Spring 2018

NURS 6655-001 Adult-Gerontology Acute Care Nurse Practitioner (AG-ACNP) Diagnosis and 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.

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 Spring Semester, NURS 6655 Adult-  Gerontology Acute Care NursePractitioner (AG-ACNP) Diagnosis and Management 1: Clinical Application

Our first class meeting will be on Campus with clinical and typhon orientation followed by  OSCE on 1/9/18. The schedule will be as follows and attendance is considered MANDATORY:

Monday 1/8/18: 0900-1200- Clinical & Typhon Orientation (all cohorts) 

Tuesday 1/9/18- 0900-1700, OSCE, HEB Skills Center, Assigned times will be emailed prior to start of the semester. 

Monday 2/12/18: On Campus Seminar 4:00-6:30 PM

Monday3/19/18: On Campus Seminar 4:00-6:30 PM

Monday4/16/18:On Campus Seminar 4:00-6:30 PM


April Ferrell, MSN, RN, ACNP-BC

Interim Track Coordinator, AG-ACNP Program

Clinical Assistant Professor

Department of Health Restorations and Care Systems Management

Cell # 210-445-8389

Office Hours: By appointment only


Faculty, AG-ACNP Program


Department of Pulmonary Medicine/ Critical Care

Department of Medicine, UTHSCSA

Cell# 210-601-3423

Office Hours: By appointment only

Tom Vorpahl, MSN, RN, ACNP-BC

Faculty, AG-ACNP Program


Division of Transplant Surgery

Department of Surgery, UTHSCSA

Cell # 210-216-5352

Office Hours: By appointment only


This course develops clinical competency and emphasizes the integration of theory, assessment and advanced therapeutics for young adults, adults and older adults in a high acuity setting.  Students will perform comprehensive clinical assessments including appropriate diagnostic and therapeutic testing.  Management of acute and chronic health problems will be under the direction of clinical preceptors.  Clinical placements will include a variety of acute/critical care areas including but not limited to: emergency department, medical/surgical intensive care units, intermediate care and specialty services such as transplant and oncology.  Gerontology experiences will be provided in long term care, rehabilitation facilities and the acute care setting.  In addition, this course emphasizes collaborative partnership development between patients, their families, and inter-professional teams.


Credit hour allocation: 6 semester credit hours
Clock hour allocation:
 300 clock hours clinical practicum; 15 clock hours 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 health promotion, disease prevention, and evaluation of population health for the young adult, adult and older adult patients and their families during developmental transitions and life-style adjustments across the adult continuum.
  2. Integrate knowledge of common acute and chronic illnesses to diagnose and manage young adult, adult, and older adult patients in high acuity settings.
  3. Integrate anticipatory guidance into the comprehensive treatment plans with respect to both primary and secondary prevention for young adult, adult and older adult patients.
  4. Integrate history and physical examination data along with the Pathophysiology of common acute and chronic diseases in the young adult, adult and older patient in order to develop appropriate differential diagnoses, and implement an evidence-based management plan.
  5. Integrate traditional and complementary pharmacological interventions into the treatment and management of common acute illnesses for the young adult, adult and older adult population.
  6. Integrate social, cultural, explanatory models and spiritual components in a holistic patient-centered plan of care.
  7. Incorporate ethical considerations in dealing with directives influencing acutely and chronically ill patients and their families or support systems.
  8. Demonstrate core professional clues and ethical/legal standards in the implementation of the adult-gerontology acute care nurse practitioner role.
  9. Demonstrate understanding of the essential components of invasive bedside procedures.
  10. Demonstrate appropriate and acceptable skill in performing invasive bedside procedures.


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 Courses




1. Faculty Evaluations (2)

      a) OSCE (Preclinical)

      b) Preceptor Evaluations (Midterm and Final)

      c) Faculty Site Visits (Midterm and Final)


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 OSCE, the Preceptor Evaluations and the Faculty Site Visits.

OSCE- Student must pass with at least 70% in order to proceed on to clinical with 1 remedial opportunity to be given at student's expense for the SP. 

2. Clinical Hours Report (2)


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

3. Typhon Patient Encounters Summary (2)


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

4. Written Assignments


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


*SOAP Notes (3)







*Seminar Patient Case Presentation







*Patient Management Paper (1)







* iHuman episodics (3)













5. SCCM Virtual Critical Care Rounds Modules I 






Must complete prior to 4/27/18 and submit proof of completion. ** Cost is $65 per module at the student’s cost. Average time to complete is 3 hours and completion counts toward 3 seminar hours. 

Final Grade


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

Clinical Experience is Pass/Fail

Clinical Experience is Pass/Fail

No clinical can be started at any clinical site until an Intent ofRelationship (IOR) is completed, submitted to the course coordinator in hand,email or fax, and approved by the faculty.  Clinical practicum maystart on January 10, 2018 if the IORis completed, submitted and approved but not before. The student must pass thepre-clinical OSCE on January 9, 2018 to begin clinical with their preceptor onJanuary 10, 2018. All clinical practicum hours must be completed by April 27, 2018

Clinical Practicum

The student will complete 300 hours of clinical practicum with their assigned preceptor(s) once the Intent of Relationship (IOR) agreement is completed by the student and preceptor, signed, faxed to the School of Nursing, and approved by the graduate faculty.  Students are expected to dress in business casual with white lab coat and UT Health NP Student badge and present a professional appearance while in the clinical setting.   The clinical practicum must be completed no later than the end of the course.  There are no extensions for completing hours except for a major health problem; therefore, the student must plan ahead when negotiating clinical hours with the preceptor.

Clinical Site Visits:

Students will have two scheduled site visits by their assigned faculty.