Spring 2018

NURS 6615-001 Pediatric Nurse Practitioner Primary Care (PNP-PC) Diagnosis & Management I: Clinical Application

All students are responsible for checking their UTHSCSA Livemail account regularly (i.e., daily or several times every week) to obtain Official University Communication regarding their courses, program and student status.

Any additional expenses that the clinical agency may incur include but are not limited to drug screening, background checks, ID badges, immunizations etc., will be at the students expense.

NOTE: Our campus has enabled the CANVAS MOBILE LEARN application. CANVAS tools such as discussions, quizzes or videos May or May NOT function on all mobile devices. This is because mobile devices are available with rapidly changing and different configurations. Hence, students must not depend on only a mobile device to access course materials. Students must have access to a laptop or desktop device to access course materials and complete assignments.

This course is Web Enhanced with WebCT icon
Please be sure to check the Current Computer Requirements

Link to Graduate Clinical Experiences and Typhon guidelines: http://nursing.uthscsa.edu/gradclinical/

Download and Review the Graduate Clinical Preceptor, Student and Faculty Handbook.

FACULTY CONTACT INFORMATION

Kathryn Parke, DNP, APRN, CPNP

Assistant Professor- Clinical

E-mail: parkek@uthscsa.edu

Office: 2.344

Office Phone Number: 210-567-5662

Office Hours- See Starfish

COURSE DESCRIPTION

This course focuses on primary care experiences promoting health, preventing disease and diagnosing and managing acute and chronic illness from birth through adolescence and developing collaborative partnerships among patients, families, and interprofessional teams.

CREDIT AND TIME ALLOCATION

Credit hour allocation: 6 semester credit hours
Clock hour allocation:
 300 clock hours clinical practicum; 15 clock hours seminar

PREREQUISITES


PROGRAM OUTCOMES

Upon completion of the Master of Science in Nursing Program (MSN) students will:

  1. Integrate scientific findings from nursing and related sciences, including genetics and genomics, into the delivery of advanced nursing care to populations in diverse settings.
  2. Demonstrate organizational and systems leadership to assure ethical and critical decision-making at all systems’ levels for quality and patient safety.
  3. Incorporate performance improvement strategies for quality, safety, and patient-centered care delivery.
  4. Use improvement science to achieve optimal patient care and care environment outcomes.
  5. Integrate meaningful and usable information systems and healthcare technologies to support safe, quality patient care and healthcare systems effectiveness.
  6. Advocate for policy changes that influence healthcare at appropriate levels.
  7. Lead interprofessional teams using collaborative strategies to effect quality patient care and population health outcomes.
  8. Analyze and incorporate broad ecological and social health determinants to design and deliver evidence-based clinical prevention and population healthcare and services to individuals, families, and aggregates/identified populations.
  9. Integrate the advanced competencies expected of a master’s prepared nurse to design, deliver, and evaluate outcomes of systems of care for individuals, families, and diverse populations.

CLINICAL OUTCOMES

  1. Provide patient centered care with a full spectrum of health care services to include health promotion, disease prevention, health protection, anticipatory guidance, counseling, disease management, and palliative care (Essential I, VIII, IX).
  2. Utilize advanced health assessment skills to differentiate between normal, variations of normal, and abnormal findings (Essentials I, IX).
  3. Employ screening and diagnostic strategies in the development of diagnoses (Essentials I, VIII and IX).
  4. Prescribe medications within scope of practice (Essentials I, IX).
  5. Integrate traditional and complementary pharmacological interventions into the treatment and management of pediatric illness (Essentials I, IX).
  6. Integrate ethical principles in decision-making and demonstrates core professional values in the implementation of the nurse practitioner role (Essentials I, VIII, IX).
  7. Develop new practice approaches based on the integration of research, theory, and practice (Essential IV).
  8. Communicate practice knowledge effectively both orally in concise case presentations and in writing (Essential IX).
  9. Create a climate of patient-centered care to include confidentiality, privacy, comfort, emotional support, education, mutual trust and respect (Essential II, IX).

GRADING SCALE FOR GRADUATE COURSES

A = 4 points (90-100)
B = 3 points (80-89)
C = 2 points (75-79)
D = 1 point (66-74)
F = 0 points (65 or below)

CRITERIA FOR EVALUATION / GRADES

Component/Item

Weighting

Description

Faculty  Evaluation (1+)

Pass/Fail

At least one clinical site visit will be conducted during the semester. An additional site visit may be conducted.

Preceptor Evaluation (2+)

        Pass/Fail

Preceptor must fill out Midterm Evaluation and Final Evaluation.  Student must receive passing (or not observed) on all items to pass the course.

Clinical Hours Report (2)

Pass/Fail

Student to submit summary of clinical hours at Midterm and Final clinical hours.

Project Concert Patient Encounters Summary (2)

Pass/Fail

Student to submit pie graph summary of the patient encounters at Midterm and Final

Written Assignments

Pass/Fail

*Must earn 70% or better for all  assignments combined/averaged.

 

*SOAP Notes (3)

40%

 

 

 

 

 

*Seminar Patient Case Presentations (2)

10%

 

 

 

 

 

*Telephone Triage

5%

 

 

 

 

 

*Patient Management Paper      

25%

 

 

 

 

 

*Patient Management Presentation (1)

20%

 

 

 

 

 

Total

100%

 

 

 

 

Final Grade

Pass/Fail

Must pass all the criteria listed above to pass the course.

CLASSROOM ATTENDANCE

Attendance in class is an expectation of each student.

CLINICAL ATTENDANCE

The School of Nursing faculty expects that its students will recognize that they have entered a profession in which commitment to full participation in clinical experiences is an essential component as students are considered to be part of the nursing team. Therefore, regular attendance in clinical, laboratory and simulation experiences is mandatory.

Missed hours can prevent adequate development and assessment of the required knowledge, skills, attitudes and clinical judgment. Absence from clinical/lab/simulation jeopardizes the student’s ability to successfully meet the required clinical course outcomes and competencies.

Punctuality is expected in professional workplaces. Students are expected to arrive on time for clinical/lab/simulation experiences and stay for the entire time allotted for that clinical/lab/simulation experience. Important information affecting patient care is communicated to students at the start of clinical experiences. Therefore, tardiness for clinical/lab/simulation experiences jeopardizes the student’s ability to give safe nursing care.

CLINICAL ABSENCES:
Absences from clinical experience are closely monitored by faculty and should occur only in rare circumstances. Clinical absences will be evaluated on an individual basis. If the student has any clinical absences during the semester, clinical may be made up through a plan developed by the clinical/lab instructor. However, the opportunity to make up absences may not be possible, depending on the length of the clinical rotation, the availability of the faculty and/or the agency to which the student is assigned and may result in inability of the student to meet course outcomes.

If it is determined by the faculty team that a student will be unable to meet course objectives due to clinical absences or if a pattern of absence develops or excessive absences exist, the appropriate course coordinator will refer the student the Associate Dean for Academic Affairs to determine progression in the program.
 
NOTIFICATIONS:
A student who is unable to attend a clinical experience must contact the clinical faculty personally prior to the beginning of the clinical experience. Leaving a message or e-mail for the faculty is not acceptable. Faculty will share specifics regarding appropriate means of communicating during orientation.

Travel to surrounding communities may be necessary.

PATIENT SAFETY:
Students are expected to demonstrate achievement of clinical objectives by the end of a clinical course. If, in the instructor‘s professional judgment, a student is consistently unable to provide safe nursing care to patients and cannot remedy the deficit in the given clinical time, the student will receive a grade of ―F for the course. Faculty, or staff in the clinical agency, has
the right to remove a student from the clinical area at any time for any cause.

CLINICAL PASSPORT:
Students are required to maintain a clinical passport and have this on their person at all times while in the clinical setting.

CPR REQUIREMENT:
Students are required to maintain American Heart Association Health Care Provider Basic Life Support certification.

APA GUIDELINES

The APA Publication Manual 6th edition is required for use in all nursing school programs. 

SCHOLASTIC DISHONESTY

Students are expected to be above reproach in all scholastic activities. Students who engage in scholastic dishonesty are subject to disciplinary penalties, including the possibility of failure in the course and dismissal from the university. "Scholastic dishonesty includes but is not limited to cheating, plagiarism, collusion, and submission for credit of any work or materials that are attributable in whole or in part to another person, taking an examination for another person, any act designed to give unfair advantage to a student or the attempt to commit such acts." Regents Rules and Regulations, Part One, Chapter VI, Section 3, Subsection 3.2, Subdivision 3.22.

School of Nursing Netiquette Guidelines for Online Interaction

Netiquette guidelines provide information for behaving properly online, when using email, tweets or texts so that you may successfully communicate your thoughts in a manner that is respectful and avoids misunderstandings with others.

ADA ACCOMMODATIONS

Any student seeking reasonable accommodations through the Americans with Disabilities Act (ADA) should contact either the Associate Dean for Admissions and Student Services within the first week of the semester or schedule a meeting with the UTHSCSA ADA Compliance Office so that appropriate accommodations may be arranged. A request for accommodations (Form ADA-100: http://uthscsa.edu/eeo/form100-Faculty-student-resident.pdf) must be completed and submitted to the Executive Director of the ADA Compliance Office before accommodations can be provided. Additional information can be provided in the Student Success Center, Room 1.118 or through the ADA Compliance Office website: http://uthscsa.edu/eeo/request.asp.

REQUIRED TEXT / REFERENCE

Text books from previous semesters may be used as references during your clinical practicum.

Clinical Practice Guidelines and Policies, American Academy of Pediatrics, 17th edition (ISBN: 978-1610020855
Pediatric and Neonatal Dosage Handbook, Takemoto, C., 24th edition, (ISBN 13:
978-1591953654 )

Apps (not required but recommended):

5-Minute Pediatric Consult, Unbound Medicine Phone App.

CONTENT OUTLINE

N/A

CALENDAR - 1st Day Only

Please check the schedule for recent updates on Class Dates & Room.

Please check the schedule for recent updates on Class Dates & Room.

Pre-Clinical Orientation
9:00-10:30- Typhon Orientation
10:30-11:50- Split into NP tracks
   1. Review specific course grading material
   2. Meet Clinical Instructor and group and exchange contact information
   3. Discuss clinical placement with each student

© School of Nursing | The University of Texas Health Science Center at San Antonio external link
Links provided from Health Science Center School of Nursing pages to other websites do not constitute or imply an endorsement of those sites, their content, or products and services associated with those sites.

School of Nursing - UT Health Science Center San Antonio