3 Credits

Prerequisites: FNP573, Corequisites: FNP591

Required Textbook and Readings

FNP Core Texts: See FNP591

Course Description

The 135 hours of precepted clinical practice time required this semester will afford the student beginning clinical decision making opportunities in the primary healthcare of diverse patients with common healthcare problems across the lifespan. Healthcare management includes assessment of health needs, diagnostic testing, development of diagnoses using diagnostic reasoning and clinical decision-making, planning, implementation and managing care, as well as evaluating outcomes while using the SOAP note format for documentation. Evaluation is to include revision of the plan, consultation and referrals as indicated. Clinical evaluations will be performed using evaluation rubrics. Project Concert will be used to track students’ clinical experiences.

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Course Learning Outcomes

This course has been developed to meet the essential curriculum element Vlll. Master’s-Level Nursing Practice as defined by the American Association of Colleges of Nursing, Essentials of Master’s Education for Advanced Practice Nursing and the Family Nurse Practitioner Core Competencies defined by the National Association of Nurse Practitioner Faculties.

By the end of this course, students should be able to:

  1. Perform levels of prevention and primary care management of common healthcare problems of diverse clients based on advanced practice nursing theory and evidence based practice with attention to resource allocations, acceptability, simplicity, adherence, efficacy, spirituality, and safety. (PLO )
  2. Practice the advanced professional roles of clinician, consultant, collaborator, community advocate, educator and leader in the care of common healthcare problems. (PLO )
  3. Implement appropriate, client-centered, anticipatory guidance and learning for beginning advanced nursing practice primary care management of common healthcare problems using evidence based rationale and appropriate community resources across the lifespan. (PLO )
  4. Implement critical thinking and diagnostic reasoning to establish a differential diagnosis for common healthcare problems using evidence based rationale and appropriate community resources across the lifespan. (PLO )
  5. Evaluate appropriateness of non-pharmacologic and pharmacologic interventions for common healthcare problems considering such variables as risk factors, psychosocial environmental factors, spirituality, and cultural competence to achieve maximum level of health. (PLO )
  6. Implement effective SOAP documentation of common healthcare problems across the lifespan.  (PLO )
  7. Students will demonstrate ability to meet coding requirements with growing emphasis on the plan. (PLO )
  8. Practice consistent and accurate record-keeping. (PLO )

MSN Program Learning Outcomes

Upon completion of the Master of Science in Nursing, the student will be able to:
Goal: Literacy 

  1. Evaluate and apply evidence-based findings to advanced nursing roles.
  2. Integrate cultural competence into advanced nursing roles.
  3. Integrate the Master Essential’s and specialty standards into the advanced nursing role.

Goal: Communication 

  1. Compose professional written communication for advanced nursing roles.
  2. Speak professionally in advanced nursing roles.
  3. Demonstrate the advanced nursing role through leadership, collaboration, and caring science to improve health outcomes.

Goal: Reasoning 

  1. Evaluate and apply quantitative and qualitative data to validate and guide decision making relevant to health outcomes.
  2. Integrate ethical reasoning into advocacy and decision making.
  3. Objectively evaluate and synthesize information in advanced nursing roles.

Course Grades and Assignments Breakdown

Graded Item# of AssignmentsPointsTotal Points%
Introductions111.1%
Discussions82520020%
Diagnosis Presentations28517017%
SOAP Notes 610060060%
Weekly Clinical Logs818.8%
Preceptor Information and Acknowledgement Form115151.5%
Midterm Conference with Preceptor111.1%
Midterm Hours Log Verification111.1%
Preceptor-Clinical Faculty Evaluation of Student111.1%
Clinical Observation Tool111.1%
Student Evaluation of Preceptor Form111.1%
Nurse Practitioner Skills Checklist111.1%
Total1000100%

Assessment And Measurement: Grading Scale

PointsLetter GradeIndicator
95-100ASuperior
90-94A-
87-89B+Above Average
84-86BMSN Requirement
80-83B-
77-79C+
74-76CBSN Requirement
70-73C-Failure
0-69FFailure

Instructional and Evaluation Strategies

This course is organized into 8 weekly modules. The student’s performance will be assessed by the work they do in the course – including participation in the discussions that are a part of each lesson. Students are expected to be able to demonstrate their learning throughout the course.

Categories of evaluation may include:

  • Participation in class discussions, whether online discussion forums or synchronous meetings
  • Exams or quizzes
  • Essays, case studies, research papers, etc.
  • Presentations, including videos, powerpoints, posters, etc.
  • Projects, group or individual
  • Reflections or journals

Students can expect faculty to fairly evaluate this work using the rubrics or other scoring methods provided in the course. This is intended to provide you with feedback and specific guidance that will enable you to take ownership of your learning.

The clinical component of the NP program is designed to provide experiences for the development in the nurse practitioner role. Students interact with clients and other members of the healthcare team in assessing, planning, implementing and evaluating healthcare services for clients. Students should discuss their clinical logs with their clinical advisor weekly through Project Concert with details of the clinical experience. Lab time will be available as needed to increase and practice skills. Case presentations and class participation may be part of the course.

How to be Successful in this Class

  • Be prepared: read the assignments and contribute to our learning community.
  • Plan ahead: create a personal calendar for your course work and life events. Don’t fall behind. But if you do, contact your instructor for their help. Successful students are proactive students.
  • Communicate: if you don’t understand something, ask for clarification from your instructor. Use the class forum. Message your classmates. Email your advisor. Use your USU email account. Communication in a virtual community is key!
  • Explore Resources: Visit the Library Corner for your research needs and information support. Contact helpdesk@usuniversity.edu for technology assistance. Use Brainfuse for online tutoring and homework help.
  • Keep your eye on the goal: GRADUATION!

Course Calendar

WeekReadings/ContentAssignment/DiscussionDue Date 
1See FNP591Introduction
Syllabus/Plagiarism Acknowledgement
Week 1 Discussion – Health Promotion & Wellness or Clinical Goals & Evidence-Based PracticeUpload Preceptor Agreement Form

Log Weekly Clinical Hours (Project Concert)
Tuesday
Wednesday
Thursday/Monday

Monday
Monday
2See FNP591Week 2 Discussion – Clinical Experiences or Clinical Skills

SOAP Note
Log Weekly Clinical Hours (Project Concert)
Thursday/Monday

Monday
Monday
3See FNP591Week 3 Discussion – Disease Presentation
SOAP Note

Diagnosis Presentation

Log Weekly Clinical Hours (Project Concert)
Thursday/Monday

Monday
Monday
Monday
4See FNP591Week 4 Discussion – Clinical Experiences or Clinical Skills

SOAP Note

Log Weekly Clinical Hours (Project Concert)
Midterm Clinical Updates (2):-Midterm Hours Log Verification-Midterm Conference with Preceptor
Thursday/Monday

Monday
Monday

Monday
5See FNP591Week 5 Discussion – Clinical Skills or Clinical Experiences
SOAP Note

Log Weekly Clinical Hours (Project Concert)
Thursday/Monday

Monday
Monday
6See FNP591Week 6 Discussion – Disease Presentation

SOAP Note

Diagnosis Presentation

Log Weekly Clinical Hours (Project Concert)
Thursday/Monday

Monday
Monday
Monday
7See FNP591Week 7 Discussion – Clinical Skills or Clinical Experiences

SOAP Note

Log Weekly Clinical Hours (Project Concert)
Thursday/Monday

Monday
Monday
8See FNP591Week 8 Discussion – Clinical Experiences or Reflection

Log Weekly Clinical Hours (Project Concert)

Upload Clinical Forms (4):
-Preceptor-Clinical Faculty Evaluation of Student
-Student Evaluation of Preceptor
-Nurse Practitioner Skills Checklist
-Practicum Hours Summary Report [135 hours]

End of Course Survey
Thursday/Monday

Monday

Monday 






Monday

Late Assignments: Late work is not accepted for full credit unless prior arrangements are made with the instructor, or a VERIFIABLE emergency (serious illness, accident, or natural disaster). Technological issues are not considered valid grounds for late assignment submission. This policy does not apply to assignments due on the last day of the session. For incomplete grade requests for the course session, please refer to the Academic Policies and Procedures page and contact your academic advisor. 

With professor’s approval, late submissions of an assignment due each week will be accepted based on the following grading criteria.

  • 1-3 days late: 5% deduction from the total points
  • 4-7 days late: 10% deduction from the total points

Technical Requirements

To successfully complete this course, you will need access to appropriate technology with reliable internet access and the appropriate system and software to support the D2L learning platform. The technical requirements for users can be found in the D2L course shell.

Course Assignment Descriptions

You will have several opportunities to demonstrate your knowledge and understanding of the principles taught in this course. The primary means of evaluating your work will be through practical application of the material. In the event that you have difficulty completing any of the assignments for this course, please contact your professor immediately. Please refer to the weekly materials section of the lecture for complete details regarding the activities and assignments for this course. The following are the details.

  1. Introduction (15 points)

Please post an introduction to share with your professor and classmates no later than the first day of class. Include the following:

A little bit about yourself: education, experience, location. Please include a photo.
What are your goals for this course? How will you achieve them?

The self-introduction should be posted by Midnight (PST) on the first Tuesday of the session and you are expected to respond to your fellow classmates & instructor in the discussion forum. 

  1. Online Forum Discussion Participation (25 points each, 200 points total)

You will be expected to participate in online discussions regarding the weekly topics.

Initial Substantive Posts: The discussion forum initial post will be due by Thursday 11:59pm of each week. In your substantive post you are encouraged to use references (you may use your textbook); show evidence of critical thinking and your interpretation as it applies to the concepts or prompt and/or use examples of the application of the concepts to work and life.  Proper punctuation, grammar, and correct spelling are expected. Please use the spell-check function. Your original, initial post should not be just copied and pasted off internet sources, even when you supply a reference/citation. Please paraphrase what you are reading and write what you find using your own thoughts and ideas. This will help improve your writing and thinking. Use of any reference material or outside sources require proper APA citations. Copying and pasting information from the internet will result in zero credit for the post.

Required Replies: In addition to making a primary post, you must make at least two additional substantive posts to classmates and/or your instructor. Your responses should build on the concept discussed, offer a question to consider, or add a differing perspective, etc. Rather than responding with, “Good post,” explain why the post is “good” (why it is important, useful, insightful, etc.). If you disagree, respectfully share your alternative perspective. Just saying “I agree” or “Good idea” is not sufficient for credit. Refer to the rubric for the threaded discussions. Your replies are due by Monday midnight of each week.

  1. SOAP Notes Assignments (100 points each, 600 points total)

For Weeks 2-7 you will complete and submit a SOAP Note for which you will elect a patient with a common condition(s) from your practicum experience during that week. Submit a correctly formatted SOAP note on that patient in a Word document to the D2L assignment upload links. 

All six SOAP Note Charting assignments must be submitted to achieve a grade of “pass.”

Resources:

Sample SOAP Note Template: Clinical Documentation (click and download a copy in Word).

Sample Completed SOAP Note: Student Example

See USU NUR SOAP NOTE Charting Rubric – for additional details and point weighting.

  1. Diagnosis Presentations (85 points each, 170 points total)

For this assignment you will create a total of 2 engaging, 20-minute recorded presentations of a common health problem related to a particular body system (due Weeks 3 and 6). You will be assigned the topics on which to focus your presentations by the end of Week 1.

Your presentation should include an overview of the health problem identified, an in-depth review of the associated anatomy and physiology, an overview of treatment methodologies, and information related to the needs of the patient and/or family related to the problem. Your presentation should be prepared in PowerPoint, and recorded with voice over narration. 

The presentation will be graded in two areas; in the dropbox by your instructor for the content and other items on the rubric, and the second grade will come from posting it as a discussion and responding to your peers’ presentations. 

You need to post your presentation to the D2L Discussion Forum as an attachment in a new thread. You will also submit the assignment to the dropbox.  Since the presentation is also a discussion, the initial post will be due on Thursday in the discussion board. If the student wishes to incorporate feedback from their peers, they may improve their presentation, and the final product will be submitted to the dropbox by Monday night.

  1. Weekly Clinical Logs (1 point each, 8 points total)

Students are required to complete a total of 135 precepted clinical hours by the end of the term. Students will log patient encounters via weekly clinical logs in Project Concert.

Clinical Log Instructions

  1. Access Project Concert https://secure.projectnurse.com/usuniversity/login.aspx
  2. Clock In and Clock Out each day that you are in a clinical site. Each patient client seen during your clinical hours is to be entered into the clinical log in Project Concert. Enter the number of hours spent on your patient encounter in clinical for day in the clinical site (this will facilitate the correct summation of hours spent in the clinical site). For involvement with care, choose observation, participation or independent.

It is best for the clinical log to be completed daily, but the clinical log must be completed weekly. Log entries over 7 days old will not be counted toward the required 135 hours.

  1. Midterm Clinical Updates (1 point each, 2 points total)

Midterm Hours Log Verification

Submit a screenshot of your clinical hours from Project Concert. A minimum of 68 hours should be completed by midterm (end of Week 4).

Midterm Conference with Preceptor

Week four midterm preceptor call is mandatory to ensure you are progressing as planned. Please coordinate with your professor when the best time during week four will be based on your clinical days. Utilize this form for the evaluation and submit to the dropbox: Midterm Form.

  1. Clinical Forms (1 point each, 5 points total)

Students are required to upload into the course D2L shell 7 clinical-related forms.

Week 1: Preceptor Information and Acknowledgement Form

  • Click here for the Preceptor Information and Acknowledgement Form (click File>Download to download and print a copy of this form to complete)
    Type in or print legibly the course name, preceptor and student name.
  • Provide the preceptor with a copy of the Preceptor Handbook and the course syllabus.
  • Type in or print legibly the preceptor’s phone, fax number, email and clinic name.
  • Type in or print legibly the course instructor name, phone and email. The preceptor will sign the form.
  • Provide the preceptor with a copy.
  • Scan and upload the signed Preceptor Information and Acknowledgement Form into the course D2L shell prior to starting any practicum.
    • Note: if the student is working with a new preceptor (has changed preceptors), the student will also email a copy of the signed Preceptor Information and Acknowledgement Form to the Clinical Placement Coordinator.
  • Failure to upload a signed Preceptor Information and Acknowledgement Form prior to starting practicum may lead to dismissal from the course and/or program.
  • Any practicum hours logged without a signed Preceptor Information and Acknowledgement Form will not be counted toward the 135 hour requirement.

Week 8: Preceptor and Student-Completed forms

1) Form completed and signed by Preceptor

2) Forms completed by Student

  1. Student Evaluation of Preceptor – The student is to complete an evaluation for each preceptor in a term.
  2. Nurse Practitioner Skills Checklist The student is to keep this form updated from term to term. The student is to upload the must current checklist at the end of the term.
  3. Practicum Hours Summary Report [135 hours] – the summary report can be accessed from Project Concert under the Experience folder. The student is to run a summary of hours report to demonstrate the achievement of 135 hours and upload in the course 
  4. Students who do not have the required number of clinical course hours may not pass the course. Faculty may manually adjust the grade to a non-passing score if the student does not meet the minimum requirements, including submission of the preceptor evaluation of student performance. 

Your Online Course and the Learning Management System Course Platform

Your course is delivered using the online learning management system, Brightspace/D2L. Your course may consist of various written and/or oral/video assignments, discussions, and projects that should be submitted for credit, where plagiarism detector software may be used. This is also where you will engage with your online community of instructor and fellow students. All students are expected to conduct their learning using appropriate online etiquette and professional behavior. 

Academic Integrity

Academic honesty, integrity, and ethics are required of all members of the University. Students are expected to conduct themselves in a manner reflecting the ideals, values, and educational aims of the University at all times. Academic integrity and honorable behavior are essential parts of the professionalism that will be required well beyond graduation from the University.

Please review the Academic Integrity Policy in the University Catalog and the USU Plagiarism Guide

Student Code of Conduct

The University is committed to upholding a learning environment in which all members of the community are held to the highest standards of conduct consistent with respect for the law, fulfillment of contractual obligations, consideration for the rights of others, and a high level of personal integrity. All members of the University may face sanctions when not behaving in a manner consistent with the mission and policies of United States University both on- and off-campus.

Students should refer to the Student Code of Conduct Handbook available on the University Website for more information.

Attendance and Participation

The University expects all students to attend all class meetings of courses in which they are enrolled and comply with attendance requirements specified in the course syllabus.

Students must be in attendance, on campus and online classes, by the seventh day of the session. If the student does not attend or participate in the classroom, by the seventh day of the session, the student may be dropped from the course and/or administratively withdrawn from the University.

In addition, if at any time after the first week of class a student is absent from the University for 14 consecutive calendar days, excluding holidays and scheduled breaks of five (5) calendar days or more, and no contact has been made by the student indicating intent to continue, the student may be dropped from the course and/or administratively withdrawn from the University.

Participation criterion for online classes will vary by course; however, examples of requirements include: posting or submit substantive academic discussions or assignments at least two separate days of the week.

Social Media Policy

Please refer to the Nursing Student Handbook and review Social Media Policy.  This policy is also posted in the Instructional Materials tab within your D2L course for your convenience.

Academic Accommodation of Students with Special Needs

Students with a disability who require assistance must provide appropriate documentation and request accommodations (based on disability) upon registration. Students must provide documentation from an appropriate healthcare provider verifying the presence and impact of the disability. The Office of Disability Services (disabilityservices@usuniversity.edu) reviews the documentation and determines eligibility for reasonable accommodations as permitted by applicable laws. Please refer to the USU Catalog for details and procedures.

Additional Academic Policies

Please refer to the University Website Academic Policies and Procedures page for information on additional policies such as Incomplete Grades, the Grade Appeal Process, Leave of Absence, etc., and complete details on the policies described above.