Final 07/27/14 LPH
Women’s Health/Nurse-Midwifery Clinical Practicum II / NURS 639
FALL2014
Schedule Number: 22426
COURSE INFORMATION
Class Days: ARR
WHNP, FACNM
Class Times: ARR
Class Location: Off Campus
Professor: Lauren P, Hunter, PhD, CNM,
Contact Information:
Email: lhunter@mail.sdsu.edu
Cell Phone: 858-337-8987
Office: 1-619-594-2772
Office Hours Days: ARR
Office Hours Times: ARR by appointment
Office Hours Location: 168 Hardy Tower or
Off Campus
Course Overview



Description from the Official Course Catalog Description: Supervised clinical
experiences in one or more of the following settings: gynecological, well- woman/family
planning, primary care, obstetric/prenatal, intrapartum, postpartum, and newborn care.
Description of the Purpose and Course Content: To provide supervised clinical
experiences* in varied clinical sites.* Clinical preceptors are community based and not
course faculty.
Student Learning Outcomes: Upon completion of the course the student shall
demonstrate an ability to perform the following behaviors in the clinical setting:
1 Apply theory scientific principles and current research findings underlying obstetric
and gynecologic diagnostic and therapeutic with procedures in the management of health
care of women throughout the lifespan
2. Elicit and document an appropriate health history including an obstetric and
gynecologic history, using effective interviewing techniques, with emphasis on genderbased differences.
3. Perform an appropriate episodic and / or complete physical examination on women.
4. Assess for disease risk factors specific to women.
5. Order, safely perform procedures, and accurately interpret select diagnostic and
screening tests with women
6. Demonstrate critical thinking in formulation of differential diagnoses and management
based on history, physical examination and clinical and diagnostic test findings.
7. Recognize the need for referral, consultation or co-management based on assessment
findings.
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8. Diagnose and manage prenatal, newborn*,intrapartal*, well woman, postpartum and
common primary care problems with emphasis on gender specificity using evidencebased guidelines and current research findings.
9. Accurately and legibly furnish pharmacologic and non-pharmacologic agents with the
preceptor with special consideration to pregnancy, lactation, socio-cultural background,
and financial resources.
10. Incorporate current health promotion, health protection, and disease prevention
recommendations into the clinical practice.
11. Provide appropriate client education, counseling, and anticipatory guidance in the
implementation of the advanced practice role.
12. Identify appropriate community resources / agencies for client referral.
13. Apply research that is women-centered and contributes to positive change in the health of
women or the health care delivered to women.
14. Communicate and practice the role of the Nurse-Midwife-WHNP in the delivery of
primary, gynecological, obstetrical, neonatal*, intrapartum* and well woman care.
* Nurse-midwifery students only

Real Life Relevance: To provide supervised clinical experiences that will lead to clinical
competency in the professional role of WHNP and or CNM.

Relation to Other Courses: Builds upon prior didactic and clinical courses in the program
of study.
Enrollment Information
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
Prerequisites: NURS 500, 5001 610, 636, 637, 654, 658 and 741
Adding/Dropping Procedures: Per SDSU Graduate Bulletin Guidelines
Course Materials

Required Materials (including all acceptable text editions):
Required Texts:
These required texts will also be used in N638, N639, N744 and N745)
Schuiling, K & Likis, F (2013). (2nd Ed)Women’s Gynecological Health. Jones &
Bartlett: MA
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Final 07/27/14 LPH
Hawkins, J, Roberto-Nichols, B. Stanley-Haney, J. L (2011), Guidelines for Nurse
Practitioners in Gynecological Settings. 10th Edition: Springer Publishing: ISBN-13:
9780826129628 (70.00).
Thomson, G., Dykes, F., & Downe, S. (2011). Qualitative Research in Midwifery and
Childbirth. Routledge (Taylor and Francis Group): New York
Varney, Helen.(2015). Varney’s Nurse-Midwifery. 5th edition. Jones and Bartlett.
Cunningham, F., Leveno, K., Bloom, S., Hauth, J., Gilstrap, L., & Wenstrom, L. (2014).
Williams Obstetrics (24th Ed.)
“A Pocket Guide to Managing Contraception”
The new (Latest Edition) edition of Managing Contraception for your pocket!
Oxorn, H., & Foote, W. (2013). Human labor and birth. (6th Edition). New York:
Appleton-Century-Crofts.
N639 Syllabus available on Blackboard

Recommended Materials: None

Options for Accessing Course Materials: Blackboard and Email
Course Structure and Conduct
Please provide information about the structure of the course including, but not limited to:
 Style of the Course: Varied clinical assignments with a community clinical preceptor in
an off-campus site.
 Individual and Group Activities Required: None
 Technology Utilized in the Course: Blackboard
Course Assessment and Grading
 Approximate Due Dates for any Major Assignments or Exams:
Weekly for emailed assignments (see below).
Midterm and final week counseling for submission of portfolio.

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Scored activities and weighting by percentage of total score:
Documentation (charting of SOAP Notes)
25%
Faculty & Preceptor Evaluations
75%
Final 07/27/14 LPH
Final course grades are based on faculty and preceptor evaluations of clinical
performance and documentation (charting) submitted during the semester.
EVALUATION METHODS:
Clinical Evaluations:
Faculty has the primary responsibility for student grading. Written evaluations based on course
outcomes will be sought from clinical preceptors. Students will be evaluated by their clinical
preceptors and by course faculty.
1.
Preceptor Evaluation: A student is evaluated by each preceptor in written formatt a
minimum of once each clinical shift. Students are responsible for requesting from
clinical preceptors and submitting completed evaluations to course faculty on the
announced due date. Evaluations should reflect the variety of clinical experience at each
specific clinical site. Make sure each evaluation designates the type of patient seen and
preceptor name!! A summative end of semester evaluation is also submitted by each
clinical preceptor.
2.
Faculty Evaluation: A student will be visited by a faculty member in each clinical setting
during the semester. Faculty will schedule clinical visits with the student and will
observe as possible, the student examining patients, presenting patients to the preceptor,
and devising a treatment plan. Faculty will schedule conferences with the student to
discuss his / her clinical performance during the semester.
3.
Satisfactory evaluations (complete number, variety and passing scores) at the end of the
semester are required for successful course completion.
Clinical Assignments
1.
Students will complete and submit the following documentation by email weekly every
Sunday evening by 1000 pm:
a) TYPED Practicum log – record of hours and activities
b) TYPED Clinical (STAT Sheet)
c) Patient Encounter Form. Make a list of all patients seen each day with age and
diagnosis such as:
26 yo G2P1 at 36 weeks/r/o PIH
Or: 42 WW Exam, Depo and Pap
d) Charting (Documentation from the Medical Record): Students will select and submit a
copy of one charting without patient identification (SOAP NOTE) every two weeks for 8
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Final 07/27/14 LPH
total. Charting selected for submission throughout the semester should be representative
of all clinical settings/experiences.
WHEN e-mailing documentation do so as follows for saved heading.docx:
Student last name/ Date/ N741 2013/ followed by either:
Week 1, 2, 3, etc., than
>Hours/Preceptor/Activities
>STAT Sheet
>patient encounters
> Copy of next week schedule
>SOAP NOTE 1, 2, 3, 4, 5, 6, 7, or 8.
2.
At midterm and final counseling each student must submit a hard copy of all clinical
evaluation and assignments for review that will be kept by the course instructor.

Grading Scale:
To successfully complete the course you must receive an average of C or greater.
Students who have been admitted with special academic requirements for successful
course completion should notify course faculty at the beginning of the semester.
Failure to follow any course requirements may result in a reduction in the student’s
grade.
5
93-100%
A
90-92%
A-
87-89%
B+
83-86%
B
80-82%
B-
77-79%
C+
73-76%
C
70-72%
C-
67-69%
D+
63-66%
D
Final 07/27/14 LPH
Less than 62% F

Excused Absence Make-up Policies:
Students are responsible for letting both clinical preceptor and faculty know
(IN WRITING) if any clinical date is going is missed due to illness or family
emergency. (This must be done as soon as the student knows she will not be
attending clinical (even if it is 5 am in the morning= text professor, followed by
confirmation email!!!)
Clinical attendance is expected. If you are unable to attend clinical you must notify faculty (Dr.
Hunter: lhunter@mail.sdsu.edu) prior to clinical and also your preceptor. You will be required to
complete a make-up assignment. You may NOT LEAVE a clinical once present until notifying
Dr. Hunter. If you are ill, you may be required to submit medical documentation. Work
schedules are not valid reasons for missing clinical. You should not plan vacations, CE
conferences, elective surgical procedures etc. that conflict with clinical time. Clinical absence,
leaving clinical or tardiness WILL result in a lowering of the course grade or in course failure.
You will be expected to be on time for clinical. Late arrivals are disruptive and discourteous to
your preceptor and others. Cell phones should be silenced and text messaging is not permitted
during clinical time.
Other Course Policies

COURSE UNITS: 4 or 6 units (12 to 18 clinical hours/per week) with consultation from
Concentration Chair Women’s Health and Midwifery

COMPUTER REQUIREMENTS AND EMAIL
You will be required to have a computer with internet access, a printer and an active
email account. You will be responsible for checking and responding to your email
daily.

STUDENT COUNSESLING
Student counseling with Dr. Hunter will be done two times each semester. The student
will be required to submit a professional portfolio/binder of assignment material to Dr.
Hunter in the following order:
> Cover page with name, course #, date, clinic site and clinical preceptors
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Final 07/27/14 LPH
> Stat sheet (typed)
> Hours completed with dates and times and preceptors
> Daily evaluations
>Patient Clinical Encounters
> Blank counseling form
If end of semester also include:
>Summative evaluation form from preceptor
> Completed grade sheet
> Your evaluation form of clinical preceptor and site

DISABILITY:
Students who need disability accommodation should provide documentation of their
disability to Student Disability Services at 619-594-6473 (Calpulli Center, Suite 3101), and
receive authorization for academic or clinical accommodations. After accommodations have
been authorized by SDS, students are responsible for notifying faculty in advance of the
need for accommodation. This can best be accomplished by making an appointment to
meet privately with the faculty member early in the semester, or as soon as possible in the
event that a disability is diagnosed during the course of the semester.

COMPLIANCE:
Compliance form must be completed and faxed to Dr. Hunter at 858-454-9033 prior to
start of clinical.
Compliance Information for New and Returning Master’s Students
 Please read the SON Compliance link on http://www.nursing.sdsu.edu

GRADE SHEET
How to calculate Grade Sheet:
CNM
Clinical Score Sheet for N639 and how to calculate grade CNM
Outpatient
45 pts X ( average score)
5
NOB, ROB, GYN, 6 week PP Family Planning etc.
7
=
______
Final 07/27/14 LPH
(All evaluations)
In-Patient
30 pts x (average score + .5)
=
5
Labor and Birth, Breastfeeding Support, Postpartum and Newborn
______
(All evaluations)
Documentation
25 pts
=
______
Total =
______
Final Grade
=
______
=
______
=
______
Total =
______
WHNP
Clinical Score Sheet for N639 and how to calculate grade WHNP
Outpatient assignments
_75 pts x(average score)
5
(All evaluations)
Documentation
25 pts
Final Grade= ______
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Final 07/27/14 LPH

How to Compute Your Clinical Grade Sheet
1)
For each group of evaluations add the raw total scores together:
New OB
3.0
3.2
3.0
9.2 = total raw score

2)
Divide the total raw score by the TOTAL number of evaluations to get an average
score:
9.2 divided by 3 evaluations = 3.06 average score
3)
Add 0.5 to the average score if that option is available:
3.06 + 0.5 = 3.56
4)
Multiply 3.56 by 75 pts:
3.56x 75 pts = 267
5)
Divide by 5:
267 ÷ 5 = 53.49
Total Score= 53.5
Preceptor Qualifications / Requirements
The preceptor should be:
A Certified Nurse-Midwife or a Nurse Practitioner who is certified by a national credentialing
organization or the equivalent.
Educationally prepared with a Master’s degree in Nursing (preferred), or a highly experienced
nurse practitioner with a baccalaureate degree in nursing who is recognized as a clinical expert
and is supervised by a Master’s prepared practitioner.
Willing to meet with faculty and participate in an orientation to the SDSU School of Nursing
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Final 07/27/14 LPH
Advanced Practice Program.
Able to provide a clinical practice setting that serves well-women and gynecological clients and
facilitates student learning and achievement of course objectives.
Able and willing to precept the student in the clinical setting.
Willing to critically evaluate the student’s clinical performance in writing during and at the end
of the semester.
Willing to be evaluated by the student.
Willing to meet with SDSU faculty during periodic site visits to discuss the student’s progress.
Preceptor Responsibilities
The preceptor agrees to:
Orient the student to the clinical setting.
Provide sufficient space and time to allow the student to see patients.
Provide the student with access to the kind of patient encounters that are needed to achieve the
student’s learning objectives.
Provide supervision and validation of the accuracy of the student’s history, chart review, and
physical examination findings and her / his assessment of the patient’s presenting condition.
Review the student’s tentative plan for management of the patient’s health promotion needs and /
or presenting conditions and provide necessary guidance to ensure appropriateness and
comprehensiveness of the care plan.
Supervise the student when she / he initiates patient management regimens and referral
procedures.
Meet with program faculty who make periodic site visits to review student progress and share
ideas concerning ways to facilitate student learning.
Maintain communication with the program faculty as necessary.
Complete one standardized evaluation form for each 6 hours of clinical practice.
Based on your experience as a preceptor, share ideas for improving the clinical component of the
program with program faculty.
Student Responsibilities:
The student shall:
Identify his / her learning needs and communicate them to the preceptor.
Adhere to assigned days and hours. If unavailable to assigned time, inform the preceptor and
faculty before the clinical experience.
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Seek new clinical experiences that will develop his / her assessment, diagnostic, and treatment
skills.
Work with other team members within the organization.
Demonstrate an increasing degree of independence.
Provide ongoing feedback to the preceptor regarding the clinical experience.
Seek preceptor evaluations at designated times during the semester.
Adhere to all agency / office regulations.
Adhere to all School of Nursing policies regarding immunization, CPR and professional liability
insurance.
Faculty Responsibilities
The faculty will:
Identify and evaluate clinical sites to facilitate student learning.
Identify, interview, and evaluate clinical preceptors.
Assign students to clinical practicum sites to meet course objectives and individual learning
needs.
Periodically visit the clinical site to engage in clinical teaching, to obtain feedback from the
student and preceptor, and to evaluate the student’s clinical performance.
Review preceptor evaluations to assess student learning and progressive development in the role.
Assign final course grades.
Revised 05/12/2013 LPH
12/06 LP Hunter
10/16/08 Revised LPH
04/14/09 Revised LPH
06/01/2010 Revised LPH
06/06/2013 Reviewed and Revised LPH
07/27/2014 Reviewed and Revised LPH
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Final 07/27/14 LPH
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