FNP 596: Primary Healthcare of Chronic Clients/Families Across the Lifespan – Clinical Practicum

3 Credits

Prerequisites: FNP 593 and FNP 594

Corequisite: FNP 595

Required Textbook and Readings

See FNP 595

Course Description

The 135 hours of precepted clinical practice time is focus on acquiring the knowledge and skills needed to assess, maintain, and promote the health and well-being of culturally diverse population with chronic conditions in a primary care settings, community clinics, and/or skilled nursing facility. Evaluates the evidence for screening, differential diagnosis, and management of health problems, including pharmacological and non-pharmacological treatment modalities in a culturally appropriate manner. healthcare includes assessment of health needs, diagnostic reasoning, the planning, implementation and management of care, and the evaluation outcomes using the SOAP format for documentation. Evaluation is to include revision of the plan, consultation, and referrals as needed. Standardized procedures will be discussed and reviewed throughout the class. Clinical evaluations will be performed using the College Practicum evaluation Rubric. Project Concert will track the students’ clinical experiences.

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Course Learning Outcomes

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

  1. Perform levels of prevention and primary care management of chronic healthcare problems of diverse clients based on advanced practice nursing theory and evidence based practice with emphasis to resources allocations, efficacy, acceptability, simplicity, adherence, spirituality, and safety.
  2. Formulate plans for illness prevention and treatment, wellness promotion, and health problem management based on current scientific rationale and research, evidence-based practice guidelines and standards of care for clients with selected chronic health problems.  
  3. Practice the advanced professional roles of clinician, consultant, collaborator, community advocate, educator and leader in the care of chronic healthcare problems.
  4. Discuss collaborative processes of the interdisciplinary healthcare team in facilitating the client’s progress toward maximum functional health.
  5. Integrate the effective and appropriate use of information and communication technologies to promote patient safety, providing high quality care within cost-effective services.
  6. Implement effective SOAP documentation of chronic healthcare problems across the lifespan and meet the standards of professional and organizational care, regulatory requirements, fiscal responsibility, and criteria for reimbursement. 
  7. Practice consistent and accurate record-keeping.

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%
Introductions1330.3%
Discussions82520020%
Group PowerPoint Presentations240808%
SOAP Notes610060060%
Virtual Final Clinical Assessment110010010%
Weekly Clinical Logs818.8%
Preceptor Information and Acknowledgement Form133.3%
Midterm Hours Log VerificationMidterm Conference with Preceptor111.1%
Midterm Hours Log VerificationMidterm Conference with Preceptor111.1%
Preceptor-Clinical Faculty Evaluation of Student111.1%
Student Evaluation of Preceptor Form111.1%
Nurse Practitioner Skills Checklist111.1%
Practicum Hours Summary Report (135 hours)111.1%
Total1000100%

Assessment And Measurement: Grading Scale

PointsLetter GradeIndicator
95-100ASuperior
90-94.99A-
87-89.99B+Above Average
84-86.99BMSN Requirement
80-83.99B-
0-79.99FFailure

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.

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 FNP 595IntroductionSyllabus/Plagiarism Acknowledgement

Week 1 Discussion – Plans for Success

Upload Preceptor Information and Acknowledgement Form
Log Weekly Clinical Hours (Project Concert)
TuesdayWednesday
Thursday/Monday
Monday

Monday
2See FNP 595Week 2 Discussion – Clinical Experiences

SOAP Note
Log Weekly Clinical Hours (Project Concert)
Thursday/Monday
Monday
Monday
3See FNP 595Week 3 Discussion – Disease Presentation

Chronic Illness PowerPoint Case Presentation
SOAP Note
Log Weekly Clinical Hours (Project Concert)
Thursday/Monday
Monday
Monday
Monday
4See FNP 595Week 4 Discussion – Clinical Experiences
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 FNP 595Week 5 Discussion – Clinical Skills

SOAP Note

Log Weekly Clinical Hours (Project Concert)
Thursday/Monday
Monday
Monday
6See FNP 595Week 6 Discussion – Disease Presentation

Chronic Illness PowerPoint Case Presentation

SOAP Note

Log Weekly Clinical Hours (Project Concert)
Thursday/Monday
Monday
Monday
Monday
7See FNP 595Week 7 Discussion – Clinical Skills

SOAP Note
Log Weekly Clinical Hours (Project Concert)

Virtual Final Clinical Assessment
Thursday/Monday
Monday
Monday
Monday
8See FNP 595Week 8 Discussion – Clinical Experiences
Log Weekly Clinical Hours (Project Concert)

Upload Clinical Forms (4):
-Preceptor-Clinical Faculty Evaluation of Student
-Student Evaluation of Preceptor
-Report of SOAPs in Project Concert
-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.

Program Grading Rubrics

You will see references to specific grading rubrics in the assignment descriptions below and in your online courses. For the specific grading details of those rubrics, see the MSN Grading Rubrics document. This page is also linked in the Syllabus tab of your online course. 

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 (5 points)

Write a short biography to introduce yourself to the class and answer any posted or follow-up questions. The self-introduction should be posted by 11:59 pm PT on the first Tuesday of the session. In addition to your bio, you can share your expectation and personal learning goal of the course with your classmate and the professor.

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

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

Initial Substantive Posts: The discussion forum initial posts will be on Thursday, 11:59 pm PT 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, 11:59 pm PT of each week.

  1. Group PowerPoint Presentations (40 points each, 80 [points total)

You will create two engaging, 20-minute recorded presentation of a health problems related to a particular body system. Presentations topics will be assigned by the end of Week 1. This assignments may be completed alone or in groups of 2-3 people, and will be due at the end of Weeks 3 and 6. 

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.

Post your presentation to the D2L Discussion Forum as an attachment in a new thread. Presentations may be viewed by the entire class asynchronously.


Expectations

  • Due: Monday, 11:59 pm PT, Weeks 3 and 6
  • Length: 10-12 slides in length (excluding title and reference slides, with a maximum recording length of 20 minutes)
  • Format: PPT titled as instructed in course module

See USU NUR Presentation Rubric for additional details and point weighting.

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

In Weeks 2-7, you will select a patient with a chronic condition(s) from your practicum experience that week and submit a correctly formatted SOAP note on that patient in a Word document.

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

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

Sample Completed SOAP Note: Student Example


Expectations

  • Due: Monday, 11:59 pm PT, Weeks 2-7
  • Format: SOAP Note

See USU NUR SOAP Note Rubric for additional details and point weighting.

  1. Virtual Final Clinical Assessment (100 points)

The student will conduct a Virtual Final Clinical Assessment to evaluate their performance during this clinical course. The Virtual Assessment will be conducted at a setting and with a consented “patient” selected by the student. 

The student is required to achieve an 85% minimum proficiency to pass this course. If a student does not achieve 85% on the assessment conducted during Week 7, he/she will be required to remediate and take the exam again in the final week (Week 8) of the course. Failure to obtain 85% on the reexamination will result in course failure.

Points will be earned based on successful completion of each item/task, as well as display of technical skill (where applicable).

Resource: FNP 596 Virtual Final Clinical Assessment Check Off Form

Resource: Virtual Consent Form

Please submit both items to the drop box in D2L/Brightspace.

  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.
  • Students must also upload the attestation of clinical hours and include their OFE approval letter.

Week 8: Preceptor and Student-Completed forms

1) Preceptor Evaluation of Student

  • Students are to obtain written preceptor feedback from each preceptor during a session. Starting in Spring II 2021, OFE will email each preceptor a link to complete the evaluation in Project Concert. If your preceptor does not receive the email with the link by the end of week 7, it may be because we have an old email address or the address may be incorrectly typed. Please ask your preceptor to email OFE@usuniversity.edu from their correct workplace email address and our team will send them the evaluation link. Additionally, if your preceptor is not willing to submit an electronic evaluation, you may print the evaluation form from the FNP clinical handbook, have your preceptor complete and sign it, and then upload the form into the D2L dropbox. 

2) Forms or Assignments completed by Student

  • Student Evaluation of Preceptor – The student is to complete an evaluation for each preceptor in a term.
  • Documentation of SOAP notes in Project Concert– The student is to log their SOAP notes in Project Concert. In FNP596, students should have 18 SOAP notes in different areas and different ages. Upload proof of the notes being approved in PC. Please see this video tutorial: SOAP notes in PC tutorial
  • 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 on approved hours only to demonstrate the achievement of 135 hours and upload in the course
  • 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.