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NURS 5609/6609/7609 Syllabus

Course Syllabus

NURS 5609/6609/7609 - FNP Practicum

4 Credit Hours

Course Information

Course Description:

This practicum experience focuses on the synthesis of previously gained knowledge and skills in the provision of advanced nursing care to individuals, families and communities. Emphasis is placed on health promotion, disease prevention and clinical management of clients with common acute and chronic illness.  (Requires a minimum of 240 clinical hours)

Course Outcomes:

Upon successful completion of this course, students will:

  1. Communicate effectively, orally and in writing, with individuals, families, groups, and communities to influence health and health care (EPSLO 2) (FNP GRC 1);
  2. Integrate data from assessments to develop diagnoses and health care strategies (EPSLO 1, 2) (FNP GRC 1) (OPO 1);
  3. Develop plans for individuals, families, groups, and communities to promote health, prevent disease, and manage acute/chronic illness (EPSLO 1,2) (FNP GRC 1) (OPO1);
  4. Manage the health care of clients incorporating ethical, legal, cultural, economic, political, and psychosocial principles (EPSLO 2) (FNP GRC 1) (OPO1);
  5. Evaluate the effectiveness of interventions and management strategies in improving the health status of individuals and groups (EPSLO 1,2) (FNP GRC 1) (OPO1);
  6. Collaborate with other health professionals and the community to provide comprehensive health services to clients (EPSLO 1,2) (FNP GRC 1) (OPO6);
  7. Teach individuals, families, groups and communities skills and behaviors to promote maintain, or restore health, and (EPSLO 1,2) (FNP GRC 1) (OPO1);
  8. Use research to validate and refine knowledge relevant to advanced nursing practice (EPSLO 1) (FNP GRC 1) (OPO1). 
Prerequisites & Co-requisites:

Admission to the TN eCampus MSN program; NURS 5000: Theoretical foundations; NURS 5003: Advanced Role Development; NURS 5601/5602: FNP I; NURS 5603/5604: FNP II; NURS 5605/5606: FNPIII.  Co-requisite: NURS 5990 Scholarly Synthesis

Course Topics:

Application of content presented in the pre-requisite theory/clinical courses. This course requires a minimum of 240 clinical hours including at least 260 patient encounters. 

Specific Course Requirements:
  • Knowledge and Skill in Course Management Systems.
  • The student CAN NOT begin the clinical experience until approval of the preceptor is received from the course faculty, there is a signed TN eCampus affiliation agreement, and the requirements below are met:
    • Clinical Calendar submitted as directed
    • Clinical Health Requirements completed and documents submitted to Medatrax
  • Students 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.
  • Log all clinical encounters in Medatrax within 24 hours of the clinical visit.
  • Update clinical skills list in Medatrax.
  • Keep clinical calendar updated throughout the semester.
  • Submit preceptor signed clinical calendar sign-off sheets to course drop box as indicated.
  • Fleming Clinical Evaluation Tool (FCET)
    • Mid-term: Student submits the signed evaluation to the course dropbox.
      • This non-graded assessment is used for formative evaluation.
    • Final: Student uploads a word document to the Final FCET dropbox providing the date when the preceptor emailed form and to what email address. Preceptor submits to the course faculty by email external to D2L.
      • This is a graded assessment. In order to pass the course, students must earn a minimum of B or better (85%) on the final FCET.
  • Clinical Failure Policy
    • If the clinical performance of any student involves an act of unethical, unprofessional, or unsafe behavior that compromises a client’s emotional or physical safety, the student may receive a grade of ‘F’ for the entire clinical course and no longer be eligible to continue in the MSN Program. 
    • Inappropriate behavior, including but not limited to inappropriate actions, failure to be prepared as assigned,  inappropriate communication, failure to adhere to the approved schedule (not showing up, arriving late, leaving early, etc.) or the student being asked to leave a clinical, may result in an ‘F’ for the entire clinical course.

Clinical Practice Setting:

Clinical practice experience with an approved preceptor in a community setting for a minimum of 240 clinical hours and students must log at least 260 patient encounters over the course of the semester. This experience must be spread out over the course of the semester rather than condensed into a shorter period of time. 

Students will need to arrange for an appropriate preceptor for this primary care experience. This practice experience should be in a community setting. A family/primary care setting is the preferred clinical setting. Other settings must be approved by the course instructor and the home school concentration coordinator. Specialty clinics may not be exceed 40 hours of the 240 hour total and must be approved. 

The student cannot begin the clinical experience until approval is received from their course faculty. Students are expected to contact faculty if there is any difficulty with their clinical.

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:

National Guideline Clearinghouse. Standards of Practice. http://www.guideline.gov/

American Nurses Association. (2015).  Essentials of nursing practice package. Atlanta, GA: Author. PUB# FNDN2015. This package contains the three documents listed below at a discounted rate. The eBook version is available from http://www.nursesbooks.org/Homepage/Featured-Items/Essentials-of-Nursing-Practice-Package.aspx

American Nurses Association (2015). Guide to nursing’s social policy statement: Understanding the profession from social contract to social covenant. Silver Springs, MD: Author. ISBN 9781558102705
American Nurses Association (2015). Code of ethics for nurses with interpretative statements. Silver Springs, MD: Author. ISBN 978-1-55810-599-7
American Nurses Association (2015). Nursing: Scope and standards of practice (3rd ed.). Silver Springs, MD: Author. ISBN 978-1-55810-619-2

APRN Application TN Board of Nursing - NEW - can be located at the following link under "Applications"  There is also a copy of the form in the course.

Students are expected to purchase their own stethoscope with both bell and diaphragm (or stethoscope with a floating diaphragm) and a watch with a second hand. Students may need to purchase an otoscope/ophthalmoscope set if this is not provided at the clinic site. Students may find a PDA with medical reference applications very helpful. There are many useful apps available for your smartphone or other electronic device. One that is particularly useful is Epocrates (http://www.epocrates.com/).

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:

Students will purchase and complete a Standardized Comprehensive Exit Exam. 

Grading Procedures:

Grades on the following assignments constitute the grade for this course. All assignments must be completed in order to successfully complete the 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.

Grading Scale:
GradePoint Range
A93-100%
B85-92%
C77-84%
D70-76%
F<70%

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".

Source:  US Department of Health and Human Services, National Institutes of Health Office of Research Integrity. (2013). Academic self-plagiarism (double dipping).  Retrieved from http://ori.hhs.gov/plagiarism-15.

 

Assignments and Projects:
Graded Items:
ItemPoints
HESI Comprehensive Exit Exam15%
Plan for Certification Success5%
Post Graduation Assignment5%
Fleming Clinical Evaluation Tool (Final)75%
Total Percentage100%

Students are required to complete at least 240 hours of clinical practice and must maintain satisfactory clinical performance as evidenced by preceptor evaluations of the student. For the FNP Practicum Course, each student will see and manage the care for a minimum 260 patient encounters. If a student does not complete these requirements he/she will fail the course.

The Fleming Clinical Evaluation Tool (FCET) 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.

Assignments:

Evolve & HESI
See instructions and information in the syllabus under required textbook and in course content. Be aware of related due dates. You will need to schedule your appointment for the test at a Prometric Testing Center.  The date to have scheduling complete in listed on the course calendar.  The sooner you do this, the more likely it will be that you can have an appointment where and when you desire. More information will provided.  See calendar or course content for due dates.
 
Post-Graduation & Certification Assignment
See grading guidelines under course content.  

Clinical Calendar, Clinical Calendar Sign-Off Sheets & Medatrax

Clinical Calendar
Students are expected to provide a clinical calendar (located in Course Content under "Clinical Requirements") to their clinical faculty by date listed in drop-box. Once submitted, the drop box will be left open for revisions to the calendar as needed.
 
Clinical Calendar Sign-Off Sheet & Medatrax Review - Logging Patients
Students are required to log all patient encounters using the online clinical tracking system 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.

Students 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 drop box in D2L (see drop box/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 may be new to you and will take time. Keep Medatrax 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.  Failure to have Medatrax information up to date, may result in suspension of clinical attendance until inputs are current.

Any required documentation (outside of information in Medatrax) should be scanned, in PDF format, with the preceptor and student's signature and uploaded to D2L or Medatrax as directed on Calendar and/or Dropbox. Faxed copies will not be accepted. Students, please keep a copy of your documents! Examples: Clinical Calendar Sign-Off Sheets and Preceptor Evaluations of Students.

Clinical Skills
Students are required to keep a running tab of clinical skills accomplished in Medatrax. The checklist will be a permanent growing record of the skills and accomplishments that students complete during their FNP program. This can be used to track progression and as a tool for seeking a FNP position after graduation.
 
Clinical Performance Evaluation
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. Review content in "Getting Started" and "Clinical & Course Requirements" for more information related to Midterm and Final FCETs. 
 
Complete All Evaluations Requested
Clinical site, preceptor, course, and instructor.

General Clinical Guidelines

Conduct
Professional conduct in the clinical site is expected. Problem/disagreements are to be handled in a quiet, professional manner, away from the patient. If any problem arises, you MUST contact the clinical faculty in a timely manner.
 
Dress
Professional dress (usually a lab coat) and visible identification badge is required. There may be certain sites/situations where lab coats may not be desired (i.e. pediatrics). No sandals, open toe shoes, or jeans should be worn to clinical.
 
Absences/Delays
Arrive on time at all clinical sites. If there is an unanticipated delay, call the preceptor as soon as possible. Notify the preceptor of any anticipated absence prior to the start of the clinical day. Failure to notify the preceptor of any delay or absence as stated above may result in an unsatisfactory grade for the clinical experience. Arrangements must be made with the clinical coordinator for any make-up time for absences.

Practicum experience focuses on the synthesis of previously gained knowledge and skills in the provision of advanced nursing care to individuals, families and communities. Emphasis is placed on health promotion, disease prevention and clinical management of clients with common acute and chronic illness.

Class Participation:

Students are expected to participate in all interactive aspects of the course. As an instructor, I use the discussion board as the primary method of communicating with students. Unless it is a personal issue, most questions should be asked, and answered, on the discussion board. Students should check the course bulletin board at least twice a week for any announcements and/or ongoing discussions. A student who fails to contact the instructor on a regular basis may miss important updates in the course.

Each discussion board posting must begin with the student’s name (Jane Doe), course and section number (NURS5606R50), semester and year. Failure to include each of these items may result in the posting not being recognized for credit.

For discussion board assignments, not to include introductions, questions, or DB conversations that are not required, each student is required to also post each of their discussion board postings (cut and paste the identical posting) to the Discussion Board Dropbox. This is in addition to posting on the discussion board itself. Discussion board postings will be assessed for similarity with the results accessible to faculty only.  

Late Policy:

Late assignments will receive a 10% grade reduction for each day or portion of a day that the assignment is late. Central standard time will be used as the standard in this course. The calendar/drop box contains all due dates and should be consulted frequently for updates. All late FHEA quizzes and examinations will receive a zero.

Course Ground Rules

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

RULES OF THE TENNESSEE BOARD OF REGENTS STATE UNIVERSITY AND COMMUNITY COLLEGE SYSTEM OF TENNESSEE SYSTEMWIDE STUDENT RULES CHAPTER 0240-02-03 STUDENT CONDUCT AND DISCIPLINARY SANCTIONS

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

Email:

  • 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

Discussions:

  • 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.

Library

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.

Disclaimer

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 October 24, 2018