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Advanced Health Management Rotation/Practicum (NURS-DNP 547)

Overview

Rotation integrates, synthesizes and applies diagnostic reasoning and management skills in a comprehensive, interdisciplinary, and autonomous manner that reflects the FNP scope of practice Hours. Specialists may include Internal Medicine, Cardiology, Gastroenterology, Otolaryngology, Nephrology, Endocrinology, etc. Optionally, the preceptor facility assists with allowing observational rotation in interprofessional departments i.e. radiology, pharmacy, dietetics, physical therapy. Observational opportunities augment the students overall learning and understanding, however, these hours do not count toward the required hours.

NURS-DNP 547: Primary Care Clinical Residency
Required for: FNP Doctor of Nursing Practice Students
Course Description: Synthesizes and implements theoretical, clinical, and scientific principles for the family nurse practitioner practice in primary care settings. Provides comprehensive care to diverse patient populations, evaluates patients to determine appropriate interventions for health promotion or illness care, and assesses outcomes across the lifespan.

Course Objectives

  • Synthesis, implementation, and evaluation of theoretical, clinical, and scientific principles of AGNP practice.
  • Consistently demonstrate accountability and competency in all aspects of the role of the AGNP in clinical practice providing care for adults across the lifespan, under the supervision of the preceptor, including: Advanced skills in advanced practice nursing, communication, documentation, clinical reasoning, decision making, information literacy, evidence-based practice, and self-directed learning.
  • Construction, implementation, and evaluation of safe, appropriate, effective, patient-centered, ethical, and evidence based plans for assessment, diagnosis, and management of health/chronic and acute illness in adult-geriatric patients and their families.
  • Provision of the full spectrum of health care services within the full scope of the adult-geriatric primary care nurse practitioner role, including transitions across the continuum of care settings.
  • Leading creation of mutually respectful, collaborative, effective, trust-based, partnerships with patients, families, and inter-professional team members.

Clinical Competencies

All rotations require hands on, direct patient interaction. Observation only time should be very minimal. Student should acquire the following skills/competencies during this rotation:

  • Taking appropriately comprehensive complete and focused health histories.
  • Reconciliation of health histories and medication.
  • Performing appropriately comprehensive complete and focused physical examinations.
  • Selecting and interpreting appropriate diagnostic testing as indicated by the clinical presentation.
  • Identification of risk factors.
  • Developing appropriate differential diagnoses with evidence based rationale.
  • Arriving at final working diagnosis with evidence based rationale.
  • Development of a management plan with preceptor guidance- would expect high level of autonomous diagnostic reasoning and decision making.
  • Patient education / counseling / health promotion and protection.
  • Evaluation of management plans with preceptor guidance.
  • May perform scope specific procedures under direct preceptor supervision.
  • Documentation of a SOAP note. For educational purposes students are expected to develop a traditional written note in the SOAP format. It is preferred that students document and review notes with their preceptor using this format rather than documenting in the EMR. The SOAP note format is better suited to developing and demonstrating skills of diagnostic reasoning than is an EMR template.