College of Nursing and Health Sciences
Family Nurse Practitioner Clinical Handbook
Version: February 2019
United States University
7675 Mission Valley
Road, San Diego, CA
92108
2
Table of Contents
Welcome to Your FNP Clinical Experience ............................................................................................................. 4
FACULTY AND STAFF CONTACT INFORMATION ..................................................................................................... 5
GENERAL GUIDELINES FOR CLINICAL EXPERIENCES ............................................................................................... 6
EXPECTATIONS OF ALL STUDENTS .................................................................................................................................. 6
ESSENTIAL FUNCTIONS OF NURSING STUDENTS ............................................................................................................. 7
BEHAVIORAL/ETHICAL CODE FOR STUDENTS .................................................................................................................. 8
PROFESSIONAL BOUNDARIES ......................................................................................................................................... 8
HIPAA GUIDELINES .............................................................................................................................................. 9
STUDENT RIGHTS AND RESPONSIBILITIES ........................................................................................................... 10
PROFESSIONAL DRESS AND BEHAVIOR ............................................................................................................... 10
FNP Student Professional Clinical Attire ....................................................................................................................... 10
TRANSPORTATION/TRAVEL TO CLINICAL SITES ................................................................................................... 12
GENERAL HEALTH AND SAFETY REQUIREMENTS ................................................................................................. 12
POLICY FOR STUDENT DRUG, NICOTINE, & ALCOHOL SCREENING ........................................................................ 15
SAFETY GUIDELINES FOR STUDENTS ................................................................................................................... 18
Standard Precautions................................................................................................................................................... 18
Bodily Fluids Exposure and/or Injury during Clinical Experiences ................................................................................... 18
Protocol for Puncture Wounds and Exposure to Blood or Bodily Fluids .......................................................................... 18
TUBERCULOSIS EXPOSURE PLAN .................................................................................................................................. 19
COMMUNICABLE DISEASE POLICY ................................................................................................................................ 21
HEAD LICE PROCEDURE ................................................................................................................................................ 21
Malpractice Insurance/University Insurance Coverage .................................................................................................. 22
OFFICE OF FIELD EXPERIENCE ............................................................................................................................. 22
Clinical Placements ...................................................................................................................................................... 22
Clinical Hour Requirements .......................................................................................................................................... 22
Selection Criteria for FNP Clinical Sites ......................................................................................................................... 23
Selection Criteria for FNP Clinical Preceptors ................................................................................................................ 24
Preceptor Fit ............................................................................................................................................................... 24
Affiliation Agreements ................................................................................................................................................. 25
Project Concert ............................................................................................................................................................ 25
CLINICAL ATTENDANCE AND PARTICIPATION ................................................................................................................ 26
Clinical Absence Policy .............................................................................................................................................................................. 26
Clinical Tardy Policy .................................................................................................................................................................................. 26
3
Clinical Restriction .................................................................................................................................................................................... 27
Clinical Probation ...................................................................................................................................................................................... 27
FAILURE/PROGRAM EXPULSION ........................................................................................................................ 28
FNP CURRICULUM PLAN .................................................................................................................................... 28
Year 1: ......................................................................................................................................................................... 28
Year 2: ......................................................................................................................................................................... 29
ROLES AND RESPONSIBILITIES ............................................................................................................................ 30
Student Responsibilities............................................................................................................................................... 30
Clinical Faculty Responsibilities .................................................................................................................................... 30
OFE Clinical Coordinator Responsibilities ...................................................................................................................... 31
Preceptor Responsibilities ............................................................................................................................................ 32
CLINICAL PRACTICE IMMERSIONS ................................................................................................................................. 32
ON CAMPUS.............................................................................................................................................................................................. 32
VIRTUAL- ................................................................................................................................................................................................... 33
STUDENT IMMERSION RESPONSIBILITIES ..................................................................................................................... 33
CLINICAL PRACTICE IMMERSION REMEDIATION POLICY ................................................................................................ 33
Remediation Steps .................................................................................................................................................................................... 34
Clinical Site Supervisors ............................................................................................................................................... 34
INCIDENT REPORTING ........................................................................................................................................ 35
APPENDICES ...................................................................................................................................................... 37
HEALTH AND SAFETY REQUIREMENTS CHECKLIST ......................................................................................................... 38
STUDENT ACKNOWLEDGEMENT OF FNP CLINICAL HANDBOOK GUIDELINES .................................................................. 39
HIPAA CONFIDENTIALITY AGREEMENT ......................................................................................................................... 40
Complio Instructions .................................................................................................................................................... 41
MEDICAL CLEARANCE FORM ........................................................................................................................................ 43
CONHS GUIDELINES FOR FNP CLINICAL PLACEMENTS AND EXPERIENCE ........................................................................ 47
Preceptor and Site Evaluation by Site Supervisor
................................................................................................................. 51
Preceptor/Clinical Faculty Evaluation of Student
.................................................................................................................. 53
4
Welcome to Your FNP Clinical Experience
The purpose of this handbook is to assist students and faculty members in the tasks of clinical
instruction and assessment for the United States University (USU) College of Nursing and Health
Sciences (CONHS) Master of Science in Nursing - Family Nurse Practitioner (FNP) program and
serves as a guide for the Office of Field Experience (OFE). Students, clinicians, and preceptors are
required to read this handbook. All students must sign and return the acknowledgment form in
this handbook to the OFE prior to starting his/her clinical experience (Appendix B).
It is the intent of the CONHS to assist in developing a more consistent clinical experience for all
students independent of their field experience. This consistency revolves around appropriate
supervision, regular formal and informal feedback, and consistent assessment of students’ clinical
proficiencies among other topics and skills. This is an ongoing process and we look to each of you and
your respective professional and life experiences to aid us in shaping the field experience so that it
reflects our mission and goal of developing outstanding future nurse professionals. While advisors and
faculty are available to guide students with respect to the requirements, students ultimately bear the
responsibility of following the requirements.
***All communication with the College of Nursing and Health Sciences must be sent from a
student’s United States University issued email address due to confidentiality, HIPAA, and
FERPA restrictions. Please do not send emails from your personal email addresses. Please do not
use texting as a method of communication.
Notice: Please make sure you are referencing the latest edition of this handbook as policies are
subject to change.
5
FACULTY AND STAFF CONTACT INFORMATION
United States University College of Nursing
7675 Mission Valley Road
San Diego, CA 92108
Dean, College of Nursing and
Health Sciences
Jennifer Billingsley, DNP, FNP-BC, CNE
jbillingsley@usuniversity.edu
FNP Program Director
Jennifer Billingsley, DNP, FNP-BC, CNE
jbillingsley@usuniversity.edu
Office of Field Experience
General Number: 1-855-619-6964
General Email: [email protected]
6
GENERAL GUIDELINES FOR CLINICAL
EXPERIENCES
Please click on the applicable program link below for information regarding programs of study and
course descriptions: https://www.usuniversity.edu/colleges/college-of-nursing/
EXPECTATIONS OF ALL STUDENTS
Active Learning
It is our expectation that as a student, you identify your strengths and areas for improvement, set
personal goals that address the areas for improvement, and actively seek learning opportunities to meet
your goals. As active learners, it is important that you give critical thought to your learning needs and
devise a plan to address them. As you get into clinical areas, you might want to discuss your thoughts
with your clinical faculty and ask for feedback. We also expect that you actively prepare for every
clinical day and set aside time at the end of each clinical day to identify the things you need to review,
and then take time during the week to get that learning done.
Time Management
You cannot socialize to the role you are learning if most of your energy is in other roles. If you haven’t
already, look at your obligations outside of school and identify ways that you can be successful over the
course of the program. You may want to seek resources and formulate a plan now so that you can get
the most out of this experience.
Communication with Faculty
You will have a designated clinical faculty member who is responsible for the evaluation of the
student’s performance. It is essential that you keep your designated clinical faculty member informed of
any change in your clinical site or schedule, as well as any unanticipated events that occur during the
clinical experience, e.g. illness or injury related to experience.
Professionalism
Good communication skills, a positive attitude, and respectful and productive interactions are part of
being a professional. Being a great health care provider does not mean you possess manual skills, but
that you possess the heart of a nurse who is compassionate, caring, and willing to lead with humility.
Your professors can help you network and develop connections within the profession, so the impact of
your professional image is important to consider. We hold faculty to the same expectations.
Clinical time is also best spent seeking new learning opportunities and discovering your area of interest.
Practice involves a variety of activities that include direct care and indirect care experiences. Direct care
refers to care activities provided at the point of patient care. Indirect care refers to interventions that are
provided on behalf of patients. What counts as clinical experiences in your coursework is tied directly to
the clinical learning objectives for that particular setting and is part of meeting the overall program
competencies based on the program standards. The standards provide an important framework for
designing and assessing graduate education programs for professional practice.
7
Strong moral values and character are the backbone to the profession. It is imperative that health care
professionals maintain collaborative relationships with patients, doctors, fellow health care providers,
and other health care staff. If conflict arises, students must make an effort to resolve the situation in a
way that supports the situation in positive way. Many of you are natural leaders and we encourage you
to discover the power of positive leadership as you move toward your future. Faith, religion, and
spirituality are distinct components of what defines many human communities and allows individuals to
make sense of their experiences. Your ability to understand and support those beliefs is key to your role
as a caring, compassionate health care provider.
ESSENTIAL FUNCTIONS OF NURSING STUDENTS
The essential functions are basic cognitive, psychomotor, and affective activities that are essential to the
successful completion of the United States University advance practice program.
ESSENTIAL FUNCTIONS
A student must be able to:
Possess the physical strength and mobility to safely carry out nursing procedures and
provide routine and emergency care and treatment to patients of all ages in all assigned
health care settings.
Use their senses to make accurate clinical assessments and judgments.
Accurately calculate medication/solution dosages and any needed information specific to
patient care.
(relationships)/Emotional
Stability
Develop mature, sensitive and effective therapeutic relationships with individuals, families
and groups of various social, emotional, cultural and intellectual backgrounds.
Adhere to United States University policies, procedures and requirements as described in
the university academic catalog, student handbook, and course syllabi.
Demonstrate ethical behavior, including adherence to professional and student university
honor codes.
Communicate effectively and accurately in English using speech, reading, writing, language
skills, and computer literacy.
Use of appropriate nonverbal communication is also essential.
Collect, analyze, prioritize, integrate, and generalize information and knowledge to make
sound clinical judgments and decisions to promote positive patient outcomes.
Adhere to classroom and clinical schedules.
Complete classroom and clinical assignments and submit assignments in a timely manner.
Work in an environment that puts one at risk for infection.
Meet all health and safety requirements to perform patient care in assigned clinical facilities.
Adapted from Yocum, C. J. (1996). A validation study: Functional abilities essential for nursing
practice. National Council of State Boards of Nursing, Inc.: Chicago, IL.
8
BEHAVIORAL/ETHICAL CODE FOR STUDENTS
As students are involved in the clinical and academic environments, we believe that ethical principles
are a necessary guide to professional development. Therefore, in addition to the USU Student Code of
Conduct within these environments, we:
1.
Advocate for the rights of all clients.
2.
Maintain client confidentiality.
3.
Take appropriate action to ensure the safety of clients, self, and others.
4.
Provide care for the client in a timely, compassionate, and professional manner.
5.
Communicate client care in a truthful, timely, and accurate manner.
6.
Actively promote the highest level of moral and ethical principles and accept responsibility for
your actions.
7.
Promote excellence in nursing by encouraging lifelong learning and professional development.
8.
Treat others with respect and promote an environment that respects human rights, values and
choice of cultural and spiritual beliefs.
9.
Collaborate in every reasonable manner with the academic faculty and clinical staff to ensure the
highest quality of client care.
10.
Use every opportunity to improve faculty and clinical staff understanding of the learning needs
of nursing students.
11.
Encourage faculty, clinical staff, and peers to mentor nursing students.
12.
Refrain from performing any technique or procedure for which the student has not been
adequately trained.
13.
Refrain from any deliberate action or omission of care in the academic or clinical setting that
creates unnecessary risk of injury to the client, self, or others.
14.
Assist the staff nurse in ensuring that there is full disclosure and those proper authorizations are
obtained from clients regarding any form of treatment or research.
15.
Abstain from the use of alcoholic beverages or any substances in the academic and clinical
setting that impair judgment.
16.
Strive to achieve and maintain an optimal level of personal health.
17.
Support access to treatment and rehabilitation for students who are experiencing impairments
related to substance abuse or mental or physical health issues.
18.
Uphold school policies and regulations related to academic and clinical performance, reserving
the right to challenge and critique rules and regulations as per school grievance policy.
19.
Abstain from accepting gifts from patients/clients.
PROFESSIONAL BOUNDARIES
Professional codes of conduct are the foundation for caring relationships. These relationships exist
primarily during the student’s education within the timeframe of their enrollment in the nursing
program. These relationships are developed between client-nurse, student- faculty, faculty-faculty, and
student-student. The student –client relationship exists within the timeframe of the nursing course. The
National Council of State Boards of Nursing has developed a document that provides the basis for
understanding the boundaries for such relationships. It is available at
https://www.ncsbn.org/ProfessionalBoundaries_Complete.pdf
9
HIPAA GUIDELINES
As health care providers, and as one of its covered entities, nurses must be knowledgeable about the
various aspects of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). United
States University CONHS offers the guidance below for those persons to ensure compliance with
those requirements and asks that all students sign the HIPAA Confidentiality Agreement (Appendix
C).
Students and faculty are required to do the following:
1.
Sign the HIPAA Confidentiality Agreement before any involvement in a clinical agency.
2.
Attend HIPAA training or in-classroom clinical instruction on requirements relating to patient
privacy.
3.
Know and adhere to a clinical site’s privacy and procedures before undertaking any activities at
the site.
4.
Maintain the confidentiality of any patient information at all times, regardless of whether the
identifiers listed in the “Do not” section of these guidelines have been removed.
5.
Promptly report any violation of those procedures, applicable law, or HIPAA
Confidentiality Agreement by a CONHS student, faculty or staff member to the appropriate
CONHS clinical coordinator or clinical faculty member.
6.
Understand that a violation of the clinical site’s policies and procedures, of applicable law, or
HIPAA Confidentiality Agreement will subject the student to disciplinary action. Students and
faculty are not to do the following:
a)
Discuss, use or disclose any patient information while in the clinical setting or outside of
clinical unless it is part of the clinical setting.
b)
Remove any record from the clinical site without the prior written authorization of that
site.
c)
Disclose any information about a patient during the clinical assignment to anyone other
than the health-care staff of the clinical site.
d)
Use patient information in the context of a learning experience, classroom case
presentation, class assignment, or research without attempting to exclude as much of the
following information as possible:
i
Names
ii
Geographical subdivisions smaller than a state
iii Dates of birth, admission, discharge, death
iv Telephone and fax numbers
v E-mail addresses
vi
Social security numbers
vii
Medical records or account numbers
viii Certificate/license numbers
ix
Vehicle or device numbers
x
Web locators/Internet protocols
xi Biometric identifiers
xii
Full face identifiers
xiii
Any other unique identifying number, characteristic, or code
xiv All ages over 89
e)
Access any patient information unless patient is clinical assignment.
f)
Disclose any Personal Health Information (PHI) to any entity not requiring PHI for
health care purposes without their consent.
10
OSHA GUIDELINES
Students are responsible to review OSHA training for Healthcare training at this OSHA site. You should
review all topics across the ribbon including: Culture of Safety, Infectious Disease, Safe Patient
Handling, Workplace Violence, Other Hazards, and Standards/Enforcement.
STUDENT RIGHTS AND RESPONSIBILITIES
United States University strives to treat students and student organizations in a consistent and fair
manner while respecting their rights and responsibilities as members of the United States University
community. We are committed to balancing the interest of the individual student or student organization
with the needs of the community at large. Our goal is to uphold our institutional values.
All students who attend USU should be aware of their rights and responsibilities. USU policies are
listed in the United States University Catalog. The most recent version is downloadable online at
https://www.usuniversity.edu/current-students/university-catalog/.
PROFESSIONAL DRESS AND BEHAVIOR
Students must obtain and wear a lab coat or other attire as appropriate to the clinical setting. Students
will always wear their USU official identification badge whenever on site in the student role. Students
must also bring their USU official identification badge during their practice immersions. Students
should order this badge as early as possible, but no later than 8 weeks prior to MSN573 to ensure
receipt before the course start date. The link to order your USU badge is:
https://goo.gl/forms/na0al2HTJtpQD9g32. Nursing students have a specific dress code listed below.
All students are expected to present themselves as representatives of United States University’s
program. All students are expected to be respectful to faculty, student colleagues, staff, patients, and
their families. Reports of unprofessional behavior will result in your being counseled by the clinical
faculty and/or the Program Director/Clinical Coordinator and initiation of a Code of Conduct
violation which is subject to review by the College of Nursing and Health Sciences. You are expected
to follow Unites States University’s official Code of Conduct policy identified in the University
Catalog.
Nursing students are expected to be clear of any felony convictions at the time of admission into the
College of Nursing and Health Sciences and to remain free of felony convictions for the duration of the
program. If the prospective student or enrolled student is charged with a felony, or another
undesignated offense either before formal admission or during the program, he/she must notify either
their Academic Advisor, or the Clinical Coordinator and Program Director immediately.
FNP Student Professional Clinical Attire
The student should have professional attire for all clinical experiences and immersions. Any deviations
in dress at clinical including immersions will result in clinical warning or the student being sent home
from clinical and placed on clinical probation. Proper identification MUST be worn at all times in all
clinical and immersion settings. The uniform and identification requirements of the clinical agency are
to be followed.
11
The uniform consists of:
1.
Wrinkle free white lab jacket
a.
A white lab jacket must be worn with professional attire. Shorts, very short skirts,
jeans, tank tops, tube tops, see-through clothing, exercise clothes (sweats), and
open-toed shoes are not acceptable attire in any clinical agency. Undergarments
will not be visible through the uniform.
2.
Name badge will be provided to you at your first immersion in MSN 573. The name badge will
show your picture, legal first and last name, and “FNP Student.” The name badge must be worn
while attending any clinical or immersion activity. Name badge will not be worn outside of the
clinical agency or campus.
3.
All of the following items will be ordered online by student through the Apparel Pro. You will be emailed a link
in your course prior to MSN 573 that will give you a specific student code to order the equipment. With this
code, the equipment is paid by United States University. The bundled items will be sent to the address provided
by the student.
a. Wink 7106 Unisex Student 33" Lab Coat Starting at: $24.00
b. MDF MDF777 MDF ‐ One™ ‐ Stainless Steel Stethoscope $60.00* (optional)
c. Prestige C‐512 512Hz Frequency Tuning Fork $9.00
d. Prestige S210 Disposable Penlight $3.00
e. Prestige 45 60" (150cm) Tape Measure $2.50
f. Prestige 3909 Snellen Pocket Eye Chart 18.5cm x 10cm $2.00
g. Prestige 25 7.5" PVC Taylor Percussion Hammer $5.00
h. ADC 5110e Diagnostix™ 5110e ‐ Pocket Diagnostic Set (1 Handle) $200.00
i. ADC 5182/5185 Extra 50‐each 2.75 mm and 4.25 mm disposable speculas $10.00
* You may use your own medical grade stethoscope
Professional Appearance
1.
In most clinical settings, business casual is acceptable and can be interpreted as:
Women: wrinkle free slacks (dress pants), skirts (mid-calf to about two inches above the knee),
blouses, shells, cardigans, blazers or dresses, clean low-heeled shoes that cover the entire foot.
Men: wrinkle free dress pants, button down shirts, polo shirts (short sleeved shirts with a collar),
blazers, clean shoes that cover the entire foot.
Do not wear:
•
Denim/jean material
•
Anything that is see-through, short, tight, or shows too much skin.
•
Low neck lines or visible midriffs
•
Flip-flops or tennis shoes/sneakers.
2.
The clinical facility’s ID must be worn whenever in that facility. Students who do not wear this
ID may be asked to leave the facility.
3.
Hair should be short or pulled back and styled neatly. Natural hair color is required with no
purple, blue, etc. Beards or mustaches, if worn, should be neatly trimmed.
4.
Fingernails should be neatly trimmed and free of cracked nail polish. Only clear or neutral nail
polish may be used if desired. Acrylic nails or any other nail enhancements are not permitted.
5.
Permitted jewelry includes one pair of studded earrings, a watch, a plain ring band. No other
visible jewelry is acceptable including tongue rings or other facial jewelry. Clear spacers may
not be worn in place of facial piercings. Tattoos and any other body art should be covered where
possible.
12
6.
Perfume, scented lotions, after-shave lotion, and heavy makeup are not acceptable in the clinical
area.
7.
Gum chewing is not acceptable.
8.
Clothing worn in non-clinical setting activities not requiring student uniform should adhere to
professional standards as stated in this handbook and in USU’s Catalog under Dress Code.
9.
Cell phone use is not permitted in the classroom or in the patient clinical setting. Students are
expected to follow agency guidelines and clinical faculty directions regarding appropriateness of
cell phone usage in the clinical setting.
10.
Please remember that students represent United States University. Your appearance must be
clean, neat, and professional.
TRANSPORTATION/TRAVEL TO CLINICAL SITES
Students must provide their own transportation to clinical sites and ground campus location for practice
immersions. The Office of Field Experience is dedicated to assist students in securing clinical
placements. If the Office of Field Experience assistance is needed, OFE will make efforts to follow up
on your preferences to secure clinical placements close to where you work or live, but you may have to
travel out of the city you reside or work in. The Office of Field Experience, in conjunction with clinical
sites, attempt to minimize the distance that students travel to their clinical experience, but sometimes
additional travel is unavoidable. We know attending clinical can be challenging, but rest assured your
learning experience is a valuable one and will guide your future as a well-prepared professional.
GENERAL HEALTH AND SAFETY REQUIREMENTS
Students and clinical faculty are expected to take measures to maintain their personal health so as not to
jeopardize themselves or any patient with whom they come in contact. Students who are accepted into
the program must show evidence of the USU required immunizations and diagnostic procedures as
required by the clinical agencies utilized. At any time, a student may be required to receive a medical
examination if deemed necessary by the clinical faculty for the wellbeing of the student and/or the
patients.
As students are in contact with patients in a variety of health situations, it is imperative that students
maintain protection against communicable illnesses. In addition, students must meet agency health
requirements to enter clinical course work. Students are responsible for updating BLS, personal health
insurance, immunizations when needed. Students will not be allowed to participate in clinical
experiences unless all agency and USU requirements are current. Any student that falls out of
compliance due to expired documentation will immediately be restricted from clinical participation until
renewed documentation is provided and coinciding faculty will be notified. Missing clinical may
jeopardize student success in the program. All students are responsible for the completion of the
required documents. The deadline to submit required documentation is a minimum of 8 weeks
prior to the planned clinical course. Documentation submitted late may result in a later
registration of the clinical course. Students should submit their documentation early to avoid a
delay in their clinical start date. Instructions on completing Complio are included in the appendices
(Appendix D). Please note that a student’s clinical site may require additional or different health and
safety documents than those in the lists below, as stipulated in an affiliation agreement.
NOTE: A CHECKLIST FOR USU REQUIRED HEALTH & SAFETY REQUIREMENTS IS IN
APPENDIX A.
13
Item
Description
Tuberculosis
(TB)
For continued
enrollment -
required annually.
Negative 2-Step PPD, where the 2nd Step is dated with 7-365 days of the 1st Step. Annually
thereafter, only an Annual 1-Step PPD is required.. Subsequent tuberculosis testing is a one-
step PPD repeated annually. The skin test reaction should be read between 48 and 72 hours
after administration. A patient who does not return within 72 hours will need to be
rescheduled for another skin test. A TB test is valid for one year. TB records must be current
and on file. The QuantiFERON®-TB Gold blood test may be accepted in lieu of the PPD.
For
positive PPD or QuantiFERON®- TB Gold Test/T-Spot, negative CXRs will be required,
along with the annual symptoms checklist (Appendix F). A chest x-ray is valid for 5 years,
but the evaluation form must be submitted annually. INH and the annual symptoms checklist
(Appendix F) may also be submitted. The PPD is not contraindicated for anyone including
pregnant women, persons who are HIV-infected, or persons who have been vaccinated with
BCG. Evaluation will be made on an individual basis.
BLS card
For continued
enrollment -
Re-certification
required prior to
expiration date.
BLS certification for the Professional Rescuer or Healthcare Provider is required.
Information as to the availability of courses may be obtained by calling either the American
Heart Association or checking online. This certification is valid for a two-year period and
provides comprehensive training in this area.
Other BLS courses will NOT fulfill this requirement. Online-only courses are not acceptable.
Provider Name
Course Title
American Heart Association
BLS Healthcare Provider
Tetanus-
Diphtheria
(TD/Tdap)
For continued
enrollment –
required prior
to expiration
date.
Documentation of Tetanus/Tetanus-Diphtheria/Tetanus-Diphtheria with Acellular Pertussis
vaccination administered within the past 10 years. (Tdap vaccines are preferred.).
If you have
a medical condition which does not allow current immunization, then you may contact the
Office of Field Experience that documents your medical exception (please note this may
jeopardize clinical placement if clinical site requires this documentation). Evaluation will be
made on an individual basis.
Influenza (Flu)
For continued
enrollment -
required annually.
Flu vaccines are available from late September through early May. Students are required to
have a current flu vaccine on file in order to enter the clinical setting. Influenza vaccine is
required annually. If you have a medical condition which does not allow current
immunization, then you may contact the Office of Field Experience that documents your
medical exception (please
note this may jeopardize clinical placement if clinical site requires
this documentation). Evaluation will be made on an individual basis.
Medical
Clearance Form
A physician or other health care provider completes this form following a physical exam of
the student. If the physical was performed within the last six months, the form may be
completed based off that exam.
Hepatitis B
Hepatitis B vaccine (3 doses) OR blood titers are required. A lab confirmation must be
presented (see below) if using blood titers. You will be required to repeat the vaccine series
if there is no immunity. If you have repeated vaccination series and completed a second titer
and the results are still negative, equivocal, or borderline, then you may sign a waiver for
this disease. If you have a medical condition which does not allow current immunization,
then you may contact the Office of Field Experience that documents your medical exception
(please note this may jeopardize clinical placement if clinical site requires this
documentation). Evaluation will be made on an individual basis.
14
HBsAg anti‑
HBc anti‑HBs
negative
negative
positive with >10mIU/mL
immune due to
vaccination
no vaccination necessary
MMR: Measles,
(Rubeola),
Mumps, Rubella
Students must show proof of immunity (lab evidence indicating positive MMR titers). It is
not sufficient to report having had any of these illnesses or vaccinations as a child. Titers
must indicate adequate protection. Equivocal results are considered negative and the student
is required to get a booster for the MMR vaccine. If not immune (negative titer results), then
student must be vaccinated and be re- tested at least 30 days after receiving the vaccination.
If, after the second blood test, the student is still showing “negative” or “non-reactive” for
immunity, no further vaccines/titer requests then you may sign a waiver for this disease. If
you have a medical condition which does not allow current immunization, then you may
contact the Office of Field Experience that documents your medical exception (please note
this may jeopardize clinical placement if clinical site requires this documentation).
Evaluation will be made on an individual basis.
Varicella
(Chicken Pox)
Students must show proof of immunity (lab evidence indicating positive varicella titers).
Because of recent changes in policies, documentation of history of chicken pox or varicella
vaccinations are not sufficient. If not immune (negative titer results), then student must be
vaccinated and be re- tested at least 30 days after receiving the vaccination. If, after the
second blood test, the student is still showing “negative” or “non-reactive” for immunity, no
further vaccines/titer requests will be required. If you have a medical condition which does
not allow current immunization, then you may contact the Office of Field Experience that
documents your medical exception (please note this may jeopardize clinical placement if
clinical site requires this documentation). Evaluation will be made on an individual basis.
Health Insurance
For continued
enrollment
-
required prior to
expiration date.
Verification of the student’s current health insurance coverage. (e.g., copy of insurance card.)
This information is be required to be current throughout your clinicals
. Please note that this is
only for your nursing file and is NOT shared with other departments.
Malpractice
Insurance
Coverage
$1M per incident, $6M aggregate. The coverage should state that student is covered as a FNP
Student. OFE does not require a specific provider.
Background
Check
All nursing students, must complete a background check prior to first clinical rotation. No
felonies accepted, and misdemeanors will be subject to review by the Program Director
whose decision is final. A student must report, within 10 days, any legal violation such as a
DUI, misdemeanor or felony if occurrence is during the program. Students will not be
permitted to continue in the program without a disposition date. Students may not be allowed
to continue in the program depending on the offense. The student must pay the cost of the
background check.
Hepatitis A
Recommended but not required.
Drug Screen
Students are required to have a negative drug screen prior to beginning first clinical
experience. Students will be notified by the Office of Field Experience when drug screen is
required. The student pays the cost of the drug screen. All students should refer to the
detailed Policy for Student Drug, Nicotine & Alcohol Screening below.
15
HIPAA Form
Students must sign and return this form, which certifies the student has completed the HIPAA
training within the Nursing Caring Corner and completed the quiz with an 80% or higher.
Universal
Precautions
Based on the mandatory CDC and OSHA guidelines, students and clinical faculty will
consistently observe blood and body fluid precautions when working with all clients in all
settings. Students are required to complete the Blood-borne Pathogens Training in the
Nursing Caring Corner. Once training is completed, students must take quiz and get an 80%
or higher. Students will submit a screenshot of the grade page (showing name, date, and
grade) to meet this requirement.
POLICY FOR STUDENT DRUG, NICOTINE, &
ALCOHOL SCREENING
The practice of professional nursing demands that the clinician be free from the influence of any
substance that would impair judgment and thinking ability. As a result, health care agencies are
requiring students who work directly with patients to undergo drug screening. Nursing students must
also be free from impairing substances. Health care agencies and the CONHS require drug screening of
all nursing students prior to their first clinical experience. In addition, CONHS students are subject to
screening if either the faculty suspects that the student is impaired at any time on campus, or during any
health care experience or any other university or work-related activity. Any student whose test is
deemed positive will not be able to enroll or continue in the nursing program for a minimum period of
one year. Determination will be made by the Program Director. The CONHS is required to report any
positive screens and/or suspicion refusal to the appropriate board.
This policy is designed to identify the procedures to be followed for both types of testing as well as to
outline the appeal and readmission to the program.
Initial Urine Drug Screening
1.
First clinical course and new transfer students will be randomly given a drug screen
authorization form and a 24-hour time frame to complete a urine drug screen at one of the
laboratory options provided.
2.
Students will be required to show picture identification upon arrival. A driver’s license or
passport are acceptable forms of identification.
3.
The cost for all screening and medical review (if deemed necessary) is the students’
responsibility.
4.
A screen with questionable results will be sent by the lab for a medical review. Costs for review
and retest will be the responsibility of the student.
5.
A negative report is necessary to continue in the program of study in the CON.
6.
This screen need not be repeated as long as the student maintains continuous enrollment.
Continuous enrollment is defined as enrollment in nursing classes during all consecutive
semesters until graduation.
7.
Students may be re-tested for cause or reasonable suspicion.
16
For Cause or Reasonable Suspicion Drug, Nicotine & Alcohol Screening
The CONHS may ask a student to submit to a drug and alcohol screening at any time a faculty member
believes that the student may be under the influence of drugs or alcohol. This includes but is not limited
to the following circumstances: evidence of drugs or alcohol on or about the student’s person or in the
student’s possession, unusual conduct on the student’s part that suggests possible use or influence of
drugs or alcohol, negative performance patterns, or excessive and unexplained absenteeism or tardiness.
Determination will be made by the Program Director after consultation with the clinical faculty.
1.
Students will be asked to submit to an immediate oral drug and alcohol screening test conducted
at one of the laboratory options provided.
2.
Students may also be given a drug screen authorization form and asked to immediately complete
a urine drug screen at one of the laboratory options provided.
3.
Students will be required to show picture identification upon arrival. A driver’s license or
passport are acceptable forms of identification.
4.
The costs for all screening and medical review (if deemed necessary) are the students’
responsibility.
5.
A screen with questionable results will be sent by the lab for a medical review by the company
completing the drug screen. Costs for review and retest will be the responsibility of the student.
6.
A negative report, excluding a positive nicotine result, is necessary to continue in the program of
study in the CONHS.
Follow-up Action: Positive Screen (For Cause or Initial Drug Screen)
1.
Positive drug screens (including those medically prescribed) may result in withdrawal from the
nursing program for a minimum of 12 months. After this 12-month period, the student may
apply for readmission under general guidelines stated in the United States University Catalog,
provided there is submission of evidence of satisfactory participation in a rehabilitation
program for alcohol/substance abuse. Determination will be made by the Program Director.
2.
Sources of evidence include:
a.
Documentation of completed program of rehabilitation.
b.
Acknowledgement of continuance in a twelve step or after-care program.
c.
Letter from therapist or licensed health care provider stating the student is now able to
function safely in a clinical facility.
3.
The student must have a negative screen prior to being readmitted to the nursing program. The
screen will be done at the direction of the FNP Program Director and may be periodic while the
student is in a CONHS program. The student is responsible for all costs of screening.
4.
The decision to readmit will be made by the Program Director after review of submitted
materials. As with other applications for readmission, space availability may be a determining
factor.
17
5.
A report will be filed with the CA Board of Nursing upon withdrawal from the program
consistent with the rules and regulations of the CA Board of Nursing.
6.
Any student who screens positive after one readmission may be expelled from the nursing
program.
Follow-up Action For-Cause Negative Screen
1.
Students whose drug screens are negative will meet with the Program Director to discuss the
perceptions of impaired behavior and the implications and steps to avoid similar situations in the
future.
2.
A review by the Medical Review Officer (MRO) by the company collecting the drug screen for
documentation of any medical condition or treatment may be requested.
3.
Students will not be counted as absent from clinical during this evaluation process. However,
students will be expected to meet the clinical objectives.
4.
A reasonable suspicion/cause drug screen that is positive; however, is deemed negative by a
MRO will follow these guidelines:
a.
The student will meet with the Program Director.
b.
The student may be required to undergo, at the student’s expense, an evaluation for drug
use/prescription drug use/impairment by a psychiatrist recommended by the State Board of
Nursing.
c.
The student will follow other recommendations deemed necessary by the Program
Director.
d.
The student will be required to provide a negative drug screen prior to returning to clinical
and be subject to periodic drug screens at the student’s expense.
e.
More than one incident of a reasonable suspicion/cause drug screen that is positive; however,
deemed negative by a MRO may result in withdrawal from the nursing program for a
minimum of 12 months. In this case, the student will follow the positive drug screening
guidelines.
Students Who Refuse Drug Screening
Students who refuse to participate in screening will be required to leave the clinical area and make an
appointment with the Program Director. The student will remain out of the clinical area until an
investigation has been done and a recommendation has been made by the Program Director. Students
who refuse screening may be subject to dismissal from the CONHS. A student who refuses to
participate in a rehabilitation program will not be allowed into clinical courses; therefore he/she cannot
complete the nursing program.
Substances Included in Urine Drug Screen
Amphetamines, Barbiturates, Benzodiazepines, Cannabinoids, Cocaine metabolite, Cotinine
(tobacco/nicotine), Fentanyl, Meperidine, Methadone, Opiates, Oxycodone, Phencyclidine,
Propoxyphene
*Please note certain clinical facilities include nicotine as part of their screening and will not allow
students to rotate at their facility who test positive from nicotine or its byproduct, cotinine.
18
SAFETY GUIDELINES FOR STUDENTS
Standard Precautions
Students will adhere to all guidelines for Standard Precautions within the clinical agencies.
Bodily Fluids Exposure and/or Injury during Clinical
Experiences
United States University acknowledges the inherent risks associated with working around or with
patients and health care organizations, including a potential exposure to blood and body fluids. Once in
a patient care setting, you will have access to and are expected to utilize appropriate blood borne
pathogen barriers, proper sanitary precautions, and appropriate biohazard disposal equipment and
procedures at each clinical site. The following policy outlines your responsibilities in this area:
o You must have and maintain current health insurance and show verification of coverage each year
while matriculated in the program.
o United States University and the clinical agencies that provide clinical experiences for students are
not responsible or liable for the costs of medical follow-up or expenses incurred.
o If evaluation and treatment is required by the facility where you are completing clinical experiences,
the student is responsible for all costs and associated follow up.
o In the event that you are injured or exposed to blood and body fluids, you will:
●
Immediately notify your clinical instructor or site supervisor.
●
Wash the area immediately and thoroughly with soap and water.
●
Within 24 hours, follow-up with your own Primary Care Provider who will decide of
immunization status and give appropriate prophylaxis or referral for appropriate prophylaxis.
●
Assume full responsibility for disease sequelae.
●
Follow the policies of the agency (if any).
●
Complete an incident report with the clinical faculty who was present during incident. A copy of
this report will be given to the Office of Field Experience and placed in the student’s file.
Protocol for Puncture Wounds and Exposure to Blood or Bodily
Fluids
o Incidents involving any type of needle stick or body-fluid exposure must be reported to the Clinical
Faculty/Facility immediately. The clinical faculty will then notify the Office of Field Experience.
o All faculty and students should observe the protocol for safe needle usage when practicing or
performing parental injections, IV starts, blood draws, or using syringes, or performing any invasive
procedure as part of a skills check off, or in a clinical setting. The faculty/student should follow the
protocol for needle usage at the agency where clinicals are being held.
Uncontaminated Needle Stick or Intact Skin Exposure
A student who accidentally punctures him/herself with an uncontaminated needle or is exposed to blood
or bodily fluid that is an intact skin exposure should:
1.
Wash the area immediately and thoroughly with soap and water
19
2.
Follow-up with their own Primary Care Provider who will make a determination of Tetanus
immunization status and give appropriate prophylaxis or referral for appropriate prophylaxis.
3.
Complete an incident report with the clinical faculty who was present during the incident. A
copy of this report will be given to the Office of Field Experience and placed in the student’s
file.
4.
Counseling referral and other referrals can be arranged through the student’s personal Primary
Care Provider.
Contaminated Needle Stick or Non-Intact Skin or Mucous Membrane Exposure
If the exposure is via a contaminated needle or if a bodily fluid exposure to non-intact skin, or to
mucous membranes the student should continue with the following:
1.
Wash the skin area immediately with soap and water. If exposure is to mucous membranes, flush
area with water immediately.
2.
Report the incident to your clinical faculty.
3.
Immediately seek medical attention. If in an acute care setting, always follow agency guidelines.
This may include reporting to either Occupational Health or the agency Emergency Department.
In the event that this incident occurs, in the community setting, when the agency Occupational Health
Center or Emergency Department are not available, United States University recommends that you seek
immediate treatment at an Urgent Care or Physician’s Office equipped to treat contaminated needle
stick injuries.
An incident report will be completed by the student and the clinical faculty who was present during
incident. A copy of this report will be given to the Office of Field Experience to be placed in the
student’s file. Financial responsibility for testing and recommended care following an exposure rests
solely with the student. This could include testing, evaluation, treatment, and counseling.
If you have questions about the appropriate medical treatment, the Centers for Disease Control and
Prevention recommend that you call a 24-hour assistance line at 1.888.448.4911 (Clinicians’ Post
Exposure Prophylaxis Hotline).
TUBERCULOSIS EXPOSURE PLAN
According to the CDC, "It is important to know that a person who is exposed to TB bacteria is not able
to spread the bacteria to other people right away. Only persons with active TB disease can spread TB
bacteria to others."
"Some people develop TB disease soon (within weeks) after becoming infected, before their immune
system can fight the TB bacteria. Other people may get sick years later, when their immune system
becomes weak for another reason. Many people with TB infection never develop TB disease."
http://www.cdc.gov/tb/topic/basics/exposed.htm
Students will not be held from clinical experiences unless they have an active TB infection, not TB
disease. Active TB is determined using TB screening and confirmation by qualified health care
providers/professionals based on symptoms of active TB.
20
Tuberculosis (TB) exposure potential is defined as any exposure to the exhaled or expired air of a
person with suspected or confirmed TB disease. A high hazard procedure involving an individual with
suspected or confirmed TB disease is one that has the potential to generate potentially infectious
airborne respiratory secretions such as aerosolized medication treatment, bronchoscopy, sputum
induction, endotracheal intubation, and suctioning. Workplaces with inherent exposure potential to TB
disease:
o Health care facilities
o Corrections facilities
o Homeless shelters/clinics for homeless
o Long term health facilities
o Drug treatment centers
o Post-exposure Procedure
1.
When a Tuberculosis (TB) exposure occurs, the involved student will report the incident to the
clinical instructor and the appropriate administrative staff at the involved institution or agency.
2.
The student will be counseled immediately and referred to his or her personal health care
provider, or local Health Department.
3.
A baseline Tuberculosis Skin Test (TST) should be administered as soon as possible after the
exposure.
4.
Frequency of follow-up TSTs will be performed per provider protocol. A TST performed 12
weeks after the last exposure will indicate whether infection has occurred.
5.
A student with evidence of new infection (TST conversions) needs to be evaluated for active
TB. Even if active TB is not diagnosed, prophylactic therapy for latent TB is recommended.
6.
A student with a previously documented reactive TST need not be retested but should have a
baseline symptom screen performed following the exposure and repeated 12 weeks after the
exposure. If the symptom screen is positive a chest x-ray is required.
7.
Any active case of TB must be reported to local Health Department.
Return to Class for Active TB
A student diagnosed with active pulmonary or laryngeal TB may be highly infectious; and will not be
able to attend class or clinical experiences until he/she is noninfectious. In order to return to school, the
student will need to provide documentation from the health care provider that he/she is noninfectious.
The documentation needs to include evidence that:
o The student has received adequate therapy for a minimum of 2 weeks.
o The cough has resolved, and the student is not experiencing chest pain, hemoptysis, fever or chills.
o The results of three consecutive sputum acid-fast bacilli (AFB) smears collected on different days
are negative
Documentation and Financial Responsibility
o After the student returns to school and remains on anti-TB therapy, periodic documentation from
their health care provider is needed to show that effective drug therapy is being maintained for the
recommended period and that the sputum AFB smear results remain negative.
o The student is responsible for all costs related to the exposure incident.
o The student’s health records will be maintained in a confidential file.
21
COMMUNICABLE DISEASE POLICY
You may not participate in classroom or field experiences during the time you are affected by or suspect
you have a communicable disease. A communicable disease is a health disorder that can be passed from
one person to another. If suspected of communicable disease, you must immediately visit your personal
physician for evaluation. If the evaluation shows possible communicable disease, you must remain out
of contact with patients for the duration suggested by the physician and report this to the course faculty
and program director. You may not return to participation in clinicals until you have been re-evaluated
by a physician, nurse practitioner, or physician assistant and released with written verification from the
medical provider. You must contact the clinical faculty upon suspicion and verification of the disease.
The following are examples of communicable diseases:
AIDS
Cholera
Tetanus
Shingles (Herpes Zoster)
Conjunctivitis
Impetigo
Diphtheria
Yellow Fever
Chickenpox
Diarrhea-infectious
Hepatitis A, B or C
Strep pharyngitis
Measles
Influenza
Herpes Simplex
Meningitis (bacterial)
Mumps
Pertussis (whooping cough)
Rubella
Shigellosis
Streptococcal pneumonia
Scabies
Hand, foot, mouth syndrome
Viral and acute hepatitis
Herpes
Lice (pediculosis)
Lyme disease
Escherichia coli (E coli)
Tuberculosis
Group A Strep
Pinworms
Ringworm
HEAD LICE PROCEDURE
o Transmission to another host occurs when two heads are in direct contact for one minute or more.
They can climb rapidly in dry hair and are not removed by washing.
o Standard Infection Control Precautions (Universal Precautions Policy) should be implemented for
the management of lice.
o Staff should wear appropriate PPE (long sleeved gowns and gloves) during application of treatment
and when prolonged contact occurs.
o Remove linen and clothing carefully and treat as infected linen.
o Minimum of daily linen changes may be necessary to reduce the number of lice where there is heavy
infestation.
o Personal clothing can be sent home in a sealed plastic bag for washing which should be washed at
temperatures suitable for the fabric but ideally above 65 degrees and preferably dried in a tumble
drier and ironed.
o Student needs to go home for treatment and cannot return for 24 hours: Obtain the recommended
product from the pharmacy. Treat the patient according to product instructions. Two treatments are
recommended seven days apart to prevent lice emerging from eggs that survive the first application.
All family members, close contacts and affected staff (head to head contact for 1 minute or more) to
be treated at the same time on the same day.
22
Malpractice Insurance/University Insurance Coverage
Student-Self Coverage: FNP students are required to carry their own professional liability insurance. The
coverage is a minimum of $1,000,000 per event/$6,000,000 aggregate. This coverage must state that the
student is in an advanced practice/nurse practitioner student role. Note: Your clinical site may require
additional coverage.
CONHS carries Medical Professional Liability Insurance on all students in programs that require
clinical experiences. The coverage is $1,000,000 each occurrence and $3,000,000 aggregate.
OFFICE OF FIELD EXPERIENCE
Students enrolled in CONHS programs that require field experiences will be assisted by the Office of
Field Experience (OFE) to secure appropriate clinical settings for completion of their clinical hours.
The OFE is dedicated to partnering with students to secure placement and ensure clinical compliance
is met.
Clinical Placements
Students enrolled in the FNP program are required to actively partner with the Office of Field
Experience to secure appropriate clinical settings for completion of their clinical hours. Students are
required to provide all site and preceptor requirements at least 8 weeks prior to their clinical experience.
If assistance is needed, please contact your Clinical Placement Coordinator in OFE for the next steps.
OFE prioritizes placement assistance for students who have submitted all Complio and requested
documentation by the required deadline. Travel may be required to obtain hours at a clinical site. The
OFE will work with you to ensure all health and safety and site required documents are verified and on
file prior to clinical placement. It is your responsibility to work to complete these requirements on a
timely basis to ensure successful placement.
Clinical Hour Requirements
The student’s clinical practicum hours are to be scheduled at the convenience and availability of the
preceptor. Students should not request or expect preceptors to conform to a schedule to meet their own
personal and/or employment needs/preferences. Students are expected to participate in the required
number of clinical hours prescribed by the clinical course and students are expected to amend their own
personal and work schedules accordingly. Students are expected to begin their clinical experience when
the course begins to insure adequate time to complete assignments unless stated otherwise in the
syllabus. Students are not permitted to begin hours PRIOR to the start date of the course. In MSN573,
students are not permitted to start clinical hours until week 6 of the course. By the end of program all
clinical hours must be complete. Clinical hours do not rollover from course to course – students must
obtain the minimum required hours of each clinical course.
For FNP education, the majority of students hours are in primary care across the lifespan are required to
sit for national certification. However, there are additional hour requirements to meet their program of
23
study. Please review the CONHS Guidelines for FNP Clinical Placements and Experience (Appendix
I) to confirm appropriate clinical sites, experiences, and population of focus for each course. Please note
that APRNs cannot practice in a population focus for which they were not trained. For example, if
students want to pursue a practice in pediatrics or women’s health, they would need an additional PNP
or WHNP education and certification. For more information about the APRN Consensus Model,
students may visit: https://www.ncsbn.org/736.htm.Timely and complete documentation is a
professional responsibility of all clinicians. Students are expected to document all patient encounters
whether observed or performed, and experiences using Project Concert within 48 hours of the clinical
encounter or the associated hours will not count towards the clinical hour requirement. Students’ are
required to obtain a total of 585 clinical hours associated with patient experiences. Hours are entered
into Project Concert by completing Hours log and Journal Entry logs. All patient experiences must be
entered into a Journal so that it counts toward your hours. Hours logged and Journal minutes should be
equal. Patient experience time includes: the time you are in the room with the patient, the time you are
talking with your preceptor about that particular patient and the time you take to chart for that, and any
administrative activities associated with the patient. That entire time counts as patient time because it’s
in relation to the single visit.
A FNP program shall provide clinical instruction that includes, at a minimum, selected and guided
experiences that develop a student's ability to apply core principles of advanced practice nursing in
varied settings when caring for patients within the full lifespan. Most of the clinical hours will be
completed in a family practice or internal medicine setting. All hours for each population must be
identified separately in your clinical log in Project Concert. Please see CONHS Guidelines for FNP
Clinical Placements and Experience (Appendix I) for further details on each clinical course.
Within the required 585 clinical hours you must get:
• Geriatrics: 100 minimum hours
• Women’s Health, Obstetrics, Gynecology: 40 minimum hours
• Pediatrics: 80 minimum hours
• Optional Specialty Rotations: Up to 40 hours maximum in specialty rotations---(combined total in
multiple specialties or all in 1 specialty).
• During FNP 594 or FNP 597 ONLY: ER/Urgent Care 60 hours maximum
Selection Criteria for FNP Clinical Sites
CONHS requires that nurse practitioner student clinical experiences to occur in clinical sites that meet the
criteria below, and follow the state board nursing scope of practice. Students are expected to review and
become knowledgeable of the scope of practice for their particular state board of nursing. In order to meet the
criteria, students should be prepared to travel to clinical sites outside of the city in which they reside during
any semester.
• As a primary care nurse practitioner focusing across the lifespan, student clinical placements should
mostly be in primary care clinics. These experiences should be based upon student learning objectives
and students are encouraged to discuss this with faculty.
• Patient characteristics represent diversity (education, income, insurance, race/ethnicity).
• Patient volume is adequate to ensure sufficient patients per day for student to acquire the skills
required to meet core curriculum guidelines, program goals, and practice in a work environment upon
24
graduation
• Space is available for student (examination room, area for documentation)
• Adequate resources available on site
o Preceptor
o Medical record system (electronic preferred but not required)
o Current medical reference books or Internet access for searching
• The inpatient hospital setting is not an appropriate clinical site for FNP students at any point during
the clinical experience.
Selection Criteria for FNP Clinical Preceptors
FNP students engage in clinical practice under the guidance of a qualified clinical preceptor. The mandatory
preceptor/student ratio (direct supervision) is 1:1. Students are required to work with at least one Nurse
Practitioner Preceptor throughout their clinical experience. The clinical preceptor must be:
• Formally educated for professional practice:
o A preceptor is a NP, CNW, MD or DO who, while employed by a clinical facility, is assigned
to directly supervise a student’s clinical education for the duration of a formal course designed
to prepare registered nurses to transition to advanced practice nursing.
• Clinical preceptors may be used to enhance faculty-directed clinical learning experiences, but not to
replace faculty. A clinical preceptor shall be approved by program administration and:
o Hold a current unencumbered license or multistate privilege to practice as a registered nurse or
physician in the state in which the preceptor practices or, if employed by the federal
government, holds a current unencumbered RN or physician license in the United States;
o Has at least one year clinical experience as a physician or an advanced practice nurse
o Practice in a population focus comparable to that of the FNP program;
o For FNP preceptors, have at least one of the following:
• Current national certification in the advanced practice role and population focus of the
course or program in which the student is enrolled;
• Current Board certification in the advanced practice role and population focus of the
course or program in which the student is enrolled; or
• If an advanced practice preceptor cannot be found who meets the requirements of
educational and experiential qualifications that will enable the preceptor to precept
students in the program, as determined by the nursing program and approved by the
Board, approvals will be obtained only by the College Dean.
• Be actively involved in clinical practice.
• Once the Office of Field Experience receives preceptor licensing, credentialing, CV/Resume and
certification information, the documents are sent to the Program Director who reviews and provides
final approval or denial of the preceptor.
Preceptor Fit
It is intended that students stay with the clinical preceptor and site arranged by themselves or the OFE during
the course. If the fit between the student and clinical preceptor/site is not working or the student is not being
25
exposed to the required patient populations the clinical faculty and student will discuss the need to identify
another clinic site. All students who do not wish to remain with their preceptor and site for other various
reasons will be responsible for finding a new clinical preceptor and site and must be in communication with
the OFE and their faculty regarding any preceptor and site changes as soon as practical. The College and
faculty must be apprised of students’ placement at all times. Any new preceptor or site would need to be
approved by OFE and Program director respectively.
Affiliation Agreements
USU must have an agreement with the site prior to the student beginning field experiences. It is the
student’s responsibility to provide OFE their site’s coordinator information, so that the OFE can work
directly with the facility to obtain the required paperwork. It is important to remember this is not a
contract when submitted for approval. If a current agreement is not already in place, the legal
contract will be sent directly to the preceptor’s site from the OFE. Completing new site agreements can
be a lengthy process and the Affiliation Agreement must be in place prior to the clinical course start
date. Students should allow at least four to six months for a new agreement to be finalized. Failure
to provide site information accurately and entirely can slow this process and may prevent the student
from beginning the field experience on time. Once an Affiliation Agreement has been finalized, students
will be notified via email. Some sites may have specific requirements for documentation for a
placement. Students are to work with both the site and OFE to ensure all requirements are met (e.g. a
hospital may require a background check different from the original background check and has the right
to specify their own institutional requirements that are not within the control of the University).
Project Concert
Project Concert is a “clinical hub” used by students and clinical faculty. It has 3 main functions:
1) An environment for students to log their clinical hours and labs. Reports can be pulled in
excel format and with graphing for facilitating both personal records of experiences for the
students as well as reporting to demonstrate the quality of clinical experiences for accreditation.
2) Houses documents and records for clinical faculty and students.
3) Shows schedule for student which includes course, timeframe, preceptor and site. Students
may not log hours with a preceptor and site that they are not scheduled to be at.
Students will receive an email from OFE by the end of their first course. The email contains the
student’s login information, detailed instruction sheets on how to log clinical hours and journals and
how to pull reports to track hours for program requirements. Videos are also available on PC website
upon logging in for additional help. Students are required to watch the training video in PC and read all
training materials. It is the student’s responsibility to properly document clinical and immersion (lab)
hours in PC. Additional guidance may available in the classroom and by the clinical course faculty. For
technical difficulties students, faculty and preceptors may reach out to OFE for assistance.
All patient experiences must be documented using Project Concert within 48 hours of the encounter or
the associated hours will not count towards the clinical hour requirement
Project Concert guidance is available in the Nursing Caring Corner.
26
CLINICAL ATTENDANCE AND PARTICIPATION
Absences in clinical rotation may jeopardize a student’s successful progression and completion of the
program. Clinical absences may result in clinical probation at the discretion of the clinical faculty.
Students who are too ill to perform safely in clinical should seek medical attention and contact their
clinical faculty prior to missing clinical.
Attendance of 100% is strongly recommended. Students are responsible for any and all material covered
in class, in clinical, and in their assigned readings. Participation in the online classroom and clinical
experience is essential to meet the objectives for all clinical courses.
Attendance at all scheduled lectures, discussions, and clinical and laboratory courses is expected.
Students are expected to be on time to all scheduled activities. Students are required to notify faculty of
any absence and/or anticipated tardiness. Individual faculty will discuss the mechanism for notification
of absence. Absenteeism may interfere with student attainment of course objectives, and may impact the
grade students receive in clinical and theory courses.
Any student who has experienced an Emergency Department visit or hospitalization or an acute illness,
trauma, surgery, or pregnancy/delivery will need a health care provider’s release to return to clinical.
Such a release should provide information that attests to the fact that the student is physically and
emotionally able to provide direct patient care.
Students who must miss clinical due to pregnancy or extended illness may not be able to complete
clinical objectives. Students must contact the clinical faculty member to discuss options or students are
encouraged to contact the Office of Field Experience. The CONHS is not obligated to provide makeup
clinical opportunities for students unable to complete clinical during their clinical course.
Clinical Absence Policy
Failure to complete the minimum clinical requirements will result in failure of that clinical course.
All absences are to be reported to the clinical faculty in a timely manner via email, text, or phone, as
required by the clinical faculty.
If a student is unable to attend clinical, the student must:
1.
Contact, by phone or in person, the clinical faculty, at least one (1) hour prior to the scheduled
clinical time.
2.
At the discretion of the faculty member, submit a release signed by a health care provider to
return to clinical.
3.
Release from medical provider if related to pregnancy.
Clinical Tardy Policy
Clinical tardiness is defined as being late at the beginning of a clinical. Any anticipated tardiness is to be
reported to the appropriate clinical faculty.
Consequences of being tardy three times within the same course are:
o
First Occurrence: Student will receive a clinical warning.
o
Second Occurrence: Student will be placed on clinical probation for the second late.
o
Third Occurrence: Student will fail clinical on the third late.
27
Clinical Restriction
Clinical restriction is the official means of restricting the student from any clinical experience when
students have missing, expired, or insufficient immunizations or documentation requirements on file
with the Office of Field Experience. You will be notified by the OFE and/or through Complio before
documentation is set to expire. Once documentation has expired, the Clinical Coordinator will notify
your clinical course faculty of your restriction status. At all times, it is your responsibility to ensure
that your health and safety documentation is up to date and current, and that all other program
requirements have been met. Health and safety requirements are mandatory for all students where
indicated in this handbook.
Clinical Probation
Clinical probation is the official means of notifying you of unacceptable behavior or unsatisfactory
performance. Being placed on probation can affect the field experience/clinical grade and will result in a
Student Code of Conduct violation and may result in being administratively withdrawn from the course
as determined by the Program Director.
Clinical probation status is conferred at the discretion of the course instructor, clinical instructor, and
respective course faculty for any unsafe or unprofessional behaviors. The following are examples of
behaviors that lead to probation:
◆
Participating in a setting with expired or outstanding immunizations or documentation or delay in
completing COMPLIO by the due date
◆
Unexcused absences
◆
Tardiness, failure to notify faculty/staff of tardiness or absences in clinical
◆
Insufficient preparation for the field experience
◆
Failure to follow clinical faculty or clinical nurse guidance
◆
Unsafe practice in the clinical area
◆
Causing a client unnecessary suffering or harm
◆
Failure to report abnormal data in a timely manner to the appropriate persons
◆
Conduct inappropriate to the role of the student as outlined in this manual
◆
Failure to dress in approved program attire
◆
HIPAA violations
◆
Leaving the clinical site without permission at any time during clinical hours
◆
Performing skills/interventions which have not been signed off by the clinical faculty
◆
Acting outside of a student scope or practice
Probation Procedure
◆
Code of Conduct processes will be initiated.
◆
A discussion with Clinical Faculty and a letter of probation will be provided to you by the Office of
Field Experience.
◆
A copy of the letter will be sent to the Program Director and will be placed in your file.
◆
Refer to https://www.usuniversity.edu/current-students/university-catalog/ for more information
◆
Clinical probation may result in up to 10% reduction in the overall clinical grade and may result in
the student being withdrawn from the course
28
FAILURE/PROGRAM EXPULSION
If you fail to meet the course objectives, policies, and procedures outlined in the classroom and this
manual, you may face failure or program expulsion. Any failed course(s) must be repeated before
proceeding to the next course outlined in your program of study. Refer to the Repeat Policy in the
University Catalog for more information on number of allowable attempts and failure of co-requisite
didactic courses. A Code of Conduct violation will be filed by the clinical faculty for any action that
results in clinical failure. Clinical experience or Clinical course failure may result in a failure of the co-
requisite didactic course. Examples of clinical failure, program expulsion, or Code of Conduct violation
actions, include but are not limited to:
◆
Compromising United States University’s relationship with any site
◆
Compromising safety in any form
◆
Plagiarism and ethical conduct resulting in Code of Conduct Violations
FNP CURRICULUM PLAN
6 Semesters/24 Months - 50 Semester Credits 100% Online; with 2 On Site Immersions
Year 1:
Term
Credit
Hours
Course Number and Title
Immersions
1
3
MSN 560
Transitions in Practice: The Role of the Advanced
Practice Nurse
Start Complio
2
3
MSN 561
Theoretical Foundations of Advanced Practice
Nursing
3
3
MSN 563
Evidence Based Inquiry for Scholarship and
Practice
4
3
MSN 565
Nursing Leadership and Health Policy
(Must be substantially
complete in
Complio)
5
3
FNP 590
Health Promotion, Education and Disease
Prevention Across the Lifespan
6
3
MSN 570
Advanced Pathophysiology Across the Lifespan
29
Year 2:
Term
Credit
Hours
Course Number and Title
Immersions
7
3
MSN 571
Advanced Pharmacology Across the Lifespan
2
MSN 564
Cultural and Spiritual Care Across the Lifespan
MSN 572
3
Advanced Health and Physical Assessment Across
the Lifespan
MSN 573
Week 1- *ON
Advanced Health Assessment Across the Lifespan
CAMPUS
8
and Cultures Lab (17 lab hours and 28 hours of
IMMERSION
1
clinical)
Week 7-
**VIRTUAL OSCE
(Objective Structured
Clinical Examination)
training and checkoff.
3
FNP 591
Common Illnesses Across the Lifespan
9
3
FNP 592
Common Illnesses Across the Lifespan – Clinical
Practicum (119 clinical hours)
*ONE ON CAMPUS
IMMERSION
DURING FNP592
OR FNP594 (16 lab
hours)
(3 days to include 2
days of simulation; 1
day skills: suturing,
splinting, X-rays)
10
3
FNP 593
Primary Health of Acute Clients/Families Across
the Lifespan
3
FNP 594
Primary Health of Acute Clients/Families Across
the Lifespan – Clinical Practicum (135 Clinical
hours)
FNP 595
3
Primary Healthcare of Chronic Clients/Families
Across the Lifespan
11
FNP 596
Primary Healthcare of Chronic Clients/Families
Week 8-
**VIRTUAL
3
Across the Lifespan – Clinical Practicum (134
simulation and
clinical hours)
complete certification
predictor exam (1 lab
hour)
12
3
FNP 597
Clinical Residency and Practice Management (135
clinical hours)
2
MSN 600
Evidence-Based Capstone Project
30
ROLES AND RESPONSIBILITIES
Student Responsibilities
•
Upon enrollment the student must have a preceptor and clinical location site confirmed, or 3
potential preceptor and clinical sites using the Preceptor and Clinical Placement Interest Sheet
(Appendix G) that can be contacted by the OFE. Incomplete contact information for site and
preceptors may result in delays.
•
A Preceptor Information and Acknowledgement Form (Appendix H) must be on file with
OFE for each preceptor prior to the student starting the clinical rotation. The student is
responsible for providing the Preceptor Information and Acknowledgement Form to be
completed and signed by the preceptor. A copy of this form is to be given to the Preceptor, and a
copy is sent to the OFE.
•
A change of address (especially a move to another state) may cause the inability to progress in
your program of study. The inability to progress in the program of study may delay the student’s
graduation. The United States University College of Nursing and Health Sciences program is
not responsible for guaranteeing a clinical placement when a student moves after the start of a
term, or after a move the term before clinical starts in the case of out-of-state placements.
•
The student must thoroughly complete all OFE Requirements, including Complio (American
Data Bank) prior to completing any clinical course. Note: Students cannot start clinical until all
Complio and site affiliation requirements are completed. Complio and site requirements
must be current throughout each clinical course.
•
If needed, meet with the appropriate person at the clinical site (preceptor, office manager, etc.) to
negotiate the dates and times to be in clinical.
•
Provide all clinical sites with required information requested by the site (i.e. Immunizations,
fingerprints, criminal background checks, Health information, OSHA training, copy of nursing
license, American Heart Association Healthcare CPR lesson, drug screening, patient
confidentiality statement, or any other agency requirements).
•
The student’s personal and work schedules are expected to accommodate the required number of
hours required in each course.
•
Students must meet all orientation, health and safety, and administration expectations of the
facility before scheduling field experiences.
•
Complete the Student Evaluation of Preceptor for each Preceptor (example in Appendix).
Clinical Faculty Responsibilities
At United States University the clinical faculty responsibilities include the following:
o Work with Office of Field Experience for contract assignment availability
o Complete all training required prior to supervising students in clinical course
o Maintain immunization/health/safety compliance in Complio and complete any agency
requirements necessary to start the assigned rotation, if applicable
31
o Maintain personal updated Health and Safety documents.
o Clinical faculty will supervise and facilitate learning for students in no more than a 6:1 ratio per
clinical course.
o Provide timely and constructive feedback to students. For any clinical issue or concern,
document and send to student via email. For any immediate concern concerning student or
patient safety, please contact OFE at ofe@usuniversity.edu immediately.
o Complete grading of clinical assignments as determined by course syllabus according to
university policy guidelines.
o Complete the Preceptor and Site Evaluation by Site Supervisor Form (example in
Appendix) for each student with the Preceptor via email or phone call by close of clinical
course.
o For clinical faculty assigned to lab and simulation experiences:
● Arrive 30 minutes prior to assigned start time
● Review lab and/or simulation materials before assigned experience
● Ensure standardization of instruction with USU course materials
● Maintain compliance with any additional lab or simulation specified training
OFE Clinical Coordinator Responsibilities
o
Ensure that students understand the nature of the clinical experience and the expectations involved.
o
Assist students in ensuring all required health and safety documents and site requirements have been
met.
o
Be available to counsel with students as situations dictate.
o Act as the centralized point of contact for any student or clinical faculty issues or concerns
brought forth.
o Works with all students in assigned load following enrollment into the FNP program.
o Responsible to ensure students are aware of and complete requirements for placement in
the clinical setting and maintain their approved status.
o Will work with students to ensure all necessary health and safety documentation is uploaded and
cleared in required systems in advance of start of the clinical experience. Works with student to
assist in identifying best placement options.
o Works collaboratively with other OFE staff and management as well as CONHS leadership.
o Will manage the Affiliation Agreement legal review as necessary with USU legal department
and the legal departments of the site.
o Will monitor and ensure all preceptors have been approved by CONHS based on submitted
documentation and will provide access to required systems.
32
Preceptor Responsibilities
A preceptor is an NP, CNW, MD or DO who, while employed by a clinical facility, is assigned to
directly supervise a student’s clinical education for the duration of a formal course designed to prepare
registered nurses to transition to advanced practice nursing. As a preceptor, you allow the student to
observe and experience what you, the expert, do on a daily basis, to ask questions, and to critically
analyze what is observed. You challenge, guide, direct, and support the student. Fundamental to the
process is your willingness to share professional values, beliefs, and skills, while incorporating
professional standards of practice within legal and ethical parameters.
• Possess clinical expertise appropriate to accomplish the goals of the preceptorship and has at
least one year of work experience at or above the level of licensure of the student’s program.
• Authorized to practice in the state or currently licensed as a health care professional as
required by state regulations.
• Current unencumbered license in the specialty when required for the role.
• Professional certification, if required/appropriate.
• Provide the student with ongoing constructive feedback that relates performance standards to student
performance
• Participate in faculty/preceptor conferences and communicate with faculty to clarify roles and the
nature of the learning experience.
• Provide an orientation for the student to the practice area and expectations of nursing care standards
• Participate in orientation to the preceptorship.
• Precept no more than 1 person per shift.
• Participate with the faculty and student in the evaluation of the student’s clinical competence.
• Complete the Preceptor Evaluation of Student (example in the Appendix).
United States University College of Nursing & Health Sciences is responsible to orient the Preceptor
on the following items:
●
Mission, goals, and curricular outline of the program.
●
Student objectives, course objectives and course outline.
●
Role of the preceptor and faculty.
●
Performance expectations of the student.
●
Evaluation responsibilities and standards for the student, course, and preceptor.
●
Avenues of communication between the program, faculty, preceptor, facility, and student.
●
Student assignments related to the experience.
●
Expected initial level of knowledge, skills, and abilities of the student.
CLINICAL PRACTICE IMMERSIONS
Practice immersions allow students to be introduced to new skills. Students will be expected to practice,
and be evaluated on his/her skills. Practice immersions will be integrated throughout your clinical
courses. You will have a total of four practice immersions: 2 on-campus in San Diego or other
designated site and 2 virtual practice immersions.
ON CAMPUS- There are two practice immersions held on campus in San Diego, CA or other sites
across the country that includes standardized patients for students to learn and practice skills. The first
33
on campus immersion is held during MSN573 to introduce and allow practice of health assessment
clinical skills on standardized patients. The second on campus immersion will be held during the rest of
your clinical courses. The purpose of the second on campus experience is to allow for practice of
specific clinical and procedural skills such as suturing and radiology interpretation.
VIRTUAL- The two virtual practice immersions in which students will be completing a test out during
MSN573 and FNP596 with a consented peer of their choice in their home or designated area within their
state. The clinical course faculty will individually schedule these immersion dates and times during the
course. The students will utilize YouSeeU or another form of technology approved by the instructor to
complete these immersions.
STUDENT IMMERSION RESPONSIBILITIES
o The clinical practice immersions are an extension of your clinical and academic program.
Therefore, all the same requirements for maintaining professional behaviors in both clinical and
academic settings apply (i.e. dress and behavior, etc.).
o No food or drink in patient simulation or lab areas – may cause damage to equipment
o No children – risk of injury from equipment
o No cell phones during testing or in student work areas (Please turn phones off) – Can be very
distracting to students when testing & practicing.
o Students are required to wear their student ID always while in the lab and follow the
recommended dress code.
o Respect lab personnel and equipment always.
o Review the course syllabus for due dates and late assignment policies.
o Failure to meet deadlines may result in failure to meet course objectives.
o Review all skills guidelines for each check-off.
o Practice/Testing areas: Follow directions/signs for use of lab space and equipment. Ask for
directions and for location of practice or testing equipment.
o Use beds for practice and testing purposes only.
o Report any malfunctioning, unsafe, or damaged equipment to lab personnel.
o If you are aware that you have a latex allergy, or suspect that you do, it is your responsibility to
notify skills lab personnel. Non-latex gloves and equipment is available upon request.
o If your check-off is unsatisfactory, remediation will be required prior to retesting.
o Please contact the Immersion Director if accommodations are needed for religious obligations. A
note will be required from your clergy on what is needed for your accommodation. Please note
that although we do our best to meet the needs of religious requests, nursing and healthcare is a
full-time profession in which patients need care every day and time.
o Complete the Student Evaluation of Immersion Experience, found in Project Concert.
CLINICAL PRACTICE IMMERSION REMEDIATION
34
POLICY
Definition: Required practice for all unsuccessful skill testing (check-offs).
Guidelines: Students must successfully complete the skills check-off by obtaining the number of
required points per skill as identified on form.
Consequences of unsuccessful completion of a skill check-off are as follows:
1. Required practice
2. Repeat testing (maximum 3 attempts)
Remediation Steps
If unsuccessful
1st Attempt –
1.
Mandatory 1-hour (minimum) practice with immersion/clinical faculty.
2.
Student must complete a written one-paragraph reflection including identifying the
potential/actual implications the unsuccessful performance would have on the patient outcomes.
The student must include a reference related to the unsuccessful portion of the skill (i.e. effects
of the medication errors, increased costs due to nosocomial infection, etc.). The reference must
be from a professional journal, nursing reference book or textbook.
3.
Student must submit the reflection when returning to repeat.
2nd Attempt -
1.
Mandatory remediation with clinical faculty or lab coordinator 1 – 2 hours (minimum) and/or
receive counseling for testing anxiety, if applicable.
2.
Student must complete a written one-paragraph reflection including identifying the
potential/actual implications the unsuccessful performance would have on the patient outcomes.
The student must include a reference related to the unsuccessful portion of the skill (i.e. effects
of the medication errors, increased costs due to nosocomial infection, etc.). The reference can be
from a professional journal, nursing reference book or textbook.
3.
Must have reflection and signed form from anxiety counseling and/or remediation provider when
returning to repeat.
3rd Attempt -
1.
If student is unsuccessful after 3rd attempt, there is no remediation and student fails the course.
Clinical Site Supervisors
The purpose of the Clinical Site Supervisors is to perform an evaluation of the clinical site and
preceptor. The site supervisor will assess the safety and appropriateness of the clinical site and the
preceptor.
The Clinical Site Supervisor is the faculty assigned to complete the student’s site evaluation in a clinical
course. This may or may not be the same faculty as the clinical/didactic portion of the course. The site
supervisor works collaboratively with the course clinical faculty and preceptor to deliver a safe,
35
effective, and high-quality education for the student.
Clinical Site Supervisor Process
1.
Accept Clinical Site Supervisor contract from USU.
2.
Contact student via usuniversity.edu email to set up an appointment for visit.
3.
Clinical Site Supervisors will be sent a link to access Project Concert, which is the student
tracking system. If you have not received that email link, please contact the Office of Field
Experience (OFE).
4.
Review the student clinical evaluation and the preceptor/site evaluations in Project Concert
ahead of time so you understand what is expected of the preceptor and site.
5.
Contact the student via USU email to confirm the date and location of where the clinical
site/preceptor evaluation will be completed.
6.
Complete the summative in person clinical site-visit with the student and preceptor during the
assigned clinical course.
7.
Evaluate the appropriateness of the preceptor and clinical site.
a.
Ensure the following:
i.
Assess the safeness of the clinical site.
ii.
The preceptor is providing appropriate feedback and guidance
iii.
The preceptor allows the student the opportunity to practice the clinical competencies
that are required of the course
iv.
The student is practicing within their scope.
v.
Assist student and clinical preceptor to optimize clinical learning environment.
b.
Some questions that could be asked to assess the clinical site
i.
What skills have you completed or observed?
ii.
What are the most common illnesses, diseases or patients you care for?
iii.
Ask to review documentation/SOAP note with student while discussing
assessment/plan
Within 24 hours of the completion of the site visit:
a)
Each site visit must be documented in Project Concert or it was not completed. Document the
Preceptor and Site Evaluation by Site Supervisor Form (Example in Appendix) into Project Concert.
b)
Send clinical course faculty an email within notifying them that the evaluation was completed
and inform them of any concerns.
INCIDENT REPORTING
If the student’s performance is unsatisfactory on any given day, the Preceptor and/or Clinical Faculty
will initiate an informal conference with the student. This informal conference will provide the student
with constructive feedback to assist them in ongoing improvement in clinical practice.
Should the student’s performance continue to be unsatisfactory, the clinical faculty will formulate a
written plan explaining areas of concern and behaviors necessary to correct these deficiencies. This
process will be completed by mid-course, so the student has time to improve. The clinical faculty will
contact s[email protected] after communicating with the preceptor to acknowledge the
36
clinical faculty/preceptor concerns and develop a written remediation plan.
o If the conditions of the remediation plan are not met by the student by the last clinical day, the
student’s clinical performance will be unsatisfactory on the final clinical evaluation and the
student will receive a failing grade. At any time if a student’s clinical performance in a clinical
course indicates an inability to perform at a safe and/or professional level of practice, the clinical
faculty will assign a failing grade regardless of the point in time such a decision is made. In such
case, the student will ineligible to continue in the course.
APPENDICES
Appendix A
Health & Safety Requirements Checklist
Appendix B
Student Acknowledgement of FNP Clinical Handbook Guidelines
Appendix C
HIPAA Confidentiality Agreement
Appendix D
Complio Instructions
Appendix E
Medical Clearance Form
Appendix F
Annual Positive TB Skin Test Questionnaire
Appendix G
Preceptor & Clinical Placement Interest Form
Appendix H
Preceptor Information and Acknowledgement Form
Appendix I
CONHS Guidelines for FNP Clinical Placements and Experience
Appendix J
Student Evaluation of Preceptor
Appendix K
Preceptor and Site Evaluation by Site Supervisor
Appendix L
Preceptor/Clinical Faculty Evaluation of Student
Appendix M
Guidelines for Clinical Placement and Experiences
37
38
Appendix A
HEALTH AND SAFETY REQUIREMENTS CHECKLIST
The following documentation must be on file with the Office of Field Experience 8 weeks BEFORE a
student’s first clinical course and must be current throughout all clinical courses:
Upload/Complete in Complio:
◻ Release of Information Form
◻ Signed Medical Clearance Form
◻ Student Acknowledgement of FNP Handbook Guidelines
◻ Signed HIPAA Confidentiality Agreement
◻ Proof of Blood Borne Pathogens Training
◻ AHA CPR for Healthcare Professionals/Providers
◻ Proof of Health Insurance Coverage
◻ TB
◻ Tetanus vaccination (Td/Tdap)*
◻ MMR*
◻ Varicella*
◻ HepB*
◻ Annual Influenza*
◻ Drug screen
◻ Background check
◻ Malpractice Insurance Coverage ($1M per incident, $6M aggregate) – must state “NP Student”
◻ Student Nursing License
◻ Release of Information Form
◻ Student Resume
Submit by email to Clinical Placement Coordinator in OFE:
◻ Preceptor Acknowledgement and Information Form
◻ Preceptor Resume/CV
◻ Preceptor Nursing/Medical License/Certification
◻ Affiliation Agreement Information (OFE will confirm if on file once site name is provided, if it is not on file,
student to provide necessary requested information to OFE, OFE will negotiate agreement)
◻ Preceptor and Clinical Placement Interest Form
Note: Clinical Facility may require additional requirements.
*Waivers are available for medical exceptions but may jeopardize placement.
The deadline to submit required documentation is a minimum of 8 weeks prior to the planned clinical course.
Documentation submitted late may result in a later registration of the clinical course. Students should submit their
documentation early to avoid a delay in their clinical start date.
Appendix B
STUDENT ACKNOWLEDGEMENT OF FNP CLINICAL
H
ANDBOOK GUIDELINES
Student:
I have read and agree to abide by the guidelines for clinical experiences as stated in the United States University
College of Nursing and Health Sciences Family Nurse Practitioner Clinical Handbook including the General
Overview, Sections, Appendices, and information specific to myself as a student.
Student Signature: _____________________________________ Date: ________________
39
40
HIPAA CONFIDENTIALITY AGREEMENT
All students must complete this form.
Student Full Name: _____________________________________
The discussions, uses and disclosures addressed by this Agreement mean any written, verbal or electronic communications. I
understand that I am never to discuss or review any information regarding a patient at a clinical site unless the discussion or
review is part of my assignment to the site. I understand that I am obligated to know and adhere to the privacy policies and
procedures of the clinical site to which I am assigned. I acknowledge that medical records, accounting information, patient
information and conversations between or among healthcare professionals about patients are confidential under law and this
Agreement.
I understand that, while in the clinical setting, I may not disclose any information about a patient during the clinical portion
of my clinical assignment to anyone other than the medical staff of the clinical site. I understand that I may not remove any
record from the clinical site without the written authorization of the site. Additionally, I understand that Patient Protected
Health Information (PHI) includes patient medical and financial information or any other information of a private or
sensitive nature that is considered confidential. I understand that before I use or disclose patient information in a learning
experience, classroom, case presentation, class assignment or research, I must exclude the following:
Additionally, I acknowledge that any patient information, whether or not it excludes some or all of those identifiers, may
only be used or disclosed for health care training and educational purposes at United States University, and must otherwise
remain confidential. I understand that I must promptly report any violation of the clinical site’s privacy policies and
procedures, applicable law, or this Agreement, by me, or an United States University student or faculty member to the
appropriate United States University Program Director.
I am familiar with the guidelines in place at United States University and in my clinical settings pertaining to the use and
disclosure of patient PHI or other confidential information. Prior approval should be obtained before any disclosure of PHI
or other confidential information not addressed in the guidelines and policies and procedures of United States University
and clinical sites. I understand the HIPAA Video and PowerPoint information and that if I have questions regarding the
HIPAA Video and PowerPoint that I need to take my questions to the appropriate Program Director at United States
University. I confirm by signing this Agreement, that I have successfully passed the HIPAA Training Quiz.
Finally, I understand that if I violate the privacy policies and procedures of the clinical site, applicable law, or this agreement,
I will be subject to disciplinary action. By signing this Agreement, I certify that I have read and understand its terms and will
comply with them.
Signature: Date: ______________
Names Certificate/license numbers
Geographical subdivisions smaller than a state
Vehicle identifiers Device identifiers
Dates of birth, admission, discharge, and death Web locators (URLs)
Telephone numbers and Fax numbers Internet protocol (IP) addresses
E-mail addresses Biometric identifiers
Social security numbers Full face photographs
Medical record numbers
Any other unique identifying number, characteristic, or code
Health plan beneficiary numbers
All ages over 89 years
Account numbers
Any other PHI, finacnial or confidential information
Appendix C
Complio Instructions
MSN FNP students are required to follow the below process and watch all video tutorials. United States University requires all
MSN FNP students to order the following packages under MSN FNP:
• Immunization package
• Background & Drug Screen (Note: Single drug screen package is available if retake is required/approved)
Please contact American Data Bank if you have questions about your account, compliance requirements, or using Complio. They
are available to assist you Monday-Friday 7am-6pm MT (Denver) via email at [email protected] or by calling
(800) 200-0853.
Welcome to Complio Tracking!
Complio is an online tracking system, selected by your school, to host details and documentation proving
your compliance with immunizations and other requirements. Follow these step-by-step instructions to create
an account and move towards compliance.
Video: Complio Overview
http://www.americandatabank.com/VideoDirectory/complio_overview.html
Create your Account
Step 1:
Create an account by going to www.sdnahcbackground.com. On the right hand side
of the page, click Create an account to get started with Complio. Enter your personal information. Be extra
careful with your email address, as this is the system’s main mode of communication with you.
Step 2:
Complio will send an email to the email address used during account creation. Click on the Activation Link
within the message or copy and paste the URL in your web browser.
Place Order
Step 3:
Please note: An Account is not the same as a Subscription. Before you can begin entering
information, you will need to order a subscription. Click
Get Started
to begin your order. Select
your school, applicant type and program of study (FNP) and click Load Packages. Select a Tracking
package and a Screening package:
• Immunization package
• Background & Drug Screen (Note: Single drug screen package is available if retake is required/approved)
Video: Subscribe to Complio
http://www.americandatabank.com/VideoDirectory/subscribe.html
Step 4
: Carefully enter the information required to complete your order. Please read the Disclaimer on the next screen,
sign, and click Accept & Proceed to continue.
Video: Signing Forms http://www.americandatabank.com/VideoDirectory/SigningForms.ht ml
Drug Screen Registration: Select the drug screen location that is most convenient for you. The current page loads
based on the zip code of your current address, you can provide a different zip code to view additional locations.
Appendix D
41
Upon completion of your order, you will receive an email (Check your spam
and/or
junk mail) with the registration
and collection location you have chosen. Make sure to print out the electronic drug screen registration form and go to
the collection site you selected along with a photo ID to submit a specimen. BE AWARE OF THE EXPIRATION
DATE ON THE DRUG SCREEN ORDER.
The drug screen must be completed prior to the expiration date. If the drug
screen is not completed prior to the expiration date, the drug screen will be flagged and the student will be required to
purchase another drug screen subject to USU approval.
Please note: If you pay for your order by money order, you will not receive this information until the payment has been received.
Step 5:
Review your information on the Order Review screen. If everything is correct, enter your payment. You can
pay by credit card or money order. Once they have received payment for your subscription, you can begin to enter
your data by clicking Enter Requirement for each category.
Add Details & Documents
Step 6:
Click Upload Documents to browse your computer and upload your records and use the Browse button to
locate documents within your computer.
Video: Upload Documents
http://www.americandatabank.com/VideoDirectory/upload.htm
Step 7:
Click Enter Requirement to add details for a specific requirement. There may be multiple options, but you
may not need to complete them all.
Video: Entering Data
http://www.americandatabank.com/VideoDirectory/data.html
Step 8: Select a Requirement, complete the required fields and select from the drop---down list of documents
you’ve uploaded. Click Submit to save what you’ve entered. You can update the item at any time before it is approved.
Video: Exceptions - • - When and How to Apply
http://www.americandatabank.com/VideoDirectory/exceptions.html
United States University generally does not accept exceptions. Please discuss any exceptions with Office of Field
Experience.
Wait for Approval
Once you have entered a document, the red “x” to the left of the item will turn into a yellow circle
with an
exclamation point , indicating the item is ready to be reviewed. American DataBank
verifies and reviews items
within 1-3 business days (excluding holidays and weekends). Please plan ahead.
Monitor Your Status
We recommend checking Complio regularly. You are not fully compliant until your Overall Compliance Status =
Compliant, indicated with a Green Checkmark. Complio will notify you via email when your compliance status
changes, if an item is approaching expiration, or if a new requirement is added.
Questions?
Please contact American Data Bank if you have questions about your account, compliance requirements, or using
Complio. They are available to assist you Monday-Friday 7am-6pm MT (Denver) via email at
[email protected] or by calling (800) 200-0853.
42
MEDICAL CLEARANCE FORM
Physician/NP: We rely heavily on your history with and examination of this nursing student. We appreciate as much
information as possible on history and physical examination. Thank you.
Name Social Security Number (last 4)
Blood Pressure (1) (2) Pulse Ht. Wt.
Vision (without glasses): Right Left (with glasses) Right Left
Allergies
Clinical Exam: Check each Item in appropriate column. Elaborate as needed.
Normal Abnormal
H.E.E.N.T.
Pupil Size
Skin
Heart
Lungs
Abdomen
Hernia and Genitalia (males)
Neurological
Spinal Column (scoliosis, etc.)
Upper Extremities
Lower Extremities
Present Health Problems:
Comments/Recommendations:
Restrictions:
Required for all Nursing Students: Rubeola Screen Mumps Screen
(May attach records/reports) Results (+/-) and Date Results (+/-) and Date
Rubella Screen Varicella Screen Tetanus shot date Results (+/-) and Date
Results (+/-) and Date
TB PPD (1) TB PPD (2) (OR) CXR
Date Read and Result Date Read and Result Result and Date
Yes No is physically and mentally able to perform duties
Student Name of a nursing student.
Provider’s Address City State Phone:
Provider’s Signature Date:
Provider’s Name (print)
Appendix E
43
Appendix F
ANNUAL POSITIVE TB SKIN
TEST QUESTIONNAIRE
Positive TB Skin Test
(PPD) Date:
_ Last Chest X-Ray Date:
Please indicate if you are having any of the following problems for three to four weeks or longer:
Yes No
1. Chronic cough lasting longer than three weeks
2. Chills that recur
3. Unexplained weight loss (over 10 lbs. in 2 months)
4. Night sweats
5. Fever lasting several days
6. Coughing blood
-
streaked sputum
7.
Fatigue—easily and
ongoing
8. Shortness of breath
9. Have you been recently diagnosed with diabetes, silicosis, HIV
disease, renal disease or liver disease?
10. Have you recently been exposed to a family member or other
person with active TB?
11. Have you ever received the BCG
immunization?
If you checked YES to any of the above questions, are you currently being treated by a Physician?
Yes or No (circle one). Please explain:
Any additional symptoms:
I have indicated the symptoms above and have no additional symptoms at this time:
Signature: Date:
Print Name:
Healthcare Provider
Name (print):
Certification: MD / NP / PA / RN
Signature Date
44
Appendix G
Preceptor & Clinical Placement Interest Form
OFE is pleased assist FNP students in following up with sites and preceptors for clinical placement. As student
clinical placement is highly competitive, we encourage you to provide us as much information to help you
achieve your preferred location and preceptor. Please provide at least 3 preceptors and the sites where they
are in practice. Submitting an incomplete form may delay processing.
STUDENT INFORMATION
Student Name: ____________________________________________________
Student ID: ____________________________________________________
The following are needed for which clinical course: MSN573 FNP592 FNP594 FNP596 FNP597
CLINICAL SITE/PRECEPTOR INFORMATION (1
st
Priority)
Clinical Site
Name:
Facility Phone:
Clinical Site
Address:
Clinical Site City, State &
Zip code:
Facility Email:
Type of Practice:
Preceptor Name:
Preceptor Credentials:
Preceptor Phone:
Preceptor Email:
Agreed to Precept Me Contacted, need OFE to follow up
CLINICAL SITE/PRECEPTOR INFORMATION (2
nd
Priority)
Clinical Site
Name:
Facility Phone:
Clinical Site
Address:
Clinical Site City, State &
Zip code:
Facility Email:
Type of Practice:
Preceptor Name:
Preceptor Credentials:
Preceptor Phone:
Preceptor Email:
Agreed to Precept Me Contacted, need OFE to follow up
CLINICAL SITE/PRECEPTOR INFORMATION (3
rd
Priority)
Clinical Site
Name:
Facility Phone:
Clinical Site
Address:
Clinical Site City, State &
Zip code:
Facility Email:
Type of Practice:
Preceptor Name:
Preceptor Credentials:
Preceptor Phone:
Preceptor Email:
Agreed to Precept me Contacted, need OFE follow up
45
Appendix H
Preceptor Information and Acknowledgement Form
Student Name: Student ID Number:
PRECEPTOR INFORMATION
Name:
Board
Certification:
Phone:
License #:
Fax:
Email:
Years of
Practice:
Foreign
Languages:
Clinical Site
Name:
Clinical Site
Address:
PRECEPTOR SPECIALTY (check all that apply)
☐Family/Internal Medicine/General ☐Women’s Health, Obstetrics, Gynecology ☐Geriatrics ☐Pediatrics
☐Emergency ☐Urgent Care ☐ Psych/Mental Health ☐Pain Management ☐Other: ________________
PRECEPTOR RESPONSIBILITES
• I have read the Family Nurse Practitioner Clinical Handbook and agree to abide by its guidelines
• I will read the Syllabus provided by student for each clinical course
• I have participated in orientation to the preceptorship
• I understand I may need to confer with the Clinical instructor during and/or at the end of the
course(s) to provide information I believe is necessary for progress in the clinical experience
• I agree to act as Preceptor to the student listed above as part of his/her enrollment at the United States
University College of Nursing and Health Sciences program clinical courses
• I have provided USU with a current Curriculum Vitae
• I agree to monitor student hours
• I agree to complete evaluations of the student and clinical experience, as necessary
Preceptor Signature: _________________________________ Date: ___________________
46
Appendix I
CONHS GUIDELINES FOR FNP CLINICAL PLACEMENTS AND
EXPERIENCE
➢
Appropriate Preceptors include: a Nurse Practitioner, a Certified Nurse Midwife, or a Physician
➢
A minimum of 585 hours is required with an approved preceptor
➢
We encourage every FNP student to get a minimum of 16 hours experience in telehealth
➢
The inpatient hospital setting is NOT an appropriate clinical site for FNP students at any point during
the clinical experience
COURSE
HOURS
REQUIRED
APPROPRIATE
SITES
EXPERIENCE COMMENTS
MSN 573:
Advanced
Health and
Physical
Assessment
Across the
Lifespan and
Cultures Lab
45 Total:
➢
28 hours of
clinical
practicum
➢
17 hours of
clinical lab
➢
Family practice
clinic
➢
Community based
clinic
➢
Internal Medicine
➢
Routine H&Ps
➢
Problem focused systems
exams
➢
Health Screening,
promotion and
maintenance
➢
Should see adults and
children
➢
Focus is on the history and exam only.
➢
The student should not spend time in
the diagnosis and management
component of the visit during this
course.
47
CONHS GUIDELINES FOR FNP CLINICAL
PLACEMENTS AND EXPERIENCE
COURSE
HOURS
REQUIRED
APPROPRIATE
SITES
EXPERIENCE COMMENTS
FNP 592:
Common
Illnesses
Across the
Lifespan –
Clinical
Practicum
135 Total:
➢
119
hours of
clinical
practicum
➢
16 hours
of clinical
lab
➢
Family
practice clinic
➢
Community based
clinic
➢
Internal Medicine
➢
Most of the
clinical hours will
be completed in a
family practice or
internal medicine
setting
➢
The focus is on
disease management
of patients with
common illnesses
➢
Possible
Women’s
health,
Obstetrics and
Gynecology,
Pediatrics, or
Geriatric rotation
Within the required: 585 clinical hours you
must get:
➢
Geriatrics: 100 minimum hours
➢
Women’s Health, Obstetrics, Gynecology: 40
minimum hours
➢
Pediatrics: 80 minimum hours
COURSE
HOURS
REQUIRED
APPROPRIATE
SITES
EXPERIENCE COMMENTS
FNP 594:
Primary Health
of Acute
Clients/Familie
s Across the
Lifespan –
Clinical
Practicum
135 Total:
➢
135 hours
of clinical
practicum
➢
Family
practice clinic
➢
Community
based clinic
➢
Internal Medicine
➢
Most of the
clinical hours will
be completed in
a family practice
or internal
medicine
setting
➢
The focus is on
disease
management of
patients with acute
illness
➢
Possible
Women’s
health,
Obstetrics and
Gynecology,
Pediatrics or
Geriatric rotation
Within the required: 585 clinical hours you
must get:
➢
Geriatrics: 100 minimum hours
➢
Women’s Health, Obstetrics, Gynecology: 40
minimum hours
➢
Pediatrics: 80 minimum hours
➢
Optional Specialty Rotations: Up to 40 hours
maximum in specialty rotations---(combined
total in multiple specialties or all in 1 specialty).
➢
During FNP 594 or FNP 597 ONLY: ER/Urgent
Care 60 hours maximum
48
CONHS GUIDELINES FOR FNP CLINICAL
PLACEMENTS AND EXPERIENCE
COURSE
HOURS
REQUIRED
APPROPRIATE SITES EXPERIENCE COMMENTS
FNP 596:
Primary
Healthcare of
Chronic
Clients/Families
Across the
Lifespan –
Clinical
Practicum
135 Total:
➢
134
hours of
clinical
practicu
m
➢
1 hour
of
clinical
lab
➢
Family
practice clinic
➢
Community
based
clinic
➢
Internal
Medicine
➢
Most of the
clinical hours
will be
completed in a
family practice
or internal
medicine setting
➢
The focus is on
disease
management of
patients with
acute illness
➢
Possible
Women’s
health,
Obstetrics and
Gynecology,
Pediatrics or
Geriatric
rotation
Within the required: 585 clinical hours you
must get:
➢
Geriatrics: 100 minimum hours
➢
Women’s Health, Obstetrics, Gynecology: 40
minimum hours
➢
Pediatrics: 80 minimum hours
➢
Optional Specialty Rotations: Up to 40 hours
maximum in specialty rotations---(combined
total in multiple specialties or all in 1 specialty).
COURSE
HOURS
REQUIRED
APPROPRIATE SITES
EXPERIENCE COMMENTS
FNP 597:
Clinical
Residency and
Practice
Management
135 Total:
➢
135
hours of
clinical
practicu
m
➢
Family practice
clinic
➢
Community
based clinic
➢
Internal Medicine
➢
Most of the
clinical hours will
be completed in
a family practice
or internal
medicine
setting
➢
The Focus is to get
ongoing experience in
disease management
of patients.
➢
Possible • Women’s
health, Obstetrics
and Gynecology,
Pediatrics or Geriatric
Rotation
Within the required 585 clinical hours you must
get:
➢
Geriatrics: 100 minimum hours
➢
Women’s Health, Obstetrics, Gynecology: 40
minimum hours
➢
Pediatrics: 80 minimum hours
➢
Optional Specialty Rotations: Up to 40 hours
maximum in specialty rotations---(combined
total in multiple specialties or all in 1 specialty).
➢
During FNP 594 or FNP 597 ONLY:
ER/Urgent
Care 60 hours maximum
49
Appendix J
Student Evaluation of Preceptor
Student Name:
Student ID:
Student USU E-mail:
Course:
Preceptor Name:
Site Name:
Evaluation completed by:
Student Signature: _________________________________
Student Name (Printed): ____________________________
Date: _______________________
Student Evaluation
Qualities
Below
Expectations
Meets
Expectations
Exceeds
Expectations
Communication
Concise, Clear,
Positive, and
professional
Professionalism
Professional
interaction
Teaching
Reviews all areas of
competencies and skill
development
Educational Support
Utilizes evidence
based practice and
guidelines. Directs
student to appropriate
resources.
50
Appendix K
Preceptor and Site Evaluation by Site
Supervisor
Preceptor Name:
Site Name:
All questions are rated: Below expectations (1); Meets Expectations (2); Exceeds
Expectations (3)
Area of Evaluation: Preceptor
1.
Available
Expectation: Available to answer questions, review goals and objectives, listen to presentations,
and sign
charts.
2.
Role models
Expectation: Demonstrates understanding of the APRN role; serves as a good role model for
physical
examination and assessment techniques.
3.
Allows practice opportunities
Expectations: Allows opportunities to assume increasing responsibility, suggest plan of care such as
health promotion screens, medications, lab and x-ray, alternative therapies, referrals while
considering limits according to level of training.
4.
Diagnostic Reasoning
Expectation: Leads student through decision-making rather than giving own impressions and
reviews their
differential diagnoses.
5.
Caring and Ethical Practices
Expectation: Demonstrates caring and ethical practices utilizing patient advocacy in all
socioeconomical
circumstances.
6.
Feedback
Expectation: Provides immediate and adequate feedback to questions, clinical performance, and
patient
presentations.
7.
Research/Quality
Expectation: Implements evidence-based practice and applies continuous quality improvement
in
delivery of care.
Area of Evaluation: Site
1.
Space/Time
Expectation: Provides adequate space and time for student to see clients.
2.
Client Types
Expectation: Provides opportunities for health promotion and disease prevention care as well as disease
diagnosis and
management
3.
Diversity
Expectation: Varies types of clients as to health status, diagnoses, level of acuity, age, sex, and ethnic.
51
4.
Support Staff
Expectation: Accepting and appropriately helpful
5.
Teaching/Education Opportunities
Expectation: Instructional materials available to supplement client learning such as pamphlets, books,
charts, etc.
6.
Summary of why this site and preceptor provided an acceptable learning environment:
7.
Additional feedback or areas of improvement needed:
8.
Do you recommend this clinical site and preceptor:
Yes No
Evaluation completed by:
Site Supervisor Signature: _________________________________
Site Supervisor Name (Printed): ____________________________
Date: _______________________
52
Appendix L
Preceptor/Clinical Faculty Evaluation of
Student
Student Name:
Student ID:
Student USU E-mail:
Course:
Preceptor Name:
Site Name:
All questions are rated: Below expectations (1); Meets Expectations (2); Exceeds
Expectations (3)
1.
Judgment/Common Sense
Expectations: Responds to clinical situations logically and demonstrates good judgment; considers cost
benefits and ethical principles.
2.
Attitude/Cooperation
Expectation: Maintains professional composure and accepts instruction; well motivated and shows
enthusiasm.
3.
Accountability/Dependability
Expectation: Good attendance, punctual and well prepared; meets minimum clinical hour requirements.
4.
Communication Skills
Expectation: Communicates well with staff and patients and prepares concise, legible and well-
organized progress
5.
Caring and Ethical Practices
Expectation: Demonstrates caring and ethical practices utilizing patient advocacy in all socioeconomical
circumstances.
6.
Diagnostic Reasoning/Critical Thinking Skills
Expectation: Applies diagnostic reasoning and critical thinking skills in clinical practice.
7.
Professional Role
Expectation: Articulates their specific scope of practice and collaborates with other healthcare partners.
8.
Teaching/Counseling Patients
Expectation: Counsels clients regarding wellness, health risks, age-appropriate screening, and health
restoration. Provides appropriate anticipatory guidance
9.
History Taking
Expectation: Elicits a complete and/or focused health history and documents effectively.
10.
Physical Exam
53
Expectation: Performs a skillful, complete physical according to the patients’ presenting complaints.
11.
Clinical Knowledge
Expectation: Applies relevant caring science theoretical advanced practice nursing concepts in health
promotion and disease management.
12.
Research/Quality
Expectation: Implements evidence-based practice and applies continuous quality improvement in
delivery of care.
13.
Clinical Skills
Expectation: Performs APRN skills appropriate to level of education.
14.
Diagnosis
Expectation: Utilizes appropriate differentials, diagnostic studies, and evidence-based practice
guidelines.
15.
Management Plan
Expectation: Provides appropriate patient education, community resources and health care provider
referrals, and plans for follow-up; uses pharmacological and integrative healing strategies.
16.
Evaluation/Follow-up
Expectation: Modifies plan of care according to patient’s response, additional database such as social,
financial, and diagnostic data.
17.
Leadership Role
Expectation: Demonstrates leadership skills in patient care and professional relationships.
18.
Community-based Experience
Expectation: Seeks out a meaningful clinical experience in community.
Evaluation completed by:
Preceptor Signature: _________________________________
Preceptor Name (Printed): ____________________________
Date: ______________________
54