Fall 2021

NURS 6135-01 AGACNP Dx & Mgmt: Clinical Seminar 1

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 NURS 6135 AG-ACNP Dx and Management:  Clinical Seminar 1.
The first day of class will be noted in Canvas and will include an orientation to the expectations of this course and Typhon use during this course.

FACULTY CONTACT INFORMATION

Amanda S. Bridges, DNP, MSN, RN, ACNP-BC
Assistant Professor/ Acute Care Nurse Practitioner

School of Nursing

UT Health San Antonio

7703 Floyd Curl Drive

San Antonio, Texas  78229-3900

210.450.8026 | bridgesa1@uthscsa.edu

cell-301-456-3553  (No calls after 9pm or on weekends)

COURSE DESCRIPTION

The focus of this course is integration and reflection of the Adult Gerontology Acute Care Nurse Practitioner (AGACNP) student’s core knowledge in health promotion, diagnosis and management in the care of patients and families in the acute healthcare setting.  The seminar course is designed to promote analysis and synthesis of the clinical experience through faculty mentoring, documentation of patient encounters, discussions, and scholarly clinical presentations.

CREDIT AND TIME ALLOCATION

Credit hour allocation: 1 semester credit hour
Clock hour allocation: 15 clock hours class


PREREQUISITES

PREREQUISITES
NURS 6435 AGACNP Diagnosis and Management: Concepts and Theory 1
NURS 6436 AGACNP Diagnosis and Management: Concepts and Theory 2

PREREQUISITES or COREQUISITES
NURS 6437 AGACNP Diagnosis and Management: Clinical Application 1
NURS 6235 AGACNP Diagnosis and Management: Concepts and Theory 3



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.

COURSE OUTCOMES

1.  Evaluate the ability to integrate history, physical exam, laboratory and imaging data with the knowledge of pathophysiology of acute and chronic diseases to develop appropriate differential diagnoses and initiate appropriate patient-centered interventions through accurate and clear documentation. (DNP Essentials I, VIII; NONPF Independent Practice 3, 6)

2.  Create plans of care for patients and families utilizing cultural, explanatory models and spiritual components. (DNP Essentials I, VII, VIII; NONPF Independent Practice 3, 4, 5)

3.  Analyze ethical principles in clinical decision-making in the implementation of the nurse practitioner role. (DNP Essentials I, II, V, VIII; NONPF Ethics 1, 2, 3, Independent Practice 1, 2, 8) 

4.  Evaluate progress of professional development as an integral member of the interprofessional team through self-reflection. (DNP Essential I, II, VI; NONPF Leadership 2, 3 Independent Practice 1, 2, 6)
 
5.  Evaluate patient care outcomes based on mutually established goals with patients and families. (DNP Essentials I, III, VII, VIII; NONPF Independent Practice 4, 5, 6, 7)

6.  Assess the role of the AG-ACNP as part of the interprofessional team. (DNP Essentials I, II, VI, VIII; NONPF Independent Practice 1, 2, 3, 6)

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 is intended to supplement Nurs 6437.   

Grade:  

Attendance 10%

Complex patient presentation 50%

Soap notes 40%



CELL PHONE POLICY

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

Uptodate.com or other similar database


RECOMMENDED (OPTIONAL) TEXT / REFERENCE

Infectious Diseases: A clinical Short Course. Frederick Southwick

ISBN:978-1-260-14365-2


Critical Care and Hospitalist Medicine made ridiculously simple.  Michael Donahoe and Mark Gladwin ISBN: 978-1-93566034-7

CONTENT OUTLINE

See Canvas for Specific Information

CALENDAR - 1st Day Only

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

The first day will involve an orientation and is TBD. See Canvas for specific class dates, times and locations.

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