DNP Placement Guidelines · Advanced Health Assessment Skills & Simulation Experiences Nurse Practitioner students will have the opportunity to develop advanced physical assessment

NursePractitionerClinicalPlacementGuidelinesforStudents,Preceptors,and

Faculty

2020-2021

2 Approved Joint Curriculum Committee 04/16/2020 Approved Joint DNP Administrative Council 04/28/2020

1 Approved Curriculum Council 03/22/19 TableofContents

Introduction……………………………………………………………………………………………………………………… 3NPClinicalPracticumPoliciesandProcedures……………………………………………………………………. 3NPScopeofPractice…………………………………………………………………………………………………………... 3NPClinicalSiteCriteria………………………………………………………………………………………………………. 5NPPreceptorCriteria…………………………………………………………………………………………………………. 8NPStudentClinicalSiteandPreceptorApprovalProcess……………………………………………………. 8ClinicalRotationPlan…………………………………………………………………………………………………………. 10ClinicalAttendance…………………………………………………………………………………………………………….. 11ClinicalHoursRequired……………………………………………………………………………………………………… 12ClinicalParticipationandExperiences……………………………………………………………………………….. 12Preparation……………………………………………………………………………………………………………………….. 12SuppliesNeeded………………………………………………………………………………………………………………… 12Participation……………………………………………………………………………………………………………………… 13ElectronicMedicalRecordAccessandDocumentation………………………………………………………… 13ClinicalExperienceDocumentation…………………………………………………………………………………….. 14Evaluations………………………………………………………………………………………………………………………… 15FacultySiteVisits……………………………………………………………………………………………………………….. 15SignificantMedicalorPsychiatricEvent……………………………………………………………………………... 16SubstanceAbuse………………………………………………………………………………………………………………… 16OtherGeneralPoliciesandprocedures………………………………………………………………………………… 16ClinicalCourseRequirements……………………………………………………………………………………………... 16HIPAA………………………………………………………………………………………………………………………………... 16ProfessionalDressandBehavior…………………………………………………………………………………………. 17Employment………………………………………………………………………………………………………………………. 17SocialMedia/Networking……………………………………………………………………………………………………. 17NPStudentResponsibilities………………………………………………………………………………………………… 17PreceptorResponsibilities…………………………………………………………………………………………………. 18ClinicalPlacementCoordinatorResponsibilities…………………………………………………………………. 19ClinicalFacultyResponsibilities…………………………………………………………………………………………. 19ProjectConcert………………………………………………………………………………………………………………….. 20Medatrax………………………………………………………………………………………………………………………..…… 21LinkstoForms…………………………………………………………………………………………………………….……… 23References……………………………………………………………………………………………………...…………….……. 24

ETSU-TTUDNPProgram

NursePractitionerClinicalPlacementGuidelinesforStudents,Preceptors,andFaculty

Introduction TheseguidelinesareusedinconjunctionwithotherUniversitydocumentssuchastheETSUandTTUGraduateCatalogs,ETSU-TTUDNPStudentHandbook,andETSU-TTUDNPProjectGuidelines.TheETSUandTTUGraduateCatalogsalsocontainessentialinformationaboutUniversitypoliciesandprocedures.TheETSU-TTUStudentHandbookcontainsadditionalpolicies,regulations,resources,andservicesavailableforstudents.TheHandbookandGuidesarelocatedontheETSUCollegeofNursingwebsiteandtheTTUCollegeofNursingwebsite.ThisdocumentcomplieswithAACNEssentialsofDoctoralEducationforAdvancedNursingPracticetheConsensusModelforAPRNRegulation, Licensure, Accreditation, Certification, Education, NONPFCoreCompetenciesforNPEducation,Universitypolicyanddepartmentalpolicy. TheseguidelinespertaintothefollowingstudentNPconcentrations.

ETSU-TTUJointDNPFNPPNPPC PMHNPAGACNPWHCNP

Note: FNP-Family Nurse Practitioner, PMHNP-Psychiatric Mental Health Nurse Practitioner, PNPPC—Pediatric Nurse Practitioner Primary Care, AGACNP—Adult Geriatric Primary Care Nurse Practitioner, WHCNP—Women’s Health Care Nurse Practitioner

NursePractitionerClinicalPracticumPoliciesandProcedures

NursePractitionerScopeofPracticeUpongraduationfromanaccreditedschoolofnursing,anationalprofessionalassociationsuchastheAmericanAcademyofNursePractitionersortheAmericanNursesCredentialingCentermaycertifyNPgraduatesbasedonexaminationresults.StatelawisthemostpowerfulsourceofauthorityforNPpractice.Thestate’sNursePracticeActregulatestheNPspracticeandholdsauthorityforstatelicensure.Statutesoflegislatorsdefinethescopeofpracticeinsomestatesandthestateboardofnursingdefinesothers.ItistheresponsibilityofeachstudenttodeterminethescopeofpracticeforthestatewherethestudentwillpracticeandtoadheretotheBoardofNursing’srequirementsupongraduation.Reviewyourstate’sNursePracticeActhere.Nursepractitionerstudentsfunctioninalearningroleunderthedirectsupervisionofthelicensedpreceptor.Assuch,therearecertainpracticesandproceduresthatNPstudentsareprohibitedfromperformingwhileunlicensed.Further,patientsafetydictatesthatcompetencyisvalidatedpriortoperformance.Nursepractitionerstudentsareprohibitedfromperformingproceduresforwhichtheyhavenotreceivedpreviousclinicalvalidationfromfacultyoraclinicalpreceptorthroughreturndemonstrationand/orclinicalcompetencyexamination.TheclinicalpreceptormustprovidedirectsupervisionoftheNPstudentatalltimesduringanyinvasiveprocedures.Ifastudenthas


questionsaboutwhetherornotaprocedureisallowableintheclinicalsite,thestudentisrequiredtocontactthecoursefaculty.Studentsareencouragedtoobserveproceduresastheopportunityarises.Nursepractitionerstudentsarealsoatnotimepermittedtosignprescriptions,dispensemedications,ore-prescribemedications.Thisistheresponsibilityofthelicensedpreceptorandisbeyondthestudent'sscopeofpractice.Prescriptiveauthorityisgainedafterthestudentissuccessfullylicensedinthestateinwhichhe/shepractices.Thestudentisencouragedtoconferwiththepreceptorandmakerecommendationsregardingtheneedforprescriptions.AdvancedHealthAssessmentSkills&SimulationExperiencesNursePractitionerstudentswillhavetheopportunitytodevelopadvancedphysicalassessmentskillsthroughpractice.Studentsareaffordedtheabilitytouseequipment,suchasotoscopes,ophthalmoscopes,tuningforks,andreflexhammersavailableinthesimulationlab.However,studentsarestronglyencouragedtopurchasetheirownequipment.Thisallowsthestudenttohaveaccesstosuppliesoutsideofthelabandsupportsthestudent'sindependentpracticeofassessmentskillspriortoClinicalCompetencyExams(CCEs).

Note:Studentsarerequiredtohaveaccesstothefollowingforclinicalexperiences:ophthalmoscope,otoscope,stethoscope,reflexhammer,512-Hztuningfork,smartdevice(iPhone,droid,tablet,etc.),penlight,andretractablemeasuringtape.Suppliesareoftenlimitedinruralhealthclinicsandpurchaseoftheseitemscanensurethestudenthasessentialequipmentneededforpracticeandtheclinicalpracticumexperience.

TheSimulationLabsatETSUandTTUalsoprovidesNPstudentstheopportunitytopracticeadditionaladvancedskills.LabsmayofferthefollowingsimulationequipmentforNPstudents:(a)ventriloscopes(murmurs,heartsounds,lungsounds,etc.);(b)OpthaSim(reviewtechnique,normalinternalstructuresofeyeandpathology);(c)OtoSim(reviewtechnique,normalinternalearstructuresandpathology);(d)pelvicmodels(Papsmear,bimanualexam,andrectovaginalexam);(e)prostatemodels(reviewtechniqueandpathology);(f)testicularexammodels(reviewtechniqueandpathology).Somepractice/simulationtimemaybemandatoryforstudents,thiswillbecommunicatedinthepracticumcoursesyllabi.Studentswhowishtoarrangeadditionalpracticeand/orsimulationtimeshouldcontacttheLabCoordinatorateitheruniversityCollege/SchoolofNursing.WorkshopsDuringthesemester,theremaybeopportunitiestoattendworkshopsintheCollege/SchoolofNursingforskillsrequiringadditionalinstructionincluding,butnotlimitedto,suturing,incisionanddrainage,punchbiopsy,x-rayinterpretation,EKGinterpretation,andintraarticularinjection.Theseworkshopswillbeannouncedasavailable.FacultymakeeveryefforttoarrangetheseexperiencesforNPstudentsduringon-siteintensives.Workshops,simulation,and/oradditional


practicetimemayberequiredforvalidationofcertainskills(RefertoScopeofPracticeinformationabove).ClinicalCompetencyExaminationsNPstudentsmustsuccessfullypassa3-partClinicalCompetencyExamination(CCE)aspartofthecourserequirementsforNRSE5010:HealthAssessmentthroughouttheLifespanPracticumpriortobeginningclinicalexperiences.Thisincludes:(a)ahead-to-toeexam;(b)afocusedexam;and(c)aspecialproceduresexam.Thestudentmustscoreaminimumof80%oneachcomponenttosuccessfullycompletetheCCE.Studentswhodonotachievean80%oneachcomponentarenotpermittedtoentertheclinicalpracticumsite.SpecificinstructionsfortheCCEsarelocatedinthecoursesyllabus.NPClinicalSiteCriteriaStudentsshouldseekavarietyofclinicalexperiencesduringtheirstudies,includingbutnotlimitedtoruralclinics,urbanclinics,theETSUnurse-ledclinics,andothercommunitycenters.ClinicalsiteplacementisprimarilytheresponsibilityoftheNPstudent;however,thestudentmaygetclinicalplacementassistancefromcoursefaculty,ETSUOfficeofStudentServices(OSS),concentrationcoordinator,ProgramDirector/Coordinator,orETSUGraduateClinicalSiteCoordinator.Studentsmaynotusetheirworkplace(e.g.office,unit,departmentofemployment)asaclinicalsite.However,ifemployedatalargehealthsystem,thestudentmayobtainaclinicalplacementatanothersettingwithinthesystem.Obtaininganappropriateclinicalsiteisthestudent’sresponsibility.PleaserefertotheNPStudentClinicalSiteandPreceptorApprovalProcess.StudentsresidinginTennesseemaycontinuetheETSU-TTUDNPProgramifmovingtoanotherstate.However,therearestatesthatwillnotlicenseNPswhocompleteonlineprograms.Studentsareadvisedtocontacttheboardofnursinginthestatetowhichtheyaremovingtoassurethatlicensureinthestatewillbepermittedupongraduation.Additionally,notallstateswillallowNPstudentsfromotherstatestocompleteclinicalpracticumsinthatstate.Formoreinformation,pleaseaccessthefollowinglinkfromtheStateAuthorizationReciprocityAgreement(SARA):http://nc-sara.org/.Nursepractitionerstudentsshouldcontactthestateboardofnursingforclarification.Furthermore,priortorelocationthestudentisresponsiblefornotifyingtheETSUCONOfficeofStudentServices(OSS)orTTUSchoolofNursing,andhomeschoolOfficeoftheRegistrarregardingchangesinresidence.Thepatientpopulationseenduringclinicalexperiencesshouldmatchthestudent’sspecialization(i.e.FNP,PNP-PC,PMHNP,AGACNP,orWHCNP).Forexample,NPstudentsinprimarycaremusthaveclinicalexperiencesinprimarycaresites/settings,whereasNPconcentrationsinacutecaremusthaveclinicalexperiencesinacutecaresites/settings.Patientvolumeintheclinicalsitemustbesufficienttoallowthestudentanopportunitytoseeanarrayofpatientstomeetstudentlearningobjectivesforthespecifiedcourse.


Studentsmayspendnomorethan12hoursataclinicalsiteinoneclinicalday.Transittimetoandfromtheclinicalsitecannotbecountedtowardpracticumhours.Studentsareprohibitedfromdirectpatientinteractioniftheclinicalpreceptorisnotphysicallyattheclinicalsite.DefiningPrimaryCare:Primarycareisgenerallythepatient'sfirstpointofentryintothehealthcaresystemandismostoftenprovidedinanoutpatientsetting.Suchhealthcaresettingsprovidepreventivecareandteachhealthylifestyleschoices,whileidentifyingandtreatingcommonmedicalconditions.Primarycareprovidersaddressprimary,secondary,andtertiarypreventionmodalities,healthpromotion,diseaseprevention,patienteducation,counseling,referral,advocacy,comprehensive,andholistictreatmentplans.Thisformofcareisperformedandmanagedbyaprimaryprovideroftenincollaborationwithotherhealthcareprofessionals.Examplesofprimarycareinclude:(a)nursepractitioneroffice;(b)communityhealthcenter;(b)physicianpractitioneroffice;(c)long-termcare;(d)daycare,etc.(AAFP,2016).Studentsmayalsouseanurgentcarefacilityforclinicalhours.DefiningAcuteorNon-PrimaryCare:Acutecareprovidersorfacilitiesarethehealthsystemcomponentorcaredeliveryplatformaimedattreatingsudden,oftenunexpected,urgentoremergentepisodesofinjuryorillnessthatcanleadtodisabilityordeathwithoutrapidintervention.Suchproviderscareforimmediatelylife-orlimb-threateninghealthconditionsthroughacaredeliverysystemdrivenbyaresponsetoimmediatehealththreatsofindividualswithacutesurgicalneeds,myocardialinfarctions,acutecerebrovascularaccidents,evaluationofpatientswithabdominalpain,etc.Examplesofacutecareencompassarangeofclinicalhealthlocationsincluding:(a)emergencymedicine;(b)traumacare;(c)pre-hospitalemergencycare;(d)acutecaresurgery;(e)criticalcare;(f)urgentcare;(g)short-terminpatientstabilization,etc.Inconjunctionwithpreventivecare,acutecareservicescompleteahealthcaresystemparadigmthatfullyencompassesallessentialaspectsofthehealthcaredeliverysystem.Ifindoubtstudentsshouldconsultwiththeircoursefacultyregardingtheappropriatenessofaclinicalsite(Hirshonetal.,2013).

TypesofExperiencesRequiredforEachNPPracticumPracticumCourse Hours Preceptor

TypesPatientPopulation

FNPConcentrationNRSE5010AdvancedHealthAssessment 60 PrimaryCare AcrosstheLifespanNRSE5012HealthPromotion,Diagnosis,TreatmentandClinicalManagement:NursePractitionerIPracticum

120 PrimaryCare Agesbirthandolder(acute,episodicproblems)

NRSE5014HealthPromotion,Diagnosis,TreatmentandClinicalManagement:NursePractitionerIIPracticum

120 PrimaryCare Agesbirthandolder(chronicdiseaseandmultiplechronicconditions)

NRSE5022Women’sHealth 120 Women’sCare Menarchetosenescence


NRSE5024Pediatrics 120 Children’sCare

Birthtoage21

PMHNPNRSE5010AdvancedHealthAssessment 60 PrimaryCare AcrosstheLifespanNRSE5405FamilyPsychiatricNursingCareI 120 PrimaryCare AcrosstheLifespanNRSE5409FamilyPsychiatricNursingCareII 120 PrimaryCare AcrosstheLifespanNRSE5411InterpersonalTreatmentModalities

120 PrimaryCare AcrosstheLifespan

NRSE6950InternshipinAdvancedNursingPractice

120 PrimaryCare AcrosstheLifespan

AGACNPConcentration--TTU

NRSE5010AdvancedHealthAssessment 60 PrimaryCare AcrosstheLifespanNRSE5605AdvancedPathophysiologyandClinicalReasoningforAcuteDiseaseManagementI

125 AcuteCare Ages13andolder

NRSE5609AdvancedPathophysiologyandClinicalReasoningforAcuteDiseaseManagementII


NRSE5611DiagnosticInterpretationandTherapeuticModalities


NRSE6940InternshipinAdvanceNursingPractice


PNP-PCConcentration—TTU

NRSE5010AdvancedHealthAssessment 60 PrimaryCare AcrosstheLifespanNRSE5311PediatricPrimaryCareI 135 Children’s

CareBirthtoage21

NRSE5312PediatricPrimaryCareII 135 Children’sCare

Birthtoage21

NRSE5313PediatricPrimaryCareIII 170 Children’sCare

Birthtoage21

WHCNPConcentration—TTU

NRSE5010AdvancedHealthAssessment 60 PrimaryCare AcrosstheLifespanNRSE5703Women’sHealthAdvancedPracticeI:GYNPracticum

180 Gynecology Menarchetosenescence

NRSE5705Women’sHealthforAdvancePracticeII

180 Obstetrics Menarchetosenescence

NRSE5709Women’sHealthforAdvancedPracticeIII

180 OBand/orGYN

Menarchetosenescence


DNPClinicalPracticum

NRSE6800DNPResidency/InternshiporNRSE6801—DNPProjectIdentificationNRSE6802—DNPProjectDevelopmentNRSE6803—DNPProjectImplementationNRSE6804—DNPProjectEvaluationandDissemination

160hours(40ofthesehoursshouldbeclinicalifattainingBSN-DNPorconcentrationoutsideofcurrentlicensure)

SpecialtyorPrimary

Nurse practitionerchairapprovesclinicalhours. Hours shouldbe related to DNPprojectconcentration.

NursePractitionerPreceptorCriteriaStudentsmaynotpreceptwithrelativesorclosefriendsaspreceptors.Preceptorsmusthaveacurrent,unencumberedstatelicenseandnationalcertification,asappropriate,inthepopulationfocusedorspecialtypracticearea.Studentsmaypreceptwithanursepractitioner,physician(e.g.MD,DO),orPhysicianAssistant(PA).Thepreceptormusthaveatleastoneyearofexperienceintheareaofadvancedpracticerelevanttothestudent’sclinicalfocus.Studentsmayspendnomorethantwosemesterswithanindividualpreceptorwithoutfacultyapproval.Studentsshouldhavenomorethantwopreceptorsduringasingleclinicalcoursewithoutfacultyapproval.Therequiredstudenttopreceptorratioshouldbe1:1ifpreceptorisseeinghis/herownpatientsand2:1ifpreceptorisnotseeinghis/herownpatients.Studentsareencouragedtopreceptwithnursepractitioners.Anursepractitionerpreceptorisrequiredforatleastonesemesterduringtheprogram.NursePractitionerStudentClinicalSiteandPreceptorApprovalProcess:

1. Reviewthisdocumentinitsentirety. 2. ReviewtheappropriateStudentHandbookforyourdegreeprograminitsentirety. 3. LearntonavigateProjectConcert(seeinstructionsbelow).StudentsinFNPorPMHNPwill

usetheETSUProjectConcertandstudentsinAGACNP,PNP-PC,andWHCNPwilluseTTUMedatraxforallclinicals.TheexceptionisMSN-DNPstudentswhoarepursuingadifferentconcentrationfromtheirMSNconcentrationorcurrentcertification.ThesestudentsmayhavetolearntheProjectConcertandMedatraxsystemsinordertomeetSACCOC1/3-rules(statingthatatleast1/3oftheircurriculummustbetakenateachinstitutioninajointprogram).Contactyourconcentrationadvisorforquestions.

4. Beginpreceptor/clinicalsitesearchasearlyaspossible.Youmay(andshouldifpossible)securecommitmentsforfuturesemestersbeyondtheonetotwosemestersdiscussedbelow.Namesofpreviouspreceptors/sitesareavailableintheclinicalmanagementsystem(i.e.ProjectConcertorMedatrax).Thesenamesprovideinformationforpotentialpreceptorsforstudentsandarenotexclusivetothedegreeprogram(MSN,DNP,etc.)orconcentration(FNP,AGACNP,etc.).


5. Onceapotentialpreceptorisidentified,thestudentsubmitsthePreceptorIntentformfoundinProjectConcertorMedatrax.(Checkwiththeconcentrationappropriateschool’sProjectConcert/Medatraxcontactforacopyofpreapprovedpreceptorintentforms).

6. StudentswillsubmitaPreceptorIntentFormforeachpreceptorhe/shehasforapracticumcourse,evenifthestudenthaspreviouslyworkedwiththepreceptor.

7. ThePreceptorIntentFormissubmittedatleastonetotwosemestersearlierthantheexpectedclinicalrotation.Tofacilitatetheprocess,thefollowingdeadlinesforsubmittingthePreceptorIntentFormareestablished:

a. FallSemester–May1 b. SpringSemester–October1 c. SummerSemester–February1 Note:Latesubmissionswillbeprocessed,butmaynotbefinalizedbythestartofthesemester.Thiscandelayastudent'sentryintotheclinicalsite.StudentsarenotpermittedtoentertheclinicalsiteorworkwithapreceptoruntilapprovedanduntiltheofficialETSUsemesterstartdate.

8. OncethePreceptorIntentFormiscompletedinProjectConcert/Medatrax,theClinicalPlacementCoordinatororrelatedpersonnelreviewsandassuresthepreceptorhasthefollowing: A.

Currentunencumberedstatelicense.B. Currentnationalcertification.C. CurrentPreceptorAgreementandClinicalAffiliationAgreementisinplace

(managedbytheETSUOfficeofStudentServicesandGraduateProgramsClinicalCoordinatororTTUclinicalcoordinator).

Note:Ifnoagreementisinplace,oneisinitiated.ThesestepsaredocumentedinProjectConcert/Medatrax.Dependingontheamountoftimerequiredforcontractprocessingandapproval,thestudent'sentryintotheclinicalsitemaybedelayed.

9. AfterallagreementsandthePreceptorIntentFormarefinalizedthe(Graduate)ClinicalPlacementCoordinator,andthecoursefacultywillreviewtheinformationinProjectConcert/Medatrax.

10. ClinicalplacementisconfirmedinProjectConcert/Medatraxunderthe"Student"tabwiththestatement“PreceptorCredentialsVerifiedandAgreementApproved”.

11. AfterconfirmationinProjectConcert/Medatrax,thestudentwillcompleteandsubmitaClinicalRotationPlan(instructionsbelow)tothecoursefacultyinD2L.

12. AfterreviewingtheClinicalRotationPlan,thecoursefacultywillnotifythestudenttobegintheclinicalexperience.

13. Bythefirstdayofclinical,thestudentwillprovideacopyoftheStudentClinicalProfile,StudentLearningOutcomes(coursesyllabus),andcurrentprogramplan.

Note:Ifthepreceptor/clinicalsiteisnotapproved,thestudentbeginsanadditionalsearch.Ifthestudentisunabletofindanappropriatepreceptor,thestudentisexpectedtocontactthecoursefaculty,OfficeofStudentServices,ConcentrationCoordinator,and/orProgramDirector/Coordinatortodetermineanappropriatecourseofaction.


SeePreceptorApprovalProcessFlowchart Approved,fullyexecutedagreementsmustbeinplacebeforestudentsenteranyclinicalpracticumsiteaspartoftheprogram.StudentswhobeginclinicalpracticumhourswithoutapreceptoragreementinplaceareinviolationoftheAcademicMisconductPolicyandwillbedisciplinedaccordingtothepolicy(seeStudentHandbookandhomeschoolgraduatecatalog).ClinicalRotationPlanTheClinicalRotationPlan(CRP)allowsfacultyandstudentstoensureclinicalhourrequirementsaremetbyestablishingaplanforscheduledclinicaltimeearlyinthesemester.Facultyarerequiredtoknowwhenandwherestudentsareduringtheclinicalexperienceandbeavailableforstudent/preceptorconsultationasneeded.Itisthestudent'sresponsibilitytocompletetheCRPandsubmitittotheappropriateDropboxinD2L.NursePractitionerstudentsarenotpermittedtoscheduleclinicaltimeduringdayswhentheconcentrationuniversityisclosed,asidentifiedintheETSUAcademicCalendarorTTUAcademicCalendar.StudentsmayparticipateinclinicalrotationsduringETSU'sSpringandFallbreakwithfacultyapproval.Studentsmustkeeptheclinicalfacultyinformedofthedates,times,andlocationsofclinicalhoursviatheCRP.CompletionoftheCRPisrequiredpriortothestartofeachpracticumcourse.StudentsarenotpermittedtobeginclinicalrotationsbeforetheofficialUniversitysemesterstartdate.Allrequiredclinicalhoursmustbecompletedbytheofficiallastdayofclasses,asidentifiedintheETSUAcademicCalendarorTTUAcademicCalendar.TocompletetheCRP:

1. Thestudentwillworkwiththepreceptortoestablishanappropriateschedule. Note:Studentsarestronglyencouragedtoplacepriorityonthepreceptor’sneedswhenestablishingaschedule.Itisrecommendedthatclinicalhoursareevenlydistributedthroughoutthesemester(e.g.12hoursperweek).Intheeventofanunplannedpreceptorabsenceduringascheduledclinicalday,studentsarenotpermittedtoworkwithanewpreceptorunlessthenewpreceptorhasbeenapprovedthroughtheprocessoutlinedinthePreceptorApprovalProcessaboveorthereisaClinicalAffiliationAgreement.TodetermineifaClinicalAffiliationAgreementisinplace,pleasecontacttheETSUOfficeofStudentServices(OSS)ortheTTUClinicalPlacementCoordinatororcoursefaculty.Inthecasethatnoapprovedpreceptorisavailable,studentswillneedtoleavetheclinicalsiteandinitiatetheprocessforchangingtheCRPasdescribedbelow.

2. ClinicalcoursefacultywillreviewtheCRPandprovidefinal,writtenapprovaltostartclinicalviaemailorfeedbackinD2L.

3. AseparateCRPmustbecompletedforeachclinicalcourse. 4. ChangesintheCRPshouldoccuronlyinanemergency.If,duringthesemester,changesare

necessary,itisthestudent'sresponsibilitytorevisetheCRPasfollows: a. Transcribethechange(s)inthe“ScheduleChanges”sectionoftheCRP. b. ResubmittherevisedCRPtothecourseD2LDropbox.


c. Notifythepreceptorandcoursefacultyofchange(s). 5. Studentsshouldnotifythepreceptorandthecoursefacultyassoonaspossiblewhena

changeisdeemednecessary.Thestudentmustawaitfacultyapprovalbeforeimplementingthechangedschedule. Note:StudentsarenotpermittedtobeintheclinicalsitewhentheUniversityisclosed.Nights,holidaysandweekendsmayormaynotbeapprovedbythefaculty,dependingonfacultyavailability.Facultymembersreservetherighttorejectrequestsforclinicalrotations,clinicalhours,clinicalsites,orclinicalpreceptorsatanytimeduringthesemesterorprogram.

ClinicalAttendanceThenursepractitionerstudentwilladheretotheCRPscheduleonceestablishedwiththepreceptorandapprovedbythefacultymember.AnychangestotheCRPmustfollowtheprocessoutlinedaboveinthesection,ClinicalRotationPlan.StudentsareexpectedtoarriveattheclinicalsiteontimeandremainonsiteforthefulldurationoftheclinicalexperienceasoutlinedintheCRP.Studentsmayleavethepremisesforalunchbreak.Consistentorexcessivetardinessand/orabsences,and/orfailuretoadheretotheCRPmayresultindisciplinaryaction,including,butnotlimitedto,dismissalfromtheclinicalsite,coursefailure,and/orprogramdismissal.Thepreceptorand/orclinicalsiteadministrationreservetherighttodismissthestudentfromtheclinicalsiteifthestudentfailstofollowstandardsofprofessionalbehaviorandconduct,includingbutnotlimitedto,disinterest,excessivetardinessand/orabsences,lackofprofessionalism,and/orfailuretofollowclinicalsitepoliciesorprocedures.Thestudentwillnotifytheclinicalsite,preceptor,andfacultymemberifthereisalatearrivalorabsencefromclinical.Studentswhoareabsentforascheduledclinicalday(duetoillness,familyemergency,etc.),shouldcontactthepreceptorbeforethebeginningoftheclinicalday.Theprocessbywhichthestudentnotifiesthepreceptorshouldbeestablishedbetweenthestudentandthepreceptorpriortothestartoftheclinicalexperience.Itisalsothestudent'sresponsibilitytonotifythecoursefacultyandinitiatetheprocessofrevisingtheCRPasoutlinedabove.Shouldanursepractitionerstudentfailtocompletetherequirednumberofclinicalhoursforasemesterorcourse,itisnotassumedthattheywillbepermittedtomakeupthesehourswiththeirpreceptor.Approvalforextendingclinicalpracticumhoursbeyondthesemesterenddaterequiresapprovalfromthefollowing:(a)coursefaculty;(b)coursecoordinator;(c)theappropriateDNPProgramDirector/Coordinator.Studentswhocannotcompletetherequiredclinicalhoursduetounforeseenevents(duetoillness,familyemergencies,et.)shouldcontactthecoursefacultyimmediatelytodetermineifthesituationwarrantsanextensionoftheclinicalpracticumandunderwhatconditionsitwilloccur.Thesesituationsareevaluatedonanindividualbasis.StudentswhoarescheduledtobeintheclinicalsiteduringperiodsofinclementweathershouldrefertotheStudentHandbookandhomeschoolinclementweatherpolicy.


ClinicalHoursRequiredNursepractitionerstudentsarerequiredtocompleteaminimumof500supervisedclinicalhoursofdirectpatientcare,distributedanddefinedbythepopulation-focusedclinicalpracticumcourse.Informationaboutthenumberofrequiredclinicalhoursforeachcoursecanbefoundintherespectivecoursesyllabus.Clinicalhoursmustbedistributedovertheentiresemester.DNPstudentsarerequiredtocompleteaminimumof160additionaldirectpatientcarehoursduringthefinalfoursemestersoftheprogram.Thesearecompletedataminimumof40directpatientcarehourspersemester.Post-mastersDNPstudentsarenotrequiredtocompletedirectcarepatienthoursunlesscompletingaprograminanewspecialty.TheDNPstudentmustobtainatotalof1000hoursbycompletionoftheprogram.DNPstudentsshouldalsorefertotheDNPProjectGuidelinesformoreinformationaboutrequiredhours.Nursepractitionerstudentsareencouragedtocompleteinterprofessionaleducation(IPE)experiencesaspartoftheprogram.Interprofessionaleducationalexperiencescanbeachievedthroughcollaborationwithprofessionalsinotherdisciplinesincluding,butnotlimitedto,pharmacists,physicians,physicaltherapists,speechtherapists,dieticians,audiologists,etc.InterprofessionalclinicalexperiencesshouldbedocumentedinProjectConcert/Medatrax.MoreinformationcanbefoundintheInterprofessionalEducationandPracticumPolicyintheStudentHandbook.ClinicalParticipationandExperiencesStudentsareexpectedtoabidebyUniversity,College/SchoolofNursing,andclinicalsitepoliciesandprocedureswhileintheclinicalsetting.Studentsarealsoexpectedtobefullyengagedintheclinicalexperienceandparticipateindirectpatientcareunderthesupervisionoftheapprovedpreceptor(s).Cellphoneuseintheclinicalsiteisprohibitedunlessitisrelatedtotheclinicalexperience(useofEpocrates,UpToDate,etc.)orinthecaseofanemergency.PreparationThestudentshouldpreparefortheclinicalpracticumasrecommendedbythepreceptor,coursefaculty,coursecoordinator,and/orProgramDirectorCoordinator.Tohelpensurethemostbeneficialclinicalexperience,studentsshouldbeself-directedinlearning.Orientationtotheclinicalsiteisatthediscretionoftheclinicalsite.Theprocessbywhichorientationoccursshouldbedeterminedbeforethestudentstartstheclinicalpracticum.Ifaformalorientationisrequired,(an8-hourday;2-dayclass;4-hourworkshop,etc.)thesehourscannotbeusedtowardthetotalrequirednumberofclinicalhours.SuppliesNeededInadditiontothesuppliesidentifiedaboveinthesectionAdvancedHealthAssessmentSkills&SimulationExperiences,studentsarerequiredtopurchaseaCollege/SchoolofNursingwhitelabcoat(purchaseatuniformshoporUniversityBookStore)andastudentnamebadge(purchasedinI.D.Servicesonthehomeschoolcampus)towearduringtheclinicalpracticum.Labcoatsshouldbeclean,wrinklefree,andworntoeveryclinicalpracticumexperience.RefertotheProfessionalDressGuidelinespolicyintheStudentHandbookformoreinformation.Additionally,aspartofthe


practicumcourserequirements,studentsarerequiredtopurchaseaShadowHealthaccount.Thisaccountisaone-timeexpense.Instructionscanbefoundintheappropriatecoursesyllabus.ParticipationStudentsareexpectedtobeactiveparticipantsinpracticumexperiences.Ataminimum,studentsareexpectedto:

• Discusswiththepreceptorthemostcommontypesofpatientsordiagnosesseenintheclinicalsite.

• Reviewandidentifyevidence-basedtreatmentguidelines,referralresources,andeducationalmaterialsformanagingpatients.

• Discussreporting/documentationpreferences. • Reviewthelogisticsofpatientflow/clinicflowwiththepreceptor. • Engagethepreceptorindiscussionsaboutpatientinteractions,practiceapproaches,

treatmentoptions,protocols/guidelines,teachinghandouts,requisitions,documentation,follow-uppractices,andoverallpatientmanagement.

• Reporttothepreceptorthechiefcomplaint,completeHPI,ROS,andphysicalexamwithanassessment/differentialdiagnosis(es)andapotentialplanaftereachpatientencounter.

• Read/reviewclinicalguidelinesandcoursetexts. • Reviewevidence-basedclinicalsupportresources(UpToDate,Epocrates,etc.). • Reviewexaminationtechniques,labprotocols,diagnosesandclinicalmanagement

approachesincludingpharmacologicagents. • Requestfeedbackfromthepreceptorregardingclinicalperformanceaftereachclinicalday. • Acceptresponsibilityforexpensesincurredduringclinicals,includingtravelexpensesto

andfromtheclinicalsites.• Acceptresponsibilityforindividualactions.• Notifyfacultyatanytimethatconsultationisneeded.

Note:NeithertheUniversitynortheclinicalsitesareliableforinjuries,diagnoses,ortreatmentofanyillnessastudentmaycontractwhileinanagencyforclinicalpurposes.NeithertheUniversitynortheclinicalsitesareliableforthelossofpersonalproperty.

ElectronicMedicalRecord(EMR)AccessandDocumentationStudentsmayberequiredtoobtainaccesstotheEMRsystemusedattheclinicalsite.AnyfeesassociatedwithgainingaccesstoEMRsystemsaretheresponsibilityofthestudent.StudentsmaynotcounthoursforanyrequiredEMRtrainingtowardthetotalclinicalhoursforthepracticum.Studentsshouldfollowthepoliciesandproceduresoutlinedbytheclinicalsiteregardingmedicalrecorddocumentation.StudentsareexpectedtosignmedicalrecordsasidentifiedbytheNameandCredentialSignaturepolicyfoundintheStudentHandbook.MisrepresentationofcredentialsisprohibitedandmayresultinregulatorysanctionsasoutlinedbytheuniversityCollege/SchoolofNursingandStateBoardofNursing.


ClinicalExperienceDocumentationStudentsarerequiredtodocumentallpatientencountersandclinicalhoursinallNPpracticumcourses.Althoughnotrequired,itisrecommendedthatstudentsdocumentexperiencesonahandwrittenclinicallogduringorattheendofeachclinicalday.NursepractitionerstudentsarerequiredtoenterclinicalpracticuminformationintoProjectConcert/Medatrax.ClinicalpracticumexperienceswillbeviewedbycoursefacultywhowillroutinelyreviewandevaluateinformationinclinicallogsandProjectConcert/Medatraxaspartofassessingthestudent'slearningneedsand/orevaluatingpreviousclinicalexperiences.Clinicalpracticumexperiencesdocumentedonclinicallogsand/orinProjectConcert/MedatraxaretobeincompliancewithHIPPA.Studentsaretoremoveallpatientidentifiers.StudentsarerequiredtodocumentclinicalskillsperformedduringeachpatientencounterinProjectConcert/Medatrax.ClinicalskillsarelistedinProjectConcert/Medatraxinexperience,undertheprocedurestabandinclude,butarenotlimitedtothefollowing:(a)orthopedicmaneuvers;(b)jointinjections(c)jointaspirations;(d)fundalheightmeasurement,etc.Falsifyingdocumentationrelatedtoclinicalexperiences(submittingthesamepatientexperienceinmorethanonecourse,fabricationofpatientdata,etc.)orrelatedtocompletionofclinicalhours(suchasfalsifyingarrivalanddeparturetimes)isprohibited.Studentswhofalsifydocumentationrelatedtoclinicalexperienceand/orthecompletionofclinicalhoursaresubjecttodisciplinaryactionasdescribedinthehomeuniversityandcollege/schoolAcademicandclassroommisconductpolicy.DirectionsforuseofProjectConcert/Medatraxareprovidedduringnewstudentorientationandbelow.EvaluationsAssessmentandevaluationisessentialtotheteaching-learningexperience.NursepractitionerstudentevaluationisanessentialpartofensuringminimumachievementofTheNationalOrganizationofNursePractitionerFacultiesCore(2017)andPopulation-FocusedNP(2013)Competencies.Bothformativeandsummativeevaluationprocessesareusedineducation.Formativeevaluationisiterative,occurringthroughoutthesemesterwhileallowingforfeedbacktothestudentandopportunitiestoimproveaspartofteaching-learningexperience.TheformativeevaluationprocessisdepictedontheFlowchartRoles&Responsibilities/StudentFormativeEvaluationdocument(link).Thisdocumentprovidesguidancetostudents,preceptors,andfacultyaspartoftheoverallformativeevaluationprocess.PleaserefertotheFlowchartforguidanceregardingidentifiedstudentdeficienciesand/orimmediatesafetyissues.Formativeevaluationisusedtoguidethestudent'smid-semesterclinicalevaluation.Summativeevaluationisthefinalevaluationandisafocusedonanoverallappraisalofstudentcompetencyachievement.Informationinthesummativeevaluationshouldreflectthestudent'sprogressbasedonthemidsemesterformativeevaluationandperformancefortheremainingclinicalpracticumexperience.Boththepreceptorandthefacultycompleteafinal,summativeevaluation.


Studentswhoareidentifiedashavingaknowledgedeficitincluding,butnotlimitedto,patientsafetyissues,willberequiredtoworkwithfacultytocompleteaPerformanceImprovementContractpertheprocessoutlinedbelowinFacultyResponsibilities.CompetencytestingviaasimulationexperienceintheETSUCONsimulationlabmaybeacomponentofaperformanceimprovementcontract.Preceptorsandclinicalfacultyshouldnotifyanystudentinjeopardyofclinicalfailurenolaterthanthemid-pointoftheNPstudent'sclinicalpracticumhoursand/orsemestertoallowforremediation.Preceptorsshouldalsonotifytheclinicalfacultyandtheappropriatecoursecoordinatorwheneverstudentperformanceissubstandard.Studentswhoreceivefailinggradesonsummativeevaluationswillnotbeallowedtoprogressintheprogram.StudentswhodonotcompletetherequirementssetforthonthePerformanceImprovementContractwillnotpassthecourse.Studentswillcompleteevaluationsofthepreceptor,faculty,andclinicalsite.Preceptorswillcompleteamid-termandfinalevaluationofthestudentasdefinedinthecoursesyllabus.Facultywillcompleteevaluationsofthestudent,preceptor,andclinicalsite.AllevaluationsarecompletedinProjectConcert/Medatraxandincludethefollowing:

Evaluations

Student Preceptor FacultyStudentEvaluationofPreceptor PreceptorMid-termEvaluationof

NPStudentFacultyEvaluationofNPStudent

StudentEvaluationofClinicalSite

PreceptorFinalEvaluationofNPStudent

FacultyEvaluationofClinicalSite

StudentAssessmentofInstruction(SAI)*/IDEAs

FacultyEvaluationofPreceptor

PerformanceImprovementContract(asneeded)

PerformanceImprovementContract(asneeded)

PerformsClinicalCompetencyExaminations(CCE)asdefinedin

coursesyllabus

EvaluatesClinicalCompetencyExaminations(CCE)asdefinedin

coursesyllabus*SAIiscompletedinD2Lnearendofsemesterineachcourse.FacultySiteVisitsClinicalsitevisitsfromfacultyaremandatoryandwilloccuratleastoncepersemesterforeachclinicalpracticumcourseandshouldoccurbymid-semesterbetweenweeks5-8.Dependingontheindividualsituation,evaluationmaybeconductedinoneofthreeways:(a)face-to-faceon-sitevisit(if<150milesfromconcentrationschoolone-way);(b)videoconferencingviaaHIPAAComplianceOfficeapprovedplatform(e.g.SkypeforBusiness);or(c)scheduledphoneorvideoconferencewiththepreceptor(ifmethodaandbarenotpossible).Additionalsitevisits,phonecalls,and/orvideoconferencesessionsmaybenecessaryandareatthefaculty'sdiscretionand/orbyrequestfromthepreceptor.Facultysitevisitsmaybeannouncedorunannounced.If,duringthecourseofthesitevisit,thestudent'sbehavior,performance,punctuality,orprofessionalismisfoundtobeunsatisfactory,the


studentwillberequiredtoworkwithfacultyinthecompletionofaPerformanceImprovementContract.FailuretomeetthespecificationsoutlinedinthePerformanceImprovementContractmayresultinafailinggradeand/oroverallfailureintheclinicalpracticum.Instructions/resourcesforclinicalpracticumfacultysitevisitsarefoundinthefollowinglinks:1. Facetofaceon-sitevisitinstructions2. Phone/VideoConferencewithPreceptorSignificantMedicalorPsychiatricEventIntheeventofasignificantmedicalorpsychiatriceventbeforeorduringthesemesterinwhichthestudentisenrolled,thestudentwillberequiredtodiscloseandprovideareleasefromtheirhealthcareprovidertothecoursefacultyandtheappropriateprogramdirector/coordinatortoresumeclinicalpracticumhours.Thereleasemustincludeastatementgrantingfullmedical/psychiatricreleasewithoutrestrictionstocontinueintheclinicalpracticumcourse.Delayinthecompletionofrequiredclinicalhoursforthepracticumwithinthetimeframeofthecurrentsemestermayresultintheinabilitytoprogressintheprogram.SubstanceAbuseStudentswhoaresuspectedofsubstanceabusearesubjecttotheSubstanceAbusePolicy(RulesandRegulationsRelatedtoUnprofessionalConduct)asdescribedintheStudentHandbook,College/SchoolofNursingpolicies,andhomeschoolgraduatecatalog.OtherGeneralPoliciesandProceduresClinicalCourseRequirementsRefertotheStudentHandbookforinformationregardingClinicalCourseRequirements.Clinicalcourserequirementsmustbemaintainedthroughoutthedurationoftheentireprogram.Studentswhofailtomaintainclinicalcourserequirementswillnotbepermittedintheclinicalsite.HIPAAStudentsarerequiredtocomplywiththehomeschoolUniversity,College/SchoolofNursing,andclinicalsitepoliciesandproceduresfortheHealthInsurancePortabilityandAccountabilityAct(HIPAA).Insomeinstances,studentsmayberequiredtocompletemorethanoneHIPAAtrainingexercise/program(e.g.HIPAAtrainingforETSUandHIPAAtrainingfortheclinicalsite).Ataminimum,studentsarerequiredtocompleteannualHIPAAtrainingthroughETSUorTTUaspartoftheClinicalCourseRequirementspriortoentryintotheclinicalsite.InformationregardingHIPAAtrainingcomesfromtheHIPAAComplianceOfficeintheOfficeofUniversityCounsel.Failuretocompleterequiredtrainingwilldelaystudententryintotheclinicalsite.

Patientconfidentialityisofutmostimportanceandmustbeobserved.Studentsarestrictlyprohibitedfromremovingpatientdataand/orinformationinpaperorelectronicformfromtheclinicalsite.Deidentifiedinformationrequiredforcompletionofcourseassignmentsshouldbeobtainedduringorafterpatientencounterswhileattheclinicalsite.StudentsarestronglyencouragedtoreviewtheinformationontheETSUHIPAAComplianceOfficewebsiteandonthisU.S.DepartmentofHealthandHumanServiceswebsite.


StudentswhoareinbreachofHIPAAaresubjecttodisciplinaryactionincluding,butnotlimitedto,clinicalsitedismissal,coursefailure,programdismissal,Universityexpulsion,and/orpotentiallitigation.StudentswithquestionsaboutHIPAAshouldcontacttheETSUHIPAAComplianceOffice.

ProfessionalDressandBehaviorStudentsarerequiredtoabidebytheProfessionalDressGuidelinespolicyasdescribedintheStudentHandbook.StudentsarealsoexpectedtobehaveinamannerconsistentwithprofessionalstandardsatalltimesasoutlinedbytheGeneralProfessionalBehaviorpolicyintheStudentHandbook.Failuretocomplywiththesepoliciesmayresultindisciplinaryactionincluding,butnotlimitedto,clinicalsitedismissal,coursefailure,orprogramdismissal.EmploymentGiventherigorousnatureofgraduateeducation,studentsmayfinditdifficulttomaintainfull-timeemployment.Ifthestudentmakesthedecisiontomaintainemploymentduringgraduateeducation,itisexpectedthatemploymentwillnotinterfereorimpedeanyportionofthestudent'sacademicresponsibilities.Thisincludes,butisnotlimitedto,attendanceatmandatoryon-campusIntensivesessions,synchronousclasssessions,examinations,clinicallabexperiences,completionofassignments,andclinicalpracticumexperiences.MoreinformationcanbefoundintheEmploymentofStudentspolicyintheStudentHandbook.SocialMedia/NetworkingStudentsareexpectedtoabidebytheSocialMedia/NetworkingpolicydescribedintheStudentHandbook.Failuretocomplywiththepolicymayresultindisciplinaryaction,includingbutnotlimitedtoclinicalsitedismissal,coursefailure,programdismissal,and/orUniversityexpulsion.NursePractitionerStudentResponsibilities Note:Thisinformationisonlyasummaryofresponsibilitiesforthestudent.TheStudentHandbookandpoliciesdescribedinthisdocumentaretheofficialreferencesforstudentsregardingclinicalrequirementsandcontainadditionalimportantinformation.Itistheresponsibilityofthestudentto:• FollowtheNPClinicalPlacementGuidelinesforStudents,Preceptors,&Faculty.• AbidebyETSU/TTUuniversitiesandtheCollege/SchoolofNursingpoliciesasidentifiedin

theStudentHandbook. • Abidebyallclinicalagencypoliciesandprocedures. • Completeallnecessarypaperworkpriortoenteringtheclinicalsite. • Exchangedirectcontactinformationwiththepreceptor.• TaketheVisualAuditoryKinesthetic(VAK)LearningStyleInventoryandsharethefindings

withyourpreceptor. • Developpersonallearningobjectivesforeachpracticumcourse.


• Providepreceptorwithcopiesof(a)coursesyllabus(courseobjectives,studentlearningoutcomes,andfacultycontactinformation);(b)personallearningobjectives;(c)courseskillslist(ifrequiredbycourse).

• Notifythepreceptorofthebrief,on-lineorientationontheETSUCONwebsiteandencouragecompletionofthetraining.

• DevelopaClinicalRotationPlanasdescribedabovewiththepreceptorandsubmitthedocumenttotheappropriatecourseDropbox.

• Bepreparedtoworktheday(s)andhoursofthepreceptorandasagreeduponpertheClinicalRotationPlan.

• Requestfeedbackfromyourpreceptoronaregularbasis,includingreviewofthemidsemesterandfinalevaluations.

• Maintainappropriateclinicallogsasdescribedabove. • NotifytheclinicalfacultyandClinicalPlacementCoordinatorasearlyaspossibleofany

difficultiesexperiencedintheclinicalrotation. • Communicateregularlywithyourfacultymemberkeepingthemapprisedofyourclinical

experiencesandprogressinmeetingtheclinicalcourseobjectivesandcompetencies. • DocumentallrequiredexperiencesinProjectConcert/Medatraxasdirected. • Sendpreceptoraformalthank-younoteorletter. Seeflowchartdescribingstudentresponsibilitiesforclinicalplacement.

PreceptorResponsibilities

• Providelicensureandotherdocumentationasrequiredduringthepreceptorapprovalprocess.

• ReadthePreceptorOrientationPowerPoint,OverviewofPreceptorship:AMeaningfulTeaching-LearningExperience.

• Exchangedirectcontactinformationwiththestudent.• CompletetheClinicalRotationPlanwiththestudent. • ReviewtheStudentClinicalProfile,studentlearningoutcomes(coursesyllabus),clinical

rotationplanandcurrentprogramplan.• Orientthestudenttotheofficeandclinicfacilities(e.g.staffmembers,policies,attire,

protocols,patientflow,records/documentation,requisitions,accessingotherdepartments,communications,preceptorpracticepreferencesandexpectations).

• Demonstrateprofessionalrole-modeling. • Providethestudentwithaccesstopatientclinicalrecords,documentation,andelectronic

healthrecordssystemsifavailable. • Explaintothestudentyourorganization,prioritization,patientevaluation,exam,diagnostic

decisions,management,patienteducation,andfollow-upforpatients. • Discussexpectationsandparametersforpracticewiththestudent.Bedirectaboutwhatyou

wantrelativetopatientflow,sharinginthemanagementofvisits,anddocumentation.


Studentsarelimitedtoobservationtothefirst1-2daysafterwhichthestudentshouldbeginseeingafewpatientsinadependentclinicalrole.Overthenextseveralclinicaldays/weeks,thestudentshouldbecomeincreasinglyindependent,butalwayswithpreceptoroversightofstudentpractice.

• Assistthestudentwiththeselection/inclusionofappropriateandincreasinglychallenginglearningexperiences.

• Beavailabletoconsultwiththestudentortoassumeresponsibilityforcareasneeded. • Encourageandexpectthestudenttobecomeincreasinglymoreresponsible,pro-active,and

self-reliantduringthesemester.• Reviewclinicalexperiencesdailyandapproveorreject.• Documentanylearningdeficienciesorclinicalperformanceissuesastheyoccur. • Provideconstructivefeedbacktothestudentviaformativeassessment.• ReviewtheevaluationcriteriaontheMidterm/FinalPreceptorEvaluationofNPStudent

(Examplepreceptorevaluationformforviewingpurposesonly). • Addressconflictsorconcernswiththestudentasearlyaspossible,clarifyingyour

expectationsandidentifyingsolutionsornecessaryadjustments. • Notifyanystudentwhoisinjeopardyoffailurenolaterthanmid-pointoftheclinical

practicum. • Notifyclinicalfacultyandcoursecoordinatorifstudentperformanceissubstandard,failing,

orifthereareanyotherclinicalorprofessionalproblemsorconcerns. • Completethemid-termpreceptorevaluation.• Completethefinalpreceptorevaluation.

Seeflowchartdescribingpreceptorresponsibilitiesforclinicalplacement.

ClinicalPlacementCoordinatorResponsibilities• ReviewthePreceptorIntentFormforappropriatenessofpreceptor.• Assiststudentsinchoosingapreceptoriftheyhavedifficultyachievingthisontheirown.• Providepreceptorverificationofpreceptorhoursforprofessionalcertification.• Ensurerecognitionofpreceptorsattheendofeachsemesterincooperationwiththeclinical

faculty.ClinicalFacultyResponsibilities

• Maintainultimateresponsibilityfortheclinicalpracticumcourse. • Beavailabletostudentsandpreceptors.Informationregardingavailabilityshouldbe

providedtostudentsandpreceptorsatthebeginningofthesemesterandincludedonthecoursesyllabus.

• Collaboratewithstudentsandpreceptorsregardingdevelopmentofspecificlearninggoals; • Communicatefrequentlywithstudentsregardingclinicalexperiencesandprogressvia

emails,phone,in-person,and/orvideoconferencing.


• Sendthestudents’approvedpreceptorsanemailusingthistemplate:PreceptorEmail.• Communicatewithpreceptorsonaregularbasisviaphone,email,in-person,and/or

videoconferencingforcollaborationregardingstudentlearningneeds. • Reviewallclinicalcoursedocuments(clinicallogs;ClinicalRotationPlan,etc.). • Meetwithstudentsoutsideoftheclinicalsetting,asnecessary. • Notifythestudentpromptlyifproblemswiththeclinicalpracticumexperienceare

identified(e.g.inadequatenumbersortypesofpatientstomeettheclinicalcourseobjectives).

• CompleteatleastonesitevisitpersemesterasdescribedaboveinFacultySiteVisits.Ifschedulingconflictsoranemergencyarises,ittheresponsibilityoftheclinicalfacultytomakearrangementswithanotherfacultymemberforcoverageandtonotifytheCourseCoordinatorandtheappropriateProgramDirectorofthechange.

• Evaluatestudentcompetenciesintheclinicalsitetoensureoptimalcareandadherencetoagencyexpectations,guidelines,andstandards.

• Notifystudent,CourseCoordinator,Advisor,andappropriateProgramDirectorasearlyaspossibleinthecaseofat-riskorunsatisfactoryclinicalperformance.

• Document,incollaborationwiththepreceptor,specificdeficienciesandestablishadefinedplanforremediationusingthePerformanceImprovementPlanContract.Meetwiththestudenttoreviewtheplan.Provideacopyofthecontracttothestudent,thepreceptor,theCourseCoordinator,andtheappropriateprogramdirectorforplacementinthestudent’sacademicfile.

• Facilitatefaculty/student/preceptorproblem-solvingwhennecessary,communicatingwiththeCourseCoordinatorand/orappropriateProgramDirectorasneeded.

• Evaluate,score,andprovidefeedbackonallSOAPnotesandclinicalassignments. • CompletetheFacultyEvaluationofNPStudentClinicalPerformance. • Provideverificationofpreceptorhours.• Ensuresrecognitionofpreceptorsattheendofeachsemesterincooperationwiththe

clinicalplacementcoordinator.

SeefacultyresponsibilitiesforclinicalplacementflowchartProjectConcert(usedbyETSU)TheCollegeofNursinghasadoptedtheuseofProjectConcertforthepurposeofclinicalcoursedocumentationincluding:1. Student’sClinicalHealthRequirements2. Student’sPreceptorIntentForm3. Student’sadvisorinformation4. Student’sclinicalexperiences5. Student’sskillschecklist6. Student’smidtermandfinalevaluation


7. Student’sevaluationofpreceptor/clinicalsite8. Facultyevaluationofstudent9. Facultyevaluationofpreceptor/clinicalsite10. Student’sclinicalhours11. Student'sePortfolio

Preceptors,students,andfacultyareprovidedaProjectConcertaccountandtrainingfoundcurrentlyontheETSUCONwebsite.Preceptorlogininformationisdeliveredviaemailtothepreceptorafterreviewandapprovalofpreceptorintentform.NursepractitionerstudentswillenterclinicalexperiencesandskillsinProjectConcert.Preceptorswillapprove/rejectclinicalexperienceentriesthroughProjectConcertdaily.Preceptorswillcompletemidtermandfinalevaluationinprojectconcertbythecourseduedate.Clinicalfacultyreviewthestudent’ssubmissionsintoprojectconcertweekly.Clinicalfacultywillreviewthepreceptor’smidtermandfinalevaluationinprojectconcert.ForquestionsorguidancewithETSUProjectConcert,pleasecontactMarkBodo,[email protected];forTTU,contactFrankStarlingatfstarling@tntech.eduor931-372-3811.Medatrax(usedbyTTU)TheWHSONhasadoptedtheuseofMedatraxforthepurposeofclinicalcoursedocumentationincluding:1. Student’sClinicalHealthRequirements2. Student’sPreceptorIntentForm3. Student’sadvisorinformation4. Student’sclinicalexperiences5. Student’sskillschecklist6. Student’smidtermandfinalevaluation7. Student’sevaluationofpreceptor/clinicalsite8. Facultyevaluationofstudent9. Facultyevaluationofpreceptor/clinicalsite10. Student’sclinicalhours

Preceptors,students,andfacultyareprovidedaMedatraxaccountfordocumentationofalltheaboverequirements.Medatraxtrainingisprovided.NursepractitionerstudentswillenterclinicalexperiencesandskillsinMedatrax.Preceptorswillapprove/rejectclinicalexperienceentriesthroughMedatraxdaily.PreceptorswillcompletemidtermandfinalevaluationinMedatraxbythecourseduedate.Clinicalfacultyreviewthestudent’ssubmissionsintoMedatraxweekly.Clinicalfacultywillreviewthe


preceptor’smidtermandfinalevaluationinMedatrax.ForquestionsorguidancewithTTUMedatrax,pleasecontactCharlaMcPeake,ClinicalCoordinatoratcmcpeake@tntech.eduorcontactFrankStarlingatfstarling@tntech.eduor931-372-3811.

AppendixA

LinktoAllFormsinDocument

NameofForm URL

LinktoformsinthisDocument https://etsu365-my.sharepoint.com/:f:/g/personal/bodomn_etsu_edu/EjNVg5LBRTVElSMordivzBEBkAaNfciIyLg1q_YtOuwgpg?e=HDbMxK


References

AmericanAcademyofFamilyPhysicians(AAFP).(2016).Primarycare.Retrievedfromhttps://www.aafp.org/about/policies/all/primary-care.html.

Hirshon,J.M.,Risko,N.,Calvello,E.J.,Ramirez,S.,Narayan,M.,Theodosis,C.,O'Neill.J.(2013).Healthsystemsandservices:Theroleofacutecare.Retrievedfromhttp://www.who.int/bulletin/volumes/91/5/12-112664/en/

Documents

DNP Placement Guidelines · Advanced Health Assessment Skills & Simulation Experiences Nurse Practitioner students will have the opportunity to develop advanced physical assessment