Fall 2012

NURS 6450-01 Family Nurse Practitioner (FNP) Diagnosis & Management II: Clinical Application


Course packet / additional materials will be located on BlackBorad.

Additional Materials will be provided during class when necessary.

Some Clinical/Skills Training will be on campus and will count toward clinical hours. The dates for these Skills Labs will be:

[Half of the class in the morning and remainder in the afternoon]
Monday, October 1, 2012
Monday, October 22, 2012
Monday November 5, 2012

Clinical Competencies Evaluation: This will be done during the last week of the semester at the HEB Clinical Skills Center. This is a graded aactivity and must be completed successfully to pass the clinical course. - Date TBA

Clinical Practicum will start September 3, 2012 provided IORs are complete and approved. Please plan accordingly.

All Clinicals are to be completed by December 14, 2012.


Diana A. Beckmann-Mendez, PhD, RN, FNP-BC
E-mail: beckmannmen@uthscsa.edu
Office Phone: (210) 567-3837
Office Room: NS 2.504
Office Hours: By Appointment
Family & Community Health Systems

Holly A. DiLeo, PhD, RN, FNP-BC (Course Coordinator)
FNP Track Coordinator
NP Program Coordinator
E-mail: dileo@uthscsa.edu
Office Phone: (210) 567-3822
Cell Phone: (210) 373-2673
Office Room: NS 2.506
Office Hours: By Appointment
Family & Community Health Systems

Rebecca Garcia-Michels, MSN, RN, FNP-BC
Email: garciamichel@uthscsa.edu
Office Phone: (210) 567-7102
Office Room: NS 2.388
Office Hours: By Appointment
Family & Community Health Systems

Margit B. Gerardi, PhD, RN, WHNP
E-mail: mgerardi@uthscsa.edu
Office Phone: (210) 567-5914
Office Room: NS 2.382
Office Hours: By Appointment
Family & Community Health Systems

Kara Goodspeed, MSN, RN, FNP-BC
E-mail: goodspeed@uthscsa.edu
Office Phone: TBA
Office: 2.386
Office Hours: By Appointment
Family & Community Health Systems

Deborah Pallister, MSN, RN, FNP-BC
E-mail: pallister@uthscsa.edu
Office Phone: (210) 567-6982
Office: NS 2.384
Office Hours: By Appointment
Family & Community Health Systems

Keith Wichincki, MSN, PMC, FNP-C, NCT, RN
E-mail: wilchinski@uthscsa.edu
Office Phone: (210) 567-0816
Office: NS 2.328
Office Hours: By Appointment
Family & Community Health Systems


The focus of this course is increasing refinement of the Family Nurse Practitioner (FNP) role in health promotion, diagnosis and management in primary healthcare practice in diverse populations. Emphasis is placed on care of persons with complex health problems. In addition, the nurse practitioner’s role as a collaborative member of the interprofessional team will be evaluated.


Credit Hour Allocation: 4 Semester Hours Clinical
Clock Hour Allocation:
 180 Clinical Clock Hours


NURS 6448 FNP Diagnosis and Management: Concepts and Theory I
NURS 6248 FNP Diagnosis and Management I: Clinical Application

NURS 6449 FNP Diagnosis and Management: Concepts and Theory II




  1. Demonstrate progressive self-directed learning of clinical experience and concepts by applying knowledge of common acute and chronic illnesses to diagnose and manage patients and families in the population of focus as health status varies.
  2. Use evidenced-based guidelines related to patient health, disease management and limited prescriptive authority in patient-centered care.
  3. Use advanced diagnostic reasoning and differential diagnosis for disease management
  4. Integrate history and physical exam data with the knowledge of pathophysiology of common acute and chronic diseases across the life span to develop appropriate differential diagnoses and initiate appropriate patient-centered interventions.
  5. Integrate traditional and complementary pharmacological interventions into the treatment and management of common illnesses.
  6. Integrate social, cultural, and spiritual components in patient-centered plans of care for patients and families.
  7. Demonstrate core professional values and ethical/legal standards in the implementation of the Nurse Practitioner role.
  8. Continue to identify and integrate evidence-based findings to the diagnosis and management of common illnesses across the life span.
  9. Use self-reflection to evaluate progress in professional development in the role of the nurse practitioner.
  10. Analyze patient safety, quality indicators, outcome improvement in the delivery of quality primary care to patients.


Grade Percentages:
30% - 2 Clinical Episodics (15% each)
05% - Midterm (2.5%) & Final (2.5%) Typhon/Clinic Hours Tracking
05% - Skills Lab Participation
25% - Episodic Clinical Practice Guidelines Group Presentation
35% - Clinical Competencies Evaluation 
100% - Total

Clinical Evaluation Pass/Fail

Grading Scale:
A = 90-100%
B = 80-89%
C = 70-79%
D = 60-69%
F = Below 60%

Clinical Competencies Evaluation: Clinical competencies will be evaluated in a simulated setting using standardized patients and other methods of evaluating clinical competency. 

Computerized Clinical Log: A computerized log will be kept on all patients (It is the student's responsibility to keep and maintain an up-to-date clinical data base.) The clinical log must be submitted in order to pass the clinical practicum.

You have 30 days from each clinical day to input your data into your log. If it has been more than 30 days you will not be able to input your data. Therefore, do not wait until the last minute to input data.

Course Policies: Students are encouraged to have a variety of clinical experiences that will encompass all aspects of their advanced practice role and expose them to patients within different clinic settings.

1. Students may not have a clinical preceptorships where they work, nor may they be paid for clinical as part of their working hours. 

2. Students must receive “Passing” on all clinical evaluations from faculty during clinical site visits to pass the course (Standardized Patient observation may serve as a clinical site visit.)

3. The preceptorship component must be successfully completed in order to pass the course, regardless of grades received on the didactic components. The preceptorship component consists of:

A. one clinical evaluation through observation by the clinical course faculty and additional clinical evaluations by each preceptor, with each documenting on the clinical evaluation form, and;

B. clinical log documentation of students experiences. The following behaviors constitute clinical failure (list not exclusive):
     a) Demonstrates unsafe performance and makes questionable decisions.
     b) Lacks insight and understanding of own behaviors and behavior of others.
     c) Needs continuous specific and detailed supervision.
     d) Has difficulty adapting to new ideas and roles.
     e) Fails to submit required written clinical assignments.
     f) Falsifies clinical hours. Failure of the practicum component automatically results in course failure.

4. There are NO incompletes for clinical courses except for a major health problem. All clinical hours must be completed by the last official class day of the semester. NO extensions for unmet clinical hours will be granted. Failure to complete all clinical hours or falsification of clinical hours will result in failure of the course.

5. It is expected that all scholarly papers will be written using APA Format 6th Edition.

6. Papers must be unloaded in the assignment drop box by 12:00 Noon on the due date unless otherwise arranged, in advance, with the course coordinator. Late papers: five points will be deducted for each day late up to 72 hours. It is the student’s responsibility to make sure that their paper has been submitted by the due date.

7. Papers will not be accepted for grading past 72 hours after the due date and will be given a score of 0, unless the course coordinator grants permission in advance. It is the student's responsibility to make sure that their respective faculty member has received their paper via the assignment drop box inside BlackBoard. Students are strongly encouraged to prepare their assignments and submit them in the correct assignment drop box inside BlackBoard prior to the due date and time since waiting until the last minute may result in the drop box closing and the assignment failing to be uploaded.

Practicum: 180 clock hour practicum in a community-based, preferably medically underserved, clinic will be selected, working with a clinical preceptor on site. The focus is the health of populations across the lifespan. The practicum will be supervised by a faculty member.

The 180 clock hour practicum will be coordinated by and under the supervision of the UT Health Science Center School of Nursing faculty, with family practice physicians, physician assistances and nurse practitioner preceptors.


Attendance in class is an expectation of each student.


Students are required to attend all clinical experiences. Students are to be prompt, prepared, and appropriately attired. 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. The faculty pager OR cell number or the agency phone number should be used to reach the faculty member personally. Completion of missed clinical time is at the discretion of the clinical faculty.


If greater than 15% of clinical time is missed in courses with 90 clinical hours or more, may result in a failing grade for that clinical course.  Missing greater than 10% of clinical time in a course with less than 90 hours may result in a failing grade for that clinical course.

Students may be required to attend clinical hours any day, evening or night of the week.  Travel to surrounding communities may be necessary.

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 cause.

Students are required to maintain a clinical passport and have this on their person at all times while in the clinical setting.

Students are required to maintain American Heart Association Health Care Provider Basic Life Support certification.


  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.


Effective Fall 2010, the APA Publication Manual 6th edition is required for use in all nursing school programs.


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.


Any student seeking ADA Accommodations under the American with Disabilities Act should contact the Associate Dean for Admissions and Student Services within the first week of the semester so that appropriate accommodations may be arranged. A Request for Accommodations (Form 100) must be completed. These forms are available in the Office for Students Room: NS 1.106. 


See Didiactic Course (NURS 5449) List.


See Didiactic Course (NURS 5449) List.


See Didiactic Course (NURS 5449) List.

CALENDAR - 1st Day Only

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

Projected Topics to be completed during Skills Labs:

• Fracture immobilization, Splinting
• Microscopy/Wet mount
• Suturing
• Incision, punch and shave biopsy
• Cyst removal
• Skin Tag removal
• Skin specimen collection
• Abscess incision and drainage
• Nail removal
• Ingrown toenail care

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