Spring 2021

NURS 6623-LAR Psychiatric Mental Health Nurse Practitioner (PMHNP) Diagnosis & 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.

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/

January 11, 2021

Monday - All Sections (San Antonio & Laredo)

Course Orientation

San Antonio Students & Laredo Students Canvas Conference Tool (CCT)

Pre-Clinical Orientation

9:00– 10:30: CCT

10:35– 11:50: CCT

12:00– 1:00 PM Lunch

Laredo Students Seminar Schedule:


Mondays: Via Canvas Conference Tool

February 15, 2021: 4:00 – 6:50 PM

March 15, 2021: 4:00 – 6:50 PM

April 12, 2021: 4:00 – 6:50 PM

FACULTY CONTACT INFORMATION

Mark Soucy, PhD, RN, APRN, FAANP (Course Coordinator)
Associate Professor/Clinical
PMHNP Coordinator
Email: soucy@uthscsa.edu
Office Phone: Use Mobile Phone
FAX: 210-567-5822
Mobile Phone: 210-269-8651
Office Room: 2.132
Office Hours Virtual By appointment in Starfish


Rose Saldivar, DNP, RN, PMHNP, APRN
Assistant Professor/Clinical
Course Faculty
Email: saldivarr@uthscsa.edu
Office Phone: 956-326-2573
Mobile Phone: 956-236-1824
Office Room: Texas A&M International University CNS-315 L
Office Hours: By Appointment through Starfish

COURSE DESCRIPTION

Primary care experience in health promotion, disease prevention, diagnosis and management of psychiatric illnesses. Additionally, this course emphasizes collaborative, partnership development among patients, families, and interprofessional teams

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.

COURSE OUTCOMES


CLINICAL OUTCOMES

  1. Provide patient-centered mental healthcare with emphasis on health promotion, disease prevention, health protection, anticipatory guidance, counseling, and disease management of patients and families during developmental transitions and life-style adjustments in psychiatric practice across the lifespan (Essentials I, VIII, IX).
  2. Integrate knowledge of acute and chronic psychiatric illness to diagnose and manage patients and families from birth through old age as health status varies (Essentials I, IV, IX).
  3. Integrate history and physical examination data with the knowledge of pathophysiology and psychopathology of acute and chronic psychiatric disorders from birth through old age to develop appropriate differential diagnoses, and initiate appropriate customized interventions (Essentials I, IX).
  4. Integrate traditional and complementary pharmacological interventions into the treatment and management of psychiatric illnesses (Essentials I, IX).
  5. Integrate social, cultural, explanatory models, and spiritual components in patient-centered plans of care (Essentials I, IX).
  6. Demonstrate core professional values and ethical/legal standards in the implementation of the nurse practitioner role (Essentials I, VIII, IX).
  7. Create a climate of patient-centered care to include confidentiality, privacy, comfort, emotional support, education, mutual trust and respect (Essentials II, IX).
  8. 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

This course contains 5 credit hours of clinical practicum (300 clinical hours) and 1 credit hour of a seminar for a total of 6 credits.

Clock Hour Allocation:
300 Clock Hours clinical practicum in this semester
15 clock hours seminar

Clinical:
~175 hours Adult Care
~125 hours Geriatric Care or 125 hours Child
300 Clinical Hours Total

Clinical Hours must be supervised by an approved preceptor at the level of > observation after orientation to clinical practicum as documented in Typhon.

Typhon entries of clinical hours and clinical cases must be documented at least weekly.

Grade for the Course is Pass or Fail.  See course packet inside Canvas for more details.

*Must earn 75% or better for all written assignments combined/averaged to pass course in addition to passing clinical as evaluated by supervising course faculty

Written assignments are required. Clinical Seminar Participation is required.

Students must pass clinical practicum to pass the course regardless of written work grades. 

300 hours of clinical practicum required.


See course packet in CANVAS for details

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.

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

American Nurses Association (2020). Psychiatric-Mental Health Nurse Practitioner Review Manual 4th Edition with 2020 Addendum. ANA Enterprise: ISBN: 9781935213796  (Be sure you order the text with the 2020 Addendum)

American Psychiatric Nurses Association, International Society of Psychiatric Mental Health Nurses, American Nurses Association. (2014) Psychiatric-Mental Health Nursing Scope and Standards of Practice Nursebooks.org ISBN: 9781558102507

American Nurses Association (2015). Nursing: Scope and standards of practice, 3rd Ed. Silver Springs, MD: Nursingbooks.org. ISBN: ISBN: 978-1-55810-619-2

American Nurses Association (2015). Guide to the Code of Ethics for Nurses with Interpretive Statements: Development, Implementation and Application. ISBN: 9781558106031

American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Paperback (DSM-5). American Psychiatric Association. ISBN 978-0-89042-555-8 (you should already have this text)

Beck, J.S. (2011). Cognitive Behavioral Therapy: Basics and Beyond 2nd Edition. Guilford Press. ISBN: 978-1-60918-504-6 you should already have this text

Blazer DG, Steffens DG, Busse EW. The American Psychiatric Publishing Textbook of Geriatric Psychiatry. 5th ed. Washington, DC: American Psychiatric Publishing; 2015. Use the electronic edition available through the library


Dunphy, L.M. , Windland-Brown, J.E., Porter, B.O., & Thomas, D.J. (2015). Primary Care: Art & Science of Advanced Practice Nursing, 4th Ed. F.A. Davis. ISBN: 9780803638013

Goldenberg H & Goldenberg I. (2013) Family Therapy: An Overview 8th Ed. Belmont CA: Cengage. ISBN13: 978-1-111-82880-6

Longo DL, Fauci AS, Kasper DL, Hauser SL, Jameson JL, Loscalzo J, eds. Harrison’s Principles of Internal Medicine.19th ed. New York, NY: McGraw-Hill; Use the electronic edition through the library

Perse, E.F. (2012) Psychiatric Advanced Practice Nursing: A Biopsychosocial Approach. F.A. Davis. ISBN 98-0-8036-2247-0 (you should already have this text)

Sadock, B.J. & Sadock, V.A. (2015). Kaplan & Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry, 11th Ed. Philadelphia: Lippincott Williams & Wilkins. ISBN: 978-1-60913-971

Stahl, S. (2013) Stahl’s Essential Psychopharmacology: Neuroscientific Basis and Practical Applications 4th Edition. Paperback Edition. ISBN: 9781107686465 (you should already have this text)

Stahl, S. (2015). The Prescriber’s Guide, 5th Edition. New York, Cambridge University Press. ISBN: 978-1107675025

Van Leeuen, A.M. & Bladh, M.L. (2016). Textbook of laboratory and diagnosis testing. Practical application of the nursing process at the bedside.  Philadelphia: FA Davis  ISBN 978-0-88036-2315-6 (or equivalent)

Wheeler, K. (2013). Psychotherapy for the advanced practice psychiatric nurse: A how to guide for evidence based practice 2nd Edition Springer Publishing. ISBN: 9780826110008 (you should already have this text)

Yalom, I.D. (2017). The gift of therapy: An open letter to a new generation of therapists and their patients.  New York: Harper ISBN: 978-0-06-171961-5


Yearwood E, Pearson G, & Newland J. (Eds.) (2012). Child and Adolescent Behavioral Health: A Resource for Advanced Practice Psychiatric and Primary Care Practitioners in Nursing. Hoboken, NJ: Wiley; ISBN: 978-0-8138-0786-7

RECOMMENDED (OPTIONAL) TEXT / REFERENCE

Please choose one of the following exam preparation items:

Board Vitals (2020).  Mental Health Nurse Practitioner Board Review Questions. Online Access: https://www.boardvitals.com/psychiatric-mental-health-nurse-practitioner-questions?occupation-select=nursing

Or


Exam Edge (2020) ANCC® Psychiatric-Mental Health Nurse Practitioner - Online Practice Tests: https://www.shopexamedge.com/products/ancc-psychiatric-mental-health-nurse-practitioner?_pos=1&_sid=d8a733bdb&_ss=r
___________________________________________________________

Recommended:

Carlat D.J. (2012). The Psychiatric Interview. 3rd ed. Philadelphia, PA: Lippincott Williams & Wilkins; ISBN-13: 978-1451110197

Gilman S, Newman SW. (2003). Manter and Gatz’s Essentials of Clinical Neuroanatomy and Neurophysiology. 10th ed. Philadelphia, PA: FA Davis. ISBN-13: 978-0803607729

Martin A, Bloch, MH, & Volkmar, FR (eds.) (2018) Lewis’ Child and Adolescent Psychiatry: A Comprehensive Textbook. 5th ed. Philadelphia, PA: Lippincott Williams &Wilkins; ISBN-13:  978-1496345493


Winston, A., Rosenthal, R.N. & Pinsker, H. (2012). Learning supportive psychotherapy: An illustrated guide. Washington, DC: American Psychiatric Publishing. ISBN: 978-1-58562-399-0

CONTENT OUTLINE

Clinical Practicum:

General Adult Hours: 175
and
Child & Adolescent Hours 125 or
Geriatric Psychiatry 125 hours

The practicum must be completed by April 23, 2021

Recommended:

Learning Supportive Psychotherapy:

General Concepts
Principles and Mode of Action
Assessment, Case Formulation, and Goal Setting
Techniques
General Framework
Therapeutic Relationship
Crisis Intervention
Special Populations (Substance Use Disorders)
Evaluating Competencies and Outcomes

CALENDAR - 1st Day Only

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

Please read the following required book: Yalom, I.D. (2009) The Gift of Therapy: An Open Letter to a New Generation of Therapists and Their Patients. (Paperback edition). ISBN-13: 978-0-06-171961-5

Week 1 Day 1  Schedule

9:00 – 10:30 AM Canvas Conference Tool  (CCT)

Orientation to Clinical Process, Clinical Expectations, Semester Assignments, and Clinical Group Seminars

10:35 – 11:50 Canvas Conference Tool (CCT)

12:00 – 12:50 Lunch

January 11, 2021

Monday - All Sections (San Antonio & Laredo)

Course Orientation
 

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