12 patient visits from start to finish including, documentation in the medical record.
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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
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Management of Patient Health and IllnessStatus and Demonstration of the Student Nurse Practitioner Role- Differentiate between normal, variations of normal and abnormal clinical findings.
- Devise treatment plans collaboratively for common episodic conditions of clients, with consideration of evidence-based therapeutic options.
- Devise treatment plans collaboratively for stable chronic health conditions of clients, with consideration of evidence-based therapeutic options.
- Conduct a complete health assessment including a complete history and physical exam, incorporating health promotion, health protection, mental health and disease prevention strategies.
- Formulate differential diagnoses utilizing critical thinking and diagnostic reasoning.
- Order and interpret appropriate diagnostic tests, with consultation and with consideration of safety, efficacy, cost, invasiveness, and acceptability of tests.
- Prescribe medications, with consultation, within scope of practice and legal authorization.
- Identify and utilize interdisciplinary, community resources.
- Demonstrate appropriate utilization and referral to specialists.
- Develop plans to evaluate clinical care outcomes.
- Model exemplary professional and academic behaviors:
- Document accurately, concisely, and legibly using a problem-oriented format.
- Communicate respectfully with patients and families, peers, preceptors, faculty, and allied health workers, preserving patients’ control over decision making.
- Demonstrate teamwork and an interdisciplinary approach to patient care.
- Establish a therapeutic relationship with patients and families, reflective of patients’ inherent worth and dignity.
- Present clinical cases to preceptor and site visitor in a logical, concise fashion.
- Make decisions collaboratively, as appropriate, with recognition of student’s abilities and scope of practice.
- Implement research and evidence-based guidelines in the management of patient care.
- Identify individual learning objectives and goals with development, implementation, and communication regarding student’s learning plan, while being constructive in response to feedback.
- Demonstrate responsibility and accountability in all aspects of clinical practice including attendance, punctuality, and maintenance of confidentiality and privacy.
- Assist patients and families to meet their spiritual needs and incorporate patients’ spiritual beliefs in care.
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