Adult-Gerontology Clinical Nurse Specialist Preceptor Manual

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1 Visin INSPIRE INNOVATE EXCEL Missin T imprve the health f the cmmunity by inspiring change in health care thrugh innvatin and excellence in nursing educatin, schlarship, practice, and service. COLLEGE OF HEALTH PROFESSIONS SCHOOL OF NURSING Graduate Prgrams Adult-Gerntlgy Clinical Nurse Specialist Preceptr Manual Philsphy The Graduate Prgram prepares students fr advanced rles in nursing and t be accuntable fr clinical and rganizatinal decisin making based n schlarly evidence, principles f ethics, relevant theries and health care plicy. Upn cmpletin f the Graduate Prgram, the MSN and DNP graduates are prepared t prvide leadership in the analysis f factrs influencing health and the subsequent implementatin and evaluatin f strategies fr imprving health in an interprfessinal, glbally aware, culturally sensitive manner. (revised 03/02/2009)

2 The Master f Science in Nursing and the Dctr f Nursing Practice degrees prepare students fr advanced clinical practice as an Adult-Gerntlgy Clinical Nurse Specialist. The Clinical Nurse Specialist (CNS) is an RN prepared at the Master s r Dctral level as a Clinical Nurse Specialist. The CNS is educated t care fr and imprve utcmes f acutely, critically, and chrnically ill patients by influencing the patient, family, nursing persnnel, and rganizatinal systems. The CNS is an expert clinician in a specialized area f nursing practice. Care is cntinuus and cmprehensive and may be prvided in a variety f settings. Care is prvided in a cllabrative mdel invlving patients, families, nurses, ther healthcare prviders, and administratrs. The CNS serves as: A leader, the CNS is an expert in the rles f cllabratr, cnsultant, researcher, and case manager t ptimize care t patients/clients. An expert clinician, the CNS assesses patients t prevent r reslve health prblems, develps and evaluates ppulatin -based prgrams f care, and designs and evaluates innvatin in nursing practice. The CNS fcuses n health prmtin and preventative care. The CNS prmtes advanced nursing care fr adult and geriatric patients/clients and prmtes the discipline f nursing. The graduate f the Adult-Gerntlgy CNS specializatin is eligible t take natinal certificatin examinatins; examples include the Clinical Nurse Specialist in Adult Health exam and the Adult- Gerntlgy Clinical Nurse Specialist exam administered by the American Nurses Credentialing Center, and the Adult-Gerntlgy Acute Care Clinical Nurse Specialist exam administered by the American Assciatin f Critical Care Nurses. In sme states, certificatin is required fr licensure as a CNS and fr reimbursement. CNS graduates are eligible t apply fr certificatin as an Advanced Practice Registered Nurse (APRN) as a Clinical Nurse Specialist thrugh the Kansas State Bard f Nursing. The faculty f WSU's Schl f Nursing supprts bth the Clinical Nurse Specialist (CNS) and the Nurse Practitiner (NP) rles t meet the needs f patient care delivery and the health care team. Therefre, the curriculum reflects bth the CNS and ACNP specialties. Sme didactic cursewrk is shared, while ther curses are specifically designed fr the CNS student. Faculty Elaine Steinke, RN, PhD, APRN-CNS, Prfessr (316) Karen Hayes, RN, PhD, APRN-ACNP, CNS, Assistant Prfessr (316) Mary Kehn, RN, PhD, APRN-CNS, Assciate Dean, Cllege f Health Prfessins (316)

3 Adult Health and Illness CNS Curriculum Prerequisites fr the prgram are statistics and an undergraduate nursing research curse apprved by the Schl f Nursing. The CNS track is 49 credit hurs. Cre Curses Cre Curse Credit Hurs 24 N 701 Advanced Health Assessment 2 N 702 Advanced Health Assessment Lab 1 N 703 Theretical Fundatins f Advanced Nursing Practice 3 N 715 Advanced Nursing Practice Rles 1 HS 711 Pharmaclgical Management f Acute/Chrnic Diseases 3 N 793 Advanced Pathphysilgy I 4 N 801 Health Care Systems: Plicy and Plitics 3 N 806 Evidence Based Nursing Practice/Outcmes f Care 3 N 826 Evidence Based Nursing Prject I 2 N 828 Evidence Based Nursing Prject II 2 Specializatin Curses Specializatin Credit Hurs 25 N 834 Adult/Older Adult CNS Practicum I 4 N 840 Pathphysilgy & Management f Adult/Older Adult Acute Care Prblems I 3 N 866 Transitins t the Adult/Older Adult CNS Advanced Practice Rle I 1 N 909 Pathphysilgy & Management f Adult/Older Adult Acute Care Prblems II 3 N 927 Transitins t the Adult/Older Adult CNS Advanced Practice Rle II 1 N 928 Adult/Older Adult CNS Practicum II 4 N 952 Advanced Nursing Practice Preceptrship 3 Elective curse 3 And ne f the fllwing: N 723 Fundatins f Nursing Educatin r 3 N 775 Health Care Infrmatin Systems Cmprehensive Examinatin 0

4 Curse Descriptins: Curse Number & Title: N834, Adult/Older Adult CNS Practicum I (4 cr hrs) Curse Descriptin: An intensive clinical experience in which the student is expected t design, implement, and evaluate nursing care fr adult/lder adult ppulatins. Specialized areas f study are selected and may invlve health prmtin, health maintenance r illness care f acutely r chrnically ill adults. C-requisite: N840 and N866 Curse Objectives: The learner will be able t: 1. Demnstrate skills in advanced physical, psychscial, and functinal assessment with adults/lder adults. 2. Demnstrate integratin f thery and research while prviding care t patients and families. 3. Analyze patient and health care infrmatin fr diagnsing, prescribing and delivering advanced nursing care fr adults/lder adults. 4. Evaluate utcmes and interventins in a specific clinical setting. 5. Implement patient educatin strategies fr health prmtin and disease preventin. 6. Cmmunicate effectively in verbal and written frms with patients, families, peers, and ther health care disciplines. 7. Incrprate ethical-legal principles in practice settings. 8. Analyze the rle f the clinical nurse specialist in a selected clinical setting. Curse Number & Title: N840, Pathphysilgy & Management f Adult/Older Adult Acute Care Prblems I (3 cr hrs) Curse Descriptin: This is the first f tw curses that examines pathphysilgy and management f acute, chrnic, and multisystem health prblems in adult/lder adult ppulatins. Emphasis is n the scientific underpinnings fr clinical decisin-making and practice issues. The majr themes address nrmal physilgy, pathphysilgy, age-related changes, assessment, diagnsis, and management f acute, critical, and exacerbatin f chrnic disease states. Health prmtin and disease preventin are emphasized. Prerequisites: NURS 793 and admissin t ACNP r Adult CNS specializatin E. Curse Objectives: The learner will be able t: 1. Evaluate the epidemilgy, etilgy, pathgenesis, and clinical and labratry manifestatins f specific acute, critical, and exacerbatin f chrnic health prblems f the adult/lder adult. 2. Discuss the genetic basis f selected diseases and related genetic issues. 3. Describe the pathlgic mechanisms and management f pain and inflammatin in the adult/lder adult.

5 4. Examine strategies fr disease preventin and health prmtin acrss the adult lifespan. 5. Analyze relevant research, established prtcls, and natinal standards f practice fr selected acute, critical, and exacerbatin f chrnic disease states. 6. Develp and evaluate a management plan that includes pharmaclgic and nnpharmaclgic appraches fr acute/critical health prblems in the adult/lder adult. 7. Discuss the psychlgical, cultural, scial, ecnmic, and ethical-legal cnsequences f majr disease states fr the individual, family, and sciety. Transitin Seminar Curse Curse Number & Title: N866, Transitin t the Adult/Older Adult CNS Advanced Practice Rle I (1 cr hrs) Curse Descriptin: Fcuses n the applicatin f theretical mdels in practice, CNS rle develpment, utcmes f care, practice issues, change prcess, and health system leadership. C-requisite: N840 and N834 Curse Objectives: The learner will be able t: 1. Apply theretical mdels f practice t clinical situatins in adult/lder adult ppulatins. 2. Analyze the CNS rle using relevant literature and practice standards. 3. Evaluate utcmes and prcesses f care in health care settings. 4. Apply principles f health systems leadership and change prcess using practice scenaris. 5. Discuss practice issues related t the CNS rle. Curse Number & Title: N909, Pathphysilgy & Management f Adult/Older Adult Acute Care Prblems II (3 cr hrs) Curse Descriptin: The secnd f tw curses that examines pathphysilgy and management f acute, chrnic, multisystem health prblems in adult/lder adult ppulatins. Emphasis is placed n the scientific underpinnings fr clinical decisin-making and practice issues. Majr themes address nrmal physilgy, pathphysilgy, age-related changes, assessment, diagnsis, and management f acute, critical, and exacerbatin f chrnic disease states. Health prmtin and disease preventin are emphasized. Prerequisites: N793 and N840

6 Curse Objectives: The learner will be able t: 1. Evaluate the epidemilgy, etilgy, pathgenesis, and clinical and labratry manifestatins f specific acute, chrnic, and multisytem health prblems f the adult/lder adult. 2. Discuss psychscial respnses t illness, stress respnse, and end-f-life issues. 3. Examine strategies fr disease preventin and health prmtin. 4. Analyze relevant research, established prtcls, and natinal standards f practice fr selected acute, critical, multisystem, and exacerbatin f chrnic disease states. 5. Develp and evaluate a management plan that includes pharmaclgic and nnpharmaclgic appraches fr acute, critical, and multisystem health prblems in the adult/lder adult. 6. Discuss the psychlgical, cultural, scial, ecnmic, and ethical-legal cnsequences f majr disease states fr the individual, family, and sciety. CNS Transitin Seminar curse Curse Number & Title: N927, Transitin t the Adult/Older Adult CNS Advanced Practice Rle II (1 cr hrs) Curse Descriptin: Fcuses n cntinued CNS rle develpment, case management, health prmtin, utcmes f care, evidence-based practice, and practice issues. C-requisite: N909, N928 Curse Objectives: The learner will be able t: Practicum 1. Apply principles f case management using adult/lder adult case scenaris. 2. Evaluate availability f cmmunity resurces fr health prmtin within a selected ppulatin. 3. Evaluate theretical mdels f practice t clinical situatins in health care settings. 4. Evaluate utcmes and prcesses f care in health care settings. 5. Discuss practice issues related t the CNS rle. Curse Number & Title: N928, Adult/Older Adult CNS Practicum II (4 cr hrs) Curse Descriptin: An intensive clinical experience in which the student is expected t design, implement, and evaluate nursing care fr adult/lder adult ppulatins. The curse emphasizes applicatin f case management principles and health prmtin strategies fr a selected adult/lder adult ppulatins. C-requisite: N909, N927

7 Curse Objectives: The learner will be able t: 1. Analyze data fr diagnsing, prescribing and delivering advanced nursing care with adult/lder adults. 2. Demnstrate skills in advanced physical, psychscial, and functinal assessment. 3. Apply case management principles in the care f adults/lder adults in a specific clinical setting. 4. Demnstrate integratin f thery and research while prviding care t patients and families. 5. Evaluate utcmes and interventins in a specific clinical setting. 6. Implement patient educatin strategies fr health prmtin and disease preventin. 7. Cmmunicate effectively in verbal and written frms with patients, families, peers, and ther health care disciplines. 8. Incrprate ethical-legal principles in practice settings. 9. Analyze the rle f the clinical nurse specialist in a selected clinical setting. Curse Number & Title: N952: Advanced Nursing Practice Preceptrship (3 credit hurs). Curse Descriptin: Cncentrated clinical practicum in the student s specializatin health care setting that emphasizes the management f care fr individuals. Students synthesize cncepts and principles frm previus classes and clinical experiences, applying theretical and research cntent t acute, chrnic, urgent and/r cmmn health prblems. Preceptrship is in a clinical agency apprpriate t the student s clinical interests. Prerequisites: Cmpletin f all cre and specialized curses in NP/CNS ptin; departmental cnsent Curse Objectives The learner will be able t: 1. Assess the physilgical and psychscial health status f clients with acute, chrnic, urgent, and/r cmmn health care prblems. 2. Prvide health care t individuals using established prtcls and current standards f care. 3. Prvide client teaching and cunseling fr illness preventin and health maintenance. 4. Apply apprpriate diagnstic and therapeutic (t include pharmaclgic, cmplementary, and nn-pharmaclgic) mdalities fr health cnditins. 5. Use cnsultatin and referral netwrks with expert prfessinals in the treatment f health care prblems. 6. Demnstrate the use f evidence-based practice t achieve therapeutic utcmes. 7. Maintain accurate recrds, legal dcuments, and reprts in the care f clients. 8. Cmmunicate effectively in verbal and written instances with patients, family, peers, and ther health care disciplines. 9. Incrprates knwledge f age-related changes and issues when planning and prviding care acrss the lifespan.

8 Evaluatin f Student Learning by Preceptrs PRECEPTOR STATEMENT Preceptrs assist curse respnsible faculty and are practitiners wh prvide direct teaching t students apprpriate t the curse and prgram bjectives. Preceptrs fr clinical specializatins may include bth advanced practice nurses (APRNs) and nn-nurse practitiners (usually physicians). Each preceptr must be credentialed and state licensed t practice in his/her specializatin. Natinal certificatin is highly encuraged althugh nt required in Kansas fr APRN status. Preceptrs must have educatinal preparatin and/r extensive practice experience apprpriate t his/her supervisry respnsibility. Newly prepared preceptrs must have at least ne year f practice experience in the specializatin. Orientatin t the preceptr rle, including prgram requirements, expectatins fr versight and evaluatin f students, are prvided fr each specializatin. Student evaluatin is the respnsibility f the faculty with input frm the preceptr. Experiences with preceptrs are evaluated by students and faculty t enhance prgram develpment and student learning activities. Dcumentatin f preceptr qualificatin is maintained in the Schl f Nursing. Alicia Huckstadt, 4/09 SON Graduate Cuncil apprval 5/1/09 Evaluatin f student perfrmance by the preceptr prvides valuable input t bth the student and the faculty member. In additin t the general guidelines presented earlier, please cnsider these areas in yur evaluatin f the student: Reliability Infrmatin gathering ability Physical examinatin techniques Prblem-slving and Clinical judgment Patient rapprt and educatin Prfessinal relatinships Knwledge base Understanding f the CNS rle Recgnitin f limitatins Additinal resurces fr evaluating students can be fund in the links sectin fr preceptrs n this website. These can be helpful if yu have additinal questins r encunter difficulties during the rtatin. Please prvide yur evaluatin f the student n the frm prvided belw and return it t the faculty member prmptly upn cmpletin f the student's clinical rtatin. The additin f written cmments is particularly useful fr the student and the faculty member. Thank yu fr supprting CNS educatin at WSU!

9 WICHITA STATE UNIVERSITY SCHOOL OF NURSING Preceptr/Instructr Evaluatin f Clinical Nurse Specialist Student Semester Student: Preceptr Signature: Date: Key: NA = Nt applicable r nt bserved 2 = Omits task/prcedure, minimal cmpetence even with assistance 4 = Belw average skills, needs a lt f direct supervisin 6 = Perfrms with average skills, needs sme direct supervisin 8 = Perfrms with abve average skills, needs minimal direct supervisin 10= Skills are well develped, wrks independently mst f the time Ttal Pints Pssible = 100 Directins: Place a X in the bx t indicate yur rating f the student fr each item Prcedure/Task Is skillful in btaining histries and perfrming physical examinatins in patients as apprpriate fr the setting, including nrmal and abnrmal variatins in lder adults. Recgnizes bth typical and atypical presentatins f cmplex acute, critical, and chrnic illnesses including urgent/emergent physical and mental health cnditins acrss the age spectrum. Articulates patient prblems and physical findings, verbally and in writing, using accurate and apprpriate terminlgy. Succinctly frmulates & articulates the apprpriate plan f care; uses clinical data and evidence based literature t evaluate the plan f care fr adults acrss the lifespan. Selects and recmmends apprpriate pharmaclgic and nnpharmaclgic interventins with attentin t safety, cst acceptability, and efficacy. Evaluates the apprpriateness f pharmaclgic and nnpharmaclgic therapies. Implements apprpriate patient teaching, cunseling, and health prmtin strategies t adults with attentin t culture, aging, gender, and health literacy. Demnstrates an awareness f ethical and legal implicatins f care prvided t patients and families. Demnstrates ability t self-direct learning activities Rating NA Cperates and cllabrates with members f the health care team; prvides cnsultatin and educatin t staff members as apprpriate. Exhibits prfessinal behavir. Cmments: (Yur cmments are particularly valued, s please add a few f yur cmments here)

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