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PRAC 6565: Synthesis in Advanced Nursing Practice of Patients in Primary Care Settings Practicum

PRAC 6565: Synthesis in Advanced Nursing Practice of Patients in Primary Care Settings Practicum PRAC 6565: Synthesis in Advanced Nursing Practice of Patients in Primary Care Settings PracticumWeek 1: Preparing for ClinicalOne must learn by doing the thing; for though you think you know it, you have no certainty until you try.—SophoclesWhat do I have to do?When do I have to do it?Review your Learning Resources.Days 1–7Assignment 1: Practicum Site InformationSubmit Assignment 1 by Day 3.Assignment 2: Clinical Skills and Procedures Self-AssessmentSubmit Assignment 2 by Day 7.Assignment 3: Clinical Hour and Patient LogsTrack your clinical hours and patient encounters in Meditrek throughout this Practicum course. Each week, your logs must be completed by Day 7.Welcome to your Synthesis in Advanced Nursing Practice of Patients in Primary Care Settings Practicum! The practicum experience allows you to refine your clinical nursing skills under the mentorship of a preceptor. As you engage with patients in the practicum setting, you “learn by doing the thing”—whether that “thing” is a pap smear, x-ray interpretation, splinting and casting, or another AGPCNP clinical skill.Throughout the next 11 weeks, you will evaluate your skill development, reflect on patient encounters, and generate goals related to your growth as an advanced practice nurse. This week, you start by assessing your strengths and opportunities related to AGPCNP skills and procedures. Based on the opportunity areas, you will then develop goals for your clinical practicum.ORDER A PLAGIARISM-FREE PAPER HERELearning ObjectivesStudents will:Assess strengths and opportunities for improvement related to clinical skills and proceduresDevelop goals for clinical practiceDescribe clinical hours and patient encountersLearning ResourcesRequired Readings (click to expand/reduce)Recommended Media (click to expand/reduce)Assignment 1: Practicum Site Information Photo Credit: EscoLux / E+ / Getty ImagesPrior to starting the course, you should have applied for a practicum site following the guidelines for AGACNP practice. Now it is time to make it official. For this Assignment, you provide your Clinical Faculty with information about your practicum site, your preceptor, and your clinical calendar.To prepare:Verify that your practicum application has been approved by logging in to Meditrek.Access the Practicum Site Information Form from the Learning Resources.AssignmentComplete the designated areas of the Practicum Site Information Form, including your practicum site and contact information, your preceptor and contact information, and a schedule of when you plan to engage in practicum activities onsite.By Day 3Submit your completed Practicum Site Information Form.Submit Your Assignment by Day 3To participate in this Assignment:Week 1 Assignment 1Assignment 2: Clinical Skills and Procedures Self-Assessment Photo Credit: AndreyPopov / iStock / Getty Images Plus / Getty ImagesBefore embarking on any professional or academic activity, it is important to understand the background, knowledge, and experience you bring to it. You might ask yourself “What do I already know? What do I need to know? And what do I want to know?” This critical self-reflection is especially important for developing clinical skills, such as those for advanced practice nursing.The AGACNP Clinical Skills List and Resource Review document, provided in the Learning Resources, can be used to celebrate your progress throughout your practicum and identify skills gaps. The list covers all necessary skills you should demonstrate during your three practicum courses.For this Assignment, you assess where you are now in your clinical skill development and make plans for your practicum. Specifically, you will identify strengths and opportunities for improvement regarding the required practicum skills and procedures.To prepare:Review the resources and clinical skills in the AGACNP Clinical Skills List and Resource Review document. It is recommended that you print out this document to serve as a guide throughout your practicum.Download the Clinical Skills and Procedures Self-Assessment Form to complete this Assignment.AssignmentUsing the Clinical Skills and Procedures Self-Assessment Form:Rate yourself according to your confidence level performing the procedures identified on the Clinical Skills and Procedures Self-Assessment Form.Based on your ratings, summarize your strengths and opportunities for improvement.Based on your self-assessment and theory of nursing practice, develop 3–4 goals and objectives for this practicum experience. Include them on the designated area of the form.** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER.  You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.By Day 7Submit your completed Clinical Skills and Procedures Self-Assessment Form.Submission and Grading InformationTo submit your completed Assignment for review and grading, do the following:Please save your Assignment using the naming convention “WK1Assgn2+last name+first initial.(extension)” as the name.Click the Week 1 Assignment 2 Rubric to review the Grading Criteria for the Assignment.Click the Week 1 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK1Assgn2+last name+first initial.(extension)” and click Open.If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.Click on the Submit button to complete your submission.Week 2: Establishing Communication With Your Clinical Faculty and PreceptorWhat do I have to do?When do I have to do it?Review your Learning Resources.Days 1–7Reminder: Orientation EmailComplete your orientation email by Day 7.Assignment: Clinical Hour and Patient LogsRecord your clinical hours and patient encounters in Meditrek by Day 7. Now that you have developed goals for your practicum, let those goals guide your activities. What are some steps you can take on the way to a larger goal? How might you gain confidence in a clinical skill or seek out more opportunities to practice? What external activities might boost your professionalism or enhance your skill set? As you settle in at your practicum site, keep these questions in mind.This week, you continue engaging with patients at your practicum site, recording your time and experiences in your Clinical Hour and Patient Logs.Learning ObjectiveStudents will:Describe clinical hours and patient encountersLearning ResourcesRequired Readings (click to expand/reduce)Assignment: Clinical Hour and Patient LogsPhoto Credit: auremar / Adobe StockClinical HoursFor this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted. You may only log hours with preceptors that are approved in Meditrek.Students with catalog years before Spring 2018 must complete a minimum of 576 hours of supervised clinical experience (144 hours in each practicum course).  Students with catalog years beginning Spring 2018 must complete a minimum of 640 hours of supervised clinical experience (160 hours in each practicum course). By the end of Week 1, make sure you confirm your preceptor and clinical faculty are set up in Meditrek.Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.Your clinical hour log must include the following:DatesCourseClinical FacultyPreceptorTotal Time (for the day)Notes/Comments (including the objective to which the log entry is aligned)Patient LogThroughout this course, you will also keep a log of patient encounters using Meditrek. If your catalog year is before Spring 2018, you must record at least 144 encounters with patients by the end of this practicum. If your catalog year is Spring 2018 or later, you must record at least 160 encounters with patients by the end of this practicum.The patient log must include the following:DateCourseClinical FacultyPreceptorPatient NumberClient InformationVisit InformationPractice ManagementDiagnosisProcedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)Treatment Plan and NotesIV MedicationBy Day 7Record your clinical hours and patient encounters in Meditrek.Week 3: Developing a Focused SOAP NoteWhat do I have to do?When do I have to do it?Review your Learning Resources.Days 1–7Assignment 1: Developing a Focused SOAP NoteComplete by Day 7.Assignment 2: Clinical Hour and Patient LogsRecord your clinical hours and patient encounters in Meditrek by Day 7. Consider the experiences you have had thus far, either in the healthcare workplace or at your practicum site. As you likely know, a nurse’s job does not begin and end with one-to-one patient contact. It includes meetings, documentation, trainings, and collaboration. In particular, the nurse is a member of an interdisciplinary team and must use oral and written communication to inform others of a patient’s status. A central skill of advanced practice nursing, then, is the ability to document a patient’s history, symptoms, diagnosis, and treatment plan to relevant parties involved in treatment.This week, in addition to your Meditrek tracking, you will develop a focused SOAP note on one of the patients you have interacted with in your clinical practicum.Learning ObjectivesStudents will:Evaluate patients in primary care settingsDevelop differential diagnoses for patients in primary care settingsDevelop treatment plans for patients in primary care settingsDescribe clinical hours and patient encountersLearning ResourcesRequired Readings (click to expand/reduce)Recommended Reading (click to expand/reduce)Assignment 1: Developing a Focused SOAP NoteThis focused SOAP note assignment is a way to reflect on your Practicum experiences and connect them to your classroom experience. Focused SOAP notes are often used in clinical settings to document patient care. They provide a standard, systematic format for collecting patient information. Similar to learning to compute math problems by hand before you move to a calculator, you are required to use a Word document template in this course and document everything manually. In your career, however, you are likely to encounter electronic health record systems with SOAP documentation capabilities such as search functions and symptom drag and drops that will streamline the process.Photo Credit: Getty Images/Blend ImagesAll SOAP notes must be signed and each page must be initialed by your preceptor. When you submit your SOAP Note, you should include the complete SOAP Note as a Word document and pdf/images of each page that is initialed and signed by your preceptor. You must submit your SOAP Note using SafeAssign.Please Note: Electronic signatures are not accepted. If both files are not received by the due date, faculty will deduct points per the Walden Late Policies.To prepare:Review this week’s Learning Resources, including the Focused SOAP Note Template.Select a patient who you saw at your practicum site during the last 3 weeks. With this patient in mind, consider the following:Subjective: What details did the patient provide regarding his or her personal and medical history?Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any morbidities and psychosocial issues.Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority and include their ICD-10 code for the diagnosis. What was your primary diagnosis and why?Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation?By Day 7Submit your Assignment. You must submit two files for the SOAP note, including a Word document and scanned pdf/images of each page that is initialed and signed by your preceptor.Submission and Grading InformationTo submit your completed Assignment for review and grading, do the following:Please save your Assignment using the naming convention “WK3Assgn1+last name+first initial.(extension)” as the name.Click the Week 3 Assignment 1 Rubric to review the Grading Criteria for the Assignment.Click the Week 3 Assignment 1 link. You will also be able to “View Rubric” for grading criteria from this area.Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK3Assgn1+last name+first initial.(extension)” and click Open.If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.Click on the Submit button to complete your submission.Week 4: HEENT, Cardiac, and Pulmonary ProceduresWhat do I have to do?When do I have to do it?Review your Learning Resources.Days 1–7Quiz: HEENT, Cardiac, and Pulmonary ProceduresComplete the Quiz by Day 7.Assignment: Clinical Hour and Patient LogsRecord your clinical hours and patient encounters in Meditrek by Day 7. Knowledge of clinical procedures is best developed through practical application. Refer to your Clinical Skills List and Resource Review document often and take advantage of opportunities at your practicum site to develop your competency in various procedures. The readings here in the classroom are meant to bolster your knowledge of procedures, and you should refer to your clinical procedures textbook often and in varying content areas as needed.This week, you take a quiz to support your fluency with HEENT, cardiac, and pulmonary procedures. As you progress in your clinical practicum, you continue to use Meditrek to record your time and patient encounters, thoughtfully considering the skills you are gaining.Learning ObjectivesStudents will:Demonstrate knowledge of clinical procedures in the treatment of patientsDescribe clinical hours and patient encountersLearning ResourcesRequired Readings (click to expand/reduce)Recommended Reading (click to expand/reduce)Recommended Media (click to expand/reduce)Quiz: HEENT, Cardiac, and Pulmonary ProceduresThis 10-question, multiple-choice quiz reinforces the procedures you are learning about and applying at your practicum site. This quiz will cover HEENT, cardiac, and pulmonary procedures. You will be allowed only one attempt for this quiz.By Day 7Complete your Quiz.Submission InformationSubmit Your Quiz by Day 7Week 5: Midterm Clinical EvaluationWhat do I have to do?When do I have to do it?Review your Learning Resources.Days 1–7Assignment 1: Midterm EvaluationYour preceptor will evaluate your clinical skills by Day 7.Assignment 2: Clinical Hour and Patient LogsRecord your clinical hours and patient encounters in Meditrek by Day 7. All people—including clinicians and professionals—can have personal “blind spots” (i.e., individuals might not recognize an aspect of themselves that others see, positive or negative). That blind spot could relate to communication style, interpersonal skills, clinical skills, or discipline knowledge. Evaluative feedback is one way to see yourself from another perspective and uncover what those blind spots are. In this way, feedback from a trusted mentor such as your preceptor can be enlightening.This week, as you approach the halfway point of your practicum, your preceptor will assess your clinical skills in a Midterm Evaluation.Learning ObjectivesStudents will:Compare preceptor evaluation with self-evaluation to assimilate level of clinical performanceDescribe clinical hours and patient encountersLearning ResourcesRequired Readings (click to expand/reduce)Recommended Reading (click to expand/reduce)Assignment 1: Midterm EvaluationPhoto Credit: Getty Images/Blend ImagesNow that you have been working at your practicum site for more than a month, it is time to test your skills. In preparation for your midterm evaluation, you may wish to review your AGPCNP Clinical Skills List and Resource Review document, as well as revisit the goals and objectives you established in Week 1.To prepare:Check with your preceptor to verify that the preceptor has received Meditrek credentials.Following your Midterm Evaluation, your Clinical Faculty and preceptor will meet privately to discuss your results and feedback. Once you receive your feedback, compare your preceptor’s evaluation with your self-evaluation to better understand your clinical performance.Clinical Evaluation GradesYour clinical instructor will complete an evaluation with feedback from your preceptor and evaluation of your work.    Meditrek calculates an average score which will be used to determine the score that will be entered into Blackboard for your evaluation grade.By Day 7Your evaluation should be completed by your preceptor.Grading CriteriaWeek 5 Midterm Evaluation RubricAssignment 2: Clinical Hour and Patient LogsPhoto Credit: auremar / Adobe StockClinical HoursFor this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted. You may only log hours with preceptors that are approved in Meditrek.Students with catalog years before Spring 2018 must complete a minimum of 576 hours of supervised clinical experience (144 hours in each practicum course).  Students with catalog years beginning Spring 2018 must complete a minimum of 640 hours of supervised clinical experience (160 hours in each practicum course). By the end of Week 1, make sure you confirm your preceptor and clinical faculty are set up in Meditrek.Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.Your clinical hour log must include the following:DatesCourseClinical FacultyPreceptorTotal Time (for the day)Notes/Comments (including the objective to which the log entry is aligned)Patient LogThroughout this course, you will also keep a log of patient encounters using Meditrek. If your catalog year is before Spring 2018, you must record at least 144 encounters with patients by the end of this practicum. If your catalog year is Spring 2018 or later, you must record at least 160 encounters with patients by the end of this practicum.The patient log must include the following:DateCourseClinical FacultyPreceptorPatient NumberClient InformationVisit InformationPractice ManagementDiagnosisProcedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)Treatment Plan and NotesIV MedicationBy Day 7Record your clinical hours and patient encounters in Meditrek.Week 6: Musculoskeletal and Neurological ProceduresWhat do I have to do?When do I have to do it?Review your Learning Resources.Days 1–7Assignment: Clinical Hour and Patient LogsRecord your clinical hours and patient encounters in Meditrek by Day 7. Based on your Midterm Evaluation, how do you feel about your progress toward your goals? Are you receiving a diversity of experiences at your practicum site to add to your clinical toolbox? What procedures are you confident in, and what do you need to hone as an advanced practice nurse? As you progress in your practicum, reach out to your Clinical Faculty and preceptor with questions you have.This week, you will continue to engage with Meditrek, recording your clinical hours and patient encounters. You will also learn about musculoskeletal and neurological procedures in the reading selections.Learning ObjectiveStudents will:Describe clinical hours and patient encountersLearning ResourcesRequired Readings (click to expand/reduce)Recommended Reading (click to expand/reduce)Recommended Media (click to expand/reduce)Assignment: Clinical Hour and Patient LogsPhoto Credit: auremar / Adobe StockClinical HoursFor this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted. You may only log hours with preceptors that are approved in Meditrek.Students with catalog years before Spring 2018 must complete a minimum of 576 hours of supervised clinical experience (144 hours in each practicum course).  Students with catalog years beginning Spring 2018 must complete a minimum of 640 hours of supervised clinical experience (160 hours in each practicum course). By the end of Week 1, make sure you confirm your preceptor and clinical faculty are set up in Meditrek.Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.Your clinical hour log must include the following:DatesCourseClinical FacultyPreceptorTotal Time (for the day)Notes/Comments (including the objective to which the log entry is aligned)Patient LogThroughout this course, you will also keep a log of patient encounters using Meditrek. If your catalog year is before Spring 2018, you must record at least 144 encounters with patients by the end of this practicum. If your catalog year is Spring 2018 or later, you must record at least 160 encounters with patients by the end of this practicum.The patient log must include the following:DateCourseClinical FacultyPreceptorPatient NumberClient InformationVisit InformationPractice ManagementDiagnosisProcedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)Treatment Plan and NotesIV MedicationBy Day 7Record your clinical hours and patient encounters in Meditrek.Week 7: Dermatological ProceduresWhat do I have to do?When do I have to do it?Review your Learning Resources.Days 1–7Quiz: Musculoskeletal, Neurological, and Dermatological ProceduresComplete by Day 7.Assignment: Clinical Hour and Patient LogsRecord your clinical hours and patient encounters in Meditrek by Day 7. Dermatological conditions are common across the lifespan and the procedures that accompany them are frequently required by advanced practice nurses. Cryotherapy, suturing, and biopsies are just a few of the clinical skills for which you should develop competency. Consider patients at your practicum site and what actions you have taken to identify and treat their skin conditions or wounds. What skills do you feel independently competent in, and which are you still developing your competence? Seek to shore up any skills gaps related to dermatological procedures by referring back to your self-assessment, communicating with your preceptor, and seeking out opportunities to practice under his or her guidance.This week, you will complete a quiz on dermatological, musculoskeletal, and neurological procedures. You also continue to record your clinical hours and patientLearning ObjectivesStudents will:Demonstrate knowledge of clinical procedures in the treatment of patientsDescribe clinical hours and patient encountersLearning ResourcesRequired Readings (click to expand/reduce)Recommended Reading (click to expand/reduce)Quiz: Musculoskeletal, Neurological, and Dermatological ProceduresThis 10-question, multiple-choice and true/false quiz reinforces the procedures you are learning about and applying at your practicum site. This quiz will cover musculoskeletal, neurological, and dermatological procedures. You will be allowed only one attempt for this quiz.By Day 7Complete your Quiz.Submission InformationSubmit Your Quiz by Day 7To submit your Quiz:Week 7 QuizAssignment: Clinical Hour and Patient LogsPhoto Credit: auremar / Adobe StockClinical HoursFor this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted. You may only log hours with preceptors that are approved in Meditrek.Students with catalog years before Spring 2018 must complete a minimum of 576 hours of supervised clinical experience (144 hours in each practicum course).  Students with catalog years beginning Spring 2018 must complete a minimum of 640 hours of supervised clinical experience (160 hours in each practicum course). By the end of Week 1, make sure you confirm your preceptor and clinical faculty are set up in Meditrek.Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.Your clinical hour log must include the following:DatesCourseClinical FacultyPreceptorTotal Time (for the day)Notes/Comments (including the objective to which the log entry is aligned)Patient LogThroughout this course, you will also keep a log of patient encounters using Meditrek. If your catalog year is before Spring 2018, you must record at least 144 encounters with patients by the end of this practicum. If your catalog year is Spring 2018 or later, you must record at least 160 encounters with patients by the end of this practicum.The patient log must include the following:DateCourseClinical FacultyPreceptorPatient NumberClient InformationVisit InformationPractice ManagementDiagnosisProcedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)Treatment Plan and NotesIV MedicationBy Day 7Record your clinical hours and patient encounters in Meditrek.Week 8: Developing a Comprehensive SOAP NoteWhat do I have to do?When do I have to do it?Review your Learning Resources.Days 1–7Assignment 1: Comprehensive SOAP NoteSubmit the Assignment by Day 7.Assignment 2: Clinical Hour and Patient LogsRecord your clinical hours and patient encounters in Meditrek by Day 7. At your practicum site, you have been strengthening your communication, diagnostic, procedural, and treatment planning skills. This week, you highlight these skills as you present a patient case through a SOAP note, just as you did in Week 3. You continue to track your clinical time and patients in Meditrek.Learning ObjectivesStudents will:Evaluate patients in primary care settingsDevelop differential diagnoses for patients in primary care settingsDevelop treatment plans for patients in primary care settingsDescribe clinical hours and patient encountersLearning ResourcesRequired Readings (click to expand/reduce)Assignment 1: Comprehensive SOAP NotePhoto Credit: Getty Images/Blend ImagesIn Week 3, you completed a focused SOAP note. This week, you will complete a comprehensive SOAP note. Both types of SOAP note provide a cognitive framework for diagnostic reasoning and treatment planning.All SOAP notes must be signed and each page must be initialed by your preceptor. When you submit your SOAP Note, you should include the complete SOAP Note as a Word document and pdf/images of each page that is initialed and signed by your preceptor. You must submit your SOAP Note using SafeAssign.Please Note: Electronic signatures are not accepted. If both files are not received by the due date, faculty will deduct points per the Walden Late Policies.To prepare:Review the Comprehensive SOAP Note Template.Select a patient who you saw at your practicum site during the last 5 weeks. With this patient in mind, consider the following:Subjective: What details did the patient provide regarding the personal and medical history?Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any morbidities and psychosocial issues.Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority and include their CPT and ICD-10 codes for the diagnosis. What was your primary diagnosis and why?Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation?By Day 7Submit your Comprehensive SOAP Note. You must submit two files for the SOAP note, including a Word document and scanned pdf/images of each page that is initialed and signed by your preceptor.Submission and Grading InformationTo submit your completed Assignment for review and grading, do the following:Please save your Assignment using the naming convention “WK8Assgn1+last name+first initial.(extension)” as the name.Click the Week 8 Assignment 1 Rubric to review the Grading Criteria for the Assignment.Click the Week 8 Assignment 1 link. You will also be able to “View Rubric” for grading criteria from this area.Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK8Assgn1+last name+first initial.(extension)” and click Open.If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.Click on the Submit button to complete your submission. Week 9: Preventative Health and Special Populations What do I have to do?When do I have to do it?Review your Learning Resources.Days 1–7Assignment: Clinical Hour and Patient LogsRecord your clinical hours and patient encounters in Meditrek by Day 7. In this practicum course, you have reinforced your understanding of many types of clinical procedures in primary care settings. Another key area for advanced practice nurses in primary care is care of special population patients such as older adults, and concerns related to men’s and women’s health.This week, you read about procedures related to men’s and women’s health. Continue to keep your log of clinical hours and patient encounters current in Meditrek.Learning ObjectiveStudents will:Describe clinical hours and patient encountersLearning ResourcesRequired Readings (click to expand/reduce)Recommended Reading (click to expand/reduce)Assignment: Clinical Hour and Patient LogsPhoto Credit: auremar / Adobe StockClinical HoursFor this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted. You may only log hours with preceptors that are approved in Meditrek.Students with catalog years before Spring 2018 must complete a minimum of 576 hours of supervised clinical experience (144 hours in each practicum course).  Students with catalog years beginning Spring 2018 must complete a minimum of 640 hours of supervised clinical experience (160 hours in each practicum course). By the end of Week 1, make sure you confirm your preceptor and clinical faculty are set up in Meditrek.Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.Your clinical hour log must include the following:DatesCourseClinical FacultyPreceptorTotal Time (for the day)Notes/Comments (including the objective to which the log entry is aligned)Patient LogThroughout this course, you will also keep a log of patient encounters using Meditrek. If your catalog year is before Spring 2018, you must record at least 144 encounters with patients by the end of this practicum. If your catalog year is Spring 2018 or later, you must record at least 160 encounters with patients by the end of this practicum.The patient log must include the following:DateCourseClinical FacultyPreceptorPatient NumberClient InformationVisit InformationPractice ManagementDiagnosisProcedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)Treatment Plan and NotesIV MedicationBy Day 7Record your clinical hours and patient encounters in Meditrek. Week 10: Final Clinical EvaluationAdvanced practice nurses are lifelong learners, partly due to necessity and partly due to mindset. Naturally, nurses need to stay abreast of advances in the healthcare field, as well as the introduction of new technology, processes, and regulations. But nurses also need to cultivate a growth mindset and see setbacks and challenges as opportunities to develop professionally. Take a moment to reflect on what you have learned and how you have grown as a result of the experiences at your practicum site and within this course.This week, you will have the opportunity to demonstrate that growth in your Final Clinical Evaluation. You will also finish entering all clinical hours and patient encounters for this practicum.Learning ObjectivesStudents will:Compare preceptor evaluation with self-evaluation to assimilate level of clinical performanceDescribe clinical hours and patient encountersLearning ResourcesRequired Readings (click to expand/reduce)Document: AGPCNP Clinical Skills List and Resource ReviewDocument: AGPCNP Procedure List and Resource ReviewMeditrekhttps://edu.meditrek.com/Default.htmlNote: Use this website to log into Meditrek to report your clinical hours and patient encounters.Walden University. (2019a). Field experience: College of Nursing.https://academicguides.waldenu.edu/fieldexperience/son/homeWalden University. (2019b). Field experience: MSN nurse practitioner practicum manual.https://academicguides.waldenu.edu/fieldexperience/son/formsanddocumentsWalden University. (2019c). Student practicum resources: NP student orientation.https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientationAssignment 1: Final Clinical EvaluationPhoto Credit: Getty Images/PhotoAltoHopefully, at this point in the practicum, your confidence level in performing procedures and demonstrating clinical skills has increased. In preparation for your Final Evaluation, you may wish to review your printed Clinical Skills List, as well as revisit the goals and objectives you established in Week 1. Remember that, as an advanced practice nurse, you welcome evaluation and supportive feedback as growth opportunities.For this Assignment, your preceptor will assess your clinical skills in a Final Evaluation.Following your Final Evaluation, your Clinical Faculty and preceptor will meet privately to discuss your results and feedback. Once you receive your feedback, compare your preceptor’s evaluation with your self-evaluation to better understand your clinical performance.Clinical Evaluation GradesYour clinical instructor will complete an evaluation with feedback from your preceptor and evaluation of your work.    Meditrek calculates an average score which will be used to determine the score that will be entered into Blackboard for your evaluation grade.Students must demonstrate achievement of the clinical learning outcomes for the course by achieving a minimum score of 3 (meets requirements) on all criteria on the final evaluation. Scores of less than 3 on any criteria can lead to course failure or the implementation of a clinical performance improvement plan.By Day 7Your evaluation should be completed by your preceptor.Week 11: Looking AheadWelcome to the last week of your practicum! Now that you have completed and recorded all of your clinical hours, and you have been evaluated, you can reflect on the practicum experience as a whole. What challenged you or surprised you? What is one clinical activity or patient outcome that you are particularly proud of? Active and regular reflection is a way to “check in” with yourself and the progress toward your goals. Critical reflection should not only uncover opportunities for improvement but celebrate your successes.This week, you engage in reflection when you reassess your clinical strengths and opportunities for improvement.Learning ObjectivesStudents will:Assess strengths and opportunities for improvement related to clinical skills and proceduresEvaluate progress toward clinical practice goalsLearning ResourcesRequired Readings (click to expand/reduce)Assignment: Reassessment of Strengths and OpportunitiesPhoto Credit: Jakub Jirsák – stock.adobe.comThere is a saying that “people must look back in order to look forward.” As you transition out of this practicum, finish your program, and look forward to your career beyond the program, you must “look back” at all that you have accomplished, taking stock of your skill and confidence levels before moving on.For this Assignment, you return to your Week 1 Self-Assessment to gain a new perspective on what you need to do moving forward.To prepare:Review your completed Clinical Skills and Procedures Self-Assessment Form from Week 1, as well as the record of procedures you have performed throughout the practicum.Assignment (1 page)Perform a new self-assessment. Rate yourself on clinical skills, based on your experiences during this practicum. Summarize the results.Explain which goals you accomplished and which you did not. If you did not achieve a particular goal, explain how you could continue to work on it after you complete your program, as you advance and grow in your career.By Day 7Submit your completed Assignment. Rubric Detail Select Grid View or List View to change the rubric’s layout.ContentName: PRAC_6565_Week11_Assignment_RubricGrid ViewList ViewExcellentGoodFairPoorPerform a new self-assessment, rating yourself on clinical skills based on your experiences during this practicum. Summarize the results.Points Range: 40.5 (40.5%) – 45 (45%)The response provides an accurate, clear, and complete summary.Points Range: 36 (36%) – 40 (40%)The response provides an accurate summary.Points Range: 31.5 (31.5%) – 35.5 (35.5%)The response provides a somewhat vague, inaccurate, or incomplete summary.Points Range: 0 (0%) – 31 (31%)The response provides a vague, inaccurate, or incomplete summary, or the summary is missing.Explain which goals you accomplished and which you did not. If you did not achieve a particular goal, explain how you could continue to work on it after you complete your program, as you advance and grow in your career.Points Range: 36 (36%) – 40 (40%)The response accurately and thoroughly explains in detail which goals were accomplished and which were not. Full explanation is provided for how to continue working on goals.Points Range: 32 (32%) – 35 (35%)The response accurately explains which goals were accomplished and which were not. Explanation is provided for how to continue working on goals.Points Range: 28 (28%) – 31 (31%)The response somewhat vaguely or inaccurately explains which goals were accomplished and which were not. Vague explanation is provided for how to continue working on goals.Points Range: 0 (0%) – 27 (27%)The response vaguely or inaccurately explains which goals were accomplished and which were not, or explanation is missing. Vague explanation is provided for how to continue working on goals, or explanation is missing.Written Expression and Formatting—Paragraph Development and Organization:Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.Points Range: 5 (5%) – 5 (5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity.A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.Points Range: 4 (4%) – 4 (4%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.Points Range: 3.5 (3.5%) – 3.5 (3.5%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.Purpose, introduction, and conclusion of the assignment is vague or off topic.Points Range: 0 (0%) – 3 (3%)Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.No purpose statement, introduction, or conclusion was provided.Written Expression and Formatting—English writing standards:Student uses correct grammar, mechanics, and proper punctuation.Points Range: 5 (5%) – 5 (5%)Uses correct grammar, spelling, and punctuation with no errors.Points Range: 4 (4%) – 4 (4%)Contains one or two (1 or 2) grammar, spelling, and punctuation errors.Points Range: 3.5 (3.5%) – 3.5 (3.5%)Contains several (3 or 4) grammar, spelling, and punctuation errors.Points Range: 0 (0%) – 3 (3%)Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Written Expression and Formatting:The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.Points Range: 5 (5%) – 5 (5%)Uses correct APA format with no errors.Points Range: 4 (4%) – 4 (4%)Contains a one or two (1 or 2) APA format errors.Points Range: 3.5 (3.5%) – 3.5 (3.5%)Contains several (3 or 4) APA format errors.Points Range: 0 (0%) – 3 (3%)Contains many (≥ 5) APA format errors. Total Points: 100Name: PRAC_6565_Week11_Assignment_RubricPRAC 6565: Synthesis in Advanced Nursing Practice of Patients in Primary Care Settings Practicum

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