Spring 2018

NURS 6621-001 Family Nurse Practitioner (FNP) Diagnosis and Management for Young Families: 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.

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/

Welcome to NURS 6621, Family Nurse Practitioner Diagnosis and Management of Young Families: Clinical!

We will meet on Monday, January 8th for Pre-Clinical Orientation at 9:00 am in the Academic Learning & Teaching Center (ALTC) Building, Room 3.304.  We will also meet on Tuesday, January 9th at 1:00 pm for the Objective Structured Clinical Examination (OSCE) at the HEB Clinical Skills Center.  A schedule will be sent for each student's time slot.  

Clinical hours may begin January 10th as long as the IOR has been submitted and approved. All 300 clinical hours must be completed by Friday, April 27th. 

The other class/seminar meeting dates/times are February 12th: 9-11 am, March 5th: 9-11 am, April 16th: 9 am- 1 pm.

We look forward to working with you this semester!


Dr. McDonald, Ms. Hannah & Dr. Worabo


Heidi Worabo, DNP,RN, FNP-BC, Course Coordinator

Assistant Professor / Clinical

E-mail: worabo@uthscsa.edu

Phone: 210-567-5867

Office: 2.380


Susan McDonald,PhD, RN, CPNP, CNS

Assistant Professor

E-mail: mcdonaldsm@uthscsa.edu

Phone: 210-567-0159

Office: 2.518


Rita Hannah, MSN,RN, FNP-BC, PNP-BC

Assistant Professor / Clinical

E-mail: hannahr@uthscsa.edu  

Office Phone: 210-567-9360

Office: 2.364



This course focuses on the primary care experience in health promotion, disease prevention, and diagnosis and management of acute and chronic illness in patients across the reproductive continuum and the health and illness from birth to adolescents. Additionally, this course emphasizes collaborative partnership development among patients, families, and interprofessional teams.


Clock Hour Allocation: 6 semester credit hours
Credit Hour Allocation:
300 clock hours clinical practicum; 15 clock hours clinical seminar



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.


  1. Provide patient-centered care with emphasis on health promotion, disease prevention, health protection, anticipatory guidance, counseling, disease management, and palliative care to patients across the reproductive continuum and from birth to adolescents during developmental transitions and life-style adjustments as an integral member of the interprofessional team (Essentials I, VIII, IX).
  2. Apply knowledge of acute and chronic illness to diagnose and manage patients across the reproductive continuum and from birth to adolescents as health status varies (Essentials I, IV, IX).
  3. Integrate anticipatory guidance into the comprehensive treatment plans for both primary and secondary prevention for patients across the reproductive continuum and from birth to adolescents (Essentials I, VIII and IX).
  4. Integrate history and physical examination data with the knowledge of pathophysiology of acute and chronic diseases to develop appropriate differential diagnoses, and initiate appropriate customized interventions for this diverse population (Essentials I, IX).
  5. Incorporate traditional and complementary pharmacological interventions into the treatment and management of illness for this diverse population (Essentials I, IX).
  6. Integrate social, cultural, explanatory models, and spiritual components in patient-centered plans of care for patients across the reproductive continuum and from birth to adolescents (Essentials I, IX).
  7. Evaluate the relationships among access, cost, quality, and safety and their influence on health care (Essentials I, III).
  8. Integrate ethical principles in decision-making and demonstrate core professional values in the implementation of the nurse practitioner role (Essentials I, VIII, IX).
  9. Create a climate of patient-centered care to include confidentiality, privacy, comfort, emotional support, education, mutual trust and respect (Essential II, IX).
  10. Use self-reflection to evaluate progress in professional development as an integral member of the interprofessional team (Essential II, VII, VIII, IX).


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 NP Track Spring Clinical Course




1. Faculty Evaluations (2)




Faculty will complete an Evaluation of the Student prior to Midterm and prior to Final.  Pass/Fail grade based upon student’s successful completion of the *Clinical Requirements (Preceptor Feedback, Clinical Hours, and Patient Encounters Summary) and the Faculty Site Visits.

2.  OSCE (Objective Structured Clinical Examination)


Must earn at least 70% to pass and begin clinicals.  Failure requires remediation and one opportunity to redo the OSCE.

3. Written Assignments


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


*SOAP Notes (3)







*Seminar Patient Case Presentations (2)







*Patient Management Paper (1)







*Patient Management Presentation (1)













Final Grade


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


*Clinical Requirements




Preceptor Evaluations (Midterm and Final)



Preceptor Evaluation of the student entered into Typhon by Mid-term and Final. 

 Clinical Hours Report (2)


Student to submit summary of clinical hours at Midterm and Final. Clinical hours must total no less than 300 hours.

Typhon Patient Encounters Summary (2)


Student to submit pie graph summary of the patient encounters at Midterm and Final. Students must enter every patient they see in the clinical setting within the week of seeing those patients.




Attendance in class is an expectation of each student.


  1. If written assignments are made in a course they are required.
  2. Students are expected to submit written work on the scheduled date and time.
  3. The student must notify the course coordinator prior to the scheduled due date and time if they are unable to submit the written work as scheduled. Failure to make this notification in advance will result in a "zero" for that written work.
  4. If the excuse is accepted as reasonable and necessary, arrangements will be made for an alternative due date and time.
  5. Each student is responsible for making sure that he or she has completed the written work prior to submission.
  6. Late work will be accepted with consequences as outlined per course syllabi.


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


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.


Students who are nurses or are preparing to enter the profession of nursing are expected to treat others with respect and compassion. “The principle of respect for persons extends to all individuals with whom the nurse interacts. The nurse maintains compassionate and caring relationships with colleagues and others with a commitment to the fair treatment of individuals, to integrity-preserving compromise and to resolving conflict. This standard of conduct precludes any and all prejudicial actions, any form of harassment or threatening behavior, or disregard for the effects of one’s actions on others” (American Nurses Association Code for Nurses, Interpretive Statement 1.5).

The students, faculty, Department Chairs, Associate Deans, and the Dean of the School of Nursing of the University Texas Health Science Center San Antonio subscribe to the highest standards of conduct. Our aim is professional behavior beyond reproach. Failure to abide by the signed code of professional conduct may lead to suspension and/or permanent dismissal from the UTHSCSA SON. In particular, we subscribe to the provisions of the Code of Ethics for Nurses (http://bit.ly/1mtD5p2) and the following points of conduct.


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.


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.



*Textbooks from previoussemesters may be used as references during your clinical practicum.


Recommended Clinical Resources:




Redbook Online

The Harriet Lane Handbook

Sanford Guide


150 hours Pediatric Ambulatory Care
  50 hours Perinatal
100 hours Women's and Gender Health
300 Clinical Hours Total (5 SCH)

15 Hour Clinical Seminar (1 SCH)

CALENDAR - 1st Day Only

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




WK 1 – Monday, January 8, 2018

On Campus

All NP Tracks for Pre-Clinical Orientation



Pre-Clinical Orientation

9 – 1030 AM Room: 3.304

Typhon Orientation

1045 AM – 1200 PM

Split into NP tracks

  1.  Go over specifics of course grading criteria

  2.  Meet clinical instructor and group, exchange contact information.

  3.  Discuss current placement for each student for the semester.

Review Clinical Orientation Module:

1.  Welcome & Clinical Course overview: assignments, clinical hours, seminar hours

  2.  Clinical Expectations: IOR, MOA, preceptor orientation, flexibility, contact information, professional dress, reference material, stethoscope, lab coat

  3.  Graduate Clinical Handbook: expectations, policies, evaluations

  4.  How to present a patient: role play of what not to do and then what to do.


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

WK 1 – Tuesday, January 9, 2018

On Campus

1 – 5 PM  HEB Skills Lab

OSCE’s for FNP, PNP, PMHNP students


© 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