MSN Student Handbook – September 2015 MSN STUDENT HANDBOOK Policies and Forms for All MSN Students These policies and forms supersede all previous policies and forms. Courses and Practicum Hours Apply to Students Enrolled In the MSN Degree Program May 19, 2014 or After Spiritual Service Spiritual Growth Personal Growth Personal Change Agent Moral Ethical Professional Growth ONU Nurse Life-Long Learner 1 Leader Professional MSN Student Handbook – September 2015 TABLE OF CONTENTS Page HANDBOOK AGREEMENT PAGE 5 OVERVIEW 6 History of the Nursing Program 6 Accreditation 7 NURSING PROGRAM ORGANIZING FRAMEWORK 8 Mission 8 Philosophy 8 Program Goals 8 Expected Outcomes of the Graduate 8 Conceptual Framework of the Program 9 Graduate Nursing Student Roles 10 Correspondence of Central Themes to Program Outcomes 11 MSN Program Level Objectives 13 MSN DEGREE REQUIREMENTS AND PROGRAM PLAN 14 Learner Requirements 15 Graduation Requirements 18 MSN DEGREE ADMISSIONS, PROGRESSION, AND DISMISSAL POLICIES 18 Admissions, Retention, and Progression Policy 18 MSN ACADEMIC INFORMATION AND POLICIES 19 The Online Course Week - Start and End Dates 19 2 MSN Student Handbook – September 2015 TABLE OF CONTENTS (cont.) Page The Course Week 19 Submission Times 19 Student Participation 19 Faculty Participation 20 Discussions 20 Assignments 23 APA 23 Attendance 23 Late Work Policy 24 Code of Conduct 24 Academic Integrity 24 Health and Well-Being 25 Nursing Evaluation Procedure and Grading System 25 Incomplete Grades 26 Final Grade Appeal - SGCS - Nursing 27 Appeal of Administrative Withdrawal 28 Process of Re-entry 28 Personal Portfolio 28 Benchmark Assignments for MSN Personal Portfolio 28 MSN Nursing Course Descriptions – Core Courses Education Specialty Track Leadership/Management Specialty Track Family Nurse Practitioner Specialty Track 29 30 31 31 3 MSN Student Handbook – September 2015 TABLE OF CONTENTS (cont.) Page APPENDIX 33 Privacy and Confidentiality under the Health Insurance Portability and Accountabilty Act of 1995 (HIPAA) 33 Benner Library 34 Program Evaluation 35 Kappa Sigma Chapter 35 American Nurses Association Code for Nurses 36 MSN TELEPHONE DIRECTORY 37 Practicum Forms and Information Student and Preceptor Information Form Letter to the Education and Leadership/Management Track Preceptor MSN Education and Leadership/Management Practicum Hour Log/Journal Form MSN Expected Behaviors Timeline Log Preceptor Evaluation of MSN Student Experiences Leadership/Management Track Education Track Evaluation of Preceptor and Agency by the MSN Student Practicum Responsibilities – Education and Leadership/Management Practicum Agency Agreement - FNP Letter to the FNP Preceptor FNP Student Practicum (Roles of FNP Director, NP Faculty, Preceptor and Student) Breakdown of FNP Practicum Hours Preceptor Evaluation of FNP Student FNP Student Clinical Skills Competency Check List 4 38 39 40 41 43 44 46 48 49 52 55 56 62 64 67 MSN Student Handbook – September 2015 Olivet Nazarene University Department of Nursing Handbook Agreement I, the undersigned, agree to the use of my course work and/or test scores, during my academic tenure at Olivet Nazarene University, for the purpose of evaluation and research, knowing the information will be presented as aggregated data. I understand my work/scores will not be able to be identified as mine in any published results, designed to enhance the overall quality of this and other nursing programs. In addition, I have reviewed Olivet Nazarene University MSN Nursing Student Handbook, which is available in Benner Library. I accept responsibility for knowledge of the handbook contents, and agree to abide by the standards and academic policies found herein. I accept responsibility for knowledge of the handbook contents of all new versions that might be distributed throughout my program. I understand I must complete the ONU Orientation and Joule training prior to the first night of my first course, NRSG 653. If I do not complete the training, I will be administratively withdrawn from the program and forced to reapply. I understand I am responsible for monitoring my ONU email and keeping my contact information up-to-date with Olivet, as this is how the Nursing Faculty and Administration will be communicating with me from this point forward, including after graduation. I understand the requirements for my declared specialty track and its practicum are my responsibility and that it is my responsibility to attain an MSN level or higher prepared preceptor and practicum site in order to comply with the requirements outlined in the practicum guidelines in my designated track. Print Name: __________________________________________________ Signature: __________________________________________________ Date: ___________ (month/day/year) Please sign and date this form, scan it, and email to sgcs4help@olivet.edu for Dr. Deborah Bruley. 5 MSN Student Handbook – September 2015 History of the Nursing Program As early as 1959, the possibility of initiating a baccalaureate nursing program was considered by Olivet Nazarene (then) College administrative members who did not find it feasible to initiate a program at that time. However, recognition of the need for nurses and the discontinuance of St. Mary’s hospital diploma program in Kankakee prompted reconsideration early in 1966. At the May 1966 meeting of the Olivet Board of Trustees, approval was given for the development of a baccalaureate degree program in nursing. Assistance in planning the program was given by the Department Chair at Northern Illinois University and a nurse coordinator of the Illinois Department of Registration and Education. By September of 1966, the first chair, Faye Riley was employed to develop and lead the newly organized Department of Nursing. The first students to enroll in the nursing program started in the fall of 1967. The Dedication program on October 1968 indicates there were 34 students continuing in the course. Classes met in various buildings of the campus. The first Department of Nursing office was located in Reed Hall of Science. Also, the lecture hall of Reed was used for classes requiring demonstrations. Rooms of Wellman Hall as well as in a college-owned building on Marseilles Street were used for teaching other classes. Later, the office of the Department of Nursing was located in Burke Hall. A generous gift from Mr. and Mrs. Gerett M. Wisner and a federal grant made it possible to construct a free standing building dedicated for the nursing program. Groundbreaking for the Wisner Hall for Nursing Education was in February 1970 and was first used in 1971. Wisner Hall provided four classrooms, a student lounge, a resource center with 24 carrels (each equipped with tape and viewing machines), the Evelyn Witthoff - Geraldine Chappell auditorium (respectively named for a Physician – RN missionary team to India) capable of seating 150 students, office space for 20 faculty members, and a faculty lounge. Originally the Audio-Visual Department of the college occupied a large area in Wisner Hall. That space was made available to the nursing department when the audio-visual equipment was moved to Benner Library in 1976. Other departments and offices have shared the building space through the years as well. The building remains a beautiful testament to the faithfulness and generosity of the Wisner’s. Wisner has been updated with a Virtual Hospital, high fidelity simulation manikins, and 31 computer stations for study, standardized testing, and interactive learning. The Department of Nursing was designated a Division of Nursing in the spring of 1977 by the college administration. The Division of Nursing received full approval from the National League for Nursing in 1979 with the most recent approval in 1993. The nursing program made 6 MSN Student Handbook – September 2015 application to the Commission for Collegiate Nursing Education (CCNE) and received preliminary approval in 1997, and full approval in 2001. In 1990, the Division of Nursing established a non-traditional track of the program of nursing for registered nurses with an associate degree or a three-year diploma desiring the Bachelor of Science Degree in Nursing. The first class began in January, 1991. Kappa Sigma Chapter, Sigma Theta Tau, International Nursing Honor Society was established here on May 12, 1984 through the hard work and dedication of the first Chapter President, Sue Davison, and the Executive Board Members, VP-Margaret Frogge, Treasurer-Marvina Eckert, Secretary-Brenda Johnson, and Faculty Advisors-Leann Eaton and Amy Golyshko. The Nursing Students in Action joined the National Student Nurses Association in 2008. In October, 2000, a Master’s in Nursing Program was established to prepare nurses for the advanced practice role; the first cohort of MSN students graduated in May 2003. In May 2005, the MSN program’s Continuous Improvement Progress Report was approved. In November 2006, the MSN program was reviewed for accreditation by CCNE and accreditation awarded by AACN. In 2007 an expanded MSN offering was launched to include tracks in Nursing Leader/Manager, Nursing Education, and Emergency Preparedness-Disaster Response. Due to low enrollment in the Emergency Preparedness-Disaster Response Track, it was dissolved and made way for a new track. In June 2011, the Family Nurse Practitioner Program was launched. Olivet Nazarene University’s nursing programs are fully accredited by the Commission on Collegiate Nursing Education. With the 2006 restructuring of the University, the Division of Nursing became the Department of Nursing within the School of Professional Studies. However, a new restructuring was announced in May of 2014, and the Department of Nursing became the School of Nursing and Health Sciences, effective July 2014. In July 2015, with a new restructuring the School of Nursing and Health Sciences became a Department of Nursing in the School of Life and Health Sciences. The master's program at Olivet Nazarene University is accredited by the Commission on Collegiate Nursing Education, One Dupont Circle, NW, Suite 530, Washington, DC 20036 Phone: 202-887-6791 7 MSN Student Handbook – September 2015 Nursing Program Organizing Framework Mission Philosophy The philosophy of the Olivet Nazarene University Department of Nursing encompasses spiritual, personal, and professional concepts that include the roles of leader, change agent, life-long learning, and service guided by ethical and moral standards. Program Goals Graduates are prepared to continue in the profession of nursing as contributing members of the discipline, to promote, maintain, and restore the health of clients in a variety of settings. The goals of the MSN nursing major are to prepare graduates to: I. II. III. IV. Serve God and/or humanity in advanced nursing roles and settings. Integrate faith and life-long learning as they evaluate concepts inherent in personal, professional, and spiritual growth, within the setting of a Christian liberal arts university. Evaluate the concepts of leadership skills and an understanding of the dynamic health care environment to create constructive change. Systematize ethical, moral, spiritual, and professional concepts into advanced nursing roles. Expected Outcomes of the Graduate The expected outcome characteristics of the MSN graduates include: An ethical, moral, and spiritual professional. A life-long learner committed to personal, professional, and spiritual growth. An individual capable of providing leadership through service to God and/or humanity in advanced nursing roles and settings. A leader and change agent. 8 MSN Student Handbook – September 2015 Conceptual Framework of the Program Spiritual Spiritual Growth Moral/ Ethical Service Personal Growth ONU Nurse Personal Change Agent Professional Growth Leader Life-Long Learner 9 Professional MSN Student Handbook – September 2015 Olivet Nazarene University Graduate Nursing Student Roles Leader: Nurses are responsible to prepare today for tomorrow’s challenges. They must be fully aware of the past, learn from it, and be fully aware of present circumstance. From this foundation the leader has a sense of the future, to plan for and shape it. Leaders, through their vision, creativity, and ability are able to produce change and manage transition moving nursing toward a preferred future. Change Agent: Nurses have the ability to influence others such as colleagues, communities, organizations, systems, and policies and will ultimately produce change in nursing practice, the profession, and/or society. Life-long Learner: Nurses throughout their careers are exposed to a variety of opportunities that support unique learning. Through self-evaluation nurses embrace an appreciation for life-long learning within, and beyond professional activities as a result of personal and professional development. Nurses will continue the journey of learning by participation in professional seminars and conferences, attending graduate or additional schooling, and involvement in professional organizations and career opportunities. Professional Growth: Nurses evaluate their personal growth by completion of the required course work in the Department of Nursing preparing themselves for integration into the professional community. Learning of skills and competencies will enable nurses to deliver safe and effective nursing care in a variety of settings. Personal Growth: Nurses discuss personal growth through effective verbal and written communication and appreciation of the nursing process through research and scientific inquiry. They demonstrate care for others, application of knowledge in the clinical setting, and a maturing world view. Spiritual Growth: Nurses will systematize knowledge of the Christian faith through completion of the Biblical classes offered at the University, syntheses of faith into service to God, and service to the local and global community. Service: Nurses choose meaningful time and dedication in service to God and/or mankind in order to meet the needs of individuals, targeted populations, and the local and global community. Ethical: Nurses convey a personal philosophy of nursing practice grounded in the ethical values of their faith and profession. Judgments on moral dilemmas will be based on high ethical standards and made with responsible and rational decisions. Decisions are made with the willingness to accept responsibility for their actions. Moral: Nurses have the confidence to plan consistently within the confines of the Christian faith. However, there is a willingness to consider alternate views on ethical issues and personal values in the local and global community. 10 MSN Student Handbook – September 2015 Correspondence of Central Themes to Program Outcomes Central Themes Leader: Nurses are responsible to prepare today for tomorrow’s challenges. They must be fully aware of the past, learn from it, and be fully aware of present circumstance. From this foundation the leader has a sense of the future, to plan for and shape it. Leaders, through their vision, creativity, and ability are able to create change and manage transition moving nursing toward a preferred future. I. III. IV. Change Agent: Nurses have the ability to influence others such as colleagues, communities, organizations, systems, and policies and will ultimately create change in nursing practice, the profession, and/or society. II. Life-long Learner: Nurses throughout their careers are exposed to a variety of opportunities that support unique learning. Through self-evaluation nurses develop an appreciation for life-long learning within, and beyond professional activities as a result of personal and professional development. Nurses will continue the journey of learning by participation in professional seminars and conferences, attending graduate or additional schooling, and involvement in professional organizations and career opportunities. I. Professional Growth: Nurses scrutinize their professional growth by completion of the required course work in the Department of Nursing preparing themselves for integration into the professional community. Learning of skills and competencies will enable nurses to deliver safe and effective nursing care in a variety of settings. I. Personal Growth: Nurses analyze their personal growth through effective verbal and written communication and appreciation of the nursing process through research and scientific inquiry. They demonstrate care for others, application of knowledge in the clinical setting, and a maturing world view. II. III. II. III. IV. IV. III. 11 Program Goals Serve God and/or humanity in advanced nursing roles and settings. Promote the development of leadership skills and an understanding of the dynamic health care environment to create constructive change. Systematize ethical, moral, spiritual, and professional concepts into advanced nursing roles. Integrate faith and life-long learning as they evaluate concepts inherent in personal, professional, and spiritual growth, within the setting of a Christian liberal arts university. Promote the development of leadership skills and an understanding of the dynamic health care environment to create constructive change. Serve God and/or humanity in advanced nursing roles and settings. Integrate faith and life-long learning as they evaluate concepts inherent in personal, professional, and spiritual growth, within the setting of a Christian liberal arts university. Promote the development of leadership skills and an understanding of the dynamic health care environment to create constructive change. Systematize ethical, moral, spiritual, and professional concepts into advanced nursing roles. Serve God and/or humanity in advanced nursing roles and settings. Systematize ethical, moral, spiritual, and professional concepts into advanced nursing roles. Integrate faith and life-long learning as they evaluate concepts inherent in personal, professional, and spiritual growth, within the setting of a Christian liberal arts university. Promote the development of leadership skills and an understanding of the dynamic health care environment to create constructive change. MSN Student Handbook – September 2015 Central Themes Spiritual Growth: Nurses will examine their knowledge of the Christian faith through completion of the Biblical classes offered at the University, synthesis of faith into service to God, and service to the local and global community. II. IV. Service: Nurses generate a meaningful time and dedication in service to God and mankind in order to meet the needs of individuals, targeted populations, and the local and global community. I. Ethical: Nurses apply a personal philosophy of nursing practice grounded in the ethical values of their faith and profession. Judgments on moral dilemmas will be based on high ethical standards and made with responsible and rational decisions. Decisions are made with the willingness to accept responsibility for their actions. II. Morals: Nurses have the confidence to operate consistently within the confines of the Christian faith. However, there is a willingness to consider alternate views on ethical issues and personal values in the local and global community. II. IV. III. IV. 12 Program Goals Integrate faith and life-long learning as they evaluate concepts inherent in personal, professional, and spiritual growth, within the setting of a Christian liberal arts university. Systematize ethical, moral, spiritual, and professional concepts into advanced nursing roles. Serve God and/or humanity in advanced nursing roles and settings. Systematize ethical, moral, spiritual, and professional concepts into advanced nursing roles. Integrate faith and life-long learning as they evaluate concepts inherent in personal, professional, and spiritual growth, within the setting of a Christian liberal arts university. Promote the development of leadership skills and an understanding of the dynamic health care environment to create constructive change. Integrate faith and life-long learning as they evaluate concepts inherent in personal, professional, and spiritual growth, within the setting of a Christian liberal arts university. Systematize ethical, moral, spiritual, and professional concepts into advanced nursing roles. MSN Student Handbook – September 2015 MSN Program Level Objectives for Admission after May 19, 2014 At the conclusion of each level, the nursing students are expected to achieve the following level objectives. Each level objective contributes to the program outcomes. LEVEL 5 MSN CORE A. NRSG 653 Theoretical & Professional Foundations of Nursing B. NRSG 626 Moral/Ethical Decision Making C. NRSG 628 Nursing Informatics D. NRSG 657 Evidence-Based Practice and Project Proposal Development E. NRSG 663 Advanced Pathophysiology F. NRSG 664 Advanced Pharmacology G. NRSG 662 Advanced Health Assessment Reflect on the decision to embrace life-long learning and determine the level of personal, professional, and spiritual growth obtained. Reflect on the role of the master’s prepared nurse in driving change through evidence based research to facilitate quality healthcare service. Reflect on personal service virtues associated with ethical and moral leadership when confronted with advanced roles of education, leadership, and management in a changing global society. Understand the relationship between normal physiology and alterations that occur in specific systems as a result of disease processes and abnormal health conditions Understand the selection of pharmacologic agents for the management of client health problems based on client variations, the problem being managed, and costeffectiveness. Obtain and perform comprehensive and problem-focused history and physical examinations across the lifespan. Examine the core competencies underlying the roles of Educator, Leader/Manager, and Family Nurse Practitioner (FNP). LEVEL 6 EDUCATION TRACK NRSG 627: Leadership and Advanced Practice in Nursing Role Development NRSG 621 Teaching Roles & Strategies (60 clinical practicum hours) NRSG 622 Curriculum Design, and Assessment (60 clinical practicum hours) NRSG 624 Evaluation in Nursing Education (60 clinical practicum hours) A. B. C. D. NRSG 651 MSN Practicum LEADERSHIP/ MANAGEMENT TRACK A. NRSG 627: Leadership and Advanced Practice in Nursing Role Development NRSG 631 Nurse as a Leader & Manager of Care (60 clinical practicum hours) NRSG 646 Healthcare: Financial and Resource Management (60 clinical practicum hours) B. 13 Create a personal leadership development plan that includes ONU MSN nursing student roles and declare a specialization track of: Education, Leadership/Management, and FNP. Demonstrate compilation of knowledge associated with the design, planning, and implementation of an educational offering. Reflect on the practicum experience and consider personal and professional growth. Synthesize the role of a master’s prepared nurse in education and revise personal leadership development plan. Create a personal leadership development plan that includes ONU MSN nursing student roles and declare a specialization track of: Education, Demonstrate compilation of knowledge associated with the design, planning, and implementation of a project focused on leadership and management. MSN Student Handbook – September 2015 NRSG 647 Transforming Leadership in Nursing (60 clinical practicum hours) C. D. NRSG 651 MSN Practicum FNP TRACK NRSG 627: Leadership and Advanced Practice in Nursing Role Development NRSG 667 Acute and Episodic Adult and Geriatric Therapeutics and Management (180 clinical practicum hours) A. NRSG 668 – Women’s Health – Therapeutics and Management Across the Lifespan (180 clinical C. B. practicum hours) D. NRSG 669 Children’s Health – Therapeutics and Management (180 clinical practicum hours) NRSG 670 Chronic Adult and Geriatric Therapeutics and Management (180 clinical E. practicum hours) NRSG 665 FNP Practicum F. Reflect on the practicum experience and consider personal and professional growth. Synthesize the role of a master’s prepared nurse in leadership/management and revise personal leadership development plan. Create a personal leadership development plan that includes ONU MSN nursing student roles and declare a specialization track of: Education, Obtain and perform comprehensive and problem-focused history and physical examinations across the lifespan. Analyze the relationship between normal physiology and alterations that occur in specific systems as a result of disease processes and abnormal health conditions. Select pharmacologic agents for the management of client health problems based on client variations, the problem being managed, and cost effectiveness. Synthesize the appropriate use of diagnostic measures including laboratory, radiographic and other technologies, health promotion, disease prevention, and current care guidelines for the diagnosis and management of health care problems across the lifespan. Manage the health care of clients incorporating ethical, legal, cultural, economic, political, and psychosocial factors. MSN Degree Requirements and Program Plan The material contained in this section is for information only and does not constitute a contract between the student and the University. At the time of printing, the information is complete and accurate to the best of our knowledge. However, the School of Graduate and Continuing Studies and the Department of Nursing reserve the right to revise information, requirements, or policies; amend rules; alter regulations; and change financial charges at any time in accordance with the best interests of the institution. The School of Graduate and Continuing Studies and the Department of Nursing also reserve the right to determine the number of students in each course. If an insufficient number of students enroll for a course, the School of Graduate and Continuing Studies reserves the right to cancel the course, change the time, or provide a different professor of any course. Accreditation Olivet Nazarene University is committed to academic excellence. The University is accredited to offer associate, baccalaureate, master’s, and doctorate degrees by the Higher Learning Commission of the North Central Association, 230 South LaSalle Street, Suite 7-500, Chicago, IL 60604-1413, telephone (800) 6217440 or (312) 263-0456, FAX (312) 263-7462 or http://www.ncahlc.org/. The MSN program at Olivet Nazarene University is accredited by the Commission on Collegiate Nursing Education, One Dupont Circle, NW, Suite 530, Washington, DC 20036, Phone: 202-887-6791 To be admitted into an SGCS program at Olivet Nazarene University, an applicant must meet the following general prerequisites: 14 MSN Student Handbook – September 2015 1. Submit a completed Olivet Nazarene University application form, along with a $50 application fee. Application forms may be obtained from the School of Graduate and Continuing Studies office. 2. Demonstrate moral character consistent with attendance at a Christian university. 3. Possess ability and discipline to pursue rigorous college-level studies or graduate-level studies. 4. Submit an official transcript from all colleges and universities previously attended. * Official Transcript: A transcript with the registrar's seal from the institution granting credit sent directly to the Director of Admissions and Student Services, Olivet Nazarene University, School of Graduate and Continuing Studies, One University Avenue, Bourbonnais, IL 60914-2345. In addition to the General Admissions Requirements, the applicant must: 1. Submit an official transcript from a regionally accredited college or university showing an earned Bachelor of Science in Nursing degree. 2. Have attained an undergraduate grade-point average of 2.75 or higher (4.0 scale). 3. Have current registered nurse licensure in a geographic jurisdiction of the United States. 4. Have successfully completed (defined as a grade of C or above) an approved undergraduate statistics course. Learner Requirements 1. Learners must be formally admitted to the MSN program by Olivet Nazarene University officials prior to attending classes. 2. Learners must successfully complete an online Orientation and Joule training during the two weeks prior to the first night of NRSG 653. 3. Failure to complete the online orientation and training will result in automatic withdrawal from the MSN program and one must wait for the next start date. 4. The use of the personal computer is an integral component of Olivet’s MSN Program. Specific technology requirements are listed on the Resource page in this handbook. Sharing your computer with children and other household members can make it difficult to meet course deadlines. Other helpful technology suggestions include a webcam and speakers. 5. Olivet’s School of Graduate and Continuing Studies programs are fast paced. In all such academic programs, class attendance is mandatory for on-ground and/or online components throughout the program. 6. To change tracks, a student must apply to all Program Directors involved. 7. In the curriculum for students starting on or after the following cohorts [MSN.91 (2/23/15), MSN.98 (4/13/15), FNP.92 (2/25/15), FNP.93 (2/23/15)], the General Admissions Requirement of a criminal background check, physical exam, and drug screening for FNP students has been changed to the following requirement for ALL MSN Students (students may voluntarily participate at any time). 15 MSN Student Handbook – September 2015 a. Submit to, and pass, a criminal background check, physical exam, and drug screening, during NRSG 627: Leadership and Advanced Practice in Nursing Role Development. b. If the drug screening is positive, the MSN Program Director will withdraw the student from all nursing courses. Use of alcohol or illegal drugs, or misuse of prescription drugs, are strictly prohibited in the classroom, clinical, or laboratory setting. c. “For Cause” Drug Screening i. If faculty or preceptor observes a student behaving in a manner that is consistent with the use or misuse of alcohol, illegal drugs, or drugs which impair judgment, affecting either the classroom, clinical, or laboratory setting, the student will be removed from the educational setting and required to submit to an appropriate screening immediately. ii. If the behavior is noted in the clinical setting, the student will be removed from patient care. The student will have to submit to the agencies’ and/or department’s drug screening and results will be shared with the MSN Committee and Director of Nursing Programs iii. If the behavior is noted on campus in either the classroom or laboratory setting the university’s campus policy will be followed. iv. If the result of the drug screening is negative, the student shall meet with the MSN Program Director to discuss the circumstances surrounding the impaired behavior. Based on the information provided and further medical evaluation if warranted, the MSN Program Director will make a decision regarding return to the clinical, classroom, and laboratory setting. v. If the drug screen is positive, the MSN Program Director will withdraw the student from the MSN program and report the results to the Illinois Department of Financial & Professional Regulation, and/or the state from which that student’s RN license was obtained. vi. The student will pay the costs associated with the “for cause” drug screening. vii. A student’s failure to comply with any aspect of the “for cause” Drug Screening Requirement will result in the student’s withdrawal from the MSN Program without option for readmission. d. Readmission following a positive drug screening - Positive drug screen results prohibit students from practicing in the clinical environment for six months from the drug screen date, thus you are hereby dis-enrolled from your nursing courses. i. In six months, you may reapply by submitting a letter requesting consideration for readmission into the MSN program to the MSN Program Director. If the readmission into the MSN program is approved, it would be effective at the start of the next cohort scheduled for the course from which the student was withdrawn. The student’s readmission application will require the student to submit: 16 MSN Student Handbook – September 2015 1. Urine drug screen results to Certified Background. 2. Documentation from a therapist specializing in addiction behaviors indicating a status of recovery and rehabilitation related to the substance used or abused. 3. If readmitted, the student will be subjected to random drug screening and/or to “for cause” drug screening at the student’s expense for the duration of his or her studies in the MSN program. 4. If the student has positive results on a drug screening after readmission to the MSN program, the student will be dismissed from the MSN program with no option for readmission to the program. 8. All FNP students are to complete at least 720 clinical/practicum hours by the end of their track specialty. It is a requirement for graduation that all of the hours be completed “Satisfactory.” 9. All MSN students in either Education or Leadership/Management tracks are to complete at least 180 Practicum Hours by the end of their track specialty. It is a requirement for graduation that all of the hours be completed “Satisfactory.” 10. All students should obtain an Olivet Nazarene University picture ID before beginning their practicum hours (an ID may be required for your facility, too.) 11. All students should have a lab coat to wear during their clinical practicum experiences. This is considered part of your professional attire. Information regarding how to obtain a lab coat (with an embroidered shoulder patch for ONU) may be obtained from the Olivet Student Success Team at sgcs4help@olivet.edu or 1-877-4-OLIVET. 12. All MSN students in the Education track must complete their practicum hours with a School of Higher Education focus. This can be completed either through an ADN or a BSN program. Your preceptor must have an MSN and be a full-time educator (preferably for at least three years). 13. All MSN students in the Leadership track must complete their practicum hours with a Master’s prepared nurse with a focus in Leadership (preferably, your preceptor will have been in a position of leadership for at least three years.) 14. Practicum experiences may not take place in the same agency/unit where the MSN student is employed. You may not receive compensation for your practicum hours. 15. The final cohorts required to attend their FNP Review Course are those admitted before 5/25/15. This FNP Review Course follows the last class in NRSG 670. FNP cohorts admitted after 5/25/15 are not required to attend this FNP Review Course, although they are encouraged to attend one of the many review courses available before taking their certification examination. 17 MSN Student Handbook – September 2015 Graduation Requirements 1. Successful completion of the approved MSN degree program curriculum with a minimum number of 36 credit hours of graduate coursework, including the prescribed number of practicum hours. 2. A minimum cumulative grade point average of 3.0 (4.0 scale). 3. Successful completion of required practicum-related assignments and related documentation, i.e., preceptor-signed practicum log sheet(s), FNP journal, and all evaluations (preceptor, student, and faculty) should be submitted to the correct specialty track courses taken during your practicum AND your practicum course (NRSG 651 or NRSG 665). 4. Filing of an “Intent to Graduate” form provided by the Graduation Specialist. This form must be received at least two months prior to the expected date of graduation for January and May conferrals, and six months before August conferral. 5. Payment of all tuition and fees. Admissions, Retention, and Progression Policy 1. Learners must demonstrate the ability to write in a format consistent with graduate-level work and professional standards (APA format). 2. Learners must maintain a 3.0 grade point average (4.0 scale) to remain in the program. A cumulative GPA of 3.0 must be maintained throughout the MSN program and for graduation. 3. Two policies regarding the number of C or C+ permitted in the MSN Program: a. For students enrolled in their first course of the MSN Program before February 1, 2015, no more than two Cs or C+s are permitted in the coursework. A third C or C+ requires a learner to repeat one of the three courses. Only ONE repeat of any course due to administrative withdrawal, withdrawal failing due to a failing grade, failure, or a third C or C+ is allowed during the program. b. For students enrolled in their first course of the MSN Program on or after February 1, 2015, no more than one C or C+ is permitted in the coursework. A second C or C+ requires a learner to repeat one of the two courses. Only ONE repeat of any course due to administrative withdrawal, withdrawal failing due to a failing grade, failure, or a second C or C+ is allowed during the program. 4. FNP students must earn no lower than a B- (83%) in the didactic portion of EACH of the FNP specialty track courses. IF you fail to maintain a B- average in the didactic portion of the specialty track courses, but receive a C or C+, you may be allowed to repeat that course to improve your grade. Remember, only one repeat of any course is allowed throughout the entire program. 18 MSN Student Handbook – September 2015 5. Only ONE repeat of any course due to administrative withdrawal, withdrawal due to a failing grade, low GPA, C or C+, or failure is allowed during the MSN program. 6. Failure to demonstrate meeting any of the above will result in student withdrawal from the program. 7. Kaltura is a FERPA- and HIPAA-compliant internet storage site for submission of videos during the MSN program. If it becomes known a student has posted a video of any portion of a physical examination done during one of the ONU courses on an internet site, other than an ONU-approved site, such as Kaltura, the student will be removed from the MSN program. This applies even if the 'client' is one of the student’s family or friends, and not an actual patient. 8. Before beginning NRSG 627, students must have a GPA equal to or greater than 3.0 without academic probation. MSN Academic Information and Policies Online Course Week – Start and End Dates Courses start on Day 1 of Week 1 at 12:01 a.m. CST Courses end on Day 7 of the last week of a course at 11:59 p.m. CST The Course Week The course week consists of seven days: Day 1, Day 2, Day 3, etc. Day 1 is the first day the course begins and Day 7 is considered the last day of the week. Courses may begin on different days of the week for each cohort so faculty and students will need to equate Day 1 with the start date for a course. Submission Times A day is comprised of the timeframe between 12:01 a.m. and 11:59 p.m. Any coursework (assignments, discussion questions, etc.) due on a given day must be submitted within this timeframe to be considered submitted on time. No course work will be accepted after Day 7 of the last week of a course. Please submit your assignments to Turnitin and check the results, to ensure that you have not plagiarized inadvertently. Student Participation Courses are not to be considered independent study courses. Instead courses are considered to be essential shared learning communities. Therefore, it is imperative that students participate with substantive and timely postings to the online discussion board as outlined in the course syllabus. Failure to post the expected frequency and quality will result in grade reduction for the discussion. 19 MSN Student Handbook – September 2015 Students are not allowed to post ahead in any week. Students are required to check and utilize their Olivet email address when communicating with faculty, administration, or staff. Faculty Participation Faculty members are expected to facilitate student personal, professional, and spiritual growth through guided responses on the discussion board which provide critical insight, stimulate new ideas, or raise awareness. Faculty members are required to be accessible to the student which is demonstrated through visibility and quality feedback on discussions and assignments. It is reasonable for students to expect the faculty will be online at least once per day, except as communicated by the faculty (for example, not online on Sunday), and be reasonably accessible to students by providing contact information in their biography link. Students are required to check and utilize their Olivet email address when communicating. Faculty members will not use personal email addresses when communicating with students. Faculty members are to return the student assignments within 5-7 days of due date. The returned assignment should reflect appropriate comments using the course grading rubric. Further, the student can expect the faculty members will provide comments that facilitate personal and professional development in the academic setting. Faculty members are expected to respond to questioning and student emails within 24-48 hours except on holidays and weekends. If the response requires additional time, the faculty should communicate this to the student. Students may receive credit for assignments in the following ways: Discussions The grading for discussion activities is outlined in the course-grading rubric. Students are required to: o support their discussions with citations, o write in APA, and o provide a reference list at the bottom of their posting. Participation points are based on the Discussion Postings. Discussion Board posts need to be in APA format for quotes and references. Due to limitations with Joule, spacing (single vs. double) will not be considered in the grading. Make sure that you allow enough time for computer problems to ensure that you post on time. 20 MSN Student Handbook – September 2015 Online Discussion Criteria Students in online courses are required to participate in online class discussion at least three different days each week A. Initial Posts There is an online discussion assigned posting due by Day Three at 11:59 p.m. CST weekly. An initial post consists of a minimum 250 word written response for each question (For example, if there are 3 questions listed for one week’s discussion questions, your posting should be at least 750 words. It is usually best to respond in order to each question, so that the instructor can easily see which part of your posting is meant to answer each question posed.) The exception to this rule is for group case studies which are done in NRSG 662: Advanced Pathophysiology, NRSG 663: Advanced Pharmacology, and NRSG 664: Advanced Health Assessment. You may post as early as the first class day. Initial posts are required to cite a minimum of three references within the posting. (Three references are required whether you are answering one question or four questions.) At least one reference should come from a course textbook being used in the required readings for this class. At least two references should come from outside scholarly references, not course textbooks. Use of additional scholarly references is encouraged. All references must follow proper APA citation. B. Feedback Posts In addition to the initial post, students are required to provide feedback to one of their peers’ initial postings on a different day than they posted their initial post each week, but by the end of Day 6. You are also expected to respond to questions posed by the instructor. Students must submit their initial post before writing a feedback post in response to another student’s initial post. A feedback post must include a minimum 75 word post and at least one scholarly reference. Use of additional scholarly references is encouraged. You may decide if these references come from the course textbook or another scholarly source. All references must follow proper APA citation. Post your feedback posting on or before Day Six at 11:59 p.m. CST. Be mindful of other’s need for your Feedback Post to write their own Response Post. C. Response Posts Respond to a peer that posted feedback to your initial post on or before Day Seven at 11:59 p.m. CST. The response post must include a minimum 75 word post and at least one scholarly reference. Use of additional scholarly references is encouraged. You may select if these references come from the course textbook or another scholarly source. All references must follow proper APA citation. All three postings each week should provide colleagues with reflective thoughts, personal experiences, and/or resources, or general thoughts on the topic. Failure to post within the given week will result in the student having an unexcused absence. Additionally, any assignments submitted for that week will result in an automatic 50% grade reduction. 21 MSN Student Handbook – September 2015 Discussion Requirements and Rubric Up to 1 point may be deducted for APA and/or grammar. 5 Points (Exemplary) Discussion postings and responses must meet the requirements of the online discussion criteria. Discussion postings and responses significantly contribute to the quality of interaction by providing rich and relevant examples, applicable research support, discerning ideas, and/or stimulating thoughts/probes, and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. Discussion postings and responses demonstrate an in-depth understanding of concepts and issues presented in the course, (e. g., insightful interpretations or analyses, accurate and perceptive parallels, and well-supported opinions), and are well supported, when appropriate, by pertinent research. Discussion postings and responses provide evidence that the student has read and considered a sampling of colleagues' postings and synthesized key comments and ideas, as applicable. 4 Points (Proficient) Discussion postings and responses are responsive to the requirements of the online discussion criteria Discussion postings and responses contribute to the quality of interaction by providing examples, research support when appropriate, ideas, and/or thoughts/probes, and are respectful when offering suggestions, constructive feedback, or opposing viewpoints. Discussion postings and responses demonstrate some depth of understanding of the issues and show that the student has absorbed the general principles and ideas presented in the course, although viewpoints and interpretations are not always thoroughly supported. Discussion postings and responses provide evidence that the student has considered at least some colleagues' postings and synthesized some key comments and ideas, as applicable. 3 Points (Sufficient) Discussion postings and responses are posted by the due date but are not always responsive to the requirements of the discussion instructions or do not meet the required length requirements. Discussion postings and responses do little to contribute to the quality of interaction or to stimulate thinking and learning. Discussion postings and responses demonstrate a minimal understanding of concepts presented, tend to address peripheral issues, and, while generally accurate, display some omissions and/or errors. Discussion postings and responses do not provide evidence that the student has considered at least some colleagues' postings or synthesized at least some key comments and ideas, as applicable. 22 MSN Student Handbook – September 2015 2 or Less Points (Developing) Discussion postings and responses are posted past the late deadline, defined as 11:59 p.m. on the due date, do not meet the required length requirements, and/or do not address the requirements of the Discussion instructions. Discussion postings and responses do not contribute to the quality of interaction or stimulate thinking and learning. Discussion postings and responses do not demonstrate an understanding of the concepts presented in the course, and/or do not address relevant issues, and/or are inaccurate and contain many omissions and/or errors. Discussion postings and responses do not provide evidence that the student has read or considered colleagues' postings, as applicable. Assignments Points will be awarded for assignments guided by a grading rubric in each course. The course syllabus and classroom online links are available for accessing the grading rubric in every course. Students should use the rubric as a method of ensuring the objectives of the assignment are met. Faculty will paste the rubric on graded assignments with comments and rationale for points awarded. If the student has significant life issues (this does not include vacations/honeymoons/work schedules, etc.) that impede completion of assignments in a timely manner, they must contact the Instructor for that course 24 hours prior to the due date to make other arrangements. APA Olivet Nazarene University requires that all written work of students adheres to 6th edition APA formatting. Attendance Policy — SGCS It is the responsibility of the student to attend all scheduled class sessions in all on ground and online classes. In emergency circumstances, a student may be permitted to miss a class session under the following terms: The student must seek approval from the instructor prior to the missed class. Failure to contact the instructor prior to the missed class will result in zero points for all assignments due that week. The student must make arrangements with the instructor to complete all assignments and make up work if assigned by instructor. Failure to follow this policy may result in an F for the course. Instructors will address tardiness on an individual basis. Learners are expected to arrive for class on time and remain for the entire class period. 23 MSN Student Handbook – September 2015 To be considered present in online classes, the student must log in and post at least one substantive forum post or assignment per week. No points will be given for late work or missed discussion postings. Late Work Policy – Nursing No late papers/assignments will be accepted after the date and time stated in the syllabus or otherwise stated by the professor. In certain circumstances, exceptions may be made (i.e. illness) this would entail a mandatory 10% reduction per day up to three days, after that it becomes a zero. However, the student and instructor must agree on this prior to the due date. Code of Conduct Discussion forums are vital for effective online learning experiences. Students are expected to project a scholastic demeanor and to interact by posting responses to class activities. Be aware, however, that online discussions remove the visual and verbal cues of language, requiring even greater clarity in your writing and further attention to how your writing may be misread and/or misunderstood. There is also a sense of false anonymity present with online writing/discussions, and this can lead to the temptation to say something you would never say in a face-to-face discussion. Students, at all times, are expected to be respectful of their peers, the institution, its facilities, and its personnel. Discussions in the classrooms and online are totally independent of the work environment. Discussion should remain in the correct arena. Demeaning comments, inappropriate, inflammatory, derogatory language, and/or ethnic, racial, or genderbased comments, suggestions or undercurrents will not be tolerated. Academic Integrity Olivet Nazarene University seeks to support and promote qualities of academic honesty and personal integrity. Serious offenses against the University community include cheating, plagiarism, and all forms of academic dishonesty. Any learner who knowingly assists another learner in dishonest behavior is equally responsible. Academic violations and dishonesty are defined as deception of others about one’s own work or about the work of another. Academic honesty and integrity is something that ONU and the Department of Nursing take very seriously. It is very important that nurses have high integrity and are honest in their professional lives, which includes academics and nursing ethics, including HIPAA regulations. Kaltura is a FERPA- and HIPAA-compliant internet storage site for submission of videos during the MSN program. If it becomes known a student has posted a video of any portion of a physical examination done during one of the ONU courses on an internet site, other than an ONUapproved site, such as Kaltura, the student will be removed from the MSN program. This applies even if the 'client' is one of the student’s family or friends, and not an actual patient. Course facilitators must report any incident of a violation of the policy on academic integrity to the MSN Program Director and the SGCS Dean of Academic Affairs. After any two such reports are made against a particular learner, action is initiated which may result in dismissal from the university. However, some cases of academic dishonesty are so egregious 24 MSN Student Handbook – September 2015 that even one such report may lead to dismissal from the university. The level of seriousness is determined first by the course facilitator and subsequently by the Program Director in coordination with the Director of Nursing Programs and the SGCS Dean for Academic Affairs. For academic dishonesty, the courses of action may include, but are not limited to the following: Work may not be redone, and no credit is given for that particular assignment. (continued on next page) An alternative assignment may be given for reduced credit. Failure of the course, in which academic dishonesty has been demonstrated. The learner may be dismissed from the nursing program. The learner may be dismissed from the university. The learner has the right to appeal action under this policy through the regular channels, as established by the grade appeals process. Health and Well-Being At Olivet Nazarene University we recognize that the demands of graduate school can be experienced as an added pressure and this may evoke a heightened sensitivity to stressors. When this occurs, students are encouraged to tap into their available resources such as mental health providers, primary care providers, employee assistance programs, and the clergy. Your health and well-being are important to us. If you require a Leave of Absence for health reasons (physical or emotional), you should contact the Student Success Team at SGCS4help@olivet.edu or call 877-465-4838. Additional Policies Please check the Appendix for other nursing department policies, such as the Drug/Alcohol Abuse – Altered/Impaired Judgment policy. Please consult the SGCS Catalog for more SGCS policies, such as financial policies and other student policies, which can be accessed at https://my.olivet.edu/policies/default.aspx. The Department of Nursing follows the SGCS policies, for MSN students, unless otherwise specified in this MSN Student Handbook. Nursing Evaluation Procedure and Grading System 95 – 100 A Passing scores 92 – 94.9 A89 – 91.9 B+ 86 – 88.9 B 83 – 85.9 B80 – 82.9 C+ Non-passing scores for FNP specialty track courses 77 – 79.9 C ____________________________________________________ 74 – 76.9 CNon-passing scores 71 – 73.9 D+ 68 – 70.9 D 65 – 67.9 D25 MSN Student Handbook – September 2015 Incomplete Grades Students may be given an incomplete for a course at the discretion of the course instructor and the approval of the MSN Program Director. Normally this is granted for a period of no more than one week beyond the official last day of the course. Incompletes may not go beyond 30 days after the official last day of the course; this includes NRSG 651 and NRSG 665, the practicum courses. If a student goes beyond 30 days, he/she will need to re-enroll in the course, and may incur additional costs. No opportunity is offered to make up any missing discussion postings. Points for discussion activities are provided according to the program discussion rubric found in the MSN Student Handbook. 26 MSN Student Handbook – September 2015 Final Grade Appeal - SGCS – Nursing Evaluation in the form of grading is viewed by the administration as a contractual relationship between faculty member and student. Although students have the right to appeal, actual changes in grades are rare and at the option of the instructor. The administration does not intervene, except in cases of extreme circumstances, and acts only as intermediary. Should a student feel there is concrete reason to appeal a course grade, these procedures should be followed: 1. The student should initiate the appeal with the instructor who assigned the grade within 3 days. The student and the instructor should seek a resolution to the situation. 2. If the student is not satisfied with the initial grade appeal to the instructor or if the instructor is not available, the student may initiate a formal grade appeal. Grade appeals must be initiated within 7 days after the date grades are posted. Students should contact their Program Director to request a grade appeal form. 3. The student should fill out the form completely and return it to the Program Director within 7 days after the appeal request is made. A copy of the appeal is kept on file in the School of Graduate and Continuing Studies office, and one is sent to the instructor. 4. The instructor responds to the appeal within 7 days on an appropriate form and returns it to the Program Director. The Program Director then has 14 days to respond to the student's appeal. 5. If the student is not satisfied with the response from the Program Director, he or she may appeal to the Academic Review Committee. The student must submit an appeal within 7 days of the date the instructor's response is mailed. 6. The Program Director notifies the instructor and convenes the Academic Review Committee. The Academic Review Committee is comprised of the Dean of the School of Graduate and Continuing Studies, and two University faculty members. If the appeal is based on a decision made by a member of the committee, that member steps down from the appeal; an appropriate substitute is appointed by the Dean of the School of Graduate and Continuing Studies. 7. The Academic Review Committee reviews the nature of the appeal, action taken, and rationale. The Dean of the School of Graduate and Continuing Studies gives copies of the appeal decision to the student, the instructor responsible for the course grade, and the Program Director. 8. The Dean of the School of Graduate and Continuing Studies notifies the student in writing of the disposition of the appeal, as determined by the Academic Review Committee. 9. The Academic Review Committee is considered the highest formal level of appeal. 27 MSN Student Handbook – September 2015 Appeal of Administrative Withdrawal If a student has been administratively withdrawn from the SGCS MSN program and feels there is a concrete reason to appeal the withdrawal these procedures should be followed: 1. Within three business days of receipt of their notification of administrative withdrawal, the student should submit a written appeal to the Director of Nursing Programs 2. The Director of Nursing Programs will investigate the circumstances surrounding the withdrawal and the decision will be communicated in writing to the students within 3 days of their appeal. Process of Re-entry The student should contact the Student Success Team at 1–877-4-OLIVET ( 877-465-4838) or sgcs4@olivet.edu to initiate the process of re-entry, if granted by the Director of Nursing Programs. Personal Portfolio Throughout the MSN program we recommend that you construct a portfolio of your benchmark assignments. This is not an assignment that will be turned in, but it will be beneficial to you when interviewing for jobs when you are able to show the quality of work that you are able to produce. We suggest that you make the recommended changes to the designated benchmark assignments and save them to a CD or flash drive for creating your personal portfolio. Benchmark Assignments for MSN Personal Portfolio NRSG 626 – Moral/Ethical Decision Making The Change Agent NRSG 628 – Nursing Informatics NRSG 657 – Evidenced Based Research & Proposal Development NRSG 662 – Advanced Health Assessment Major Technology Assignment - Video Proposal of Evidence- Based Research Video - Complete Physical Exam and Documentation Personal Leadership Development Plan Evaluation Assignment Strategic Plan NRSG 627 – Leadership Role Development NRSG 624 – Evaluation in Nursing Education NRSG 647 – Transforming Leadership in Nursing NRSG 651 – MSN Practicum Journal Journal - Typhon NRSG 665- FNP Practicum 28 MSN Student Handbook – September 2015 MSN Outcome Characteristics Matched to Courses Ethical – NRSG 626, NRSG 657 Personal/Professional Growth – NRSG 627, NRSG 624, NRSG 647, NRSG 665, NRSG 651 Leader – NRSG 627, NRSG 631, NRSG 647 Change Agent – NRSG 626, NRSG 647 Morals – NRSG 626 Spiritual Growth – all courses have this component Life Long Learner – NRSG 627, NRSG 628 Service – NRSG 651, NRSG 665 MSN Nursing Course Descriptions MSN Core Courses NRSG 653: Theoretical and Professional Foundations of Nursing. 3 hours. This course provides an opportunity to explore theoretical models of practice in healthcare systems. The relationship between nursing systems models and other disciplines are examined. An emphasis is placed on developing a foundation for application of professional practice through using a systems approach. NRSG 626: Moral/Ethical Decision-Making. 3 hours. This course provides the opportunity to study the nurses’ role in moral and ethical decision making. This course will challenge the learner to examine moral and ethical value systems when encountering patients with acute and chronic disease processes. This course will allow the nurse to analyze the impact of moral, spiritual, ethical, social, and political values, as they relate to professional practice. Discussions center on recognizing physiological, moral, ethical, and spiritual variance among cultural norms and health care practices in varied racial and ethnic backgrounds. Students will reflect on their personal values as they relate to moral and ethical decision making, the role of change agent for others and nursing implications for professional, spiritual, and personal growth. NRSG 628: Nursing Informatics. 3 hours. This course prepares students to use information systems and technology to support and improve patient care and to impact healthcare systems. This course builds on basic computer competencies and focuses on information literacy and management, including both electronic patient health information and provider decision support resources. Ethical and legal issues specific to the use of informatics will be explored in this course. NRSG 657: Evidence-Based Practice and Project Proposal Development. 3 hours. This course provides an opportunity to examine the foundation for best practice, evidence-based nursing practice. An overview of qualitative and quantitative methodology, analysis of literature, research process, and data analysis will be presented. Strategies for devising research are explored and applied through an evidence-based practice (EBP) research proposal. NRSG 663: Advanced Pathophysiology. 3 hours. Advanced Pathophysiology is the first course in a three-part series which provides the scientific foundation for advanced nursing. This course focuses on the etiology, manifestations, and consequences of human pathological processes across the lifespan via an in-depth examination of genetics, risk, prevention, pathogenesis, morphology, and health impact. Case studies explore clinical presentation, diagnostic evaluation, and the process of team collaborative decision making in recognizing the appropriate treatment in primary care. Pre-requisites: NRSG 653, 626, 628, 657, or MSN degree. NRSG 664: Advanced Pharmacology. 3 hours. This course integrates the knowledge of pathophysiology with the pharmacodynamics, pharmacokinetics, therapeutics, physiological considerations, adverse reactions, contraindications, interactions, compliance concerns, and other issues that pertain to the use of pharmacological interventions n advanced nursing. Case studies explore 29 MSN Student Handbook – September 2015 the process for selecting effective, safe, and cost-efficient pharmacologic or integrative regimens in primary care. Pre-requisite: NRSG 663 NRSG 662: Advanced Physical Health Assessment. 3 hours. This course builds on pathophysiological and pharmacological principles, and expands knowledge and skills of physical examination and psychosocial, spiritual, risk, and functional assessment for advanced nursing. A systematic process for health screening, diagnostic reasoning, and the triangulation of laboratory, radiographic, and other data in the identification of health problems are included. Case studies explore the process and documentation of health assessment in primary care. Pre-requisite: NRSG 664 Education Specialty Track NRSG 627: Leadership and Advanced Practice in Nursing Role Development. 3 hours. This course examines concepts of leadership and advanced practice nursing as they relate to professional practice, healthcare delivery systems, healthcare policy, finance, education and personal obligation. The course builds on knowledge from moral and ethical decision making theories and evidence-based practice. Opportunities to examine Christian philosophical views of leadership, change theory, barriers to change, and effective leadership strategies are explored. Students will define their role as it applies to their practicum and future practice. Pre-requisites: NRSG 662 or MSN degree. NRSG 621: Teaching Roles and Strategies. 4 hours. Teaching as a profession is explored along with the role of an educator, the learning process, and teachers as leaders, mentors, and role models. Educational philosophy is examined including student centered learning. Students will examine factors that influence learning, explore critical topics in education, accreditation, educational organizations, funding, cultural diversity, and gender sensitivity. Students will begin to determine a personal teaching philosophy and determine appropriateness of various teaching strategies. Course requirement includes 60-hour practicum experience with approved preceptor. Pre-requisite: NRSG 627 NRSG 622: Curriculum Design and Assessment. 4 hours. The course will prepare the student to design curriculum and evaluate its effectiveness. Students will design, implement, and assess outcomes through a mini curriculum project. The student will consider their personal educational philosophy when determining ways to engage learners and assess learning outcomes. Various methods of course delivery are considered including distance delivery, online modalities, and emerging trends in education. Course requirement includes 60-hour practicum experience with approved preceptor. Pre-requisite: NRSG 621 NRSG 624: Evaluation in Nursing Education. 4 hours. The student will integrate, apply, and evaluate the principles and concepts relative to a graduate level nurse educator. The student will build on their plan to design, implement, and evaluate a teaching component related to their specialization and practice setting. Students will critically reflect on their knowledge and revise their personal development plan. Course requirement includes 60-hour practicum experience with approved preceptor. Prerequisite: NRSG 622 NRSG 651: MSN Practicum. 0 hours. A practicum project equivalent to a minimum of 180 hours must be completed for successful completion of the MSN program. Experiences and previous course work can be used as a foundation for the project. It is highly recommended the student begin thinking about their specialty track, type of practicum desired, and possible preceptor throughout the MSN core coursework. The practicum proposal will be submitted during the last core course, NRSG 627. This course is taken concurrently with the practicum courses, Education track (NRSG 621, 622, 624), Leadership/Management track (NRSG 631, 646, and 647). 30 MSN Student Handbook – September 2015 Leadership/Management Specialty Track NRSG 627: Leadership Role Development. 3 hours. This course examines concepts of leadership and advanced practice nursing as they relate to professional practice, healthcare delivery systems, healthcare policy, finance, education and personal obligation. The course builds on knowledge from moral and ethical decision making theories and evidence-based practice. Opportunities to examine Christian philosophical views of leadership, change theory, barriers to change, and effective leadership strategies are explored. Students will define their role as it applies to their practicum and future practice. Pre-requisites: NRSG 662 or MSN degree. NRSG 631: Nurse as a Leader and Manager of Care. 4 hours. This course will examine various models of organizational, managerial, and leadership theory. The student will review mid-level and senior managerial and leadership roles within a health care organization. The student will consider trends in nursing and health care as a means to predict practice change. Theories on change, leadership, concepts of power, and empowerment will be examined as they relate to administrative roles. Students will clarify personal values as they relate to leadership attributes and determine their role in improving quality of nursing services. Course requirement includes a 60-hour practicum experience with approved preceptor. Pre-requisite: NRSG 627 NRSG 646: Healthcare: Financial and Resource Management. 4 hours. In this course the student will integrate the concepts of leader, manager, and change agent as they relate to the health care environment. Consideration is given to mission, strategic planning, finance, systems analysis, and forecasting. Responsible management of human, fiscal, and physical resources is examined in the complexity of the health care organization. Strategies to ensure a quality workplace, staff support, and retention are discussed. Course requirement includes a 60-hour practicum experience with approved preceptor. Pre-requisite: NRSG 631 NRSG 647: Transforming Leadership in Nursing. 4 hours. This course provides the opportunity for participants to integrate and apply previously learned principles and concepts relative to a graduate level manager and leader. Students will critically reflect on their knowledge and submit a business plan specific for their practicum site. Course requirement includes a 60-hour practicum experience with approved preceptor. Pre-requisite: NRSG 646 Family Nurse Practitioner Specialty Track NRSG 627: Leadership Role Development. 3 hours. This course examines concepts of leadership and advanced practice nursing as they relate to professional practice, healthcare delivery systems, healthcare policy, finance, education and personal obligation. The course builds on knowledge from moral and ethical decision making theories and evidence-based practice. Opportunities to examine Christian philosophical views of leadership, change theory, barriers to change, and effective leadership strategies are explored. Students will define their role as it applies to their practicum and future practice. Pre-requisites: NRSG 662 or MSN degree. NRSG 667: Acute and Episodic Adult and Geriatric Therapeutics and Management. 6 hours. This course presents a theoretical and evidence-based approach to the diagnosis and management of acute and episodic health problems for advanced practice nursing. The course emphasizes the appropriate use of diagnostic measures including laboratory, radiographic, and other technologies, health promotion, disease prevention, and current care guidelines. A clinical practicum (180 hours) provides the opportunity for the diagnosis and management of common acute and episodic health problems in the primary care of adults and geriatric patients. Pre-requisite: NRSG 627 31 MSN Student Handbook – September 2015 NRSG 668: Women’s Health Therapeutics and Management across the Lifespan. 6 hours. This course presents a theoretical and evidence-based approach to the diagnosis and management of women’s reproductive, acute, episodic, and chronic health problems for advanced practice nursing. The course emphasizes the appropriate use of diagnostic measures including laboratory, radiographic, and other technologies, health promotion, disease prevention, and current care guidelines. A clinical practicum (180 hours) provides the opportunity for the diagnosis and management of women’s reproductive, acute, episodic, and chronic health problems in primary care across the lifespan. Pre-requisite: NRSG 667 with 180 practicum hours completed. NRSG 669: Children’s Health Therapeutics and Management. 6 hours. This course presents a theoretical and evidence-based approach to the diagnosis and management of children’s acute, episodic, and chronic health problems for advanced practice nursing. The course emphasizes the appropriate use of diagnostic measures including laboratory, radiographic and other technologies, health promotion, disease prevention, and current care guidelines. A clinical practicum (180 hours) provides the opportunity for the diagnosis and management of children’s acute, episodic, and chronic health problems in primary care. Pre-requisite: NRSG 668 with 360 practicum hours completed. NRSG 670: Chronic Adult and Geriatric Therapeutics and Management. 6 hours. This course presents a theoretical and evidence-based approach to the diagnosis and management of chronic health problems for advanced practice nursing. The course will emphasize the appropriate use of diagnostic measures including laboratory, radiographic and other technologies, health promotion, disease prevention, and current care guidelines. A clinical practicum (180 hours) provides the opportunity for the diagnosis and management of common chronic health problems in the primary care of adults and geriatric patients. Pre-requisites: NRSG 669 with 540 practicum hours completed NRSG 665: FNP Practicum. 0 hours. This experience focuses on the synthesis of previously gained knowledge and skills in the provision of advanced nursing care to individuals, families and communities. Emphasis is placed on health promotion, disease prevention and clinical management of clients with common acute and chronic illness. The students will fulfill 720 total clinical hours in their practicum. This course is taken concurrently with NRSG 662, 663, and 664. 32 MSN Student Handbook – September 2015 APPENDIX PRIVACY AND CONFIDENTIALITY UNDER THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF 1995 (HIPAA) To ensure your written course assignments comply with the 1996, Health Insurance Portability and Accountability Act, please never name: Your employer A patient A co-worker Breaking a HIPAA privacy rule may jeopardize the clinical affiliation agreement between ONU and the health care institution and may result in the student’s removal from the clinical site and/or nursing program. Criminal penalties for wrongful disclosure can include not only large fines but also prison time. The criminal penalties increase as the seriousness of the offense increases. These penalties can be as high as fines of $250,000 or prison sentences of up to 10 years. A modification to HIPAA is the HITECH (Health Information Technology) Act. To be eligible for American Recovery and Reinvestment Act (2009) funding, healthcare facilities must prove they are HIPAA compliant. The HITECH Act defines and enforces compliance standards, rules, and penalties related to the electronic exchange of the electronic medical or health record (EMR, EHR) programs and Patient Health Information (PHI). In gross summary, HITECH requires: 1. Enforced HIPAA compliance —willful neglect may result in up to a fine of $250,000 for a single violation and repeated violations may be fined up to $1.5 million. Anyone can initiate a complaint regarding non-compliance. 2. Access to EMR — all health records must be available as an EMR and/or shared (by patient permission) as an encrypted PHI (ePHI) record. 3. Accountability of Business Associates — health care business associates and providers must ALL adhere to privacy/security requirements or EVERYONE is culpable (Compliance Compatibility Security Rule). 4. Notification of Data Breach — it is mandatory to notify a patient of a data breach of any unsecured information, meaning that it was shared with a business associate using an unencrypted format or without patient permission. 5. Additional Requirements — HITECH defines additional requirements to address patient privacy in electronic marketing and accounting practices. For the latest information regarding HIPAA, go to http://www.edocscan.com/hitech-acthipaa-compliance-regulations 33 MSN Student Handbook – September 2015 Benner Library Benner Library makes numerous resources available for nursing students. In addition to a full complement of nursing books, Benner provides a substantial number of nursing periodicals, both in print and in electronic format. Nursing students have access to several health-related online article databases, which include CINAHL, Medline, and Health Source: Nursing, PsycInfo, PsycArticles, and ERIC. Articles not available in full text may be ordered through Benner’s Interlibrary Loan service. Benner Library designates one librarian as the “Librarian for Nursing Students.” This librarian can assist the nursing student in finding needed references/sources. Contact the librarian via email, sgcslibrary@olivet.edu, or phone, 815-928-5418. The Library Nursing Orientation directs the student into three exercises, which will assist the student in learning about Benner Library and obtaining needed sources. This orientation can be found on the Nursing Subject Guide, see http://library.olivet.edu-->Subject GuidesNursingClass Guides. The nursing home page can be accessed at http://library.olivet.edu/subjectguides/nursing/index.php For help with APA, see: http:/library.olivet.eduHelpAPA. The APA Style guide to Electronic Resources is clickable, taking one directly to the correct reference for any given resource. Should other library resources be needed, Olivet students can request materials from any other library in CARLI, a consortium of 76 Illinois academic libraries. In addition, ONU nursing students have access to libraries at many of the clinical agencies. Access Benner Library’s home page at http://library.olivet.edu for the most current information about the library’s resources and services, including specific information for off-campus students. For additional assistance, contact the Interlibrary Loan Department at (815) 928-5439 or the Reference Desk at (815) 939-5355, or ill@olivet.edu. 34 MSN Student Handbook – September 2015 Program Evaluation Assessment is an integral part of student learning. The assessment process involves observation and judgment of each student’s academic performance on the basis of explicit criteria established in the course syllabi. In the assessment process feedback is also essential. Faculty feedback provides the student with information that can be used to reflect on one’s personal and professional growth and development within the teaching-learning environment. Program assessment illustrates program effectiveness to the faculty and larger community. The achievement of program outcomes is determined by multiple assessments, and the student’s evaluation of course learning. Outcomes are analyzed and the aggregate data is used to develop, maintain, and revise the curriculum. To support quality improvement, students and faculty are asked to complete course and program evaluations sincerely, thoroughly, and honestly. The Nursing Department Faculty is committed to ensure building best practice educational experiences for ONU’s MSN program. This assurance is based on quality feedback from students, faculty, and community of interest. Kappa Sigma Chapter Kappa Sigma Chapter of Sigma Theta Tau International invites MSN students with a grade point average of at least 3.5, who demonstrate academic excellence, potential for leadership, and a desire to advance the profession of nursing to apply for membership. Invitations are extended from the chapter faculty counselors in the spring. Fifty percent of courses must be completed before MSN students are eligible. 35 MSN Student Handbook – September 2015 AMERICAN NURSES ASSOCIATION 2015 Code of Ethics for Nurses ______________________________________________________________________________ “ANA’s Code of Ethics for Nurses with Interpretive Statements is the promise that nurses are doing their best to provide care for their patients and their communities and are supporting each other in the process so that all nurses can fulfill their ethical and professional obligations. It is important tool that can be used now as leverage to a better future for nurses, patients and health care. This Code is a reflection of the proud ethical heritage of nursing, a guide for all nurses now and into the future” (ANA, 2015, para 6). http://www.nursesbooks.org/Main-Menu/Ethics/Code-of-Ethics.aspx “The nine provisions of the 2001 code have been retained with some minor revisions that amplify their inclusivity of nursing’s roles, settings, and concerns. . . . The first three provisions describe the most fundamental values and commitments of the nurse; the next three address boundaries of duty and loyalty; the final three address aspects of duties beyond individual patient encounters” (ANA, 2015, p. xiii). http://nursingworld.org/DocumentVault/Ethics_1/Code-of-Ethics-for-Nurses.html) 1. The nurse practices with compassion and respect for the inherent dignity, worth, and unique attributes of every person. 2. The nurse’s primary commitment is to the patient, whether an individual, family, group, community, or population. 3. The nurse promotes, advocates for, and protects the rights, health, and safety of the patient. 4. The nurse has authority, accountability, and responsibility for nursing practice; makes decisions; and takes action consistent with the obligation to promote health and to provide optimal care. 5. The nurse owes the same duties to self as to others, including the responsibility to promote health and safety, preserve wholeness of character and integrity, maintain competence, and continue personal and professional growth. 6. The nurse, through individual and collective effort, establishes, maintains, and improves the ethical environment of the work setting and conditions of employment that are conducive to safe, quality health care. 7. The nurse in all roles and settings, advances the profession through research and scholarly inquiry, professional standards development, and the generation of both nursing and health policy. 8. The nurse collaborates with other health professionals and the public to protect human rights, promote health diplomacy, and reduce health disparities. 9. The profession of nursing, collectively through its professional organizations, must articulate nursing values, maintain the integrity of the profession, and integrate principles of social justice into nursing and health policy. American Nurses Association. (2015). Code of ethics for nurses with interpretive statements. Silver Spring, MD: American Nurses Publishing. 36 MSN Student Handbook – September 2015 MSN Telephone Directory Director of Nursing Programs, Dr. Linda Davison ldaviso@olivet.edu 815-939-5317 MSN Program Director, Dr. Deborah Bruley (Core and Education and Leadership/Management tracks) dbruley@olivet.edu 815-939-5186 FNP Program Director, Suzanne Herrera Phipps sherrera@olivet.edu 847-481-5957 Administrative Assistant, Department of Nursing, Cathy McMullian cmcmulli@olivet.edu 815-939-5340 School of Graduate and Continuing Studies Toll Free Number sgcs4help@olivet.edu 815-939-5023/5291 Information Technology Help Desk 815-939-5302 Chaplain, School of Graduate and Continuing Studies, Rev. Joan Dean jdean@olivet.edu 815-928-5514 Student Success Team sgcs4help@olivet.edu 1-877-4-OLIVET Benner Library Assistance/Research, Pam Greenlee pgreenle@olivet.edu 815-928-5439 877-465-4838 37 MSN Student Handbook – September 2015 Olivet Nazarene University, Department of Nursing, SGCS MSN Practicum (Education and Leadership/Management Tracks) Student and Preceptor Information Form The student is responsible for typing, obtaining original signatures, and scanning this document. Please obtain the preceptor’s CV/resume and complete that portion, before sending to the preceptor for signing. The student emails the scanned document to their own Program Director, for preceptor approval. The learner will upload the fully completed form into NRSG 651 for Education and Leadership/Management students and NRSG 665 for FNP students, after approval is obtained. *Permission must be obtained to complete practicum in the same institution where one works. Students are NOT allowed to fulfill their practicum in their usual role or work setting. NOTE: This form may be longer than one page when information is typed within these spaces. Student Information Name: Title/Position: Academic Degrees: Agency Name: Street Address: City, State, Zip: Home Telephone: Work Telephone: Mobile Telephone: Fax: Email: Specialty Track Education Management/Leadership Date: Student Signature: Preceptor Information (Please attach CV): Name: Professional License(s) State, license #, exp. date: Title/Position: Preceptor is____ or is not _____ an employee of the agency in which the student will be precepted. Previously precepted graduate student? Yes _____ No _____ Employment History: (past five years) Full time/Part time/Adjunct: Academic Degrees/ School or University/date earned: Certifications/Through: Practice Specialty: Years of Experience in Specialty: Agency Name: Street Address: City, State, Zip: Home Telephone: Mobile Telephone: Work Telephone: Fax: Pager #: Email: My signature verifies that I agree to precept _______________________________ beginning on ________________________. Signed _______________________________, Preceptor. 38 MSN Student Handbook – September 2015 Dear MSN Preceptor, Thank you for agreeing to precept our Olivet Nazarene University MSN student. Our student hand-selected you based on the course requirements and preceptor selection criteria. We appreciate your time and efforts, and thank you in advance for helping our student to complete the course objectives. We are now partners in producing “excellence” in master’s prepared nurses. Please complete the Preceptor Orientation PowerPoint Presentation and provide your feedback as well. The orientation can only improve if you tell us how to accomplish that. Your assessment and evaluation will be appreciated. Please don’t hesitate to contact me, if you want to discuss any matters pertaining to our student or the practicum. Thank you again for the time and energy you invest in our Olivet student. Best regards, Deborah Kuhn Bruley, PhD, RN MSN Program Director & Associate Professor of Nursing School of Life and Health Sciences School of Graduate and Continuing Studies Office 815-939-5186 Cell phone: 708-870-1008 Fax: 815-939-5383 Email: dbruley@olivet.edu Please click on the PowerPoint slide below to see our Preceptor Orientation presentation. Orientation for the ONU MSN Nursing Student’s Preceptor School of Nursing and Health Sciences Olivet Nazarene University School of Graduate and Continuing Studies 39 MSN Student Handbook – September 2015 Olivet Nazarene University, Department of Nursing, SGCS MSN Practicum Log/Journal Form Education and Leadership/Management Tracls Log Sheets will document the expected behaviors completed. Remember: As a minimum, 180 hours (if you started the MSN program after May 1, 2014). Also, note that only 8 hours may be CEUs and a certificate of CEU completion must accompany this log, if used. Upload this form into the designated Joule link in the appropriate specialty track courses and NRSG 651. This form may be duplicated as needed. Please type. Your preceptor must initial each day’s entry. The student and major preceptor’s original initials (beside each day’s entry) and signatures must appear on each log page. Student's Name: Preceptor’s Name: Date/ Time Total Hours Telephone: Telephone: Activities Performed Email Address: Email Address: Expected Behavior/Goal/ Objective/Activity Student Signature___________________________ Date_________________ Preceptor Signature_________________________ Date________________ 40 Preceptor Initials MSN Student Handbook – September 2015 Olivet Nazarene University, Department of Nursing, SGCS Expected Behaviors Timeline Log Education Track Please Submit this Form for Your MSN Track with EACH Log/Journal Submission NOTE: Please add additional goals/objectives/activities from your practicum plan below. As necessary, you might complete some expected behaviors in a different order and a course different than the one indicated. Number Expected Behavior/Goal/Objective/Activity 621.1 Learning Needs Assessment/Objectives 621.2 Interview a nurse Educator in Academia 621.3 Observe a higher education classroom for content, learning strategies, etc. 621.4 Clinical Observation with instructor 621.5 Observation of technology used in traditional classroom 621.6 Observe simulations with students 622.1 Lesson Plan which includes the Learning/needs Assessment/Objectives from NSG 621 and content 622.2 Attend a curriculum and/or Department meeting at school 622.3 Development of a specific syllabus as listed in the course 622.4 Supervise with course instructor 2 or 3 days of off campus clinical Evaluate students in clinical using performance worksheet 622.5 Teach several lectures of course content 622.6 Make clinical assignments 624.1 Evaluations of a Lesson Plan and Teaching Strategies 624.2 Evaluations of assignments 624.3 Evaluation of Curriculum 624.4 Analyze the technology Capabilities 624.5 Grade care plans 624.6 Formulate and grade exam along with analysis of exam results and review with students 624.7 Sit in on student advising/counseling sessions 41 Proposed/Actual Completion Dates Preceptor’s Initials MSN Student Handbook – September 2015 Olivet Nazarene University, Department of Nursing, SGCS Expected Behaviors Timeline Log Leadership/Management Track Number Expected Behavior/Goal/Objective/Activity 631.1 Interview a leader in your practice setting 631.2 Description of organizational structure and design 631.3 Analyze quality measures and outcomes 631.4 Analyze family and patient population’s needs 631.5 Analyze risk potential and aversion management policies 631.6 Analyze micro versus macro collaboration 631.7 Plan resource allocations 646.1 Describe the performance appraisal system in your practicum setting 646.2 Describe retention strategies used 646.3 Clarify mission and vision; strategic planning for shortand long-term core measure improvements 646.4 Conduct communication pattern analysis 646.5 Analyze a budget-unit, clinical area, department, facility system 646.6 Analyze the effectiveness of unit conflict resolution 646.7 Analyze the technology capabilities 647.1 Analyze environmental issues impacting system 647.2 Analyze leadership developmental needs 647.3 Conduct a clinical meeting or unit project 647.4 Conduct a strengths, weaknesses, opportunities, and threats (SWOT) analysis 647.5 Discuss equipment needs and purposes in relation to evidence-based practice (EBP) 647.6 Analyze infection rates and control processes 42 Proposed/Actual Completion Dates/ Preceptor’s Initials MSN Student Handbook – September 2015 Olivet Nazarene University, Department of Nursing, SGCS PRECEPTOR EVALUATION OF MSN STUDENT EXPERIENCES For All MSN Program Tracks (Education, Leadership/Management, and FNP) Preceptor, Credentials: _____________________________________________________ Agency: _________________________________________________________________ Student, Track: ___________________________________________________________ Please submit this completed form to dbruley@olivet.edu for the Education or Leadership student or sherrera@olivet.edu for the FNP student and cc your student within one week of fulfillment of the practicum hours. Please reflect on your image of how a master’s prepared nurse should be, do, and act. How would you rate this MSN student’s performance with respect to the following expectations, over the 180 hour practicum for the Education OR Leadership/Management student? Please, write the appropriate number after each objective: 6 = Strongly Agree; 5 = Agree; 4 = Somewhat Agree; 3 = Somewhat Disagree; 2 = Disagree; 1 = Strongly Disagree; 0 = Unable to Evaluate This student has demonstrated Graduate Level Mastery of: 1. A professional and polished demeanor. 2. Critical thinking. 3. Ability to plan and organize for improved organizational effectiveness. 4. Application of evidence based practice into organizational processes and policies. 5. Collaboration to achieve greater departmental and organizational effectiveness. 6. Initiative and self-direction. 7. Ethical, moral, and spiritual behaviors. 8. Writing ability and verbal communication. 9. Readiness for role expansion and greater responsibility. 10. Self-evaluation and analysis for lifelong learning and growth. 11. Change process and group dynamics. 12. Leadership as service to God and humanity. What were the strengths of this learning experience for the student? Rating What needs strengthening (improving)? How could this experience have been designed to achieve stronger learning outcomes for the student? Would you be willing to be a preceptor/mentor to a graduate nursing student again? Yes____ No _____ please explain your answer: 43 MSN Student Handbook – September 2015 Preceptor Evaluation of MSN Student Experiences Leadership/Management Students (Page 2 and 3) Student: Please type any additional goals/activities/behaviors prior to submitting to your preceptor. Preceptor: Check the box which represents your evaluation of the student’s level of accomplishment for each item listed. Interview a leader in your practice setting Description of organizational structure and design Analyze quality measures and outcomes Analyze family and patient population’s needs Analyze risk potential and aversion management policies Analyze micro versus macro collaboration Not Observed Performed very poorly; no indication of mastery Performed poorly; minimal indication of mastery Performed somewhat poorly; some aspects were well Performed somewhat well; some aspects were poor Performed well; some indication of mastery Performed very well; good indication of mastery Not Applicable 0 1 2 3 4 5 6 NA Plan resource allocations Describe the performance appraisal system in your practicum setting Describe retention strategies used Clarify mission and vision; strategic planning for short- and long-term core measure improvements Conduct communication pattern analysis Analyze a budget-unit, clinical area, department, facility system Analyze the effectiveness of unit conflict resolution Analyze the technology capabilities Analyze environmental issues impacting system 44 MSN Student Handbook – September 2015 Analyze leadership developmental needs Conduct a clinical meeting or unit project Conduct a strengths, weaknesses, opportunities, and threats (SWOT) analysis Discuss equipment needs and purposes in relation to evidence-based practice (EBP) Analyze infection rates and control processes Preceptor Reflection on All Student Projects During Practicum 1. Did the student meet your professional expectations of a novice practitioner? 2. Does the student demonstrate initiative in moving toward mastering their practice role? 3. What overall comments do you have for this student as they begin their transition into an advanced professional leadership role? Preceptor Signature: __________________________________ Date: __________ In signing, I attest to having reviewed my Preceptor’s evaluation of my growth. I do / do not agree. (Circle one) Student Signature: ____________________________________ Date: __________ Comments: 45 MSN Student Handbook – September 2015 Preceptor Evaluation of MSN Student Experiences Education Students (Page 2 and 3) Student: Please type any additional goals/activities/behaviors prior to submitting to your preceptor. Preceptor: Check the box which represents your evaluation of the student’s level of accomplishment for each item listed. Learning Needs Assessment/Objectives Interview a nurse Educator in Academia Observe a higher education classroom for content, learning strategies, etc. Clinical Observation with instructor Observation of technology used in traditional classroom Observe simulations with students Lesson Plan which includes the Learning/needs Assessment/Objectives from NSG 621 and content Attend a curriculum and/or Department meeting at school Development of a specific syllabus as listed in the course Supervise with course instructor 2 or 3 days of off campus clinical Evaluate students in clinical using performance worksheet Teach several lectures of course content Make clinical assignments Evaluations of a Lesson Plan and Teaching Strategies Not Observed Performed very poorly; no indication of mastery Performed poorly; minimal indication of mastery Performed somewhat poorly; some aspects were well Performed somewhat well; some aspects were poor Performed well; some indication of mastery Performed very well; good indication of mastery Not Applicable 0 1 2 3 4 5 6 NA 46 MSN Student Handbook – September 2015 Evaluations of assignments Evaluation of Curriculum Analyze the technology Capabilities Grade care plans Formulate and grade exam along with analysis of exam results and review with students Sit in on student advising/counseling sessions Learning Needs Assessment/Objectives Interview a nurse Educator in Academia Observe a higher education classroom for content, learning strategies, etc. Preceptor Reflection on All Student Projects During Practicum 1. Did the student meet your professional expectations of a novice practitioner? 2. Does the student demonstrate initiative in moving toward mastering their practice role? 3. What overall comments do you have for this student as they begin their transition into an advanced professional leadership role? Preceptor Signature: __________________________________ Date: __________ In signing, I attest to having reviewed my Preceptor’s evaluation of my growth. I do / do not agree. (Circle one) Student Signature: ____________________________________ Date: __________ Comments: 47 MSN Student Handbook – September 2015 Olivet Nazarene University, Department of Nursing, SGCS Evaluation of Preceptor and Agency by the MSN Student – All Tracks Preceptor: Cohort: Course Number: Date: Practice Site: (Is this a Medically Underserved Community __yes__ no or Population. __yes __no)? Directions: Rate each item as it corresponds to your experience with the preceptor and agency. Codes: 6 = Strongly Agree 2 = Disagree 5 = Agree 1 = Strongly Disagree 4 = Somewhat Agree 0 = Unable to Evaluate 3 = Somewhat Disagree Rating Practicum Performance Criteria 1. Demonstrated knowledge and skills for working with the client population at the agency. 2. Demonstrated open and honest communication so that a feeling of trust developed between preceptor and student. 3. Showed understanding and recognition of the individuality of the student. 4. Demonstrated flexibility. 5. Followed through on commitments. 6. Established an environment conducive to dialogue, discussion and expression of diverse points of view. 7. Made and kept student appointments. 8. Shared knowledge, ideas and insights with students. 9. Was well informed about practicum and professional advances. 10. Referred student to resource persons and materials. 11. Served as a role model for student. 12. There was an adequate orientation to the agency, staff, and policies and procedures. 13. Assisted in arranging experiences which enabled student to meet learning needs. 14. Interacted with students individually to provide assistance in evaluating learning experiences. 15. Provided appropriate practicum supervision 16. Would you recommend this preceptor to another student? 17. The clinical agency was appropriate for meeting my objectives and course objectives. 18. I recommend this agency as a practicum site for other students. Other comments: Upload your completed form in the designated Joule link in your courses. Don’t forget your practicum course. 48 MSN Student Handbook – September 2015 Olivet Nazarene University, Department of Nursing, SGCS (Education and Leadership/Management Tracks) Practicum Responsibilities MSN Program Practicum Courses: In the Education and Leadership/Management tracks each of the three specialty track courses has 60 hours (180 hours total) of practicum in their chosen specialty role which is spent according to the student’s design. Students will self-select a master’s prepared nurse experienced in their role to serve as the preceptor (an MSN is required for the Education track.) Your preceptor cannot be from the same agency/unit as yourself. Your preceptor must be approved by the MSN Program Director. The practicum hours will be spent with the selected preceptor(s) who will help guide the student in discovering the full scope of their future role as a master’s prepared nurse. Required evidence of practicum completion: Education and Leadership/Management Tracks a. Student-Preceptor Information Form & Preceptor’s CV b. MSN Practicum Log/Journal Form (initialed by the preceptor for each entry and signed on each page, by the preceptor) c. Expected Behaviors/Goals/Objectives/Activities Timeline (initialed and signed by preceptor) d. Preceptor Evaluation of MSN Student Experiences – three pages e. Evaluation of Preceptor and Agency by the MSN Student f. Observation experience Student Responsibilities: 1. Declare specialty track and preceptor(s). Preceptor(s) must be master’s prepared as designated above. More than one preceptor may be needed to complete the practicum hours in the Education track. The student in the Education track must spend the majority of practicum hours (50% or more) with the major preceptor, who must be full-time faculty. No more than one-third of the practicum hours (Education track) may be with a clinical nurse educator. Any additional preceptors must be approved by the MSN Program Director and your major preceptor, who oversees your entire practicum and evaluates you. All preceptors must complete the ONU Preceptor Orientation Power Point. 2. Upload the MSN Student and Preceptor Information Form to assignment link in NRSG 651 (Education and Leadership/Management Tracks). Do not forget the preceptor(s)’ CV(s). 3. Upon securing an agreement with your preceptor, forward any preceptor the ONU Preceptor Orientation Power Point located in NRSG 651. The letter to the preceptor includes the link to this power point. 4. Your preceptor will return the orientation certificate via email to dbruley@olivet.edu for the Education and Leadership/Management tracks, and to you. Upload the certificate into NRSG 651. 5. Determine with preceptor if an ONU and Agency Affiliation Agreement is required. If an affiliation agreement is required, please contact Dr. Deborah Bruley, MSN Program Director, at dbruley@olivet.edu 6. Maintain current unrestricted RN licensure in Illinois or in the state(s) where practicum is scheduled. 7. Meet with preceptor prior to your practicum, to plan your activities and objectives. Discuss specific details and logistics of which days and hours you will conduct your activities. Prepare a timeline with the dates you PLAN to work and the activities planned to meet your goals and your expected behaviors for your practicum experience. This timeline is uploaded into the practicum course for your specialty track –NRSG 651. 8. Wear your ID for all practicum activities and your lab coat for clinical practicum experiences. Dress professionally in the practicum setting. 9. Maintain MSN Practicum Log/Journal. 49 MSN Student Handbook – September 2015 10. Submit MSN Practicum Hour Log/Journal containing the appropriate practicum hours at the end of each specialty track course into the designated Joule links and into NRSG 651 and your specialty track courses. 11. Notify course professor immediately with any concerns about the practicum experience. 12. Complete all practicum and course requirements within expected timeframe. 13. Complete Observation video and submit with appropriate documents in NRSG 651. 14. Submit the entire (3-page) Preceptor Evaluation of MSN Student Experiences form to the preceptor for ratings and comments regarding your practicum experiences. 15. Submit Evaluation of Preceptor and Agency by the MSN Student form by designated due date into the designated link for the last course in which they were utilized, including NRSG 651. Forms are available in the Course Documents of NRSG 651 in Joule. NRSG 651 Course Faculty Responsibilities: 1. Validate student and preceptor licensure via the License Look-up feature at Illinois.gov or the state in which the practicum will take place. The student and preceptor must have valid and unrestricted licenses for the state in which the practicum is being conducted. 2. Provide materials and resources to the students relevant to practicum guidelines. 3. Through either technology or face-to-face contact, course faculty will meet preceptors and communicate regularly regarding student progress. 4. In face-to-face contact or through technology, the course faculty will observe a didactic teaching experience (Education) or a presentation/chairing of a meeting (Leadership). 5. Review all practicum documents to ensure that expected behaviors were completed satisfactorily. 6. Review all student evaluations of practicum agency and provide feedback to the agency as needed. Specialty Track Course Faculty Responsibilities: 1. Act as a liaison to the student and preceptor, problem-solve any difficulties that may arise through asynchronous conferencing on the Web, synchronous conferencing (phone and/or online chats), written assignments, and e-mails. 2. Provide materials and resources to the students relevant to practicum guidelines. 3. Review all practicum evaluation forms (preceptor, student self-evaluation through practicum journal) and hour log sheets to determine if the student has satisfactorily completed the practicum hours component of each course (60 hours/course for Education and Leadership/Management courses including expected behaviors during each practicum course. Preceptor Responsibilities: 1. Complete the MSN Practicum - Specialty Track and Preceptor Information Form and return to the student, along with your CV. 2. Complete the Preceptor Orientation Power Point presentation sent to you via email by your MSN student. Upon completion, fill in the requested information on the last slide and using your email account, submit your completed certificate to a. dbruley@olivet.edu (Education and Leadership/Management) by one week prior to the start of the student’s first specialty track course b. and to the MSN Student you are precepting. 3. Assist the student in planning and meeting their practicum objectives to a rigor level that substantiates graduate level education. 4. Orient the student to the practicum policies, agency policies, and practicum site. 5. Guide the student acquisition of practical role skills within the framework of the proposed practicum objectives. 50 MSN Student Handbook – September 2015 6. Evaluate the student’s progress in meeting course outcomes through ongoing direct observation, critique, and feedback of the student’s performance. 7. Review and validate MSN Practicum Log/Journal with your initials for each entry and your signature on each page. 8. Complete the student-provided 3-page (or more) Preceptor Evaluation of MSN Student Experiences form and submit via email to dbruley@olivet.edu (Education and Leadership/Management) and to your student by the designated due dates which coincide with the end of each specialty track course. 51 MSN Student Handbook – September 2015 SCHOOL OF GRADUATE AND CONTINUING STUDIES DEPARTMENT OF NURSING – MSN PROGRAM FNP TRACK, PRACTICUM AGENCY AGREEMENT 1. 2. 3. Ensure a signed agency agreement exists between Olivet Nazarene University (ONU) and the agency for your practicum experience by contacting Suzanne Herrera Phipps, Director of the Family Nurse Practitioner Program. Please provide full contact information for the approving administrative representative or practicum preceptor is provided. In lieu of the ONU form, the agency may submit a letter approving the student’s practicum experience to take place there, or a form of their own. Please complete (type or legibly print) the following contact information for the administrative representative or practicum preceptor who approves non-patient student practicum placements in the agency in which the student will conduct the practicum experience. Name Office Phone 4. Please complete the following Student information: Name Cohort # Phone 5. Title Email Fax Email Course # Practicum Dates Please complete the following Preceptor information: Name Credentials I am am not an employee of the agency in which I will precept the above named student. Mailing address City, State, Zip Office Phone Fax Email Cell / Pager # Education (include institution, degree(s), and year of Professional Employment Experience (include all graduation): employment in past 5 years with dates): State, license number, expiration date: Have you previously precepted FNP students? Yes No Years of Experience in Specialty Area: Practice Specialty: 52 MSN Student Handbook – September 2015 PRECEPTOR AGREEMENT BETWEEN OLIVET NAZARENE UNIVERSITY, SCHOOL OF GRADUATE AND CONTINUING STUDIES, DEPARTMENT OF NURSING, FNP STUDENT Request to utilize the facilities of (type or legibly print): For the education of the following FNP student: With guidance from the FNP student’s preceptor: Validation provided by the FNP Program Director: Suzanne Herrera Phipps This agreement affirms the value of a high quality clinical experience of FNP students and therefore the clinical agency hereby makes available the use of its facilities. As independent contractors, each party shall retain responsibility for persons under its control or supervision and shall agree to indemnify and hold the other party harmless to the extent permitted by law, from any and all claims, actions and proceedings, judicial or otherwise, judgments, damages, costs, expenses, and reasonable attorneys’ fees, arising from or in connection with its respective responsibilities under this agreement, but only in proportion to an extent such liability, loss, expense, attorneys’ fees or claims for injury or damages are caused by or result from the negligent acts or omissions of the indemnifying party, its officers, agents, employees, or other persons under its control or supervision that occur during performance of the Agreement. Upon request, ONU will provide the documentation of the criminal history checks of its students for the Agency to evaluate in order make a determination regarding the placement of a student in the particular clinical setting. Should the Agency require additional criminal history checks or drug screening in its evaluation of students for placement in a clinical setting, the Agency shall provide a written notice of its specific requirement. 1. The specific responsibilities of the Agency are: • • • • • • • • • To provide practicum/clinical experiences for FNP students. To provide opportunities in the various areas of the Agency as may be arranged by Agency and University. To provide faculty and student orientation covering Agency policies, procedures, safety, infection control, fire safety, and disaster plan. To provide access to Agency policies for faculty and students. To provide assistance in obtaining emergency health care services at the student’s expense, if needed, during the clinical experience. To participate in on-going and final evaluation of the practicum/precepted experience. To have the right to demand the immediate removal of any student from its premises, upon a determination by the Agency management that the student poses a threat to the health, safety, or welfare of the Agency’s patients, clients, or personnel or to the orderly business function of the Agency. To provide no remuneration or compensation to faculty or students during the clinical experience. To retain the responsibility for the supervision and care of all Agency patients/clients. 53 MSN Student Handbook – September 2015 1. The specific responsibilities of the University/School are: • • • 2. To comply with all policies and procedures relative to patient/client care, legal considerations, quality assurance/risk management and safety established by Agency. To verify an annual negative tuberculin skin test or if positive, a negative chest X-ray; Hepatitis B immunization status; and physical exam prior to entry into the FNP program. To determine, if applicable, that students have and maintain throughout the term of this Agreement current unencumbered license(s) to practice as registered nurses in state(s) of practice. Term of Agreement This Agreement shall be effective upon its execution for one year beginning ____________. This Agreement shall be automatically renewed each year unless either party requests in writing, a modification in, or termination of, the Agreement. IN WITNESS THEREOF, the parties hereto have caused this agreement to be executed by their respective authorized officers as of the day, the month, and the year as stated in the first paragraph of this agreement. Representatives Typed Name and Title Signature Email contacts Olivet Nazarene University Agency (type or legibly print): Suzanne Herrera Phipps, Director, Family Nurse Practitioner Program Director sherrera@olivet.edu (scan then e-mail completed forms) Date signed Other signature/title Mailing as required address Phone Fax Accreditation Olivet Nazarene University Oak Brook Center 2809 Butterfield Road Oak Brook, IL 60523 847-481-5957 Department of Nursing FNP 847-481-5959 Department of Nursing 2380 FNP CCNE 54 MSN Student Handbook – September 2015 LETTER TO THE FNP PRACTICUM PRECEPTOR OLIVET NAZARENE UNIVERSITY SCHOOL OF GRADUATE AND CONTINUING STUDIES DEPARTMENT OF NURSING PRACTICUM PRECEPTOR WELCOME LETTER Dear Practicum Preceptor: Thank you for your willingness to precept one of our family nurse practitioner (FNP) students. This is an exciting time for them as well as you to be a part of their journey. As a preceptor, you will be assisting FNP students in acquiring the basic skills in practice and professionalism. The clinical experiences the student will obtain in your clinic are critical in their success. The FNP student will work closely with you, and they will learn from your expertise and example. The FNP students will look to you to teach them skills. You will be their model for what is the best in professionalism and ethical behavior. When you combine these efforts along with your normal job responsibilities this may be a challenge for you especially with time constraints. You are providing an invaluable service to Olivet by assisting us to prepare students for the FNP profession. As a practicum preceptor training future FNPs, you are making an enormous contribution to the students, the university, and the community. Kindly connect with me for any reason at all. Thank you again for your leadership in influencing our future generation of FNPs. Sincerely, Suzanne Herrera Phipps, MSN, APN, FNP-BC Director, FNP Program Associate Professor of Nursing School of Life and Health Sciences - Department of Nursing School of Graduate and Continuing Studies Orientation for the ONU MSN Nursing Student’s Preceptor School of Nursing and Health Sciences Olivet Nazarene University School of Graduate and Continuing Studies 55 MSN Student Handbook – September 2015 Olivet Nazarene University, Department of Nursing, SGCS NRSG 665: FNP Practicum Outcomes and Responsibilities Practicum Outcomes: Communicate effectively, orally and in writing, with individuals, families, groups, and communities to influence health and health care Integrate data from assessments to develop diagnoses and health care strategies Develop plans for individuals, families, groups, and communities to promote health, prevent disease, and manage acute/chronic illness Manage the health care of clients incorporating ethical, legal, cultural, economic, political, and psychosocial factors. Evaluate the effectiveness of interventions and management strategies in improving the health status of individuals and groups Collaborate with other health professionals and the community to provide comprehensive health services to clients Teach individuals, families, groups, and communities skills and behaviors to promote, maintain, or restore health Use evidence-based research to validate and refine knowledge relevant to advanced practice nursing The FNP Director’s responsibilities include: 1. The FNP Director is responsible for ensuring that the clinical contract between the ONU/ Department of Nursing and the clinical agency are in place. 2. The FNP Director will assure that preceptors meet the Department of Nursing and the Illinois State Board of Nursing qualifications for preceptor role, including checking the preceptors’ APN licenses. 3. The FNP Director will be available to the faculty member, preceptor, and student by Face-to-face contact in-person or by technological means, by phone, and by email as needed. The NP Faculty Member’s role and responsibilities include: 1. Maintain a current RN or physician license and NP certification (if applicable). Provide your License number, state, and expiration date to ONU-Department of Nursing. Provide a current curriculum vita or resume to ONU-Department of Nursing that will be kept on file for purposes of accreditation. Provide contact information to the student, preceptor, and FNP Director. 2. Assume responsibility for a maximum of 6 FNP students at any one time, from ONU or any other school of nursing. 3. Assume responsibility for the over-all coordination of the student’s practicum experience to meet the family primary care practicum course learning outcomes. 4. Assure that the student has demonstrated competencies for the level of progression in the FNP program. 56 MSN Student Handbook – September 2015 5. Provide assistance in the orientation of the preceptors for the clinical outcomes. Orientation will include at least the following: a review of the Mission, goals and curricular outline of the program, student objectives, course learning outcomes, course outline, role and responsibilities of the faculty, preceptor and student, performance expectations of the student, evaluation responsibilities, avenues of communication, and expected initial level of knowledge, skills and abilities of the student. These may be found in the MSN Student Handbook or within the student’s practicum plan. 6. Ensure that students have all the required health documentation for the assigned healthcare agency. 7. Ensure in cooperation with the practicum site that the students have documented knowledge of the safety requirements for the assigned healthcare agency. 8. Provide the preceptor with access to the family primary care didactic and clinical courses’ Course Objectives. 9. Establish and maintain communication with the preceptor. This communication should be face-to-face (with technological means, if needed) before the student starts the practicum and quarterly. In addition, monthly communication (between these quarterly face-to-face meetings) may be accomplished by email, phone, Face-time, Skype, or video conferencing – by approved FERPA-compliant apps, as the faculty member and the preceptor prefer. 10. Establish and maintain communication with the student. This communication should be face-to-face (with technological means, if needed) before the student starts the practicum and quarterly. In addition, weekly communication (between these quarterly face-to-face meetings) may be accomplished by email, phone, Face-time, Skype for Business, or video conferencing - by approved FERPA-compliant apps, as the faculty member and the student prefer. 11. Observe the student quarterly during their practicum, either in-person or by technological means: Remember, the patients/family members included in the video conferencing must state on-camera the following: “I consent to being on this video for the purposes of this MSN student’s education and realize that this video will be uploaded to a site which can only be viewed by the student and his/her instructors.” 12. Be available to the preceptor and student during the course, whether physically or electronically. Grade and give feedback, using the rubric, on the 2 SOAP notes per week, submitted in the learning management system. 13. Ongoing meetings with the student and the preceptor to discuss the student’s progress and exchange ideas and/or counseling/suggestions to better achieve outcomes. These meetings may occur in-person, by phone, by technological means, or by e-mail. 14. Document and report immediately to the FNP Director any unprofessional behavior or breach of contract by the student. 15. Provide the student with the opportunity to evaluate the preceptor, practicum experience, and the clinical agency, using informal and formal means. The formal evaluation tool is found in the MSN Student Handbook. 16. Discuss with the preceptor any information from the student concerning ways to improve the practicum experience for future students, and share that with the FNP Coordinator, who will share it with the MSN Committee and Evaluation Committee. 57 MSN Student Handbook – September 2015 For those MSN-FNP students enrolled in the MSN Program after May 1, 2014 and for those FNP-Certificate students enrolled in the Certificate program after May 1, 2015, the following applies: 17. Review student videos of physical exams for each of the population foci (adult male, adult female-preferably pregnant, child, and older person -65+ years of age), and place it in the course if the faculty member cannot be physically on-site. 18. Monitor student-patient encounters, through the use of Typhon. Typhon is designed for advanced practice nursing programs, functioning as a complete electronic student tracking system, including comprehensive patient encounter logs and reports which include patient demographics, diagnosis and procedure codes, skills, medications, and clinical notes. Also, Typhon includes student electronic portfolios, student and preceptor biographic databases, clinical site database, curriculum mapping, and secure document management. 19. Faculty members and students will receive an e-mail detailing their log-in, password, and Typhon training. 20. Typhon use replaces clinical log/journal binders and end-of-program evaluation interviews with the FNP Program Director. The FNP Program Director will now do random audits of Typhon submissions of patient encounters. The Preceptor’s role and responsibilities: 1. Maintain a current RN or physician license and NP certification (if applicable). Provide your License number, state, and expiration date to ONU SGCS-Department of Nursing. Provide a current curriculum vita or resume to ONU SGCS-Department of Nursing that will be kept on file for purposes of accreditation. Provide contact information to the student and faculty member. 2. Serve as a role model as a clinician/practitioner, teacher, and mentor. 3. Supervise no more than one student in the clinical setting. 4. Document and report immediately to the NP faculty member any unprofessional behavior or breach of contract by the student. 5. Collaborate and negotiate times, dates, and appropriate practicum experience with the NP faculty member and the student for the practicum experience. 6. In the case of preceptor absence, make arrangements for a qualified back-up preceptor, with notification of the NP faculty member and FNP Director. 7. Orient the student to the clinical practice setting, including identification of facility policies, procedures, and to all required safety and learning. 8. Provide feedback to the student and NP faculty member, information related to the FNP student’s ability to conduct organized and safe patient care, with specific suggestions that will assist and improve student performance to achieve the practicum outcomes. This communication should be face-to-face (with technology, if needed) before the student starts the practicum and quarterly. In addition, monthly communication (between these quarterly face-to-face meetings) may be accomplished by email, phone, Face-time, Skype, or video conferencing – by approved FERPA-compliant apps, as the faculty member and the preceptor prefer. 58 MSN Student Handbook – September 2015 9. Facilitate the NP Faculty member observation of the student during their practicum. This should include the components of an office visit, such as history, physical exam, assessment, diagnosis, plan, and presentation of the patient. During this visit, a discussion regarding the student’s progress should take place (either in-person or by technological means). 10. If the NP faculty member cannot observe in-person, the student may need to either video conference examinations of one or more patients, or create a video. If a video creation is necessary, the student will create a video (with the above office visit components). Remember, the patients/family members being videoed must state on-camera the following: “I consent to being on this video for the purposes of this MSN student’s education and realize that this video will be uploaded to a site which can only be viewed by the student and his/her instructors.” 11. Assist the NP faculty member with a formal evaluation of the student’s progress at the end of the practicum experience. 12. Complete the Preceptor Evaluation of the practicum experience, including suggestions for clinical course improvements, and submit to the NP faculty member at the end of the practicum. The FNP student’s role and responsibilities includes: 1. Self-select a Nurse Practitioner, MD, or DO to serve as preceptor(s). Preceptors must have the appropriate degrees and certifications, and at least one year’s experience in the role and with the population focus. Preceptor must be approved by the FNP Director before any practicum hours can accrue. 2. Adhere to all clinical agency policies and procedures. 3. Adhere to all Olivet Nazarene University, the Department of Nursing, and Illinois State Board of Nursing policies and procedures, ANA Standards of Practice, ANA Code of Ethics, and the Nurse Practice Act of the state within which the practicum experience is occurring. Failure to exhibit integrity, ethical conduct, professional standards, or any violation of the responsibilities listed herewith may result in a failing grade and/or dismissal from the MSN Program and the University. 4. Comply with all health documentation and other professional requirements of the clinical agency prior to the start of the practicum experience. 5. Dress in a professional manner as required by the Department of Nursing and clinical agency dress code policy. Students will wear an official ONU student name tag at all times while at the practicum site. ONU lab coats should be worn, unless otherwise indicated by the practicum site. 6. Maintain patient confidentiality. Under no circumstances may records be removed from the agency. Comply with HIPAA standards per practicum agency. 7. Student conduct in the practicum setting must be in a manner which demonstrates safety, adherence to professional standards, and reflects positively upon ONU and the Department of Nursing. 8. Be prepared to work the day(s) and hours of the preceptor, and as agreed upon between the student, the preceptor, and the NP faculty member. 9. Provide preceptor with the ONU FNP Preceptor Handbook and all relevant clinical documents. 59 MSN Student Handbook – September 2015 10. Establish with the preceptor a schedule of practicum experiences and maintain clinical logs. 11. Attend all scheduled practicum days, or notify the NP faculty member and the practicum preceptor if an absence is necessary. Arrange for make-up time with both the NP faculty member and the preceptor. 12. Collaborate with the preceptor and the NP faculty member, to develop specific learning goals for the practicum experience. 13. Students must demonstrate competence in FNP skills to the preceptor prior to performing them alone. 14. Maintain the student FNP role. At no time is the student to assume a fully independent role in seeing patients without appropriate collaboration and reporting to the preceptor. 15. Arrange appointments, either in-person or electronically, with the NP faculty member to discuss progress toward goal achievement. 16. Maintain weekly contact with the NP faculty member through email, phone, videoconferencing, Face-time, or in-person. 17. Quarterly these contacts should be face-to-face (in-person or by technological means.) NP Faculty member observation of the student during their practicum should include the components of an office visit, such as history, physical exam, assessment, diagnosis, plan, and presentation of the patient. During this visit, a discussion regarding the student’s progress should take place (either in-person or by technological means). 18. If the NP faculty member cannot observe in-person, the student may need to either video conference examinations of one or more patients, or create a video. If a video creation is necessary, the student will create a video (with the above office visit components). Remember, the patients/family members being videoed must state on-camera the following: “I consent to being on this video for the purposes of this MSN student’s education and realize that this video will be uploaded to a site which can only be viewed by the student and his/her instructors.” 19. Document and notify the NP faculty member immediately of any unprofessional behavior or breach of contract by the preceptor. 20. Maintain practicum log per policy and according to the course objectives, this includes at least 2 SOAP notes per week, when in the practicum setting. Participate in scheduled practicum site visits and clinical conferences along with the NP faculty member and/or preceptor. 21. Complete the Student Evaluation of Preceptor form and submit it to the NP faculty member at the end of your practicum. For those MSN-FNP students enrolled in the MSN Program after May 1, 2014 and for those FNP-Certificate students enrolled in the Certificate program after May 1, 2015, the following applies: 21. Create videos of physical exams for each of the population foci (adult male, adult female-preferably pregnant, child, and older person -65+ years of age). 22. Monitor student-patient encounters, through the use of Typhon. Typhon is designed for advanced practice nursing programs, functioning as a complete electronic student tracking system, including comprehensive patient encounter logs and reports which include patient demographics, diagnosis and procedure codes, skills, medications, and clinical notes. Also, Typhon includes student electronic portfolios, student and preceptor 60 MSN Student Handbook – September 2015 biographic databases, clinical site database, curriculum mapping, and secure document management. 23. Faculty members and students will receive an e-mail detailing their log-in, password, and Typhon training. 24. Typhon use replaces clinical log/journal binders and end-of-program evaluation interviews with the FNP Program Director. The FNP Program Director will now do random audits of Typhon submissions of patient encounters. 61 MSN Student Handbook – September 2015 Olivet Nazarene University School of Graduate and Continuing Studies-Department of Nursing NRSG 665 Practicum (Cohorts enrolled after May 1, 2014) Breakdown of clinical hours are as follows: FNP Program Course Practicum Hours NRSG 667: Acute and Episodic Adult and Geriatric Therapeutics and Management 180 NRSG 668: Women’s Health Therapeutics and Management Across the Lifespan 180 NRSG 669: Children’s Health Therapeutics and Management 180 NRSG 670: Chronic Adult and Geriatric Therapeutics and Management 180 Total practicum hours 720 Continuing Education (CE): 20 hours (5 hours toward each practicum area). The recommendation is to use hours towards conferences or seminars. Must have approval by the FNP Program Director prior to attending or it will not count towards the FNP students practicum hours. Olivet Medical Mission Trips (7-10 days): 60 hours (15 toward each of the 4 practicum areas). The recommendation is to do the Medical Mission Trip during 670. Specialties/Sub-specialties: 30 hours ALL practicum preceptors, sites, and CEs must be approved by the FNP Program Director; otherwise practicum hours initiated prior to approval will be deemed null and void. Preceptor Agreements must be completed entirely and legibly; otherwise they will be sent back to the FNP student until completed properly. 62 MSN Student Handbook – September 2015 Olivet Nazarene University School of Graduate and Continuing Studies-Department of Nursing NRSG 665 Practicum (FNP Cohorts enrolled prior to May 1, 2014; FNP-Certificates before May, 1, 2015) Breakdown of clinical hours are as follows: Area of Concentration Practicum hours Internal Medicine/Family Practice 200 hours Pediatrics 100 hours Women’s Health 84 hours Continuing Education 16 hours Total practicum hours 400 hours Internal Medicine (IM)/Family Practice (FP): Can use 20 minutes for each Pediatric and Women’s Health patient seen in IM/FP. Olivet Medical Mission Trips (7-10 days): 60 hours toward Internal Medicine/Family Practice. Specialties/Sub-specialties: 30 hours Continuing Education (CE): The recommendation is to use hours towards conferences or seminars. Must have approval by the FNP Program Director prior to attending or it will not count towards your hours. ALL practicum preceptors, sites, and CEs must be approved by the FNP Program Director; otherwise practicum hours initiated prior to approval will be deemed null and void. Preceptor Agreements must be completed entirely and legibly; otherwise they will be sent back to the FNP student until they are completed properly. 63 MSN Student Handbook – September 2015 Olivet Nazarene University, Department of Nursing, SGCS Family Nurse Practitioner Program Preceptor Evaluation of Student Student _____________________________________________________ Preceptor ___________________________________________________ Please reflect on your image of how an ONU FNP student should be, do, and act. How would you rate this FNP student’s performance with respect to the following competences? Write the appropriate number after each competency: 5= excellent; 4= very good; 3= average; 2= below average; and 1= poor. Criteria for Evaluation Scientific Foundation Critically analyzes data and evidence for improving advanced nursing practice Integrates knowledge from the humanities and sciences within the context of nursing science Translates research and other forms of knowledge to improve practice processes and outcomes Develops new practice approaches based on the integration of research, theory, and practice knowledge Leadership Works with individuals of other professions to maintain a climate of mutual respect and shared values. Engages diverse health care professionals who complement one's own professional expertise, as well as associated resources, to develop strategies to meet specific patient care needs. Engages in continuous professional and inter-professional development to enhance team performance. Assumes leadership in inter-professional groups to facilitate the development, implementation and evaluation of care provided in complex systems. Practice Competencies Obtains and accurately documents a relevant health history for patients of all ages and in all phases of the individual and family life cycle using collateral information, as needed. Performs and accurately documents appropriate comprehensive or symptom- focused physical examinations on patients of all ages (including developmental and behavioral screening, physical exam and mental health evaluations). Identifies health and psychosocial risk factors of patients of all ages and families in all stages of the family life cycle. Identifies and plans interventions to promote health with families at risk. Assesses the impact of an acute and/or chronic illness or common injuries on the family as a whole. Distinguishes between normal and abnormal change across the lifespan. Assesses decision-making ability and consults and refers, appropriately. 64 5 4 3 2 1 MSN Student Handbook – September 2015 Synthesizes data from a variety of sources to make clinical decisions regarding appropriate management, consultation, or referral. Plans diagnostic strategies and makes appropriate use of diagnostic tools for screening and prevention, with consideration of the costs, risks, and benefits to individuals. Formulates comprehensive differential diagnoses. Manages common acute and chronic physical and mental illnesses, including acute exacerbations and injuries across the lifespan to minimize the development of complications, and promote function and quality of living. Prescribes medications with knowledge of altered pharmacodynamics and pharmacokinetics with special populations, such as infants and children, pregnant and lactating women, and older adults. Prescribes therapeutic devices. Adapts interventions to meet the complex needs of individuals and families arising from aging, developmental/life transitions, co-morbidities, psychosocial, and financial issues. Assesses and promotes self-care in patients with disabilities. Plans and orders palliative care and end-of life care, as appropriate. Performs primary care procedures. Uses knowledge of family theories and development stages to individualize care provided to individuals and families. Facilitates family decision-making about health. Analyzes the impact of aging and age-and disease-related changes in sensory/perceptual function, cognition, confidence with technology, and health literacy and numeracy on the ability and readiness to learn and tailor interventions accordingly. Demonstrates knowledge of the similarities and differences in roles of various health professionals providing mental health services, e.g., psychotherapists, psychologist, psychiatric social worker, psychiatrist, and advanced practice psychiatric nurse. Evaluates the impact of life transitions on the health/illness status of patients and the impact of health and illness on patients (individuals, families, and communities). Applies principles of self-efficacy/ empowerment in promoting behavior change. Develops patient-appropriate educational materials that address the language and cultural beliefs of the patient. Monitors specialized care coordination to enhance effectiveness of outcomes for individuals and families Uses all available resources from the community in designing patient treatment plans. Collaborates with the preceptor and with the other appropriate health care providers, Uses appropriate terminology, format, and technology. Accountability Assumes accountability for ethical behavior in all nurse-patient relationships. Assumes accountability for legal issues in all nurse-patient relationships. Management/Leadership Engages in self-evaluation concerning clinical. Uses strategies to reduce common errors. 65 MSN Student Handbook – September 2015 Considers access, cost, efficacy, and quality when making health care decisions. Culture/Spirituality/Caring Shows respect for the inherent dignity and worth of every human being. Access and provides to patients and families educational material that is culturally sensitive and appropriate. Incorporates patient and family cultural preferences, health beliefs, traditional practices, and health beliefs into the health care plan Provides opportunity and information to patients and families as they make end of life decisions. (Based on NONPF FNP Competencies 2013.) Additional Comments: Preceptor Signature ____________________________________________ Date ____________ Student Signature ______________________________________________ Date ____________ 66 MSN Student Handbook – September 2015 Olivet Nazarene University, Department of Nursing, SGCS Family Nurse Practitioner Program Clinical Skills Competency Check List Please have your preceptor rate and sign your competency check list. Your preceptor may place their initials in the perspective area of competency. Please look at example below Write the appropriate number after each skill: 5= excellent; 4= very good; 3= average; 2= below average; and 1= poor 5 Criteria for evaluation Example: PN Basic interview Interview Basic Interview Cross-cultural communication Developmental Assessment Family Assessment Risk Assessment Sexual History STD/HIV Screening Examination by Developmental Stages Prenatal Newborn Postpartum Infant Child Adolescent Adult Geriatric Review of Systems HEENT Cardiac Pulmonary Chest Breast Abdomen Genitourinary Extremities Neurological Developmental (Pediatrics) Adult Mental Status Procedures Abscess: I/D 4 3 67 2 1 MSN Student Handbook – September 2015 Foreign Body removal KOH/Wet Mount Pap Smear Rapid Beta Strep Suturing Staples Suture/Staple Removal Telephone referral Throat Culture Urinalysis X-ray interpretation Write a referral Write a prescription Student’s Strength’s Student’s Weaknesses Comments Preceptor Signature _________________________________________ Date _______________ Student Signature ___________________________________________ Date _______________ 68