NURS 6600: CAPSTONE SYNTHESIS PRACTICUM – Discussion 1

NURS 6600: CAPSTONE SYNTHESIS PRACTICUM – Discussion 1

NURSE PRACTITIONER (NP) STUDENT CLINICAL ORIENTATION

Walden University

Nurse practitioner program

AGACNP

AGPCNP

FNP

PMHNP

Welcome

This power point will discuss highlights of our clinical courses and will provide a quick access guide , with classroom requirements and reminders.

Dr. Jennifer Stone – Clinical Supervisor, jennifer.stone2@mail.waldenu.edu

Dr. Tara Harris – PT Clinical Supervisor, tara.harris4@mail.waldenu.edu

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Welcome to NP Program

Dr. Linda Steele – NP Program Director

Dr. Timothy Legg – PMHNP Coordinator

Dr. Salma Hernandez – AGACNP & AGPCNP Coordinator

Dr. Phyllis Morgan – FNP Coordinator

Dr. Stefanie Gatica – FNP Coordinator

Dr. Jennifer Stone – Clinical Supervisor

Dr. Tara Harris – Clinical Supervisor

NP Full time faculty

Dr. Rachel Carlton

Dr. Eva Hvingelby

Dr. Mahaman Moussa

Dr. Erica Sciarra

Dr. Jeani Thomas

Dr. Cindy Trent

Dr. Gretchen Zunkel

Chain of Command and Course Coordinator Support

Any questions or concerns about your clinical course:

First point of contact is the Clinical faculty

Didactic faculty – clinical faculty will contact if help is needed.

Lead faculty – didactic faculty will contact if help is needed.

Course coordinator – lead faculty will contact if help is needed

Clinical Supervisors – faculty will contact for specific clinical issues or questions

Course Coordinators

Timothy Legg – 6512, 6630, 6640

Salma Hernandez – 6501, 6540, 6550, 6560

Phyllis Morgan – 6521, 6551, 6565

Stefanie Gatica – 6531, 6541

Student resources

Student Assistance Program – Students, and anyone in their households, who want to use this service or are referred for assistance should be encouraged to call 1-866-465-8942 (TDD: 1-800-697-0353) or visit http://inside.WaldenU.edu/sap for more information. When students request services from the program, they will be asked for a Walden ID. That ID is SAP4EDU.

Writing Center – http://academicguides.waldenu.edu/writingcenter/home

Walden library – http:// academicguides.waldenu.edu/library

Technical support – 800-925-3368

PRE-CLINICAL INFORMATION

Students are to create a schedule for clinical hours that the student and preceptor have agreed upon and email it to your clinical faculty

Please save it in a calendar format and include your contact information as well as preceptor’s contact information on the schedule

Save the file name and “clinical schedule”

You must email the schedule to Clinical Faculty

Clinical faculty will call or email student and preceptor to set up a minimum of 1 phone conference and 2 email contacts during the quarter

PRECLINICAL INFORMATION FOR STUDENTS

You should reflect and prepare learning goals and objectives for the course

Review the course objectives

Review SOAP notes article

Review the preceptor evaluation of student

Review the Competencies for your specialty (AGACNP, AGPCNP, FNP, PMHNP) by visiting the following sites:

Core Competencies for nurse practitioners http :// nonpf.com/associations/10789/files/NPCoreCompetenciesFinal2012.pdf

AGPCNP Competencies http:// nonpf.com/associations/10789/files/Adult-GeroPCComps2010.pdf

FNP Competencies http:// www.nonpf.org/associations/10789/files/PopulationFocusNPComps2013.pdf

AGACNP Competencies http:// www.aacn.nche.edu/geriatric-nursing/Adult-Gero-ACNP-Competencies.pdf

PMHNP Competencies: http:// www.aacn.nche.edu/education-resources/PopulationFocusNPComps2013.pdf

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CLINICAL ATTIRE

STUDENTS MUST WEAR APPROPRIATE ATTIRE

Appropriate Inappropriate
Comfortable and practical Clothing that is distracting or offensive to others
Lab Coat with name tag Clothing with words, terms or pictures that may be offensive to others
Pressed and clean Clothing that works for the beach, yard work, dance clubs, exercise sessions
Fashion brand names on clothing Clothing that reveals too much cleavage, your back, your chest, your stomach or your underwear
Professional appearance Torn, dirty or frayed clothing
Closed-toe shoes Jeans
Clean nails

Name Tag

Instructions for making your name tag

Students go to myWalden Portal

Welcome Center tab

Get Prepared tab

Scroll to bottom of page #7

Print ID badge

If your clinical site requires a photo ID, please add a passport photo (scan your photo with name tag)

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Resources STUDENTS should take to CLINICAL

Practice guidelines for your specialty program: FNP, AGACNP, AGPCNP, and PMHNP

Ask preceptor if acceptable to use smartphones, etc. while in the setting

Pharmacology applications on your smartphone or iPad, etc.

Ask preceptor what resources they use most often

STUDENT Expectations

Print the Syllabus for the Course and hand deliver to your preceptor and review the objectives for the course

Students should see the minimum number of patients outlined in this presentation.

Generally you should:

Ask the patient if they mind if you see them in combination with your preceptor

Perform your assessment: Subjective, Objective Data

Make a list of differential diagnoses

Form a tentative plan of care – look for teaching opportunities – look for evidence to back your plan

Consult with your preceptor and revise your assessment, diagnoses and plan

STUDENTS First Day

Students should be oriented to the clinical site by preceptor or office personnel for a maximum of 8 hours

The lay out of the office

Office procedures

Lunch

Restroom locations

Other

Orientation/observation to the site

**NEW **Requirements for patient encounters per course

Consensus of patient numbers by course. These are MINIMUM numbers of patients:

NURS 6531 – 144 patients in 144 hours

NURS 6540 – 100 patients in 144 hours

NURS 6541 – 144 patients in 144 hours

NURS 6550 – 75 patients in 144 hours

NURS 6551 – 100 GYN patients; 25 OB patients in 144 required hours

NURS 6560 – 75 patients in 144 hours

NURS 6565 – 144 patients in 144 hours

PMHNP Courses: NURS 6640, NURS 6650, NURS 6660, NURS 6670:

“Students in the PMHNP program will need to complete 144 hours of practicum in EACH of the four practicum courses. It is acknowledged that a variety of factors will influence the number of clients seen, but students should strive to see as many clients possible each clinical day.”

*A minimum of 144 clinical hours are required in each practicum course. More hours can be completed but cannot transfer to another clinical course.

Meditrek

Students are to upload their information on the time log and patients log every 48 hours.

Midterm and final evals by preceptor need to be completed in Meditrek.

Midterm eval should be completed prior to midterm conference call, then reviewed.

Didactic faculty are responsible to ensure ALL clinical students have their time logs signed and final evals completed prior to entering final grade.

Meditrek Contact Information

If the preceptor does not receive an email with login information, the student or the preceptor should email the preceptor’s name and email, along with the student’s name and Walden ID number to SONPreceptor@waldenu.edu and the login information will be sent to the preceptor directly.

How do STUDENTS document patient encounters at clinical site?

This will be up to the preceptor and clinical faculty

It is a good idea to learn from each site as many have electronic medical records

The preceptor may want you to hand write your SOAP note

Documenting Clinical Experiences for the Course

To prepare for this course’s Practicum Experience, address the following in Practicum Journal (AGPCNP and FNP students ONLY):

Select and describe a nursing theory to guide your practice.

Develop goals and objectives for your Practicum Experience in this course. When developing r goals and objectives, students are to be sure to keep the competency domains of practice in mind.

Create a timeline of practicum activities based on your practicum requirements.

Documenting Clinical Experiences for the Course

All patients must be entered on the NP Patient Log within 48 hours of each clinic day.

All clinic hours must be entered on the Time log within 48 hours of each clinic day.

Clinical faculty will review all NP patient logs and Time logs periodically throughout the course. Students are to keep them up-to-date at all times.

Weekly Journal Entries are required but only submitted Weeks 3, 7 and 10 (or as directed in clinical course).

Grading CLINICAL JOURNALS and Time Logs
For the Journal Entries and Practicum Time Logs—which are assessed with a Satisfactory (S) or Unsatisfactory (U) score—the numerical grade will show as 0 points and the “S” or “U” will be posted in the Feedback area by your Instructor. These scores of 0 points do not affect your grade; they simply allow for a placeholder to place the “S” or “U” scoring. *All journal entries must be done and graded satisfactorily before a passing grade in clinical can be achieved.

Midterm and Final Evaluations

All students are required to have their preceptor complete a midterm and final evaluation in order to pass the course

Midterm evaluation is done through Meditrek and should be completed by the preceptor during weeks 4-6; the preceptor will receive login credentials to Meditrek beginning in week 3.

Students must have a satisfactory final evaluation by preceptor in Meditrek by end of week 10.

All students are required to have their preceptor and practicum site evaluation in Meditrek by end of week 10.

What happens if…

Student or preceptor is ill or has an emergency

Students are to notify their clinical faculty and make plans to obtain the missed hours

If student is ill, please make sure you notify your preceptor

If student and/or preceptor terminate the agreement

Students are to notify clinical faculty immediately and be proactive in securing another preceptor

Clinical Failure

Behaviors constituting clinical failure include, however are not limited to, the following:

Demonstration of unsafe performance and/or decision-making skills.

Failure to complete clinically related class assignments and/or clinical log.

Failure to complete the required clinical hours and patients numbers

Falsification of clinical hours, records, or documentation.

Failure to complete clinical hours with approved preceptor. All preceptors must be approved or clinical hours will not count.

Students Must Remember…

Students are a guest in the clinical setting and should act politely at all times

Students are not make personal phone calls. Turn your phones on vibrate and take calls only during breaks

Always thank the patient and preceptor and office staff

Be active in the learning process

You are there to learn to be a health care provider. You are not a nurse in the clinic.

It is ok to be wrong. We expect that as part of the learning process.

Ask questions!

IF YOU DON’T KNOW…

Ask preceptor

Ask clinical faculty

Ask didactic faculty

We all want students to learn and be successful

Specialty Coordinators