Spring 2021

NURS 6143-001 Family Nurse Practitioner Clinical Skills and Laboratory Science

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/.

Welcome to Clinical Skills and Laboratory Science! We look forward to working with you this semester each Monday morning, beginning with our first class on Monday, January 11th.

We will send the calendar with the specific meeting times, but in the meantime, please block your calendar to dedicate Mondays from 8am - noon for this course.

The course delivery is a hybrid model with some lab times done virtually and others in-person with hands-on activities and workshops.

Sincerely,
Dr. Worabo 

FACULTY CONTACT INFORMATION

Heidi Worabo, DNP, APRN, FNP-BC, FAANP

Associate Professor / Clinical

Email: worabo@uthscsa.edu

Office Phone:  210-567-5867

COURSE DESCRIPTION

In this course, students examine the relationships between abnormal physiology and diagnostic testing and how to analyze, select, and interpret laboratory studies in the context of clinical decision making as a nurse practitioner. Students will apply their knowledge of physiology, pathophysiology, microbiology, and evidence-based processes to diagnostic and therapeutic procedures performed by nurse practitioners specific to their scope of practice. 

CREDIT AND TIME ALLOCATION

Credit hour allocation: 1 semester credit hour
Clock hour allocation: 60 clock hours class

PREREQUISITES

NURS 6338 Advanced Pathophysiology
NURS 6302 Advanced Pharmacotherapeutics
NURS 6210 Advanced Health Assessment and Clinical Reasoning
NURS 6110 Advanced Health Assessment and Clinical Reasoning: Clinical Application

PROGRAM OUTCOMES

Upon completion of the Doctor of Nursing Practice (DNP) Program students will:

1. Integrate nursing science, ethics, biophysical, psychosocial, analytical, and organizational sources to provide the highest level of specialty nursing practices.
2. Develop, implement, and evaluate healthcare practices in healthcare systems that ensure quality improvement and patient safety.
3. Use analytic methods and evidence based practices to improve practice outcomes and the practice environment.
4. Implement and evaluate ethical healthcare information systems and patient care technology to improve the quality of patient health outcomes and care systems.
5. Advocate for healthcare practices that advance social justice, equity, and ethical policies within all healthcare arenas.
6. Employ interprofessional collaborative teams to improve patient and population health outcomes and healthcare delivery systems.
7. Lead the integration and institutionalization of (evidence based) clinical prevention and population based health guidelines.
8. Use clinical judgment, systems thinking, accountability, and specialized knowledge to design, deliver, and evaluate evidence based, culturally proficient care to improve patient, population, and health systems outcomes.

CLINICAL OUTCOMES

1.  Select laboratory and imaging studies and/or procedures based on history, physical exam, clinical indications, cost, and risk-benefit analysis according to evidence-based practice. (DNP Essentials III, VIII; NONPF Competencies: Scientific Foundation 2, Independent Practice 1, 2, 4)
2.  Perform selected procedures common to APRN practice. (DNP Essentials VIII; NONPF Competency: Independent Practice 1, 2, 4)
3.  Interpret results of laboratory diagnostic testing and radiologic findings to support clinical decision making. (DNP Essential VIII; NONPF Independent Practice 1, 4)
4.  Examine ethical, legal, and regulatory considerations related to selecting, collecting, and evaluating diagnostic tests and/or procedures. (DNP Essential II; NONPF Competency: Independent Practice 1, 3, 4)
5.  Collaborate with health care team members as necessary to select and perform appropriate diagnostic tests and/or procedures. (DNP Essentials III, VI, VIII; NONPF Competency: Independent Practice 1, 4)
6.  Appraise the reimbursement process for selected procedures/diagnostic tests and how it relates to ethical stewardship of health care resources to ensure sustainability and high quality patient care. (DNP Essentials II, VIII; NONPF Competencies: Ethics 1, 2, 3, Independent Practice 1, 2, 4)

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/GRADING

Quizzes                                                                 50%

Written Assignments                                             20%

Lab Attendance/Participation                                30%

 

Total                                                                 100%

*A cumulative grade of 80% orbetter is required to pass the course.

Grading Scale

Pass/Fail

 

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.

• 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

Colyar, M.R. (2020). Advanced Practice Nursing Procedures, 2^nded. F.A. Davis: Philadelphia.  ISBN:978-0-8036-9813-0

Williamson, M.A. & Snyder, L.M. (2020). Wallach’s Interpretationof Diagnostic Tests, 11^th ed. Wolters Kluwer: Philadelphia. ISBN: 9781975105587

Artegia Medical Supplies, Complete Suture Practice Kitfor Suture Training.  Available online atamazon (link below).

https://www.amazon.com/Complete-Practice-Including-Generation-Education/dp/B078NZMQKF/ref=asc_df_B078NZMQKF/?tag=hyprod-20&linkCode=df0&hvadid=312219417769&hvpos=&hvnetw=g&hvrand=2128373233085366812&hvpone=&hvptwo=&hvqmt=&hvdev=c&hvdvcmdl=&hvlocint=&hvlocphy=9028050&hvtargid=pla-570592802538&psc=1

 

RECOMMENDED (OPTIONAL) TEXT / REFERENCE

Resources that do not need to be purchased:

Herring, W. (2019). LearningRadiology, 4^th ed. Elsevier: Philadelphia, PA.ISBN-13: 978-0323567299

ISBN-10: 0323567290  This textbook has a supplemental website: http://learningradiology.com/index.htm

Clinical Key by Elsevier availablein UTHSA Library:

https://www-clinicalkey-com.libproxy.uthscsa.edu/#!/

Dermatology Website: http://www.meddean.luc.edu/lumen/MedEd/medicine/dermatology/melton/atlas.htm

Pediatric Radiology Link to download free pdf chapters fromElsevier in the UTHSA Library:

https://www-sciencedirect-com.libproxy.uthscsa.edu/book/9780323031257/pediatric-radiology

Patient Information on Medical Test from Medline Plus: https://medlineplus.gov/lab-tests/aldosterone-test/

Radiology Site: https://radiopaedia.org/

UpToDate: App is free through Library.Must be on campus for the initial download onto your device: https://www.uptodate.com/contents/search

 

CONTENT OUTLINE

Module 1: Principles, Indications, Ethics, Legality, Costs and Regulatory Considerations of Procedures and Diagnostic Tests

Module 2: ECG Interpretation, Diagnostic Imaging Studies and Pulmonary Function Tests

Module 3: Dermatologic & Orthopedic Procedures

Module 4: Nurse Practitioner Track Specialty Skills

Module5: Laboratory Science

CALENDAR - 1st Day Only

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

We look forward to seeing you on January 11th.
More details to come.
Contact faculty if you have questions.

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