College of Nursing
UNIVERSITY OF CENTRAL FLORIDA
COLLEGE OF NURSING
Summer 2013
Course Number: NGR 6248
Course Title: Advanced Practice Practicum
Credit Hours: 3 (180 clinical hours)
Prerequisites or Co-requisites: Graduate Standing and Admission to the Graduate
MSN or DNP AGNP or FNP Program
Mode of Delivery: WWW, Clinical Experience and Live Meeting Sessions
Faculty Christopher W. Blackwell, Ph.D., ARNP, ANP-BC, CNE
Associate Professor and Coordinator of Nurse Practitioner Programs
Office: UT: 453 (hours by appt.)
Call (407) 823-2744 to schedule an appt.
Office Phone: (407) 823-2517
Personal Cellular Phone: (407) 375-4334
Catalog Description: Supervised advanced clinical practice in the role of the nurse practitioner in an individualized preceptorship.
Purpose: To finalize the clinical mastery of entry-level NP practice, begin
preparation for Board-certification in the NP role, and demonstrate
competency in the ability to manage patient care at the advanced nursing practice level in a safe and appropriate manner.
Course Objectives: Upon completion of this course the student will:
- Demonstrate competence in the role of the nurse practitioner in collaborative
interdisciplinary relationships;
- Analyze professional, theoretical, cultural, legal, and ethical issues in the provision of
nurse practitioner services;
- Deliver comprehensivenurse practitioner services appropriate to the health care needs
of clients in selected primary health care settings;
- Develop a public presentation of community project.
Teaching/Learning Strategies:
Clinical practice with a preceptor in primary care practice, written documentation, review of client cases with faculty and peers, focused reading based on clinical problems encountered in practice, and preparation for Board-certification using practice examinations and diagnostic examination evaluation. Clinical practice should occur over at least 2/3 of the semester.
Required Diagnostic Readiness Testing Purchase: Students may be required to purchase the DRT testing program from Barkley & Associates. The cost of the program is $31.95. Students may need to purchase the selected program on the day of the live class (see course schedule) via credit card.
Distribution of Clinical Hours:
The following may be listed as clinical hours by NP students:
· Community Project:(15) ONLY if students have not or will not take NGR 6242L and ONLY if students have not listed 15 hours for the community project in a prior NGR6941 course.
· On-line post conferences (5 hours per semester)
· Live Meeting Sessions (5 hours total)
BSN-DNP: 3 credits = 180 clinical hours
Documentation of Clinical Hours: All clinical experiences, hours, clinical summaries, etc. must be documented through the Typhon system.
Clinical Preparation and Attendance When you go to the clinical site be sure you have:
· A good stethoscope
· Reflex hammer
· Ruler
· Black Ink pen and notebook
· Other tools appropriate to the site (e.g.Pregancy wheel if in women's health)
· Resources covering: health promotion of adults across the lifespan, a drug prescribing guide, health assessment guide, and text or protocol book for specific clinical setting (probably an electronic-based program on an iPhone or Android device)
All students are expected to prepare for each clinical experience by reading on the types of clients you expect to see. Reading after each clinical experience to review new information and expand learning is encouraged. Students are expected to be present at the clinical site on the dates and on the times scheduled with the preceptor and reported to clinical faculty.
Course Schedule
Date / Content / AssignmentMay 13, 2013 / UCF Classes Begin
May 20, 2013 / Last to Drop/Swap Classes for Full Refund is May 16 (11:59 PM)
May 27, 2013 / Students may officially begin clinical rotations. / Make sure Dr. Blackwell and Clinical Instructor have a copy of your clinical schedule for the semester by the start of clinicals.
June 3, 2013 / Clinical Rotations / None Specific.
June 10, 2013 / Clinical Rotations / SOAP #1 Post and Response Due by 2355 on 6/14/13.
June 17, 2013 / Clinical Rotations / None Specific
June 24, 2013 / Clinical Rotations / SOAP #2 Post and Response Due by 2355 on 6/28/13.
July 1, 2013 / Clinical Rotations / None Specific.
July 8, 2013 / Clinical Rotations / None Specific.
July 15, 2013 / Clinical Rotations / SOAP #3 Post and Response Due by 2355 on 7/19/13.
July 22, 2013 / Clinical Rotations / None Specific.
July 29, 2013 / Clinical Rotations / SOAP #3 Post and Response Due by 2355 on 7/16/12.
August 1, 2013 / Post-Conference Session
*All Clinical Rotations must be completed by 7/31/13.
* All documents (see below) must be submitted by 2355 on 7/31/13. / All documents (see below) must be submitted no later than 2355 on July 31, 2013.
UT: 434:
1300-1500:
FNP or ANP Board Certification Post-Test
1500-1600: Exam de-briefing
1600-1630: Clinical discussion
Evaluation Methods
1. 3 SOAP Posts/Responses S/U
2. Completion of Clinical Hours S/U
3. Preceptor Evaluation of Performance S/U
(Both Mid-Term and Final)
4. Faculty Evaluation of Performance S/U
5. Completion of Site Evaluation S/U
6. Attendance at live session S/U
7. Completion of Certification Prep Exam S/U
8. Complete documentation of clinical data
in Typhon Reporting System S/U
S/U*/**
Grading System: Student must earn a satisfactory grade on all items 1-8 above to receive an overall Satisfactory grade in the course.
*/** Unacceptable, non-passing grades:
** - Not acceptable for progression in the Master of Science in Nursing or DNP Program.
*** All assignments are due on their noted DUE DATE. Late assignments will be significantly penalized. It is recognized that a student may have an emergency - students may request an extension for an assignment. Extensions are negotiated individually. Vacations are not acceptable reasons for late assignments - students will need to make provisions for web access. Web Courses assignments are due at Midnight of Due Date.**
Summary of Assignments
Live Sessions Attendance: Students must plan to attend the live session of the practicum course. The purpose of this live session is to administer the B&A NP Board Certification Examination Preparation Program (DRT) in addition to discussing topics related to practice transition and current practicum clinical experiences. See the course schedule for the date and time of the live session. Absence from the live session will result in failure in the course.
SOAP Notes: Students must complete the required number of SOAP notes for the course and these notes must be submitted by the due date and time. Failure to submit any SOAP notes or unacceptable documentation of the SOAP notes will result in failure in the course.
Instructions for SOAP Notes:
· Do not put any identifying data on the client in the SOAP. In general, this means no client, preceptor, or practice names and the use of initials different from the client's initials.
· Be sure the Subjective contains only subjective data, the objective only objective data, the assessments (diagnoses or symptoms) are all supported by the subjective and objective data, and the plan is clearly related to the assessments and the specific client situation. This includes clear indication of all laboratory and diagnostic tests being done either at or after the visit, health promotion and disease prevention activities, referrals, consultations, and patient education.
· The SOAP should provide all data needed for another provider to follow you, know what has been done, and continue the plan of care. These will be longer than those you would write in the practice because they are being used for teaching and learning not simply documentation of care.
· Each SOAP should be independently written. Do not use a template or cut and paste from another source (e.g. an EMR or a sample SOAP in class notes or a text.) SOAP notes based on a template or similar document will not be counted. Each SOAP should be independently written. Do not use a template or cut and paste from another source (e.g. an EMR or a sample SOAP in class notes or a text.) SOAP notes based on a template or similar document will not be counted.
· Each SOAP posting must be from a clinical experience this semester and can not be one posted for a concurrent or prior course.
S (CC, HPI (OLD CART), PMH, FH, SH, ROS)
O – PE and any labs at visit, results of any assessment tools
A (must be supported by S and O above; should include health promotion and chronic disease management if relevant to this client)
P (must be related to each A item). Should include patient education and other items listed above
· Each SOAP should be independently written. Do not use a template or cut and paste from another source (e.g. an EMR or a sample SOAP in class notes or a text.) SOAP notes based on a template or similar document will not be counted. To ensure you address all problems, put the plan for each diagnosis or health promotion/ maintenance item next to the diagnosis or health /promotion item. Since some interventions (e.g. doing a CMP) may be related to two diagnoses (e.g. HTN and Type 2 DM) you may need to list them twice.
· Students in pediatric clinical sites should also include development assessment, anticipatory guidance and other SOAP components unique to the care of children.
· Medication orders must include the drug name (generic or brand), route, dose, number of pills or volume or amount per dose (as applicable), specific amount of medication to be dispensed (e.g. number of pills), and number of refills.
· After the SOAP the student should briefly addresstopics such as ethical concerns, the impact of culture on this client’s care, facilitators and barriers to care, genomics, epidemiology, and/ or financial , health promotion, and/or access to care issues as applicable to the case
· The student should then pose at least two questions related to the case e.g.
"We decided on giving Ampicillin but were thinking that Cipro may have been a
better choice, what do you think?" or "We were really concerned she could not get
the MRI because of fear. How would you have handled it?"
§ Both the initial postings and all responses should reflect use of evidence-based clinical resources to allow fuller exploration of the issues or problems being raised. Give sources using as much APA style as possible in a webcourses post. Be sure to indicate the type of citation according to the code below. It is expected most resources will be levels 1 – 5.
§ Students must reply to questions from instructors and group members regarding their postings and be an active participant in the resultant discussion as long as there are posts related to each of their SOAPs.
§ All postings should be thoughtful so that participants can learn as a result of the discussion. Self-reflection on performance as a future NP (e.g. what you see that you could have done different/better OR how you might better prepare in the future) is encouraged
§ All subsequent postings related to a particular SOAP should be in response to an existing thread for that SOAP. (This will keep all the discussions on each case together.) Do not respond using the create a new message tab.
§ Postings with little substance (“great job”) may be deleted.
§ SOAP notes are due by the dates listed above.
§ No SOAPS or responses can be a simple cut and paste information of material obtained elsewhere (e.g. on the web, in a course text, from a journal article). Paraphrase unless the material MUST be quoted (e.g. to show a tool.) If the original source has a lot in it that other students would want to read, the readers can go to the URL of the on-line source that should be in the reference, (Be sure the URL works!!)
Required Documentation:
Each item MUST be verified by clinical instructor prior to a student receiving a Satisfactory grade:
Required Clinical Item / Date of Completion / Grade Assigned: Satisfactory/ Unsatisfactory and Any Additional CommentsCompletion of Clinical Hours
Evaluation of Clinical Performance (Faculty)
Mid-Term Evaluation of Clinical Performance (Preceptor)
Evaluation of Clinical Performance (Preceptor)
Evaluation of Clinical Site by Student
SOAP #1
SOAP #2
SOAP #3
Required Typhon Entry and Completion: All clinical data that are required for completion of the system must be submitted through the Typhon Data Management System. Students who fail to document all required clinical information through the Typhon System will receive an Unsatisfactory grade in the course.
FHEA Diagnostic Readiness Testing: This course will utilize the Fitzgerald Health Education Associates Testing Program. This program is designed to assess students’ readiness to successfully pass the Board-Certification examinations for Family Nurse Practitioners and Adult Nurse Practitioners. The program consists of a pre-test that provides diagnostic information related to the students’ performance on the exam. The diagnostic information details that content area(s) students need to focus on to successfully pass the exam and an overall examination score to help determine if the student would pass or fail their Board Certification examination. The cost of the program is $35.00 and directions will be provided at the start of the live session on how to register for the program and make the proper payment. You will need a credit card for purchase.
Access to the Canvas On-Line Learning System
Canvas On-Line Learning System
How do I access Webcourses@UCF?
5. Go to https://webcourses2c.instructure.com/. You will be forwarded to the Shibboleth login page pictured below.
6. Note: Please DO NOT bookmark the Shibboleth login page shown above. All traffic into Webcourses@UCF must go through https://webcourses2c.instructure.com/.
7. Enter your PID and PID password.
8. Click Continue.
Note: You can bookmark the Webcourses@UCF homepage shown above once you have successfully logged in.
9. Hover over Courses or Courses & Groups at the top of the page.
10. Select the course or group you wish to access.