NGR-6242L-Syllabus-Spring-2013-FinalGville

UNIVERSITY OF FLORIDA COLLEGE OF NURSING COURSE SYLLABUS Spring 2013 COURSE NUMBER NGR 6242L, Section 0377 Gainesville COURSE TITLE Adult Acute Care Nurse Practitioner 1 CREDITS 03 PLAC

UNIVERSITY OF FLORIDA COLLEGE OF NURSING COURSE SYLLABUS

Spring 2013

COURSE NUMBER NGR 6242L, Section 0377 Gainesville

COURSE TITLE Adult Acute Care Nurse Practitioner 1

CREDITS 03

PLACEMENT DNP Program: Adult Acute Care Nurse Practitioner (ACNP) Track PREREQUISITES NGR 6002C: Advanced Health Assessment and Diagnostic

Reasoning NGR 6636: Health Promotion and Role Development in

Advanced Nursing Practice NGR 6140: Physiology and Pathophysiology for Advanced

Nursing Practice NGR 6101: Theory and Research for Nursing PRE/CO-REQUISITES NGR 6241: Common Adult Health Problems

NGR 6052C: Diagnostics & Procedures for Adult Nursing NGR 6172: Pharmacotherapeutics for Advanced Practice

Nursing NGR 6230C: Adult Acute Care Nurse Practitioner: Diagnostics

and Procedures for Acutely Ill Adults

Tonja Hartjes, DNP, ARNP, ACNP-BC

Course Coordinator

Adjunct Clinical Assistant Professor

tonja.hartjes@va.gov

HPNP 3217 (352) 215-6278 [cell] By Appointment

Kae Pearson, MSN, ARNP, ACNP-BC

Adjunct Clinical Assistant Professor

pearko@shands.ufl.edu

HPNP 3217 (352) 273-6355 [O]

(352) 317-6560 [cell] TBD

Jeannie Schiller, MSN, ARNP, ACNP-BC

Adjunct Clinical Assistant Professor

jeannie.schiller@orlandohealth.com

DEPARTMENT CHAIR

Joyce Stechmiller PhD, ARNP, ACNP-BC, FAAN

stechjk@ufl.edu HPNP 3230Gainesville (352) 273-6394 [O] By appointment

legal, and ethical care for adults with acute and critical episodes of common acute and chronic health problems

COURSE OBJECTIVES Upon completion of this course, the student will be able to:

1 Apply knowledge from health, psychological, physiological, and social sciences in the advanced nursing management of adults with acute and critical episodes of common health problems in acute care settings

2 Accurately assess adult clients presenting with acute and critical episodes of common health problems

3 Develop diagnosis and differential diagnoses based on a holistic health assessment including medical and social history presenting symptoms, physical findings, and

diagnostic information

4 Develop appropriate diagnostic and therapeutic interventions for adults with emphasis

on safety, cost, efficacy, and client’s immediate condition and needs

5 Implement treatment plans for illness prevention, wellness promotion, and health

problem management based on current research, evidence-based standards of care and practice guidelines for adults with acute and critical episodes of common health problems

6 Evaluate the effectiveness of treatment plans based on client outcomes

7 Integrate legal and ethical principles into decision-making in the advanced nursing practice role

8 Integrate cultural sensitivity into advanced nursing practice care

9 Demonstrate effective oral and written communication skills

10 Collaborate with preceptor and interdisciplinary health care team in facilitating the adult’s progress toward maximum functional health

CLINICAL SCHEDULE

Variable hours A total of 144 clinical hours are required.

E-Learning is the course management system that you will use for this course E-Learning is accessed by using your Gatorlink account name and password at http://lss.at.ufl.edu There are several tutorials and student help links on the E-Learning login site If you have technical

questions call the UF Computer Help Desk at 352-392-HELP or send email to

helpdesk@ufl.edu

It is important that you regularly check your Gatorlink account email for College and University wide information and the course E-Learning site for announcements and notifications

Course websites are generally made available on the Friday before the first day of classes TEACHING METHODS

Supervision of clinical practice with onsite clinical and faculty preceptors and guided

seminar group discussions

LEARNING ACTIVITIES

Supervised onsite clinical practice and seminar presentations with analysis of selected clients reflecting ongoing and emergent clinical issues; verbal and written reports related to

assessment, diagnosis and management plans

EVALUATION

Clinical experience will be evaluated through faculty observation, verbal communication with the student, written work, and agency staff reports using a College of Nursing Clinical Evaluation Form Faculty reserve the right to alter clinical experiences, including removal from clinical settings, of any student to maintain patient safety and to provide instructional experiences to

support student learning The College of Nursing supervising faculty member is the person ultimately responsible to assign a final grade for this course.

Evaluation will be based on achievement of course and program objectives using a College of

Nursing Clinical Evaluation Form All areas are to be rated A rating of satisfactory represents satisfactory performance and a rating of unsatisfactory represents unsatisfactory performance

The student must achieve a rating of Satisfactory in each area by completion of the semester in order to achieve a passing grade for the course A rating of less than satisfactory in any of the areas at semester end will constitute a course grade of unsatisfactory

Faculty will hold evaluation conferences with the student and preceptor at site visits and during conference calls The faculty will write a summary of each conference This summary will be on the Elearning web site as a link to the grade book/clinical site visits Final evaluation

conferences with the faculty are mandatory and will be held during the last few weeks of each clinical rotation A student or the faculty may request additional conferences at any time by contacting the clinical faculty

GRADING SCALE:

S Satisfactory

U Unsatisfactory

TEXTS

All texts from previous and current required in current graduate program

Gomella, L G & Haist, S.A (2007) Clinician’s Pocket Reference (11th ed.) Stamford, CT:

Lange Clinical Science

RECOMMENDED CLINICAL RESOURCES ( OPTIONAL ):

Aehlert, B (2006) Pocket reference for ECGs made easy (3rd ed.) St Louis, MO: Mosby

Elsevier Mosby

Cooper, D.H., Krainik, A.J., Lubner, S.J., & Reno, H.E.L (Eds) (2007) The Washington manual

of medical therapeutics (32 nd ed.) Philadelphia: Lippincott Williams & Wilkins

Grauer, K (2007) 12-Lead ECGs: A pocket brain for easy interpretation (4th ed.) Gainesville,

Maxwell, R (2006) Maxwell quick medical reference (5 th ed.) Tulsa, OK: Maxwell Publishing

(www.MAXWELLBOOK.com)

Hinshal, J.S., & Lederman, R.J (2007) Tarascon internal medicine & critical care pocketbook (4 th ed.) Lompoc, CA: Tarascon.

OTHER:

Up To Date (Library Web Site Access): Excellent current clinical information

Smart Phone Application Options: Epocrates (drug emphasis but also general), Merck

Medicus (general medical), Medscape (latest news/research), Med Calc (frequently used equations), Blackbag (new research and news), Eponyms (medical terms, signs & symptoms, dictionary), Sanford Guide to Antimicrobial Therapy (antibiotic standards), Harrison’s Internal Medicine (general medical), American College of Cardiology (cardiac standards)

Personal Pocket Pal: Personal pocket notebook/cards on important information learned from

class/clinical that you want at your fingertips Also, helpful for writing down questions that need researched

Approved: Academic Affairs Committee: 12/07

Addendum: Adult Acute Care Nurse Practitioner Common Health Problems Laboratory

CLINICAL SCHEDULE

Variable hours A total of 144 clinical hours are required (approximately one day per week) First

day of clinical can not occur before January 7, 2013 In addition all of the UF requirements and hospital orientation requirements must be completed Last day of clinical is April 24th, 2013

Students are responsible to submit planned clinical dates and times in calendar format to the course

faculty prior to beginning the clinical rotation Any changes to the calendar (dates or times) must be submitted in writing to the course faculty before the change is planned to occur Clinical hours accrued without prior knowledge of the faculty will not be counted toward the total number of clinical hours required for the course.

 Minimal Requirements for Appearance in Clinical Practice Areas

* Any faculty member has the right to remove any student from a clinical area if, in the faculty member's judgment, the student presents an unprofessional appearance or in

anyway is a threat to patient safety or comfort

1 Graduate students are identified with the Health Science Center ID badge in clinical settings

at all times during planning and/or provision of care

2 Graduate students wear clean, pressed, white lab coats over professional attire in clinical settings at all times during planning and/or provision of care

3 Overall appearance conveys a professional image This includes as a minimum:

 Minimal jewelry (one earring per lobe)  No perfumes/scented lotions/etc

 Minimal makeup  No artificial fingernails or nail polish

 Hair extending beyond collar length must

be neatly secured away from face

(ponytail)

 Closed-toes shoes (sandals are not

allowed)

 Neat, short fingernails (not visible from

the palmar surface of the hand)

 No gum chewing

 Length of shirts and/or blouses must prevent exposure of upper and/or lower torso (no low-rise pants and/or low cut blouses/shirts)

4 Personal hygiene and grooming are of a standard that ensures the safety and comfort of clients

5 Students arrive in clinical areas with all the required equipment (e.g., stethoscope)

necessary for client care

6 Activated cell phones and/or pagers are not allowed in either the clinical or classroom

setting

CLINICAL EVALUATION

Feedback from clinical preceptors, direct observations of students’ performance, written

documentation samples, and participation in mandatory online seminars will be used to complete a minimum of two progress evaluations: mid-term and final evaluation More than two progress evaluations may be performed at faculty discretion, based on students’ performance and learning needs The College of Nursing supervising faculty member is the person

ultimately responsible to assign a final grade for this course.

 Students must complete ALL of the following criteria to successfully pass the course:

1 Maintain patient safety in the clinical setting.

2 Satisfactory demonstration of advanced practice professional accountability to include:

a Compliance with attendance and appearance guidelines as described in this syllabus

b Complete and submit written assignments within established guidelines and time frames per expectations as described in this syllabus

3 Satisfactory participation in scheduled online seminar activities as per the seminar

guidelines described in this syllabus

4.Satisfactory performance in the clinical setting as indicated using the NGR 6242L clinical

evaluation tool

5 A rating of less than satisfactory in any of the above stated criteria at semester end will constitute a course grade of U.

 Grading Scale: S=Satisfactory U=Unsatisfactory

Clinical Seminar Expectations

Mandatory clinical seminars will be held online The TurnItIn anti-plagiarism technology will be used to evaluate this educational activity.

Each student is responsible to:

1) Participate and successfully complete online course orientation BEFORE attending first

clinical experience date

2) Participate in all scheduled on-line seminars Seminar absences associated with

extenuating circumstances will result in an “I” in the course and will need to be made-up before

the course can be successfully completed

3) POST one evidence-based Clinical Pearl and RESPOND to two Clinical Pearl peer postings

as assigned (refer to schedule on website) Students posting Clinical Pearl information will be

assigned to respond to peer clinical pearl postings during the assigned seminar period Refer

to the Online Clinical Pearls: Seminar Presentation Guidelines and Clinical Pearls: Evaluation

Criteria (see attached) for completion of these activities.

Unexcused absences/lack of participation will result in a zero score and unsatisfactory performance for scheduled seminar activity A rating of less than satisfactory in any of the areas at semester end, will constitute a course grade of U.

4) Submit completed copies of the following material at the following scheduled submission dates

(2-4-13, 3-18-13, and 4-22-13) :

 Clinical Hours Log signed by the preceptor (including all data from the start of the semester to the day before submission of the paper)

 Patient Summary Log (including all data from the start of the semester or previous submission date to the day before the form is submitted)

 Two (2) HIPAA compliant samples of the student’s clinical documentation (one

complete assessment and one focus assessment) during the time from the start of

the semester or previous submission day Format for documentation samples as

per the Documentation Samples Guidelines (attached) (Faculty members may request more than 3 submissions based on individualized needs of

students).

 Submit the following by the end of the semester on or before April 22 th , 2013 :

 Form A, F and Form G

5) Submit the Clinical Evaluation Tool, completed by the preceptor (posted on the course

website):

 at midterm (after 50% of the total required clinical hours have been completed)

and

 at the end of the course , on or before April 22 th , 2012

6) Make copies of all paperwork submitted to faculty for their personal records

Online Clinical Pearls: Seminar Presentation Guidelines

The TurnItIn anti-plagiarism technology will be used to evaluate this educational activity.

Seminar Presentations will follow this schedule:

Online Orientation

First week of classes

(successful completion

required before 1 st clinical

experience date)

Schedule of dates

Posting Students Question posted on orbefore 2-11-13 Question posted on orbefore 3-11-13 Responding

Students Referenced responsesposted on or before

2-18-13

Referenced responses posted on or before 3-18-13 Posting

students Referenced answerposted on 2-25-13

( not earlier ) Replies to responding peers on or before 2-28-12

Referenced answer posted on 3 21 ( not

earlier )

Replies to responding peers on or before 3-25-13

 Clinical Seminar activity instructions:

 All students will be assigned to post on ONE clinical seminar question:

 The seminar question will be posted by course coordinator on the course web site under the appropriate “Discussion Forum” by 12 midnight on the assigned date

 A first student will be assigned to post a scholarly response to the posed seminar question on the course web site under the appropriate “Discussion Forum” by 12 midnight on the assigned date

 A second student will be assigned to respond to the first students posted

scholarly response to the posed seminar question on the course web site under the appropriate “Discussion Forum” by 12 midnight on the assigned date

 The first student will then reply to the second student’s response on the course web site under the appropriate “Discussion Forum” by 12 midnight on the assigned date

 Failure to participate in the scheduled seminar as assigned (posting or

responding) will result in a zero score and unsatisfactory performance for

scheduled seminar activity A rating of less than satisfactory in any of the areas at semester end, will constitute a course grade of U.

 ALL seminar postings and responses are to be in MS Word file format

 Students are responsible for submitting their postings through the TurnItIn technology

(see course website for this tool) and to ensure that the similarity index is less than

24% (green on the tool) prior to submission via the course Discussion Board section

of the website for peers and faculty to review

 ALL seminar postings must be HIPAA compliant (no identifiers)

 The seminar postings are to comply with the assigned dates and time frames as listed above

 Students will accrue a total of 4 clinical hours for seminar participation this semester as

assigned (successful completion of both seminars with a satisfactory score is required)

 All seminar presentation postings should be accompanied by at least one relevant specific reference from the current research literature (less than 5 years old) Textbooks or online text resources will not be accepted as the sole reference for any answer

 Current APA format is required for all references The level of evidence (LOE) that the reference presents and rationale for selection of the LOE must be included

 Postings should be clear, concise (no more than 400 words), and scholarly

 Seminar participation is graded using the participation grading criteria as posted on the webpage

 Students that obtain an unsatisfactory (U) for the seminar submissions will have one opportunity per submission period to submit another seminar posting (as assigned by

faculty) for grading purposes Students must demonstrate improvement in order to obtain the minimum satisfactory score associated with this activity

The UF Honor Code applies to this activity, as to all coursework

Please refer to Student Policy S1-12 which is available via the College of Nursing website

in the “Current Student” area.

University of Florida College of Nursing

NGR 6242L: Adult Acute Care Nurse Practitioner Common Health Problems Laboratory

CLINICAL HOURS LOG

Student: _ Clinical Site: _ Semester: Spring 201 3 Preceptor: _

Total number of clinical hours needed 144.

Clinical date Hours

complete d

Semester hours remaining Preceptor signature

Online seminar