Spring 2021

NURS 6620-001 Family Nurse Practitioner (FNP) Diagnosis and Management for Aging 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.

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 
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 6620, Family Nurse Practitioner Diagnosis and Management of Aging Families: Clinical!

We will meet on Monday, January 11th for Pre-Clinical Orientation at 9:00 am. Location details will follow.

We will also meet on Tuesday, January 12th at 9:00 am for the APEA Pre-Predictor Exam. This exam may be taken from home and will be proctored remotely.  

Clinical hours may begin the afternoon of January 12th as long as the IOR has been submitted. All 300 clinical hours must be completed by Friday, April 30th. 

The other class/seminar meeting dates/times are February 15th, March 15th, and April 12th from 8:00 am - 12:00 pm.

All students will complete an OSCE (Objective Structured Clinical Examination) on April 26th from 8:00 am - 12:00 pm. A specific schedule will be provided closer to the date.

We look forward to working with you this semester!

Sincerely,

Dr. Worabo

FACULTY CONTACT INFORMATION

Heidi Worabo, DNP, RN, FNP-BC, FAANP, Track Coordinator

Associate Professor / Clinical

E-mail: worabo@uthscsa.edu

Phone: 210-567-5867

 

Paula Christianson-Silva, DNP, APRN, FNP-BC

Assistant Professor, Clinical

Email: christianson@uthscsa.edu

Phone: 210-567-5871

COURSE DESCRIPTION

The focus of this course is integration of the Family Nurse Practitioner’s (FNP) core knowledge in health promotion and diagnosis and management in the care of the mature and aging patient and families in the primary healthcare setting. Emphasis is placed on the care of mature and aging patients and families with acute and chronic complex health problems. In addition, the family nurse practitioner as a collaborative member of the interprofessional 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

• NURS 6451 FNP Diagnosis and Management of Young Families: Concepts and Theory
• NURS 6452 FNP Diagnosis and Management of Aging Families: Concepts and Theory

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 emphasis on health promotion, disease prevention, health protection, anticipatory guidance, counseling, disease management, and palliative care to mature and aging patients and families during transitions and life-style adjustments as an integral member of the interprofessional team (Essentials I, VIII, IX).
2. Apply knowledge of acute and chronic illnesses to diagnose and manage mature and aging patients and families as health status varies (Essentials I, IV, IX).
3. Use evidenced-based guidelines related to patient health, disease management and prevention to impact health outcomes in this diverse population (Essentials I, IV, IX).
4. Use advanced diagnostic reasoning and differential diagnosis for disease management of the mature and aging patients and family (Essentials I, IV, IX).
5. Integrate history and physical exam data with the knowledge of pathophysiology of acute and chronic diseases to develop appropriate differential diagnoses and initiate appropriate patient-centered interventions in this diverse population (Essentials I, IX).
6. Incorporate traditional and complementary pharmacological interventions into the treatment and management of illnesses (Essentials I, IX).
7. Integrate social, cultural, explanatory models and spiritual components in patient-centered plans of care for mature and aging patients and families (Essentials I, IX).
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 (Essentials II, IX).
10. Use self-reflection to evaluate progress in professional development as an integral member of the interprofessional team (Essential II, VII, 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

Criteria forEvaluation/Grades FNP Track Spring Clinical Course

Component/Item			Weighting		Description
1. Clinical Performance Evaluation			Pass/Fail		Pass/Fail grade based upon student’s successful completion of the *Clinical Requirements (Preceptor Feedback/Evaluation, Clinical Hours, and Patient Encounters Summary) and the Faculty Site Visit(s).
2. Written Assignments			Pass/Fail		Must earn 80% or better for all written assignments combined.
	APEA Predictor Exam Exam Score Points 49 or less 0 50-59 4 60-69 7 70 or greater 10	10%
	SOAP Notes (3)	30%
	Seminar Patient Case Presentations (3)	20%
	Quizzes (3)	30%
	Objective Structured Clinical Examination (OSCE)	10%
	Total	100%
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.
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.

 

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 Undergraduate Studies 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.

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.

• Be courteous about what you say to or about others in any electronic format. In electronic communication the golden rule is "Remember the Human." Remember there is a real person with real feelings on the receiving end of your email or post.
• Be respectful and open to opinions and ideas that differ from yours. The exchange of diverse thoughts, ideas and opinions are an important part of the scholarly environment. Keep in mind that the people in your classes may come from different backgrounds and have views that may vary significantly from your own.
• Flaming (defined as posting of messages that are deliberately hostile and insulting in an online social context) is never appropriate. While everyone (learners and instructors alike) is encouraged to share ideas and opinions openly, you should never use insults or resort to name-calling even if you disagree strongly with what someone else has written.
• When responding to messages or posts made by others, address the ideas, not the person.
• It’s often best to avoid using sarcasm and humor online. Without social cues, such as facial expressions and body language, a remark meant as humorous could come across hurtful or offensive. Keep in mind that ‘emoticons’ (such as J) may not convey your tone or intent.
• Capitalizing whole words is generally seen as SHOUTING and is difficult for most people to read. Use all capital letters sparingly, such as to highlight an important word or point.
• Think and reread what you’ve written before you post! Make sure that what you’ve written makes sense (is clear and to the point).
• Remember you are responsible for the content you communicate on CANVAS. What you write represents you, so use appropriate language. Remember that all writing should be professional, consisting of complete sentences, and free of grammatical and spelling errors.
• Be aware that distributing copyrighted materials, such as articles and images, is illegal. Most of the materials on the Internet are copyrighted. The only time it’s ok to distribute materials from the Internet is when you are sure those materials are "fair use." To be safe, if you want to share materials with classmates and/or your instructor, share the web link or URL only.
• To avoid plagiarism, make sure you properly cite all source materials. All materials should be cited unless you are the author of the content.
• Protect your privileges in online communication (avoid posting spam or emailing chain letters).

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

*Board Certification Pre-Predictor Exam.  APEA.  Student payment instructions will be sent closer to the date of the exam.  Cost is paid by student through the APEA website:  http://www.apea.com/online-testing-center

 

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

RECOMMENDED (OPTIONAL) TEXT / REFERENCE

*FNP Certification Exam Review Resources: i.e. www.apea.com, www.npcourses.com, www.fhea.com

*UpToDate

*Epocrates

CONTENT OUTLINE

Clinical:

100 hours Adult Primary Care

100 hours Geriatric Care

100 hours Sub-specialty Care and/or Family Practice

300 Clinical Hours Total

CALENDAR - 1st Day Only

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

DATE/TIME	ON-CAMPUS MEETINGS	ASSIGNMENT DUE DATES
WK 1 – Monday, January 11, 2021                             Tuesday, January 12, 2021	Pre-Clinical Orientation   9:00 – 10:30 AM:    Typhon Orientation for all NP students (Via MS Teams)   10:45 AM—12:00 PM Divide 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. (Via MS Teams)   9:00 AM—12:00 PM Pre-Predictor Exam (APEA) for FNP students	1. Download and Review the Graduate Clinical Preceptor, Student and Faculty Handbook by January 11th at 9am.   2. Complete asynchronous Orientation Module in Canvas. Take quiz to verify understanding.  Due by January 11th at 9am.  The Module will cover the following: *Welcome & Clinical Course overview: assignments, clinical hours, seminar hours  *Clinical Expectations: IOR, MOA, preceptor orientation, flexibility, contact information, professional dress, reference material, stethoscope, lab coat   *Graduate Clinical Handbook: expectations, policies, evaluations   *How to present a patient: role play of what not to do and then what to do.             Students may begin Clinicals on the afternoon of January 12th or later as long as IOR has been completed.

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