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NURS 5604/6604/7604 Syllabus

Course Syllabus

NURS 5604/6604/7604 - FNP II Adult Health Clinical

4 Credit Hours

Course Information

Course Description:

This course focuses on advanced practice nursing and health care management of adults and older adults in diverse populations. Course content includes developmental, physiological, pathological, and psychosocial changes relative to health maintenance, acute and chronic illnesses and life transitions.

Course Outcomes:

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

  1. Demonstrate appropriate and effective oral and written communication with adult and older clients, their families, and other health professionals;
  2. Perform comprehensive and developmentally appropriate health assessments on adults and older adults;
  3. Develop management plans for health promotion, disease prevention, and acute and chronic illnesses in adults and older adults;
  4. Manage the health care of adults and older adults, and their families incorporating ethical, legal, cultural, economic, political and psychosocial principles;
  5. Evaluate the effectiveness of interventions and management strategies in improving the health status of adults and older adults;
  6. Collaborate with other health professionals to provide comprehensive health services for adults and older adults;
  7. Teach individuals, families, and groups skills and behaviors to promote health, prevent disease, and manage acute and chronic illnesses in adults and older adults;
  8. Implement current research related to diagnostic and treatment protocols to improve the delivery of health care to adults and older adults
Prerequisites & Co-requisites:

Admission to the TN eCampus MSN program; prerequisites: NURS 5003; NURS 5101/5102; NURS 5103; NURS 5104. Co -requisite: NURS 5603

Course Topics:

Clinical practice experience with an approved preceptor in an outpatient setting for a minimum of 240 hours and a minimum of 240 patient encounters is required during the term. A maximum of 80 clinical hours are allowed in an urgent care setting. To satisfy the geriatric expectations for this course, students are required to have a minimum of 90 patient encounters with individuals 60 years of age or older

Specific Course Requirements:

The student CAN NOT begin the clinical experience until approval of the preceptor is received from the course faculty, there is a signed RODP affiliation agreement, and the requirements below are met:

  1. Clinical Calendar submitted as directed
  2. Clinical Health Requirements completed and documents submitted to Medatrax

Student MUST actively participate in all required assignments in accordance with the due dates published within the course. If assignments are not completed as expected, clinical attendance will be suspended until deficiencies are corrected. The student will inform the clinical preceptor that they cannot attend clinical while suspended. The student must receive written approval from the faculty before resuming clinical attendance.

  1. Log all clinical encounters in Medatrax within 24 hours of the clinical visit
  2. Update Clinical Skills list in Medatrax
  3. Keep Clinical Calendar updated throughout semester
  4. Submit clinical Calendar Sign-off Sheets and Medatrax Checks to course Drop Box
  5. Fleming Clinical Evaluation Tool (FCET)
    1. Midterm: Student submits the signed evaluation to the course dropbox
      1. This non-graded assessment is used for formative evaluation
    2. Final: Student uploads a word document to the Final FCET dropbox providing the date when the preceptor emails form and to what email address. Preceptor submits to the course faculty by e-mail (student provides the instructors external email address on the form prior to giving it to the preceptor)
      1. This is a graded assessment. In order to pass the course, students must earn a minimum of B or better (85%) on all final FCETs.

Clinical Calendar Sign-Off Sheet & Medatrax Review - Logging Patients

Students are required to log all patient encounters using Medatrax and have the preceptor validate their time in clinic using the Clinical Calendar Sign-Off Sheet. Instructors will have access to these logs at all times and may comment and make suggestions to support your learning experiences.

Each student must keep an accurate daily calendar with them at their clinical site. The student is to have their preceptor (approved preceptors only) sign the calendar at the end of each week verifying the clinical hours for that week. The student is to submit the Clinical Calendar Check-Off Sheet to their clinical instructor, in PDF format, via the dropbox in D2L (see dropbox/calendar for due dates). This document will be compared to the data in Medatrax to ensure that the patients you have seen to date are logged and complete. If not, you may not be able to use those patient hours toward the course total.

Please be proactive. Do not procrastinate. This process may be new to you and will take time! Keep Medatrax data up to date. The signed calendar is due by 11:59 PM on the due date indicated. Failure to submit the document will result in omission of those clinical hours toward the total required for the course.

Clinical Practice Setting:

Clinical practice experience with an approved preceptor in an outpatient setting for a minimum of 240 hours and a minimum of 240 patient encounters is required during the term. A maximum of 80 clinical hours are allowed in an urgent care setting. To satisfy the geriatric expectations for this course, students are required to have a minimum of 90 patient encounters with individuals 60 years of age or older. A family / primary care practice is the preferred clinical setting; however, an internal medicine practice setting where providers care for a high volume of adults (including geriatric care) is acceptable.

Textbooks, Supplementary Materials, Hardware and Software Requirements

Required Textbooks:

Please visit the Virtual Bookstore to obtain textbook information for this course. Move your cursor over the "Books" link in the navigation bar and select "Textbooks & Course Materials." Select your Program, Term, Department, and Course; then select "Submit."

Supplementary Materials:

Students are expected to purchase their own lab coat(s), stethoscope with both bell and diaphragm (or stethoscope with a floating diaphragm), goggles and a watch with a second hand. Students may need to purchase an otoscope/ophthalmoscope set or other equipment, if this is not provided at the clinic site. Students may find a PDA with medical reference applications very helpful. This is not mandatory. Two programs that may be particularly useful are Epocrates DX for PDA ( and Merck Medicus for PDA (

Student Requirements:

Registered Nurse Licensure

Students must have and maintain an unencumbered RN license for Tennessee or the state in which the clinical assignments are completed.

Student FNP Liability Insurance

The graduate student practices under his or her own license and is required to maintain current advanced practice student liability insurance. Family Nurse Practitioner students must maintain student FNP liability insurance (not RN malpractice) See ROCC web site for liability limits.

Health/Immunization Requirements

All students must document physical and/or emotional fitness to meet the essential requirements of the program. Current physical examination and immunization records are required. Student health records must be provided to clinical affiliates upon request in compliance with Clinical Affiliation Agreements. These records must be uploaded to Medatrax.  Do not submit these records to the MSN RODP office.

Background Checks

Criminal background checks may be required by clinical affiliates. It is the student’s responsibility to make timely arrangements for the background check and to pay all costs associated with such checks. Check the ROCC web site for vendor information.

All students are required to submit documentation of Current Basic Life Support (BLS) Health Care Provider


To successfully satisfy the requirements of this course, students must complete a minimum of 240 hours with an approved preceptor a community setting during the term. A family / primary care practice is the preferred clinical setting; however, an internal medicine practice setting where providers care for a high volume of adults (including geriatric care) is acceptable. Specialty practices (ENT, Endocrinology, etc.) are discouraged and not approved because they limit the student's exposure to a diversity of experiences. This clinical experience must include 90 (ninety) patient encounters that should be done with a geriatric population.

If the student has declared the intent to be certified as a family nurse practitioner, all clinical hours must be completed during the semester enrolled in that specified course. Hours may not be accumulated between semesters or after completion of the clinical courses 

Hardware and Software Requirements:

Minimum hardware requirements can be found here.

Minimum software requirements can be found here.

Common applications you might need:

Web Resources:

Purdue OWL Online Writing Lab (for APA, MLA, or Chicago style)

The Writing Center Online Writer's Handbook

Student Resources:
  • Technical support information can be found on the TN eCampus Help Desk page.
  • Smarthinking virtual tutoring is available FREE of charge. to access Smarthinking, visit the course homepage and select Smarthinking under Course Resources. You also view sample sessions to see what Smarthinking offers and how it works.
  • Information on other student issues or concerns can be located on the TN eCampus Student Resources page.

Instructor Information

Please see "Instructor Information" in the Getting Started Module for instructor contact information, virtual office hours, and other communication information. You can expect to receive a response from the instructor within 24-48 hours unless notified of extenuating circumstances.

Participation, Assessments, & Grading

Testing Procedures:

There are no written examinations in this course.

Grading Procedures:

Grades on the following assignments constitute the grade for this course. Specific requirements for each assignment are detailed at the end of this syllabus: All written assignments are considered professional papers and will be graded in accordance with APA publication guidelines. Points will also be deducted for errors in spelling, grammar, punctuation and sentence structure.

U.S. Department of Health and Human Services, National Institutes of Health, Office of Research Integrity. (2013). 

Academic Self-Plagiarism (Double-dipping).  Academic: Self-Plagiarism: The US Department of Health and Human Service Office of Research Integrity defines Self-Plagiarism as follows.  “Redundant publication has a direct counterpart in the area of academic dishonesty- it is referred to as ‘double dipping’. It occurs when a student submits a whole paper or a substantial portion of a paper to fulfill a course requirement, even though that paper had earlier been submitted to satisfy the requirements for another course taught by a different professor. Many college undergraduates and even some graduate students are not aware that this type of practice is a serious offense and constitutes plagiarism”.  (U.S. Department of Health and Human Services Office of Research Integrity, 2013). Retrieved from 

Grading Scale:

The course grade is based on the following:

Clinical Population Analysis I


Clinical Population Analysis II


Fleming Clinical Evaluation Tool-Final


The Fleming Clinical Evaluation Tool is located in the course content section of this course and is used by your clinical preceptor to evaluate student competence. In some instances, students may have more than one preceptor. In this event, all preceptor final evaluation scores will be averaged to obtain the students final grade for this item. However, in order to pass the course, students must earn a minimum of B or better (85%) on all final FCETs. 

Grading Scale:

A = 93-100
B = 85-92
C = 77-84
D = 70-76
F = <70

Assignments and Projects:

Completion of all graded assignments and projects (as mentioned above) determines the final course grade. Assignment guidelines and the rubrics used for grading these assignments are provided in course content

All graded assignments are to be submitted to the respective forum DROPBOX (Documents sent by email cannot and will not be accepted for credit.)

Class Participation:

Students are expected to participate in all interactive aspects of the course. Students should check the course bulletin board at least twice a week for any announcements.

Clinical Skills Inventory

Students are required to update their clinical skills list in Medatrax to track procedures performed in the clinical setting. Students are expected to seek out opportunities to develop all skills listed.

Late Policy:

Late assignments will receive a 10% grade deduction for each day or portion of a day that the assignment is late - even if the portion of a day is only one minute. Central Standard Time (CST) will be used as the standard in this course.

Course Ground Rules

The following two statements (1., 2.) were derived from the TBR System-wide Student Rules document, released January 2012:


Read the document in its entirety here.

1. Standards of Conduct:

  • Students are required to adhere to the same professional, legal and ethical standards of conduct online as on campus. In addition, students should conform to generally accepted standards of "netiquette" while sending e-mail, posting comments to the discussion board, and while participating in other means of communicating online. Specifically, students should refrain from inappropriate and/or offensive language, comments and actions.

2. Review the TN eCampus Academic Integrity/Academic Honesty Policy:

  • In their academic activities, students are expected to maintain high standards of honesty and integrity. Academic dishonesty is prohibited.

Such conduct includes, but is not limited to:

  • an attempt by one or more students to use unauthorized information in the taking of an exam
  • to submit as one's own work, themes, reports, drawings, laboratory notes, computer programs, or other products prepared by another person,
  • or to knowingly assist another student in obtaining or using unauthorized materials.

Plagiarism, cheating, and other forms of academic dishonesty are prohibited.

Students guilty of academic misconduct, either directly or indirectly through participation or assistance, are subject to disciplinary action through the regular procedures of the student’s home institution.  Refer to the student handbook provided by your home institution to review the student conduct policy.

In addition to other possible disciplinary sanctions that may be imposed, the instructor has the authority to assign an "F" or zero for an activity or to assign an "F" for the course.

Other Course Rules:

Students are expected to:

  • Participate in all aspects of the course
  • Communicate with other students
  • Learn how to navigate in Brightspace
  • Keep abreast of course announcements
  • Use the assigned course management (Brightspace) email address rather than a personal email address
  • Address technical problems immediately:
  • Observe course netiquette at all times.

Guidelines for Communications


  • Always include a subject line.
  • Remember without facial expressions some comments may be taken the wrong way. Be careful in wording your emails. Use of emoticons might be helpful in some cases.
  • Use standard fonts.
  • Do not send large attachments without permission.
  • Special formatting such as centering, audio messages, tables, html, etc. should be avoided unless necessary to complete an assignment or other communication.
  • Respect the privacy of other class members


  • Review the discussion threads thoroughly before entering the discussion. Be a lurker then a discussant.
  • Try to maintain threads by using the "Reply" button rather starting a new topic.
  • Do not make insulting or inflammatory statements to other members of the discussion group. Be respectful of other’s ideas.
  • Be patient and read the comments of other group members thoroughly before entering your remarks.
  • Be cooperative with group leaders in completing assigned tasks.
  • Be positive and constructive in group discussions.
  • Respond in a thoughtful and timely manner.


The Tennessee Virtual Library is available to all students enrolled in TN eCampus programs and courses. Links to library materials (such as electronic journals, databases, interlibrary loans, digital reserves, dictionaries, encyclopedias, maps, and librarian support) and Internet resources needed by learners to complete online assignments and as background reading will be included within the course modules. To access the Virtual Library, go to the course homepage and select the Virtual Library link under Course Resources.

Students with Disabilities

Qualified students with disabilities will be provided reasonable and necessary academic accommodations if determined eligible by the appropriate disability services staff at their home institution. Prior to granting disability accommodations in this course, the instructor must receive written verification of a student's eligibility for specific accommodations from the disability services staff at the home institution. It is the student's responsibility to initiate contact with their home institution's disability services staff and to follow the established procedures for having the accommodation notice sent to the instructor.

Syllabus Changes

The instructor reserves the right to make changes as necessary to this syllabus. If changes are necessitated during the term of the course, the instructor will immediately notify students of such changes both by individual email communication and posting both notification and nature of change(s) on the course bulletin board.


The information contained in this syllabus is for general information purposes only. While we endeavor to keep this information up-to-date and accurate, there may be some discrepancies between this syllabus and the one found in your online course. The syllabus of record is the one found in your online course. Please make sure you read the syllabus in your course at the beginning of the semester. Questions regarding course content should be directed to your instructor.

Last Revised on December 11, 2017