Summer 2020

NURS 6656-001 Adult-Gerontology Acute Care Nurse Practitioner (AG-ACNP) Diagnosis and Management II: 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.

COVID-19
Students are expected to follow all policies related to COVID-19 found on the university webpage: https://wp.uthscsa.edu/coronavirus/.

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 your last semester of your training to be an AG-ACNP! COVID 19 has changed things for all of us but we are professionals and will continue to adapt. This semester will be a challenge but we will embrace it together. Many of you received an incomplete for the Spring Semester and when your hours pending for Spring are complete, that semester will be credited and you will then proceed with requirements for Summer semester. This course will be designed similar to last semester with clinical however, our seminars will be synchronous and asynchronous online conferences in lieu of face to face visits. Please refer to the course calendar and packet (to be emailed by 5/11/20), for details on this. There may be simulation and other active learning techniques utilized for those unable to attend clinical. Some of you may not have clinical sites to return to starting the first week of class but we are in contact with local health care systems and will resume clinical when appropriate PPE is available and the sites are allowing student rotations. We will have reflective presentations and ethical discussions as well as take the DRT from Barkley to prepare you for boards. There will not be an OSCE or patient management paper this semester. Our first day of seminar will be 5/12/20 at 1700. Please refer to your email on how to access this conference. 

Thank you all and take care! 
April Ferrell, Wen Pao, and Tom Vorpahl. 

FACULTY CONTACT INFORMATION

April Ferrell, MSN, RN, ACNP-BC

Faculty, UT Health, School of Nursing

Assistant Professor, Clinical

Track Coordinator, AG-ACNP

Contact: Cell # 210-445-8389

Office Hours: Thursdays, 1:00- 4:00 By appointment only

 

Wen Pao, MSN, RN, ACNP-BC

Faculty AG-ACNP Track

Specialist

Division of Pulmonary Medicine/ Critical Care

Department of Medicine, UT Health School of Medicine

Contact: Cell # 210-601-3423

Office Hours: By appointment only

 

Tom Vorpahl, MSN, RN, ACNP-BC

Faculty AG-ACNP Track

Specialist

Interventional Radiology, UT Health School of Medicine

Contact: cell #210-216-5352

Office Hours: By appointment only

COURSE DESCRIPTION

The focus of this course is to foster continued development of the clinical competency of the Adult Gerontology Acute Care Nurse Practitioner student in health promotion, disease prevention, and the formulation of evidence-based treatment strategies in a high acuity settling for the young adult, adult, and older adult populations.  Content is directed toward the care of persons across the adult continuum with complex health problems.  In addition, the refinement of the AG-ACNP’s role as a patient advocate and collaborative member of the inter-professional team will be emphasized.

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. Demonstrate progressive self-directed learning of the clinical experience and concepts by applying knowledge of common acute and chronic illnesses to diagnose and manage the young adult, adult and older adult patient and their families as health status changes.
  2. Use evidence-based guidelines related to the adult patient’s health across the continuum, for disease management and limited prescriptive authority in patient-centered care.
  3. Use advanced diagnostic reasoning and differential diagnosis for disease management.
  4. Integrate history and physical examination data using Pathophysiology for common acute and chronic diseases in the young adult, adult and older patients to develop appropriate differential diagnoses, and initiate individualized patient-centered interventions.
  5. Integrate traditional and complementary pharmacological interventions in the treatment and management of common acute illnesses.
  6. Integrate social, cultural, and spiritual components in holistic, patient-centered plans of care for the young adult, adult and older adult populations.
  7. Demonstrate core professional values and ethical/legal standards in the implementation of the adult gerontology acute care nurse practitioner role.
  8. Demonstrate understanding of the essential components of invasive bedside procedures.
  9. Demonstrate appropriate and acceptable skill in performing invasive bedside procedures.

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

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

Criteria forEvaluation/Grades NP Track Summer Clinical Course

Component/Item

Weighting

Description

1. Faculty Evaluations (2)

     

 

Pass/Fail

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, Patient Encounters Summary) and the Faculty Site Visits.

2. Written Assignments

60%:  SOAP Notes (3)    

10%:  Seminar Reflective Journaling/ Ethics

20%:  Episodics (4)

10%:  Board Certification Predictor Exam, Barkley DRT

70% and >  = 10 points

<70% = 0 points.  Students will be required to meet with their faculty for remediation and will have one opportunity to retake the Predictor Exam at the student’s expense.  If the student achieves 70% or > on the 2nd try, they will earn 5 points.

Total: 100%

Pass/Fail

*Must earn 75% or better for all written assignments combined/averaged.

Final Grade

Pass/Fail

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

 

*Clinical Requirements

Component/Item

Weighting

Description

Preceptor Evaluations (Midterm and Final)

     

Required

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

 Clinical Hours Report (2)

               Required

Student to submit summary of clinical hours at Midterm and Final. Clinical hours must total no less than 300 hours. Final date to complete clinical hours for Spring/ Summer 2020- 8/5/2020

COVID-19 Impact on clinical Hours:

** All students who received an 'incomplete' for Spring 2020 due to COVID19 will also need to complete the hours lacking from Spring 2020 prior to starting the 300 hours for this semester. No > 100 hours between spring and summer semester 2020 may be from simulation or COVID-19 volunteer/ testing hours approved by the SON**

** Any student that is not able to complete clinical hours of a total 600 hours between Spring 2020 and Summer 2020 will recieve an Incomplete and be given the opportunity to complete clincal hours in Fall 2020**

Typhon Patient Encounters Summary (2)

Required

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.

Student to Evaluate Preceptor and Clinical Site in Typhon

 

 

CLASSROOM ATTENDANCE

Attendance in class/ at online synchronous conferences is an expectation of each student.

WRITTEN ASSIGNMENTS

  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.

APA GUIDELINES

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

CLASSROOM ATTENDANCE

Attendance in class is an expectation of each student.

WRITTEN ASSIGNMENTS

  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.

APA GUIDELINES

The APA Publication Manual 7th 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.



PROFESSIONAL CODE OF CONDUCT

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.

http://catalog.uthscsa.edu/schoolofnursing/policiesandprocedures/

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

Barkley DRT Online Preparatory Exam:   AG-ACNP Certification.  Student payment and/or  instructions will be sent closer to the date of the exam.  Any cost for the exam is the responsibility of the student and not included in tuition/fees

SCCM VCCR Module II
Link to be posted in Canvas, complete on your own time, submit certificate for proof of completion in Canvas drop box. Any cost for module is the responsibility of the student and is not included in tuition/ fees. 

Texts from Previous semesters

RECOMMENDED (OPTIONAL) TEXT / REFERENCE

None

CONTENT OUTLINE

Nurse Practitioner Core Competencies:
· Scientific Foundation
· Leadership
· Quality
· Practice Inquiry
· Technology and Information Literacy
· Policy and Advocacy
· Health Delivery System
· Ethics
· Independent Practice
 
Adult Gerontology Acute Care Nurse Practitioner Competencies
· Health Promotion, Health Protection, Disease Prevention and Treatment
- Assessment of Health Status
- Diagnosis of Health Status
- Plan of Care and Implementation of Treatment
· Nurse Practitioner-Patient Relationship
· Teaching-Coaching Function
· Professional Role
· Managing and Negotiating Healthcare Delivery Systems
· Monitoring and Ensuring the Quality of Healthcare Practice
 
Skills taught via hands on or didactic education for AG-ACNP throughout the curriculum:
· 12 lead ECG interpretation
· Chest X-ray interpretation
· Central line placement/removal
· Chest tube placement/removal
· Arterial catheter placement/removal
· Basic suturing
· Incision & Drainage
· Lumbar puncture
· Paracentesis
· Thoracentesis
· Use of bedside ultrasound for invasive procedures
· Prepping and draping for invasive bedside procedures
· Basics of peripherally inserted central venous catheters

CALENDAR - 1st Day Only

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

Tuesday, May 12, 2020 at 1700
Synchronous Conference via Canvas, link to be posted in email and canvas by 5/12/2020

- COURSE INTRODUCTION
- DRT Exam
- REFLECTIVE JOURNALING
- H&P Skills/ Billing
- Paracentesis/ Thoracentesis didactic 

Other Dates for Synchronous online seminar:
5/26, 6/23, 7/14- DRT Exam 0900, 7/28

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