systems of Competencies: Midterm Final Date/Comments
1. Delivers safe care.
2. Communicates personal strengths and professional limits
3. Participates as a member of health care teams.
4. Collaborates with other health care providers.
5. Consults with other health care providers.
6. Advocates for the patient.
7. Accepts personal responsibility for professional development.
8. Works well with preceptor and staff.
9. Seeks and accepts constructive criticism.
10. Demonstrates progressive independence in the clinical setting.
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Preceptor: please make a brief comment on the Nurse Practitioner student’s progress.
1. Strengths: 2. Areas needing improvement:
3. Additional Comments: Evaluator’s Signature_______________________________ Date____________ Student: please make a brief comment on your self-evaluation progress.
1. Strengths: 2. Areas needing improvement:
3. Additional Comments: Students Signature________________________________ Date _______________
32
The Evelyn L. Spiro School of Nursing
at Wagner College
NR 643:
Family Health Nursing II
Faculty: Margaret M. Terjesen, MS, RN, FNP-BC
Placement in Curriculum: Offered each semester
Prerequisites: NR 641
Credits: 3
Contact Hours: 230
COURSE OVERVIEW This is the second of three seminar/practicum courses that prepares students to function in the advanced practice role of family nurse practitioner. The active learning experience is that of providing care to families across the life span in the community. In addition to building on the competencies cultivated in N641, students explore the phenomena of stress and coping and their relationship to health. Implications for nursing are identified from research findings that synthesize stress, coping and health. Models such as response-oriented theories of stress are examined as they relate to immunity and health outcomes. Students are expected to be active in peer review journal reading on family health. The seminar which meets for 30 clock hours throughout the semester, provides the opportunity to offer case presentations that cover a client's presenting problem, physical findings, history, diagnosis with differential, tests ordered, procedures, treatment plan, pharmacology, health teaching and disposition. Growth and development, cultural, and psychosocial issues are integrated throughout the presentation, as well as epidemiologic concepts. Students are expected to attend all seminars as scheduled. A student will contact this professor in the event of an absence. Students who are absent more than two (2) times will have their grade decreased by one letter grade. (Example A to B). The additional learning aspect is the clinical practicum where the student completes 200 hours in various primary care settings. The preceptor supervised clinical practicum provides the student with opportunities to design, implement, and evaluate comprehensive care provided to clients/families. Preceptor supervision is provided by practicing nurse practitioners and physicians in the community.
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COURSE OBJECTIVES: Upon completions of this course, the student will be able to:
1. Demonstrate competency in the management of common chronic and acute conditions across the life span, within the primary care setting
2. Develop personal, collaborative and collegial approaches which promote therapeutic patient/family outcomes
3. Interpret and individualize patient/family therapies through the activities of advocacy, modeling and tutoring.
4. Evaluate quality outcome indicators utilizing best practice principles to deliver culturally sensitive quality care
5. Enhance the role of the advanced practice nurse by participating in community and professional organizations that impact on the health of communities
TEACHING STRATEGIES:
Discussion Case Study Presentations Student Topic Presentations Guest Speakers Video, Computer Assisted and web based Learning:
EVALUATION METHODS:
1. Preceptor Evaluations 2. Student Self-Evaluations & Student Agency Evaluation 3. Student's Practicum Logs 4. Presentations
Attendance and participation in seminar component is required. The course will be passed by students who, in the judgment of the faculty and preceptor(s), are clinically competent and who have completed all course requirements. Students may be asked to spend additional hours in the clinical agency until competence is demonstrated. These decisions are at the discretion of the faculty and preceptor. GRADING POLICY: Students in Nr 643 will be given a letter grade as per college policy. Grading will be based on: 10% Portfolio 10% Presentations 20% Quizzes 20% DRT Testing Scores 10% FNP Certification Questions/Quizzes 10% Shadow Health Program Assignments 20% Final Exam
34
REQUIRED TEXTS:
1. Cash, Jill C., Glass, Cheryl A., Family Practice Guidelines, 3rd Ed. Springer Pub. 2. Domino, Frank J., Baldor, Robert A., Grimes, Jill A., Golding, Jeremy, The Five
Minute Clinical Consult 2016, 24th edition. Lippincott, Williams & Wilkins 3. Prabhu, F., Bickle,L., Case Studies to Accompany Bates Guide to Physical
Examination and History Taking 9th edition. Lippincott Williams & Wilkins
RECOMMENDED READING:
1. Ewald, G.A. and McKenzie, C.R. (2007). The Washington Manual: Manual of medical therapeutics. (34nd edition). Boston: Little Brown & Company.
2. Chen, Michael, Pope, Thomas, Ott, David. Basic Radiology (Second Edition).
McGraw-Hill Professional Publishing 3. Thaler, Malcom S. (2006) The only ECK book you’ll ever need.(7th edition)
Philadelphia: Lippincott, Williams & Wilkins
4. Download monthly Prescriber Index and Epocrates 5. *All previous Core NP texts
THE REQUIRED TEXTS & RECOMMENDED READINGS ARE THE SAME AS NR641
35
Course Requirements
I. Prior to beginning any clinical hours all students: 1. Must pass a competency based clinical examination in advanced health
assessment skills (guidelines to be obtained from Professor) Note that students now have access to a web based Health Assessment Program from their home computer. Please see the Director of the Nursing Resource Center for a pass word to use this program.
2. copies of the following must be submitted and kept on file and be 3. current:
a. Current RN License b. BLS Certification c. Malpractice Insurance with student FNP clause d. Health Insurance Policy (copy) e. Yearly Physical and HIPPA signature on Wagner College f. Any additional requirements as dictated by the clinical
agency
Please keep the originals of the above documentation and submit copies of all. Students are responsible for maintaining CURRENT documentation. Forms should be sent to agencies as required. Students will not be permitted to continue in field work if documents expire. Students in breach of this requirement will put their grade in jeopardy. All documents must be in student’s file as well. Students are responsible for interacting with office staff to verify contracts and forms.
II. IT IS THE STUDENT'S RESPONSIBILITY TO MEET THE CLINICAL TIME REQURIEMENTS AND TO SCHEDULE THEIR CLINICAL PRACITICUM AS WELL AS TO NOTIFY THE FACULTY OF THEIR PRACTICUM SCHEDULE VIA PRINTED CALENDARS. COPIES OF ALL CALENDARS MUST BE SUBMITTED PRIOR TO START OF CLINICAL EACH MONTH. FACULTY WILL CONDUCT FOLLOW UP SUPERVISION AND SITE VISITS THROUGHOUT THE SEMESTER.
III. All preceptors must be approved by the Professor or the Director of Graduate Nursing prior to any contract or letter of agreement being generated. Complete the Preceptor Information Form and bring the completed form to the Professor for signature and approval of the experience. There will be a stipulated time to meet with the clinical placement coordinator regarding your preceptorships.
Professional attire is expected when attending clinical agencies. A lab coat is required. Students must wear an identification badge at all times. If the agency does not provide one, students should use a badge that identifies them as an RN and a nurse practitioner student.
IV. Evaluations will be completed after reaching 100 hours and 200 hours. Students will also complete a Self-evaluation. Students must meet the objective of the Clinical Evaluation Tool with increasing proficiency. Students must receive a passing evaluation by the preceptor to continue in the course sequence. For
36
students who have more than one preceptor, each preceptor will complete an evaluation form. (See Clinical Evaluation Tool). Students who fail to meet the objectives will have their situation reviewed and may jeopardize their chance of passing the course. Students must also complete a self-evaluation. All evaluations will be kept in the student’s folder. No more than 3 preceptors/sites can be utilized in one course.
Each student will lead one seminar presentation that focuses on an identified topic from the seminar topics. Students must submit an outline of presentation prior to the start of the presentation. Students should hand out pertinent information such as usual findings, treatment plan, and/or literature review to facilitate discussion to class at the beginning of the presentation. The presentation should be case based. The presentation should be concise and well organized. Fellow students will critique and discuss the presentations. This is an evidence based presentation and should be well researched.
V. The total number of practicum hours for the entire program is a minimum of 600 hours accrued among the following areas:
Care of Adult: 200 hours Care of Child/Adolescent: 200 hours Women's Health: 50 hours Urgent/Emergency Care: 50 hours Elective Primary Care: 100 hours- 25 hours must be in Gerontology (Frail elderly Age 70 and above) Practicum Hours Breakdown: NR 641 150 hours in Adult 50 hours in Pediatrics (school age child)
NR 643 150 hours in Pediatrics (infant to age 21- sick and well) 50 hours in Women’s Health
NR 645
50 hours in Urgent/Emergency Care 50 hours in Adult 100 hours in Elective
Completion of 200 hours by end of semester is required. If unable to do so, students may request an incomplete but must erase the incomplete before the beginning of the next semester. Students will not be allowed to register for the following seminar/practicum until the incomplete is satisfied. Students will be able to register for NR699, given each summer, as a means to complete clinical hours outstanding or as a means to start clinical hours for the next semester. This requires approval from both the existing professor as well as the assigned summer professor.
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1. Students may include a variety of experiences in their practicum. Only direct
patient/family care can be included in the 200 hours required for care. Attendance at seminars, conferences and professional meetings cannot be used for the required clinical course hours. All students entering NR643 must submit a breakdown of all NR 641 hours.
2. Nurse practitioners and physicians who have agreed to precept students give of their time willingly and are not compensated by Wagner College. As a matter of courtesy, the faculty asks the student to acknowledge the preceptor's efforts at the end of the semester.
3. Students will complete evaluations of each preceptor and agency.
4. Students will keep a log of each practicum visit. See outline for logs. Log will
be turned in to faculty at each seminar meeting. Although blank forms are available in the office, students should also enter into their own excel file to track how they are meeting required distribution of hours and ages/specialties. At the beginning of NR 643 the student will provide a print out of Practicum Practice Hours.
5. All students will submit weekly SOAP notes- 10 total for semester.
6. At the end of the course, students will present a portfolio of their entire Experience. Sections will include documents such as license, BLS, logs, Case presentation outline, evaluations and time sheets with preceptor signature. Portfolios will be kept on file in the department.
7. Students should also turn in a disc or CD ROM of patient logs with their name,
course title & semester to the professor for their records and the graduate program director, who will utilize to track hours for the degree by category requirements.
8. All students must take two of the Diagnostic Readiness Tests prior to the
course completion. The first test within the first month of the semester and the second test within the last month of semester. These are intended to prepare the student for the certification examination. The results of both tests, with breakdown of all areas, must be submitted to the professor after the test is completed. The DRT tests will be part of the final grade as stated earlier.
9. All students are responsible for completing Shadow Health Assignments. A list
of assignments and dates due will be given to the students. Shadow Health Assignment completion will be part of the final grade as stated earlier.
10. Completion of an approved suture class.
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SEMINAR TOPICS: 1. Managing Ear Diseases in Children 2. Managing Strep Throat and Mononucleosis in Children 3. Managing GI Issues in Children- Diarrhea/Vomiting/BRAT Diet/Marfan’s 4. Management of Abuse Issues in Children 5. Managing Diabetes I and II Children/Managing Childhood Obesity 6. Managing Behavioral Issues in Children-ADHD/Autism/Depression 7. Management and Treatment of Asthma in Children 8. Management of Infant Reflux Disease/Pyloric Stenosis 9. Managing GU disorders in Women’s Health-STD’s 10. Managing and Treating the Diabetic Pregnant Patient 11. Managing and treating vaginal infections 12. Perinatal protocols 13. Managing the Diabetic Pregnant patient 14. Gestational Stages- normal and complications – Ectopic
pregnancy/Vaginal Deliveries/C-Sections 15. Perinatal Mortality and Postpartum Depression 16. Breast Feeding- Types of Formulas- Treatment of Mastitis 17. Infant Cardiac Defects- apical pulse protocol
* A suturing workshop is provided once during the academic year. This usually occurs during the Spring Semester. You must attend a suturing workshop once before program completion. You may attend while in Nursing 643 or Nursing 645.
Academic Honesty Policy The Evelyn L. Spiro School of Nursing follows the Academic Honesty Policy of Wagner College. As members of the Wagner College Community, students are held to the highest standards with regards to academic honesty and integrity. Violations of the College’s honesty policy diminish the work of everyone at Wagner College. Open, honest inquiry stands at the foundation of our academic process, and is expected of all students, without exception. Students are solely responsible for informing themselves about acceptable forms of academic conduct.
**NOTICE**
If you have a disability for which you are or may be requesting an accommodation, you are encouraged to contact both your instructor and the Academic Advisement Center, Union Building, 390-3278 as early as possible in the term.
39
Evelyn L. Spiro School of Nursing at Wagner College
NR643: Family Health Nursing II
Practicum Evaluation Tool
Student Name___________________________ Date_____________________
Agency Used____________________________
Directions: To be completed at the midpoint and end of the clinical experience. The preceptor will rate each facet of clinical performance using the following scale: 4. Very good
3. Satisfactory
2. Needs Improvement*
1. Unsatisfactory*
*A rating of 1 or 2 requires comment by instructor
Rating Scale
Appraisal Rating Definitions
Very Good (4) Consistently meets and exceeds criteria and demonstrates superior proficiency in skills and application of increasing knowledge in patient care delivery & advanced practice of nursing.
Satisfactory (3) Performance that demonstrates the ability to meet the
criteria in patient care. Delivery & safe advanced nursing practice exceeds requirements in one or more major aspects of work.
Needs Improvement (2) Performance that inconsistently demonstrates advanced skills
and knowledge for safe patient care delivery & advanced nursing practice.
Unsatisfactory (1) Performance which does not meet normal requirements of
skill performance.
40
Measures used to evaluate the quality of nursing performance and other aspects of performance include the following:
direct observations
concurrent / retrospective monitoring & review individual conferences anecdotal records
Please Circle Appropriate Evaluation: Mid Semester (100 Hours) or Final (200 Hours) Category Total Program Hours Care of Adult: 200
Care of the Child/Adolescent: 200
Women’s Health: 50
Urgent Emergency Care: 50
Elective Primary Care: 100
This is the second practicum for the Family Nurse Practitioner Student. This evaluation form will be used by the preceptor and the student after the completion of 100 and 200 practicum hours. At the completion of this practicum the student will be able to:
1. Demonstrate competency in the management of common chronic and acute conditions across the life span, within the primary care setting.
2. Develop personal, collaborative and collegial approaches which promote therapeutic patient/family outcomes.
3. Interpret and individualize patient/family therapies through the activities of advocacy, modeling and tutoring.
4. Evaluate quality outcome indicators utilizing best practice principles to deliver culturally sensitive quality care.
5. Enhance the role of the advanced practice nurse by participating in community and professional organizations that impact on the health of communities.
41
Management of Client Health/Illness The family nurse practitioner student demonstrates competency in the role of management of common chronic and acute conditions across the life span within the primary care setting when she/he
A. Status Competencies Midterm Final Date/Comments
1. Identifies individual and family’s specific health promotion needs utilizing principles of life span development.
2. Performs an appropriate systematic physical
examination.
3. Obtains a complete history and documents findings.
4. Requests appropriate laboratory tests screening assessments, x-rays, etc. within established protocols.
5. Identifies and treats common acute and chronic physical illness across the life span.
6. Identifies and treats common acute and chronic mental illness.
7. Prescribes medications with knowledge of altered pharmacodynamics and pharmacokinetics with special populations such as infants and children, pregnant and lactating women and older adults.
8. Adapts plan of intervention across the life span.
9. Assess and promotes self care in patients with disabilities.
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The family nurse practitioner student reflects competency in developing personal, collaborative and collegial approach which promotes therapeutic patient/family outcomes when she/he
B. The Nurse / Client Relationship Competencies
Midterm Final Date/Comments
1. Maintains a commitment to healing within a supportive, confidential and caring environment.
2. Assists individual and families with ethical issues.
3. Listens to the individual / family concerns and validates their values and strengths.
4. Creates a relationship which acknowledges the individual’s strengths and assists in addressing his/her needs.
5. Promotes positive coping of individuals and families in the face of stress/crisis.
6. Creates a relationship which acknowledges the individual’s strengths and assists in addressing her/his needs.
7. Utilizes effective communication skills to collaborate with other health care providers.
8. Demonstrates a collegial approach in the practice setting.
43
The family nurse practitioner student reflects competency in the teaching/counseling aspects of practice when she/he interprets and individualizes patient/family therapies through the activities of advocacy, modeling and tutoring.
C. Teaching Function Competencies Midterm Final Date/Comments
1. Promotes an environment which facilitates learning by responding to appropriate individual’s references, priorities, and readiness to learn.
2. Demonstrates knowledge and skill in addressing sensitive topics with family members such as sexuality, finances mental health, terminal illness and substance abuse.
3. Responds to individual’s readiness to learn.
4. Assists individuals to set goals for health promotion/risk reduction and effectively manage their health care using community resources whenever possible.
5. Assesses health behaviors and learning needs of individuals and families.
6. Provides anticipatory guidance, appropriate for age/developmental status.
7. Provides information about therapeutic actions side effects and instructions to promote optimum effects of therapeutics.
8. Validates the individual’s understanding of his/her condition.
9. Maximizes individual’s participation and control In his/her own care.
44
The family nurse practitioner student reflects competency in the role of monitoring and ensuring the quality of health care practice when she/he evaluates quality outcome indicators utilizing best practice principles to deliver culturally sensitive care.
Midterm Final Date/Comments
1. Defines own professional role and scope of ability to peers, clients, and colleagues.
2. Develops, implements, and evaluates clinical standards of care in collaboration with other health professionals to assure optimal care for clients.
3. Monitors and evaluates quality of own practice.
4. Monitors and evaluates quality outcome indicators
5. Provides culturally sensitive care.
6. Advocates for patients/families of diverse cultures.
7. Incorporates cultural preferences, values, health beliefs and behaviors into the management plan.
8. Assists patients and families to meet their spiritual needs.
45
The family nurse practitioner student reflects competency in enhancing the role of the advance practice nurse when she/he
Midterm Final Date/Comments
1. Advocates for client needs across the health
care needs.
2. Participates in policy making activities.
3. Evaluates implications of health policy.
4. Participates in community organizations.
5. Utilizes effective communication skills.
6. Works well with preceptor and staff.
7. Seeks and accepts constructive criticism.
8. Demonstrates progressive independence in clinical setting.
9. Demonstrates self-motivated learning.
46
Preceptor: please make a brief comment on the Nurse Practitioner student’s progress. 1. Strengths: 2. Areas needing improvement: 3. Additional Comments: Evaluator’s Signature_______________________________ Date____________ Student: please make a brief comment on your self-evaluation progress. 1. Strengths: 2. Areas needing improvement: 3. Additional Comments: Students Signature________________________________ Date _______________
47
The Evelyn L. Spiro School of Nursing at Wagner College
NR 645:
Family Health Nursing III
Faculty: Margaret M. Terjesen, MS, RN, FNP- BC
Placement in Curriculum: Offered each semester
Prerequisites: NR 643
Credits: 3
Contact Hours: 230
COURSE OVERVIEW: This is the third of a series of seminar/practicum courses that prepares students to function in the advanced practice role of family nurse practitioner. The active learning experience is that of providing care to families across the life span in the community. In addition to building on the competencies cultivated in N641 & N643 students, the student is expected to give evidence of the ability to function in the professional leadership role of the advanced practice nurse. The seminar which meets for 30 clock hours throughout the semester provides the opportunity to for the student to offer presentations that reflect practice issues such as board certification, quality monitoring, contract negotiation and the impaired professional. In addition, students present patient cases from their practice and discuss management plans with their peers for collaborative learning. Students are expected to attend all seminars as scheduled. A student will contact this professor in the event of an absence. Students who are absent more than two (2) times will have their grade decreased by one letter grade. (Example A to B). The additional learning aspect is the clinical practicum where the student completes 200 hours in various primary care settings. The preceptor supervised clinical practicum provides the student with opportunities to design, implement, and evaluate comprehensive care provided to clients/families. Preceptor supervision is provided by practicing nurse practitioners and physicians in the community.
48
COURSE OBJECTIVES: Upon completion of this course, the student will be able to:
1. Demonstrate autonomy in the management of common chronic and acute conditions across the life span within the primary care setting
2. facilitate interpersonal transactions and decision making that yield therapeutic patient and family outcomes
3. Enhance therapeutic outcomes of families, individuals, and communities through effective teaching and coaching activities
4. Navigate health care delivery systems to ensure quality outcomes for diverse patient populations
5. Interpret the role of the advanced practice nurse to providers and the public to promote the profession and access to health care.
TEACHING STRATEGIES:
18. Discussion 19. Case Study Presentations 20. Guest Speakers 21. Web Based Health Assessment Interactive Learning 22. Practice Resources in the Nursing Resource Center
EVALUATION METHODS:
5. Preceptor Evaluations 6. Student Self-Evaluations 7. Student's Practicum Logs 8. Prepared Assignments
Seminar attendance and participation is required. The course will be passed by students who, in the judgment of the faculty and preceptor(s), are clinically competent and who have completed all course requirements. Students may be asked to spend additional hours in the clinical agency until competence is demonstrated. These decisions are at the discretion of the faculty and preceptor.
GRADING POLICY: Students in NR 645 will be given a letter grade as per college policy. Grading will be based on: 10% Portfolio 10% Presentations 20% Quizes 20% DRT Testing Scores 10% FNP Certification Questions/Quizzes 10% Shadow Health Program Assignments 20% Final Exam There will be a Comprehensive Exam at the conclusion of NR645.
49
REQUIRED TEXTS:
1. Cash, Jill C., Glass, Cheryl A., Family Practice Guidelines, 3rd Ed. Springer Pub. 2. Domino, Frank J., Baldor, Robert A., Grimes, Jill A., Golding, Jeremy, The Five
Minute Clinical Consult 2016, 24th edition. Lippincott, Williams & Wilkins 3. Prabhu, F., Bickle,L., Case Studies to Accompany Bates Guide to Physical
Examination and History Taking 9th edition. Lippincott Williams & Wilkins RECOMMENDED READING:
1. Ewald, G.A. and McKenzie, C.R. (2007). The Washington Manual: Manual of medical therapeutics. (34nd edition). Boston: Little Brown & Company.
2. Chen, Michael, Pope, Thomas, Ott, David. Basic Radiology (Second Edition).
McGraw-Hill Professional Publishing 3. Thaler, Malcom S. (2006) The only ECK book you’ll ever need.(7th edition)
Philadelphia: Lippincott, Williams & Wilkins
4. Download monthly Prescriber Index and Epocrates 5. *All previous Core NP texts
THE REQUIRED TEXTS & RECOMMENDED READINGS ARE THE SAME AS NR641 Course Requirements
I. Prior to beginning any clinical hours all students: 1. Must pass a competency based clinical examination in advanced health
assessment skills (guidelines to be obtained from Professor) Note that students now have access to a web based Health Assessment Program from their home computer. Please see the Director of the Nursing Resource Center for a password to use this program
2. copies of the following must be submitted and kept on file and be current:
a. Current RN License b. BLS Certification c. Malpractice Insurance with student FNP clause d. Health Insurance Policy (copy) e. Yearly Physical and HIPPA signature on Wagner College form original f. Any additional requirements as dictated by the clinical agency
50
Please keep the originals of the above documentation and submit copies of all. Students are responsible for maintaining CURRENT documentation. Forms should be sent to agencies as required. Students will not be permitted to continue in field work if documents expire. Students in breach of this requirement will put their PASS status in jeopardy. All documents must be in student’s file as well. Students are responsible for interacting with office staff to verify contracts and forms.
II. IT IS THE STUDENT'S RESPONSIBILITY TO MEET THE CLINICAL TIME
REQURIEMENTS AND TO SCHEDULE THEIR CLINICAL PRACITICUM AS WELL AS TO NOTIFY THE FACULTY OF THEIR PRACTICUM SCHEDULE VIA PRINTED CALENDARS. COPIES OF ALL CALENDAS MSUT BE SUBMITTED PRIOR TO START OF CLINICAL EACH MONTH. FACULTY WILL CONDUCT FOLLOW UP SUPERVISION AND SITE VISITS THROUGHOUT THE SEMESTER.
III. All preceptors must be approved by the Professor or the Director of Graduate
Nursing prior to any contract or letter of agreement being generated. Complete the Preceptor Information Form and bring the completed form to the Professor for signature and approval of the experience. There will be a stipulated time to meet with the clinical placement coordinator regarding your preceptorships.
Professional attire is expected when attending clinical agencies. A lab coat is required. Students must wear an identification badge at all times. If the agency does not provide one, students should use a badge that identifies them as an RN and a nurse practitioner student.
IV. Evaluations will be completed after reaching 100 hours and 200 hours. Students
will complete a Self-evaluation. Students must meet the objective of the Clinical Evaluation Tool with increasing proficiency. Students must receive a passing evaluation by the preceptor to continue in the course sequence. For students who have more than one preceptor, each preceptor will complete an evaluation form. (See Clinical Evaluation Tool). Students who fail to meet the objectives will have their situation reviewed and may jeopardize their chance of passing the course. Students must also complete a self-evaluation. All evaluations will be kept in the student’s folder. No more than 3 preceptors/sites can be utilized in one course.
Each student will lead one seminar presentation that focuses on an identified topic from the seminar topics. Students must submit an outline of presentation prior to the start of the presentation. Students should hand out pertinent information such as evidence for practice prior to the start of the presentation. The presentation should be case based. The presentation should be concise and well organized. Fellow students will critique and discuss the presentations. The seminar topics reflect issues pertinent to the beginning nurse practitioner. The presenter should provide references and appropriate materials to their peers.
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V. The total number of practicum hours for the entire program is a minimum of 600 hours accrued among the following areas: Care of Adult: 200 hours Care of Child/Adolescent: 200 hours Women's Health: 50 hours Urgent/Emergency Care: 50 hours Elective Primary Care: 100 hours- 25 HURS MUST BE IN Gerontology
(Frail elderly Age 70 and above).
PRACTICUM HOURS BREAKDOWN: NR 641 150 hours in Adult 50 hours in Pediatrics (school age child) NR 643 150 hours in Pediatrics (infant to age 21- sick and well) 50 hours in Women’s Health NR 645 50 hours in Urgent/Emergency Care 50 hours in Adult 100 hours in Elective Completion of 200 hours by end of semester is required. If unable to do so, students may request an incomplete but must erase the incomplete before graduation.
1. Students may include a variety of experiences in their practicum. Since
this is the last clinical experience you must review your entire clinical portfolio with your professor. This is critical to selecting experiences that will best ensure that you meet the program objectives. Only direct patient/family care can be included in the 200 hours required for care. Attendance at seminars, conferences and professional meetings can not be used for the required clinical course hours.
2. Nurse practitioners and physicians who have agreed to precept students give of their time willingly and are not compensated by Wagner College. As a matter of courtesy, the faculty asks the student to acknowledge the preceptor's efforts at the end of the semester.
3. Students will complete evaluations of each preceptor and agency. 4. Students will keep a log of each practicum visit. See outline for logs. Log
will be turned in to faculty at each seminar meeting. Although blank forms are available in the office, students should also enter into their own excel file to track how they are meeting required distribution of hours and ages/specialties. At the beginning of this Practicum, students need to provide the professor with a print out of their logs (summary) from NR641 and NR643.
5. All students will submit weekly SOAP notes- 10 total for semester.
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6. At the end of the course, students will present a portfolio of their entire experience. Sections will include documents such as license, BLS logs, Case presentation outline, evaluations and time sheets with preceptor signature. Portfolios will be kept on file in the department.
7. Students should also turn in a disc or CD ROM of patient logs with their name, course title, and semester to the professor for their records and the graduate program director, who will utilize to track hours for the degree by category requirements.
8. All students must take two of the Diagnostic Readiness Tests prior to the course completion. The first test within the first month of the semester and the second test within the last month of the semester. These are intended to prepare the student for the certification examination. The results of both tests, with breakdown of all areas, must be submitted to the professor after the test is completed. The DRT tests will be part of the final grade as stated earlier.
9. Each student is responsible for completing Shadow Health Assignments. A list of assignments and due dates will be given to the student. Shadow Health Assignment completion will be part of the final grade as stated earlier.
10. Completion of an approved suture class. 11. Receipt for registration for Nurse Practitioner Review Class. 12. In order to practice as a nurse practitioner you will need to apply to the
State in which you wish to practice. State requirements differ. The New York requirements will be reviewed in the seminar.
SEMINAR TOPICS:
1. Treating the Patient with A Substance Abuse Problem 2. The Impaired Professional – treatment/license protection 3. Care of the patient threatening suicide 4. Standards of Care for Nurse Practitioner Practice 5. DVT Prophylaxis – acute and chronic care 6. Managing Hypertensive crisis in the Urgi Center 7. Managing three common Dermatology Issues 8. Professional Organizations for Nurse Practitioners 9. Managing Stroke patients in the Urgi setting 10. Contract Negotiation for Nurse Practitioners 11. Quality Improvement and Performance Measurement for Nurse
Practitioners 12. Managing the patient with an Acute Abdomen 13. Managing the the patient with Acute Pancreatitis 14. Care of the patient with a Degenerative Neurological Disorder 15. Treating the patient in Asthmatic Crisis in the Urgi Setting 16. Care of the patient with Common Hematologic Problems – Microcytic
anemia/Normocytic anemia/macrocytic anemia 17. Treating poisoning in the Urgi setting 18. Treating heat related illnesses in the Urgi setting
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19. Treating animal and human bites in the Urgi setting
A suturing workshop is provided once during the academic year. This usually occurs during the Spring Semester. You must attend the workshop once before program completion. You may attend while in NR 643 or NR645.
Academic Honesty Policy The Evelyn L. Spiro School of Nursing follows the Academic Honesty Policy of Wagner College. As members of the Wagner College community, students are held to the highest standards with regards to academic honesty and integrity. Violations of the College’s honesty policy diminish the work of everyone at Wagner College. Open, honest inquiry stands at the foundation of our academic process, and is expected of all students, without exception. Students are solely responsible for informing themselves about acceptable forms of academic conduct. **NOTICE** If you have a disability for which you are or may be requesting an accommodation, you are encouraged to contact both your instructor and the Academic Advisement Center, Union Building, 390-3278 as early as possible in the term.
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Evelyn L. Spiro School of Nursing at Wagner College
NR645: Family Health Nursing III
Practicum Evaluation Tool
Student Name___________________________ Date_____________________
Agency Used____________________________
Directions: To be completed at the midpoint and end of the clinical experience. The preceptor will rate each facet of clinical performance using the following scale:
4. Very good
3. Satisfactory
2. Needs Improvement*
1. Unsatisfactory*
*A rating of 1 or 2 requires comment by instructor
Rating Scale
Appraisal Rating Definitions
Very Good (4) Consistently meets and exceeds criteria and demonstrates superior proficiency in skills and application of increasing knowledge in patient care delivery & advanced practice of nursing.
Satisfactory (3) Performance that demonstrates the ability to meet the
criteria in patient care. Delivery & safe advanced nursing practice & exceeds requirements in one or more major aspects of work.
Needs Improvement (2) Performance that inconsistently demonstrates advanced skills
and knowledge for safe patient care delivery & nursing practice.
Unsatisfactory (1) Performance which does not meet normal requirements of
skill performance.
Measures used to evaluate the quality of nursing performance and other aspects of performance include the following:
direct observations concurrent / retrospective monitoring & review individual conferences
anecdotal records
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Please Circle Appropriate Evaluation: Mid Semester (100 Hours) or Final (200 Hours) Category Total Program Hours Care of Adult: 200
Care of the Child/Adolescent: 200
Women’s Health: 50
Urgent Emergency Care: 50
Elective Primary Care: 100
This is the first practicum for the Family Nurse Practitioner Student. This evaluation form will be used by the preceptor and the student after the completion of 100 and 200 practicum hours. Upon completion of this practicum the student will be able to:
1. Demonstrate autonomy in the management of common chronic and acute conditions across the life span within the primary care setting.
2. Facilitate interpersonal transactions and decision making that yield therapeutic patient and family outcomes.
3. Enhance therapeutic outcomes of families’ individuals and communities through effective teaching and coaching activities.
4. Navigate health care delivery systems to ensure quality outcomes for diverse patient populations.
5. Interpret the role of the advanced practice nurse to providers and the public to promote the profession and access to health care.
Management of Patient Health/Illness The family nurse practitioner student demonstrates autonomy in the management of common chronic and acute conditions across the life span within the primary care setting.
A. Status Competencies Midterm Final Date/Comments
1. Demonstrates independence and diagnostic reasoning skills in clinical decision-making in the identification, evaluation and management of health needs of individuals in primary care settings.
2. Performs, interprets and communicates results of common diagnostic tests.
3. Performs an appropriate systematic physical examination.
4. Obtains a complete history and documents findings.
5. Requests appropriate laboratory tests, screening assessments, x-rays, etc. within
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established protocols.
6. Diagnoses and manages acute self-limiting, minor illnesses and stable chronic diseases.
7. Develops differential diagnosis
8. Develops a health care plan with the individual, family, and/or significant others, utilizing available resources.
9. Consults with preceptor as appropriate.
10. Performs procedures consistent with clinical privileges, in accordance with established practice.
11. Counsels individual/family concerning drug regimens, drug side effects, and interactions using an appropriate communication level.
12. Prescribes within established protocols.
13. Assesses, diagnoses, prescribes therapies and manages the client/families health status over time with attention to safety, efficacy, national guidelines, and the client/families health goals, risk factors, and illness experience.
14. Schedules follow-up visits to appropriately monitor clients and evaluates care.
15. Recognizes emergency situations and reports need to initiate emergency care to preceptor.
16. Incorporates community needs, strengths, and resources into practice.
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The family nurse practitioner student reflects competency in facilitating interpersonal transactions and decision making that yield therapeutic patient and family outcomes when she/he:
B. The Nurse / Client Relationship Competencies
Midterm Final Date/Comments
1. Maintains a commitment to healing within a supportive, confidential and caring environment.
2. Offers individual appropriate choices.
3. Listens to the individual / family concerns and validates their values and strengths.
4. Creates a relationship which acknowledges the individual’s strengths and assists in addressing his/her needs.
5. Recognizes, detects, and attends to expressed and unexpressed content/feelings/concerns of the individual and family.
6. Promotes positive coping of individuals and families in the face of stress/crisis.
7. Provides emotional and informational support to individual and their families.
8. Facilitates individual’s decision making by linking care to individual’s concerns.
9. Respects the individual’s right to make health care decisions even if they are in conflict with recommendations of the practitioner.
The family nurse practitioner student reflects competency in the effective teaching and coaching activities when she/he
C. Midterm Final Date/Comments
1. Promotes an environment which facilitates learning by responding to appropriate individual’s references, priorities, and readiness to learn.
2. Responds to individual’s readiness to learn.
3. Assists individuals to set goals for health promotion/risk reduction and effectively manage their health care using community resources
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whenever possible.
4. Assesses health behaviors and learning needs of individuals and families.
5. Provides anticipatory guidance appropriate for age/developmental status.
6. Provides information about therapeutic actions, side effects and instructions to promote optimum effects of therapeutics.
7. Validates the individual’s understanding of his/her health condition.
8. Maximizes individual’s participation and control in his/her own care.
9. Assists individual to alter lifestyle to meet changing health care needs/capacities.
10. Explains the condition, treatment choices, and rationale for procedures.
11. Counsels individual and family in crisis/loss/grief situations and refers to mental health providers as appropriate.
The family nurse practitioner student reflects competency in navigating the health care delivery system to ensure quality outcomes for diverse patient populations.
D Midterm Final Date/Comments
1. Monitors and evaluates quality of own practice.
2. Provides contingencies to ensure safe medical and nursing care.
3. Engages in research utilization dissemination and/or generation to promote quality care.
4. Advocates for patients and families to obtain safe quality care.
5. Demonstrates current knowledge of health care reimbursement as it affects patient care.
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D Midterm Final Date/Comments
6. Assists patients of diverse cultures to access quality care.
7. Provides culturally sensitive care.
The family nurse practitioner student demonstrates competency in interpreting the role of the advance practice nurse to providers and the public when she/he gives evidence of the following.
E. Organizational Systems of Competencies: Midterm Final Date/Comments
1. Assess, plans, implements, and evaluates health care collaboratively with other health care professionals.
2. Utilizes effective communication skills.
3. Works well with preceptor and staff.
4. Seeks and accepts constructive criticism.
5. Demonstrates progressive independence /interdependence in clinical setting.
6. Demonstrates self – motivated learning.
7. Acts ethically.
8. Provides leadership.
9. Incorporates current technology.
10. Demonstrates evidence based approaches to care.
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Preceptor: please make a brief comment on the Nurse Practitioner student’s progress.
1. Strengths: 2. Areas needing improvement:
3. Additional Comments: Evaluator’s Signature_______________________________ Date____________ Student: please make a brief comment on your self-evaluation progress.
1. Strengths: 2. Areas needing improvement:
3. Additional Comments: Students Signature________________________________ Date _______________
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Family Nurse Practitioner Site Visit Evaluation Tool Used for clinical site visits for Nursing 641, 643, and 645
Student Name: ______________________________ Faculty Conducting Visit: ______________________________ Date of Visit: ______________________________ Site: ______________________________ Preceptor: ______________________________ Type of Clinical Experience: ______________________________ To be completed at each clinical site visit. The evaluator will note student performance and site using the following scale:
4. Very good
3. Satisfactory
2. Needs Improvement*
1. Unsatisfactory*
NOB not observed A rating of 1 or 2 requires comment by evaluator.
SITE EVALUATION DATE COMMENTS
1. Physical Environment conduciveness to learning.
2. Quality of clinical resources at site such as number and diversity of patient encounters.
3. Staff and Management support for student learning.
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STUDENT EVALUATION DATE COMMENTS NOB
1. Utilizes effective communication skills
with preceptor.
2. Demonstrates ability to work well with site staff.
3. Seeks assistance from preceptor as needed.
4. Utilizes effective communication skills with patients and families.
5. Exhibits appropriate professional appearance.
6. Demonstrates competency in history taking.
7. Demonstrates competency in physical examination skills.
8. Demonstrates critical thinking and diagnostic reasoning skills.
9. Demonstrates appropriate patient plan of care.
10. Demonstrates competency in the teaching/counseling aspect of practice.
Faculty comments regarding student: 1. Student strengths:
_______________________________________________________________________
_______________________________________________________________________
____________________________________________________________________
2. Areas needing improvement:
_______________________________________________________________________
_______________________________________________________________________
____________________________________________________________________
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3. Recommendations for a second visit this semester.
_______________________________________________________________________
_______________________________________________________________________
____________________________________________________________________
Faculty comments regarding site and preceptor. (Faculty should provide evaluation of the site as well as evaluation of the preceptor).
_______________________________________________________________________
_______________________________________________________________________
____________________________________________________________________
Student comments:
_______________________________________________________________________
_______________________________________________________________________
____________________________________________________________________
Student signature______________________________________Date________________ Faculty signature______________________________________Date________________
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Preceptor Information and Site Request
Students must fill out all sections completely.
Name____________________________ Student ID: _____________
Date________________
Professor_________________________ Class: NR641 / NR643 / NR645
(Circle One)
Home Telephone___________________ Work_________________
Cell_________________
Preceptor’s Information: Preceptor’s Name and Title:_________________________________________________ Address: _______________________________________________________________________ Practice Settling / Please circle one: 1) Hospital 2) Long Term Care 3) Private Office 4) Clinic
Degrees: __________________ Academic Institution: ____________________
Staff Privileges (Institution):_______________ Years in Practice: ________
Board Certification and Area: ______________________________
Phone Number of Preceptor: ______________________________
License Number: _____________________________ For NP list both RN and
Practitioner Number
Number of Hours: ____________________________
Days at Site: ________________________________
Times at Site: _______________________________
Type of Experience: __________________________
Placement from: _______________to____________
Start of preceptorship depends upon receipt of contract with preceptor and receipt of updated physical, CPR, license, NP Malpractice insurance and personal health insurance. All applications must be approved by Dr. Tropello or Prof. Terjesen before contract
can be prepared.
You must provide a precpetor’s CV unless a copy is on file in the office. Please check the posted list on the graduate board.
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Preceptor Curriculum Vitae
Name:__________________________________________________________________
Mailing Address: _________________________________________________________
___________________________________________________________________
Work Telephone: _______________ Work Fax:____________________
E-Mail Address: ___________________________________________________
Higher Education
From To Degree &
Date Institution Field/Specialty
Certification & Licensure
Date Expiration Date Agency
Academic Appointments
From To Title Status Institution & Location
Professional Practice
From To Activity Location Institution and Affiliation
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Professional and Scientific Memberships
Dates Organization Position
Academic and Professional Honors
Date Honor Conferring Agency
Most Recent Publications & Continuing Education
Please circle the appropriate answer to the two questions below.
1. How many years have you been in clinical practice (as an NP/MD/DO/CNM/PA)?
a) More than 15 years b) 11-15 years c) 6-10 years d) 3-5 years e) 0-2 years
2. How many years have preceptored students (e.g. NP, MD)?
a) More than 10 years b) 5-9 years c) 1-4 years d) Less than 1 year e) 0
____________________________________
Preceptors Signature
Date __________________
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Evelyn L. Spiro School of Nursing
Family Health Nursing Preceptor Evaluation Nursing 641/643/645 Preceptor’s Name____________________________________________________ Address_____________________________________________________________ 5 = Strongly Agree 4 = Agree 3 = Uncertain 2 = Disagree 1 = Strongly Disagree Please circle the number that best applies:
1. Conveys knowledge of his/her specialty in a clear and effective manner. 5 4 3 2 1 2. Encourages learning through exposure to a variety of patients 5 4 3 2 1
and procedures.
3. Directs student to appropriate learning resources. 5 4 3 2 1
4. Supports student’s professional development by encouraging Progressive independence based on student’s abilities. 5 4 3 2 1
5. Evaluates student’s progress in a timely manner using constructive
criticism and identifying individual strengths. 5 4 3 2 1
6. Available to student for consultation as necessary. 5 4 3 2 1 7. Open to discussion of current research and alternative methods 5 4 3 2 1
of treatment.
8. Understands the role of the NP in practice. 5 4 3 2 1
Would you recommend this practitioner for another Nurse Practitioner student? YES NO
COMMENTS:
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
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The Evelyn L. Spiro School of Nursing at Wagner College Student Name: ______________________________________________
NR641 / NR643 / NR645 Patient Tracking Form
Date Age Sex New/Revisit Diagnosis Code (1 – 3 is sufficient)
Procedure
M F N R
M F N R
M F N R
M F N R
M F N R
M F N R
M F N R
M F N R
M F N R
M F N R
M F N R
M F N R
M F N R
M F N R
For Procedure: Write in if complete physical and history, pap smears, ear irrigation, suturing, etc. For New: You have never seen patient before. For Revisit: You have seen patient before.
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The Evelyn L. Spiro School of Nursing Clinical Hours Preceptor Record
Name:_________________________________________ Class: NR______
Date Number of Hours
Completed Clinical Site
Preceptor Signature
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NONPF Guidelines for Precepting
Authors: Susan J. Corbridge, PhD, ACNP, FAANP, Kathy Sparbel, PhD, FNP, Jane
Kapustin, PhD, CRNP, FAANP, FAAN
Partnering in Nurse Practitioner Education: Welcome to Precepting!
Frequently Asked Questions (FAQs)
What's in it for me?
An Opportunity
•Provide service
•Give back
•Build a stronger future for nurse practitioners
Your Professional Growth
•Enhance your practice and professional growth
•Build your Curriculum Vitae or resume
•Gain adjunct faculty member status at an academic institution
•Fulfill recertification or re-licensure requirements
•Feel re-energized by mentoring, learning new information from students, and clarifying your
own thinking as you explain clinical reasoning
And More
• Access library resources or continuing education offerings
•Discover your teaching and mentoring styles
What's in it for my patients?
•Additional attention and care during clinical visits
•Opportunity to enhance future care by giving feedback to future NPs
What's in it for the students?
•Essential to the clinical education of nurse practitioner students
•Opportunity to translate classroom learning into clinical practice skills and knowledge
What's in it for nurse practitioner programs?
•You are a valued partner in educating the next generation of nurse practitioners.
•Nurse practitioner programs cannot prepare the next generation without this academic-
practice partnership.
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How do I get started?
•Open communication is key! The faculty member should communicate with you and your
agency prior to the clinical practicum.
•Although some nurse practitioner programs allow students to find clinical sites and initiate
Contacts with preceptors, the faculty member is responsible for final clinical placement and
oversight.
•Prior to the practicum, the faculty member should help facilitate academic-practice
requirements:
O Assure that there is a clinical contract between your agency and the institution
Guide you in completing institutional paperwork requirements to become a preceptor
O Communicate with someone at your institution to assure that the student meets your agency
requirements
•Faculty should provide you with a preceptor handbook or other documents that contain key
information about your preceptor role:
o Clear guidelines and expectations including course content, objectives, and expectations
o Information on the time period you will have the student, the number of hours the
student
will be in your clinical setting, and how the schedule for the student experience is arranged
o Behavioral expectations for students
o Mechanisms for student evaluations and communication with faculty
o Name and contact information of faculty member supervising the student
What do I need to do before the student starts the clinical practicum?
•Understand what level the student is at in the program
•Clarify course practicum objectives and competencies, and faculty expectations
•“Meet” the student prior to the clinical practicum through email or phone communication
•Consider interviewing the student to learn about strengths, areas for growth, and goals for the
experience
•Consider asking the student for a current resume so you can better understand the student’s
background and experience.
•Review course and objectives with the student before the rotation
•Orient the student to your patient population by providing them with reading materials and
Resources
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What can I expect from the students?
•Students should complete paperwork and training required by your institution in a timely
Manner (e.g., immunization records, RN license, student ID, computer and EMR training)
•Students should arrange clinical dates and times with you as soon as possible.
They should work a schedule that is convenient for you. You do not have to work around their
schedule!
•Students should introduce themselves as a student nurse practitioner to your staff ask what
Procedures need to be follow while in the clinical setting.
•Students must be punctual at the beginning of each clinical day and may not leave for the day
until you approve it.
•Students should come prepared. If you have given them information to read or look up, it
should be clear that they have done so.
•Professional dress and grooming are expected. In any clinical site requiring patient contact,
students should wear appropriate lab coats or attire as directed by you.
•Most faculty now require students to have a PDA/smart phone and other clinical reference
materials. In addition, most NP programs require that students log their clinical encounters in a
Nurse Practitioner Student Tracking database.
•Students should only see patients under your direction. You should know about every patient
they see, and they should ask and follow your directions about how you see this working best in
your practice.
•You may decide after the student has been with you for some time to have the students see the
patients first and then present to you, discuss the plan and treatment, and then see them
together.
•Students are expected to discuss documentation specifics with you. In some agencies, any
documentation in the legal patient record must be charted by the licensed provider (e.g., MD or
NP). If policy permits nurse practitioner student documentation in the patient record, the student
should sign his/her name, graduate program, and that they are a nurse practitioner student. It is
also their responsibility to be sure that you review their notes for co-signature.
•Students should be interactive and ready to learn!
What is expected of me?
•Ensure that the clinical experience is appropriate for the student both in terms of scope of
practice and the ability to meet the clinical course objectives
•Provide enough support for the student to feel comfortable asking questions and offering ideas
•This is an active learning situation. You are not there to "pour" knowledge into the student.
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Gently challenge the student to grow, not just regurgitate back information. Help the student
make "connections" and understand how bits of information integrate to "paint the picture" of
the patient and guide management.
•Students learn by example as they observe how you handle clinical situations, decision-
making, and patient/family/peer relations. However, keep "observation only" to a minimum.
Students learn best by "doing" under the supervision and guidance of an expert- - YOU!
As you get to know your student’s abilities, you can allow more responsibility under your
observation to maintain the quality of the encounter and add perspectives/questions/input when
needed.
•Consider what is needed to get the student from where she/he is currently to where the student
needs to be as a beginning practitioner.
•To avoid any misunderstandings or surprises, develop a continual and consistent feedback loop
among the student, you, and the faculty.
•Address student learning challenges early to help facilitate student success. Remember
that the goal is to help shape the quality of our developing nurse practitioners and help people
succeed. You should see steady progress as the student spends more time with you. If you have
concerns about the student’s progress, discuss it with the student and contact the faculty
member
promptly.
•Inform agency colleagues that the individual is there as a “student” on clinical days and
that the student is documenting encounters as a student.
What will students except from me?
Students expect that you will:
•Provide feedback on their performance and that you will promptly discuss any issues or
concerns.
•Create an optimal climate for learning that includes ongoing student assessment, close
communication, quick response to student's stress, trusting relations hips, mutual respect, and
acceptance as part of the team.
•Provide opportunities for student growth and developing expertise, while providing a "safety
net" for student learning and quality patient care.
•Provide feedback and guidance that is both ongoing and focused on developing the
competencies needed for NP practice.
•Give feedback in a professional manner without demeaning or criticizing the student,
especially in front of the patient or staff.
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•Consider using the “Ask, Tell, Ask” Method:
O Ask students how they think they did on a specific task (e.g, presenting on rounds).
This allows students to reflect and they typically come up with the same items you
Were planning to discuss.
O Tell them how you see the situation and ways for improvement and provide specific,
directed feedback.
O Then Ask them how they will change their behavior going forward. This confirms that
you agree on specific ways to improve moving forward.
What can I do if there are problems?
•The faculty member should provide guidelines regarding when and how to contact them.
•You should expect that the faculty will collaborate with you on any questions, issues, or
concerns throughout the student’s rotation.
•The faculty should actively solicit feedback about the student’s progress.
•The faculty are there to provide support and guidance to you in your role. Please contact the
faculty member if there are any questions or concerns.
This is a lot to remember. What tips do you have to help me be successful?
•Plan ahead and think ahead about activities that will help the student's progress.
Distinguish between activities that must be accomplished today versus those that would be nice
to do if you had more time.
•Have your students write down questions during the day and you can address them in
a batch over lunch or at the end of the day.
•Share the teaching with your expert colleagues; they may have a certain day when
they see a unique patient population in clinic, present grand rounds, or give case presentations.
Students are often asked to seek out as many clinical opportunities as possible in their
practicums,
so they should ask you for any such opportunities.
•It’s OK to teach in small bits! Be realistic about the amount you attempt to teach in a day.
Also keep your daily feedback short and directed.
Thank you for partnering with us to educate our nurse practitioner students.
Together, we will build a bright future for continued nurse practitioner
healthcare excellence!
Welcome to Precepting!