Fall 2021

NURS 6419-01 PMHNP Dx & Mgmt: Clinical Application 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/.

Any additional expenses that the clinical agency may incur include but are not limited to drug screening, background checks, ID badges, immunizations etc., will be at the students expense.

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/

The first day of the course is a clinical orientation day.  Please refer to the following:

Time

Location

Topic - Faculty/Staff

08:00 – 9:15 AM

All NP Tracks

Room: SON 1.463

Welcome, Introductions, Expectations, Policies, Procedures – Dr. Worabo

9:30 – 10:30 AM

All NP Tracks

Room: SON 1.463

Orientation to Typhon for NP clinicals and DNP project hours (Typhon Staff – Dr. Worabo & Dr. Knoeckel)

10:45 - 11:50 AM

PMHNP Track

Room: SON 1.211

PMHNP – Track Specific Orientation

Dr. Vives

FACULTY CONTACT INFORMATION

Course Faculty:

 

Mark Soucy, PhD, RN, APRN, FAANP

Associate Professor/Clinical

Course and Track Coordinator

School of Nursing

UT Health San Antonio

7703 Floyd Curl Drive

San Antonio, TX 78229

Email: soucy@uthscsa.edu

Telephone: 210-269-8651

FAX: 210-567-2788

Office Hours: See Starfish for Virtual Hours by Appointment

 

Marta Vives, DNP, RN, APRN, FPMHNP-BC

Lt Col USA (Retired)

Assistant Professor/Clinical

PMHNP Course Faculty

School of Nursing

UT Health San Antonio

7703 Floyd Curl Drive

San Antonio, TX 78229

Email: vivesm@uthscsa.edu 

Office Phone: 210-450-8475

Office Room: 2.330

Office Hours: See Starfish for Virtual Hours by Appointment


COURSE DESCRIPTION

The focus of this clinical course is the integration of the Psychiatric Mental Health Nurse Practitioner essential knowledge in health promotion, diagnosis and management of patients and families with actual and potential psychiatric disorders across the lifespan and across the healthcare continuum. Emphasis is placed on care of patients and families with acute and chronic psychiatric disorders in collaboration with interprofessional teams using evidence-based and patient centered strategies. 

CREDIT AND TIME ALLOCATION

Credit hour allocation: 4 semester credit hours
Clock hour allocation: 240 clock hours clinical practicum

PREREQUISITES

PREREQUISITES 

NURS 6410 PMHNP Diagnosis and Management: Concepts andTheory 1

NURS 6411 PMHNP Diagnosis and Management: Concepts andTheory 2

 

PREREQUISITESOR COREQUISITES

NURS 6219 PMHNP Diagnosis and Management: Concepts andTheory 3

NURS 6111 PMHNP Clinical Seminar 1

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.  Apply patient-centered psychiatric care with emphasis on health promotion, disease prevention, health protection, anticipatory guidance, counseling, disease management, patients and families during transitions and life-style adjustments as an integral member of the interprofessional team. (DNP Essentials I, III, VI, VII, VIII; NONPF Competencies: Scientific Foundation 1-4, Quality 1-3, Practice Inquiry 3, 6, Health Care Delivery System 1, Ethics 1-3, Independent Practice 1-8)

2.  Demonstrate the ability to integrate history, physical exam, psychiatric evaluation, laboratory and imaging data with the knowledge of pathophysiology of acute and chronic psychiatric diseases to develop appropriate differential diagnoses and initiate appropriate patient-centered interventions through accurate and clear documentation. (DNP Essentials I, VIII; NONPF Competencies: Scientific Foundation 1-4, Quality 1, 5, Practice Inquiry 3, 6, Health Delivery System 1, 3, Ethics 1-3, Independent Practice 1-8)

3.  Analyze evidenced-based guidelines related to patient health, mental health disease management and prevention to positively impact health outcomes in this diverse population. (DNP Essentials I, III, VII, VIII; NONPF Competencies: Scientific Foundation 1-4, Quality 1, Practice Inquiry 3, Independent Practice 1, 8)

4.  Create treatment plans for patients and families experiencing psychiatric mental health disorders integrating history, physical exam, diagnostic studies and psychiatric evaluation data with the knowledge of pathophysiology of psychiatric disorders. (DNP Essentials I, VIII; NONPF Competencies: Scientific Foundation 1-4, Quality 1, 2, Practice Inquiry 3, Ethics 1-3, Independent Practice 1-8)

5.  Construct treatment plans incorporating traditional and complementary psychopharmacological interventions in the treatment and management of mental disorders across the lifespan. (DNP Essentials I, VIII; NONPF Competencies: Scientific Foundation 1-4, Quality 1, Practice Inquiry 3, 6, Independent Practice 1-8)

6.  Integrate social, cultural, explanatory models and spiritual components in patient-centered plans of care for patients and families. (DNP Essentials I, VII, VIII; NONPF Competencies: Scientific Foundation 1-4, Ethics 1-3, Independent Practice 1-8)

7.  Appraise legal and ethical principles in decision-making and demonstrate core professional values in the implementation of the nurse practitioner role. (DNP Essentials I, II, V, VIII NONPF Competencies: Scientific Foundation 1-4, Quality 1, 5, Ethics 1-3, Independent Practice 1, 2, 4, 8)

8.  Create a climate of patient-centered care to include confidentiality, privacy, comfort, emotional support, education, mutual trust and respect. (DNP Essentials II, VIII; NONPF Competencies: Scientific Foundation 1-4, Ethics 1-3, Independent Practice 1, 2, 4, 5, 6, 8)

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

Component

Weight/Grade

Description

Evaluation of Student Performance in Clinical Practicum

Pass/Fail

Faculty Evaluation(s): The student’s supervising faculty will complete an evaluation of the student at the clinical site at least once during each semester.  If needed, multiple evaluations may be completed.  Each evaluation will be documented in Typhon and reviewed with the student.

 

*Domains evaluated include:

A. Nurse Practitioner Assessment

B. Diagnosis

C. Plan and Implementation

D. NP – Patient Relationship

E. Teaching and Coaching

F. Professional Role

G. Communication

 

Each domain has certain elements which are outlined in Typhon®

 

Preceptor Evaluations: Students will request the preceptor to evaluate their performance at mid-semester and again at the end of the semester.  In the event the student has two preceptors, the first preceptor will be asked to evaluate the student's performance at mid-semester, and the second preceptor will be asked to evaluate the student's performance before the end of the semester. Each evaluation must be reviewed by the preceptor with the student to identify strengths and areas in need of improvement. A minimum of 2 preceptor evaluations of each student are required.

Clinical Hours Logs

No less than weekly

Pass/Fail

Clinical Hours Logging: Students will document clinical hours using the Typhon© NP tracking system by logging in and logging out each clinical day.  The preceptor must validate clinical hours using the Typhon© NP tracking system.  Only approved hours result in credit for student practicum participation.

 

Clinical Hours Reports

Pass/Fail

Clinical Hours Reports: Students are required to submit a report of clinical hours completed by mid-semester and again at the end of the semester.  These reports are generated in the Typhon© NP tracking system, downloaded to the student’s computer, and then uploaded into the assignments inside Canvas.  Clinical hours at the end of the semester must total no less than 240 hours.

 

Patient Encounter Documentation

No less than weekly

Pass/Fail

Patient Encounter Documentation:  Students will document each patient encounter using the Typhon© NP tracking system either daily, or at the very latest, at the end of each week.  Failure to document patient encounters no later than weekly will result in closure of the tracking system and may result in loss of credit for encounters.

 

Students are expected to engage in clinical practicums with direct patient care at a level ≥ shared participation in each patient encounter following the first week or two of practicum during which time they may engage at the “observation” level while orienting. 

 

Patient Encounter Summaries

Pass/Fail

Patient Encounter Summaries: Students to submit pie graph summary of their patient encounters at Midterm and prior to the end of the semester into the Canvas assignment tab. Students must enter every patient they see in the clinical setting within the week of seeing those patients.  Patient encounter entries must be approved by the clinical faculty.

 

Total Grade

Pass/Fail

The Clinical Faculty will determine the final course grade based upon the successful completion of the required components above. The final course grade is also dependent upon the student abiding by the Clinical Policies and the Professional Code of Conduct of UT Health San Antonio School of Nursing.


CELL PHONE POLICY

CLASSROOM ATTENDANCE

Attendance in class is an expectation of each student.

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. (2015) Code of Ethics for Nurses with Interpretive Statements. Silver Spring, MD: Nursesbooks.org ISBN: 9781558105997

American Nurses Association (2013) Psychiatric-Mental Health Nursing Scope and Standards of Practice 2nd Ed. Nursebooks.org ISBN: 9781558105553

American Nurses Association (2015). Nursing: Scope and standards of practice, 3rd Ed. Silver Springs, MD: Nursingbooks.org.ISBN: ISBN: 978-1-55810-619-22

American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders Fifth Edition Paperback (DSM-5).  American Psychiatric Association. ISBN: 9780890425558

American Psychological Association (2020). Publication Manual of the American Psychological Association, 7th Ed. American Psychological Association: ISBN: 9781433832161

Carlat, D.J. (2017). The Psychiatric Interview 4th Ed. Wolters Kluwer.  ISBN: 978-1496327710

First, M.B. (2013) DSM 5 Handbook of Differential Diagnosis. American Psychiatric Publishing, Inc. ISBN: 9781585624621

Neuroscience Education Institute – Membership Student Rate https://www.neiglobal.com/Members/Become/MBRRates/tabid/192/Default.aspx

Perese, E.F. (2012) Psychiatric Advanced Practice Nursing: A Biopsychosocial Approach.  F.A. Davis. ISBN 98-0-8036-2247-0

Sadock, B.J., Sadock, V.A. & Ruiz, P. (Eds) (2017). Kaplan& Sadock’s Comprehensive Textbook of Psychiatry, 10th Ed. Philadelphia: Wolters Kluwer. ISBN: 9781451100471

Stahl, S. (2014). The Prescriber’s Guide, 7th Edition. New York, Cambridge University Press. ISBN: 978-1108926010 (see your NEI membership)

Stahl, S. (2013) Stahl’s Essential Psychopharmacology: Neuroscientific Basis and Practical Applications 4th Edition.  Paperback Edition.  ISBN:  9781107686465 (see your NEI membership)

Tusaie, K.R. & Fitzpatrick, J.J. (Eds.) (2017). Advanced practice psychiatric nursing: Integrating psychotherapy, psychopharmacology, and complementary and alternative approaches across the life span, 2nd Ed. New York, Springer Publishing Company. ISBN: 978-0-8261-3253-6

Van Leeuwen, A.M. & Bladh, M.L. (2019). Davis' comprehensive manual of laboratory and diagnostic tests with nursing implications 8th Ed. FA Davis. ISBN 9780803674950

RECOMMENDED (OPTIONAL) TEXT / REFERENCE

Shea, S.C. (2017) Psychiatric Interviewing: The Art of Understanding: A Practical Guide for Psychiatrists, Psychologists, Counselors, Social Workers, Nurses, and Other Mental Health Professionals, with online video modules 3rd Edition.  Elsevier. ISBN: 978-1437716986

UpToDate (see University's Library Web Site under Databases (you must be logged in to the campus first using VPN)

CONTENT OUTLINE

240 hours clinical practicum.

Concurrent enrollment in NURS 6111 Seminar with passing grade

CALENDAR - 1st Day Only

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

Monday, August 23, 2021 Schedule:

 

Time

Location

Topic - Faculty/Staff

08:00 – 9:15 AM

All NP Tracks

Room: SON 1.463

Welcome, Introductions, Expectations, Policies, Procedures – Dr. Worabo

9:30 – 10:30 AM

All NP Tracks

Room: SON 1.463

Orientation to Typhon for NP clinicals and DNP project hours (Typhon Staff – Dr. Worabo & Dr. Knoeckel)

10:45 - 11:50 AM

PMHNP Track

Room: SON 1.211

PMHNP – Track Specific Orientation

Dr. Vives


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