NURS 5455. All sections
Family Nurse Practitioner Primary Care III [PC3]
(Total Credits: 4 hours; 145 Clinical Hours)
Application of major concepts and therapies necessary for the development, implementation, and evaluation of primary health care with emphasis on the adult and geriatric population. Strategies to eliminate health disparities will be explored.
*This course does not allow concurrent enrollment in NURS 5351 or NURS 5353
- CPR as a prerequisite
While this course continues to build on previous knowledge and practice of care for individuals and families, the focus of the course is the role components critical to primary health care, especially adult health, and geriatric health. The evolution of the role of the nurse practitioner in primary health care is explored at the local, state, national, and international levels. Models of nurse practitioner practice are examined. Role components critical to primary health care and to the role of the nurse practitioner in primary health care are analyzed. Facilitators for and barriers to the implementation of primary care are explored. Students will work closely with a clinical preceptor and nursing faculty to gain experience in developing the nursing role components critical to primary health care. Such experience involves and facilitates collaboration and the implementation of the primary healthcare role in selected healthcare settings. In the belief that graduate education acknowledges and facilitates individual diversification, faculty also provide the opportunity to individualize outcomes based on the perspective of the individual learner.
Course Learning Objectives
Upon completing this course, the learner will have demonstrated the ability to:
Upon completing this course, the learner will have demonstrated the ability to:
- Assess, plan, manage, evaluate, and revise the care of individuals and families in primary health care settings, referring clients to other health care providers and/or community resources as appropriate.
- Practice the NP role using nurse practitioner protocols that contain both an evaluation/diagnostic protocol and a plan/management protocol.
- Conceptualize the role of the nurse practitioner in primary health care.
- Analyze the evolution of primary health care and the role of the nurse practitioner in primary health care.
- Explore the influence of the image of nurses on the acceptance of primary health care practitioners.
- Identifies actual or potential risk to the healthcare consumer’s health and safety or barriers to health, which may include but are not limited to interpersonal, systematic, or environmental circumstances.
- Analyze the factors in a selected health care setting that facilitate and hinder implementation of primary health care.
- Utilizes complex data and information obtained during interview, examination, and diagnostics processes in identifying diagnoses and systematically compares and contrasts clinical findings with normal and abnormal variations and developmental events in formulating a differential diagnosis.
- Using research findings, evaluate the effectiveness of the nurse in primary healthcare from the perspectives of nurse practitioners, the public, physicians, and legislators.
- Considers associated risks, benefits, costs, current scientific evidence, expected trajectory of the condition, and clinical expertise when formulating expected outcomes and defines those expected outcomes in terms of the healthcare consumer, with their culture, values, and ethical considerations in mind while facilitating continuity of care.
Student Learning Objectives
Upon successful completion of this course, the student will be able to:
- Construct a patient-centered plan of care that incorporates current evidence to provide for health promotion and/or restoration of health with emphasis on the adult and geriatric populations and their families.
- Integrate evidence-based practice guidelines or principles into the systematic process for assessment, planning, and implementation of a case study.
- Articulate Differential Diagnoses for specified cases during Clinical and Discussion Boards (DB)s using best practices, evidence-based practice standards, or guidelines.
- Explain or discuss the nature of a case through exploration of the case pathophysiology, use of a Secondary Assessment instrument, tool, or maneuver, or its application for a disease process.
- Interpret diagnostic data findings for use in practice.
- Demonstrate a systematic approach toward documentation of a Clinical SOAP note.
Grading Policy and Criteria
Specific guidelines and grading criteria for all assignments are in the Modules. Final grades for the course will be determined based on the following point assignments:
A – 90-100
B – 80-89 [Passing: Total Exam Avg. >80%; Overall Course Grade >80 for passing] C – 70-79
D – 60-69
F – Below 60
Grades will NOT Be rounded when calculating the average (79.5 is not rounded to 80 and 89.5 is not rounded to 90). Students are required to achieve an average of 80% (B) to successfully complete the course. Students must also have an Exam Average of > 80% average for passing, plus all CPE scores and OSCE must also be passing must be deemed passing in order to progress in the course.
Late policy: 5% will be deducted each day an assignment is past due unless prior arrangements have been made with your course faculty if extenuating circumstances apply.
|Criteria for Evaluation:||Percentage of Grade:|
|Exams [x3]||20% (x3) or 60% of total course|
|Clinical Geriatric Case Study Paper||15%|
|Participation: Module Quizzes||10%|
|Case DB; Indiv. Case Topic Presentation DB||5%|
|Module 1 Activity; Certificates (Derm, Pain); OSCE Prep Case||5%|
|Clinical SOAP Notes; EHR-GO Note; weekly InPlace SOAP notes||5% [Passing Avg. 80%]|
|Clinical Component: Comm. Log (x2), CPEs (x2), OSCE, Evaluations||Pass/Fail|
|Clinical Practice Hours: 145 Clinical Hours, InPlace Logbook, Signatures||Pass/Fail|
All exams are taken online via ProctorU-auto within Canvas between 9a – 1p on the exam dates.
Module Quizzes will be taken using Respondus Lockdown Browser.
In-Person OSCE Day quizzes will be taken using Lockdown Browser. OSCE Prep cases will be taken using ProctorU-auto. Remote OSCE Day Case quizzes will be taken using ProctorU-auto. You will also be expected to use EHR-GO software for OSCE Prep and Remote OSCE cases. These features protect the integrity of the quizzes, and also encourages quiz readiness. See the Canvas instructions, Navigating the Technology, within the course regarding the Lockdown Browser and ProctorU-auto extension download, use, and access.
Important Course Dates:
Note: The complete course schedule is available in the Course Canvas site.
Online Zoom Sessions: Zoom link is located within Canvas, Zoom tab. Zoom dates are scheduled and located within the Course Schedule in addition to the Canvas Calendar. These Presentation Zoom sessions generally occur on Thursday’s from 8-9 pm. Check the Zoom Tab for Office Hours via Zoom.
- June 3rd, 2022 [Friday]
- July 1st, 2022 [Friday]
- August 11th, 2022 [Thursday]
OSCE Prep Case: Case U is due on June 3rd, 2022 [Friday] OSCE Prep Case: Case V is due n July 1st, 2022 [Friday] OSCE Prep Diagnostic Quiz: Due on July 8th, 2022 [Friday]
OSCE Dates: everyone will participate Remotely as well as attend the In-Person OSCE Day.
- Remote OSCE: July 11th, 2022 [Monday] Plan on all-day testing.
- In–Person OSCE: July 19th [Tuesday] Plan on 11a – 5p.
Textbooks/Materials: Required & Recommended
2 ed. Or
4 ed. 7 ed.
1 ed. 2014
Please refer to the Canvas page for further details regarding these applications.
- DynaMed (UT Tyler Library)
- EHR-GO (Neehr Perfect)
- ProctorU [ProctorU-auto] a University funded service
Other Select Recommended Resources:
- Pocket Guide:
▪ Tarascon Pocketbook Family Practice (Primary Care, Internal Medicine)
▪ Pocket Primary Care (Pocket Notebook Series) Second Edition
- Mobile Apps:
- ePSS, the U.S. Preventive Service Task Force (USPSTF)
- SOAP for Primary Care
- SOAP for Internal Medicine
- Pocket Primary Care (Pocket Notebook Series) Second Edition
- Pocket Notebook—Pocket Medicine 5-Minute Clinical Consult (5MCC)
- Tarascon Pocketbook Family Practice (Primary Care, Internal Medicine)
- OSCE for Medical Finals
- 5-Minute Clinical Consult