Download evaluation - University of Florida College of Nursing

UNIVERSITY OF FLORIDA
COLLEGE OF NURSING
COURSE SYLLABUS
FALL 2012
COURSE NUMBER
NGR 6248L, Section 1201
COURSE TITLE
Adult Acute Care Nurse Practitioner 3
CREDITS
03 (144 clinical practice hours)
PLACEMENT
DNP Program: Adult Acute Care Nurse Practitioner Track
PREREQUISITES
NGR 6241
NGR 6242L
NGR 6052C
NGR 6230C
CO-REQUISITES
NGR 6248: Adult Acute Care Nurse Practitioner 3
Common Adult Health Problems
Adult Acute Care Nurse Practitioner 1
Adult Nursing: Diagnostics and Procedures
Acute Care Nurse Practitioner: Diagnostics and
Procedures for the Critically Ill
Current ACLS Certification
FACULTY
OFFICE
PHONE
OFFICE HOURS
Rosalyn R. Reischman, DSN, ACNPBC
Clinical Assistant Professor
[email protected]
3rd Floor
LRC-HSC
244-5175-O
887-4232-C
Wednesdays
1200-1400 & by
Appointment
HPNP 3230
Gainesville
(352) 2736394
By Appointment
DEPARTMENT CHAIR
Joyce Stechmiller, PhD, ACNP-BC,
FAAN
Associate Professor
[email protected]
URBAN CAMPUS
DIRECTOR
Andrea Gregg, DSN, RN
[email protected]
3rd Floor
LRC-HSC
Jacksonville
904-2445172
By Appointment
COURSE DESCRIPTION Clinical experiences allow the student to apply safe, cost effective,
legal, and ethical management strategies to the care of post-pubescent adults with complex health
problems from diverse backgrounds. Emphasis is on development of advanced clinical skills in
acute and critical care settings. In consultation with clinical preceptors, students will practice
NGR 6248L Section 1201 Final Reischman Fall 2012
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advanced health assessment, formulate differential diagnoses, and develop and implement
treatment plans based upon current scientific rationale, evidence-based practice guidelines and
standards of care. The focus of this course is care of adults with complex endocrine, neurologic,
gastrointestinal, and commonly occurring health care problems.
COURSE OBJECTIVES: Upon completion of this course, the student will be able to:
1. Apply the concepts of wellness and health promotion in the advanced nursing practice
management of acutely and critically ill adults.
2. Analyze and interpret health assessments to develop appropriate differential diagnoses.
3. Prioritize health problems and intervene appropriately, including initiation of effective
emergency care.
4. Utilize appropriate diagnostic and therapeutic interventions with attention to safety, cost,
invasiveness, acceptability, and efficacy.
5. Formulate management plans based on scientific rationale, evidence-based practice
guidelines and standards of care.
6. Evaluate the effectiveness of illness prevention, health promotion and management plans
of adults experiencing acute and critical complex health care problems.
7. Utilize legal and ethical principles to guide decision-making in the advanced nursing
practice role.
8. Identify issues of cultural diversity and global perspectives when delivering advanced
nursing care to acutely and critically ill adults.
9. Demonstrate effective oral and written communication skills.
10. Initiate appropriate and timely consultation and/or referral when the health problem
exceeds the nurse practitioner’s scope of practice and/or expertise.
CLINICAL SCHEDULE
Variable dates and times. The Minimum Required Clinical Practice Hours: 144 (including 7
seminar hours and 137 clinical hours). See specific requirements under “Attendance” and in the
Syllabus Addendum.
E-Learning in Sakai is the course management system that you will use for this course. ELearning in Sakai is accessed by using your Gatorlink account name and password at
http://lss.at.ufl.edu. There are several tutorials and student help links on the E-Learning login
site. If you have technical questions call the UF Computer Help Desk at 352-392-HELP or send
email to [email protected].
It is important that you regularly check your Gatorlink account email for College and University
wide information and the course E-Learning site for announcements and notifications.
Course websites are generally made available on the Friday before the first day of classes.
ATTENDANCE
Students are expected to be present for all scheduled clinical practice experiences and seminars.
Students who have extraordinary circumstances preventing attendance should explain these
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circumstances to the course instructor via email prior to the scheduled clinical practice
experience or seminar. Instructors will then make an effort to accommodate reasonable requests.
A grade penalty may be assigned for unexcused seminar and/or clinical absences.
Clinical practice hours should begin at the clinical site no later than the second week (September
4) of the semester. Students are required to submit a written calendar of planned clinical practice
dates and times to the course faculty member prior to beginning the clinical rotation. Any
changes to the calendar (dates and times) must be submitted via email to the course faculty
member before the change is planned to occur. Clinical hours accrued without prior knowledge
of the faculty member will not be counted toward the total number of clinical hours required
for the course.
ACCOMMODATIONS DUE TO DISABILITY
Each semester, students are responsible for requesting a memorandum from the Disability
Resource Center to notify faculty of their requested individual accommodations. This should be
done at the start of the semester.
COUNSELING AND STUDENT HEALTH
Students may occasionally have personal issues that arise on the course of pursuing higher
education or that may interfere with their academic performance. If you find yourself facing
problems affecting your coursework, you are encouraged to talk with an instructor and to seek
confidential assistance at the University of Florida Counseling Center, 352-392-1575, or Student
Mental Health Services, 352-392-1171. Visit their web sites for more information:
http://www.counsel.ufl.edu/ or http://www.health.ufl.edu/shcc/smhs/index.htm#urgent
STUDENT HANDBOOK
Students are to refer to the College of Nursing Student Handbook for information about College
of Nursing student policies, honor code, and professional behavior. Of particular importance for
this course are the sections on appearance in clinical practice areas, personal liability insurance,
and student safety.
TEACHING METHODS
Supervision of clinical practice with onsite clinical and faculty preceptors and guided seminar
group discussion
LEARNING ACTIVITIES
Supervised clinical practice including: clinical practice under supervision with selected patients;
taking client histories and conducting physical examinations; constructing differential diagnoses
and provisional diagnosis; developing treatment plans congruent with evidence-based practice;
presenting cases in written and verbal forms to peer groups and interdisciplinary team; writing
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and dictating medical record activities; analyzing scholarly works to support diagnostic
approaches and treatment plan
CLINICAL EVALUATION
Final clinical evaluation is the responsibility of the faculty preceptor. Evaluation is based upon
feedback from clinical preceptors, direct observations of students’ performance, written
documentation samples, and participation in seminar, including all written assignments. A
minimum of two progressive clinical evaluations (midterm and final) will be completed by the
clinical preceptor and faculty. More than two evaluations may be performed at faculty discretion,
based on students’ performance and learning needs.
Evaluation will be based on achievement of course and program objectives using a College of
Nursing Clinical Evaluation Form. All areas are to be rated. A rating of Satisfactory
represents satisfactory performance and a rating of Unsatisfactory represents unsatisfactory
performance. The student must achieve a rating of Satisfactory in each area by completion
of the semester in order to achieve a passing grade for the course. A rating of less than
satisfactory in any of the areas at semester end will constitute a course grade of
Unsatisfactory.
Faculty reserve the right to alter clinical experiences, including removal from client care
areas, of any student to maintain patient safety and to provide instructional experiences to
support student learning.
Faculty will hold evaluation conferences with the student and preceptor at each site visit. The
faculty will write a summary of each conference in an advisement note. This summary will be
signed by the faculty and student. Final evaluation conferences with the faculty are mandatory
and will be held during the last week of each clinical rotation. A student may request additional
conferences at any time by contacting the faculty preceptor.
Students enrolled in advanced practice courses with a clinical component will use Clinical
Experience Form F to document clinical experience including hours, practice location and
preceptor for their personal records. Students also assess their learning experience using Clinical
Site Assessment Form G. Form G is completed and submitted electronically on the Sakai
course website (under “Assignments”). At the end of the clinical experience the student
completes a narrative, typed, one page Self-Evaluation (documenting the student’s own
assessment of clinical growth, challenges, and goals) and the course faculty completes each
student’s final overall Clinical Evaluation using the College of Nursing Clinical Evaluation
Form.
EVALUATION
All course clinical and seminar assignments must achieve a Satisfactory (S) rating to
successfully complete the course with an overall S rating. An Unsatisfactory (U) rating in any
clinical or seminar assignment will result in an overall U rating for the entire course.
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Assignment*
Clinical practice
Satisfactory Rating
Clinical Evaluation Tool 100% S for
each criteria
Clinical Notes (3) each
S = > 80%
Case Summary & Response to Question S = > 80%
(A)
Response to Question (B)
S = > 80%
Response to Questions (C)
S = > 80%
Clinical Log
S = Mid Term and Final Completion
and Submission
Clinical Hours Log
S = Mid Term and Final Completion
and Submission
Self Evaluation
S= Follows guidelines
Form F
S= Follows guidelines
Form G
S= Follows guidelines
*See Addendum
GRADING SCALE:
S Satisfactory
U Unsatisfactory
EVALUATION OF STUDENT WORK: Written student submissions will receive
feedback evaluation within 10 working days of submission.
REQUIRED TEXTS
All previous and current required texts in the Acute Care graduate program.
OTHER:
Up To Date Electronic Database: Excellent current clinical information accessed on site only
through Health Science Library in Gainesville and Jacksonville.
Smart Phone Application Options: Medical Applications on Smart Phones (e.g., I-Phone,
Droid) offers a variety of medical applications. Some frequently used examples include:
Epocrates (drug emphasis but also general), Merck Medicus (general medical), Micromedex,
Medscape (latest news/research), Med Calc (frequently used medical calculatons), Blackbag
(new research and news), Eponyms (medical terms, signs & symptoms, dictionary), Sanford
Guide to Antimicrobial Therapy (antibiotic standards), Harrison’s Internal Medicine (general
medical), American College of Cardiology (cardiac standards). Students should explore the
availability of point of care electronic references to meet individual needs. Some applications
are free while others are not.
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Personal Pocket Pal: Personal pocket notebook, cards, or smart phone application used for
recalling important information learned from class/clinical that you want at your fingertips. Also,
helpful for writing down questions that need to be researched.
Approved:
Academic Affairs Committee:
12/07
Faculty:
01/08
UF Curriculum:
10/08
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NGR 6248 Section 1201
Addendum
Assignments and Documentation
SPECIAL NOTE: Please see Assignment and Seminar Activity due dates. Students may not
attend clinical and thus clinical hours may not be accumulated unless assignments and activities
are submitted by posted due dates.
Clinical Hours Log
Students will complete a daily clinical hours log. Logged hours are initialed by the clinical
preceptor. This log will be reviewed on site visits with your faculty preceptor. See “Clinical
Forms” on course web site.
Clinical Patient Log
Students will complete a daily log form including all patients that the student spends a
considerable amount of time with in assessment and treatment planning. The log should contain:
clinical setting, a coded patient ID, type of visit, age, gender, diagnosis/problem, and status of
patient. The preceptor will sign the log daily. The log will be utilized on site visits for chart
reviews and discussion. The student should have a method to be able to retrieve patients’ workups. See “Clinical Forms” on course web site. All clinical documentation must by HIPAA
compliant. Logs should be accessible during site visits with the faculty.
Clinical Notes
Three (3) typed clinical notes (see Evaluation Criteria) are due throughout the semester (see
Seminar schedule*). These notes must be HIPAA compliant and cannot be actual notes or
copies of notes from the clinical setting. Absolutely no notes from clinical settings may be
turned in as part of clinical assignments. Types of clinical notes may be in the form of:
admission history and physical, hospital progress notes, consultation note, or office SOAP note,
or discharge summary. Follow text (Gomella & Haist) for general guidelines. For necessary
inclusions, please see the rubric for evaluation of clinical notes.
Case Summary Presentation
During seminar, you will be responsible for 1 written and verbally presented case synthesis.
Refer to the Seminar schedule posted on the course website for due dates.
The following are required:
1. A brief summary (typed, scholarly, APA) of the patient (no more than 2 pages double
spaced). The summary should include:
a. A brief synthesis of the history
b. Pertinent physical findings
c. Pertinent lab/imaging data
d. Hospital or clinic course to date
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e. Pertinent medications, IV drips
f. Current assessment of major focal problem(s)
2. The summary should be accompanied by THREE (3) related case questions: (a) the most
pertinent clinical question; (b) a related clinical question; and (c) a legal, cultural, ethical,
end-of life, or economics related question.
3. Post the summary and questions under course website “Discussion Board” by the Friday
(midnight) prior to your scheduled (see Seminar Schedule under Course Information on web
site) verbal presentation on the following Wednesday.
4. Label the questions A, B, and C. The question you select to respond to should be labeled
“A” and be what you consider to be the most pertinent clinical question (high priority,
answerable with current clinical research). Explain rationale for considering this the highest
priority question.
5. Post your response to Question A under “Assignments” by Tuesday prior to your scheduled
Wednesday verbal presentation.
6. The verbal summary and answer to Question A presentation should take no longer than 15
minutes.
Case Question Responses (2) Verbal and Written Presentations
During seminar, each student is responsible for responding to two (2) case summary questions
(in addition to the response to one (1) question from the student’s own synthesis). The following
are required:
1. Review the Seminar Schedule to determine when you are scheduled
to respond to questions (B or C) posed by another student.
2. Review the case summary and related clinical questions posted by Saturday prior to your
assigned response date on the following Wednesday. Answer question B or C as directed on the
Seminar Schedule.
3. Response Criteria
Answers must be submitted in writing (typed, scholarly, APA format) under “Assignments” on
the course web site and verbally presented to the class during the related seminar.
Responses should be no longer than 2 narrative pages and in APA format (excluding references).
The clinical question must be answered with evidence and minimally include an evidence-based
research critique (including under “Bottom Line” the internal & external validity and readiness
for application to clinical practice) with Level of Evidence (LOE) (CEBM system of rating)
justification and any related standards of care. Rate the research as a DOE or POEM with brief
rationale.
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The legal, cultural, ethical, end-of-life, or economics question does not require a research
evidence-based critique or reference if none are available. However, it does require scholarly
references from reputable sources.
All references should be current (>2007). A minimum of 3 references is required for each
question answered.
Self Evaluation
At the completion of this clinical rotation, the student is to write a one-page typed
narrative self evaluation addressing clinical performance during the semester. This
should minimally include areas of growth achieved as well as areas for further clinical
learning emphasis.
CLINICAL FORMS SUBMISSION
Submit your midterm completed clinical: (a) Evaluation, (b) Hours log, and (c) Patient log upon
completion of 65-70 clinical hours. These hours should maximally be completed by October
10.
Submit the following by end of term (December 5):
1.
2.
3.
4.
5.
6.
Final Clinical Evaluation
Clinical Hours Log
Clinical Patient Log
Form G: Clinical agency evaluation form
Form F: Cumulative clinical experience form
Self Evaluation: One page narrative
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Minimal Requirements for Appearance in Clinical Practice Areas
Any faculty member has the right to remove any student from a clinical area if, in the
faculty member's judgment, the student presents an unprofessional appearance or in
any way is a threat to patient safety or comfort.
1.
2.
3.
4.
5.
6.
Graduate students are identified with the Health Science Center ID badge in clinical
settings at all times during planning and/or provision of care.
Graduate students wear clothing/scrubs appropriate for the clinical setting. For example,
in an office setting: clean, pressed, white lab coats over professional attire.
Overall appearance conveys a professional image. This includes as a minimum:
 Minimal jewelry (one earring per lobe)  No perfumes/scented lotions/etc.
 Minimal makeup
 No artificial fingernails or nail polish
 Hair extending beyond collar length
 Neat, short fingernails (not visible from
must be neatly secured away from face
the palmar surface of the hand)
(ponytail)
 No gum chewing.
 Closed-toes shoes (sandals are not
 Length of shirts and/or blouses must
allowed)
prevent exposure of upper and/or lower
torso (no low-rise pants and/or low cut
blouses/shirts).
Personal hygiene and grooming are of a standard that ensures the safety and comfort of
clients.
Students arrive in clinical areas with all the required equipment (e.g., stethoscope)
necessary for client care.
Cell phones and pagers must be on silent/vibrate and no communications/activities are
allowed during classroom sessions or patient care activities.
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SEMINAR SCHEDULE FOR NGR 6248L
Jacksonville Campus 2012
Wednesdays: 1500-1700
DATE
August 22
September 19
October 10
October 17
November 14
December 11
ASSIGNMENTS
Review Syllabus and Course Website
Preston Case: Tomlinson (B); Tonkinson (C)
Tomlinson Case: Tonkinson (B); Udofia (C)
SPECIFICS
Self Orientation
Clinical Note 1
Final Due Date for Midterm Clinical Evaluation.
Submit as soon as 65-70 clinical hours completed
or at most, by this date, whichever comes first.
McLaughlin Case: Preston (B); Tomlinson(C)
Tonkinson Case: Udofia (B); Way (C)
Udofia Case: Way (B); Burns (C)
Clinical Note 2
Burns: Chapman (B); McLaughlin (C)
Chapman: McLaughlin (B); Preston (C)
Way: Burns (B); Chapman (C)
Clinical Note 3
Individual Evaluation Conferences
Submit on Sakai Assignments
Form F
Form G
Final Clinical Evaluation
Self Evaluation
Submit under Sakai Assignments, FAX, mail, or
by hand delivery
Clinical Hours Log
Clinical Patient Log
NGR 6248L Section 1201 Final Reischman Fall 2012
< 30 minutes each
Burns: 0900
Chapman: 0930
McLaughlin:1000
Preston:1030
Tomlinson:1100
Tonkinson:1130
Udofia: 1300
Way: 1330
Appointment times
may be rescheduled as
necessary
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