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Students are to work toward proficiency in the following tasks:

Assessment

  • Complete an accurate, thorough history and physical exam
  • Establish good rapport with the patient, preceptor and clinic staff
  • Take into account the patient’s personal and cultural beliefs and preferences regarding their care

Diagnosis

  • Analyze subjective and objective data
  • Develop a leading diagnosis, two possible diagnoses and a “can’t afford to miss” diagnosis using critical thinking, diagnostic reasoning, and the evidence based literature
  • Report these to the preceptor in an organized, concise manner

Management Plan

  • Develop a plan that addresses the diagnosis which includes prescribed and otc meds if appropriate
  • Self-care strategies for the condition(s)
  • Diagnostic testing or specialty referrals if needed
  • Health promotion/patient education counseling and what to do/when to return to clinic if the condition does not improve
  • Red flag emergency instructions if the condition worsens
  • Communicate the plan to the preceptor and patient in an organized, concise manner

Evaluation

  • Assess patient response to treatment
  • Develop a follow up plan to monitor compliance
  • Revise the plan or refer the patient back to specialty care if needed
  • Consult the evidence-based literature and guidelines for plan evaluation

*Professional Role

  • Model the NP role by communicating and behaving in a professional and ethical manner
  • Develop positive relationships with the preceptor, other providers, staff and patients
  • Display a strong work ethic and willingness to openly engage in all learning opportunities made available in practicum

Management of Patient Health and Illness

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