Transcript MSN Nurse Practitioner Preceptor Orientation

Preceptor Orientation
For the Nurse Practitioner
Program
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We appreciate your agreeing to precept our
nurse practitioner students
Collaboration and leadership are important
parts of the student learning experience
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Precepting Overview
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For an overview of Precepting and the
Preceptor Role, please see the slide set
“Clinical Preceptorship:
Shining the Light Toward the Future”
By
Sandy K. Calhoun Diffenderfer, PhD
At this same Website location.
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Preceptor Information
 What
is a preceptor for our NP
program?
◦ An appropriately credentialed healthcare provider who
will oversee the student’s clinical experience
 Board Certified Physician or Nurse Practitioner with
a minimum of 1 year experience
 Other credentialed professionals as deemed
appropriate by the faculty
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Agency Restrictions
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Students are not allowed to have a clinical
placement in the department in which they work.
Students need to be in clinical areas that reflect the
types of patients that coincide with their course
work.
Clinical sites need to have a large enough patient
volume to assure a broad-base for learning.
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Clinical Expectations
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Clinical course hours vary for each clinical course. Each
student must meet established clinical requirements and
competencies through a formal clinical experience in
primary care or specialty area, as designated in each course.
Always keep in mind the student’s level in the program. Is
this a beginning student or is s/he ready to graduate?
Students should see a minimum of six patients per day that
meet the requirements for their clinical course. More
advanced students may be able to manage several more
patients per day
A daily log of patients seen will be kept by the student.
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Expectations of students and clinical
preceptors
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The student should arrive on time and when scheduled.
If a student has to be absent or late, they should let
their preceptor and clinical faculty know before they are
absent or late.
Students should be dressed professionally, have their
own stethoscope, name badge, lab coat if required, and
necessary reference guides.
Preceptors should let the student know of any change in
their schedule as early as possible.
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Medical Records
We expect our students to manage the health care of
clients within current legal, ethical, and professional
standards that meet accepted standards of care.
 Students must have access to the patient’s full medical
record, including electronic medical records.
 Nurse practitioner students are expected to formulate
a working diagnosis and treatment plan, then report
their findings to the preceptor. This helps the student
develop critical thinking and decision making skills.
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Patient Experience
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Early in the clinical rotation, students should be
interviewing and examining patients independently.
To facilitate learning, we ask you to allow the student to
gather patient information, assess the patient, determine
diagnosis(es), formulate a treatment plan, and present to
you for discussion.
The preceptor is asked to provide and expect increasing
levels of independence as the student becomes more
experienced in the setting.
We expect that you will see notable progression, growth,
and skill development over the semester.
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Contacting Clinical Faculty
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Each student has a designated clinical faculty member,
responsible for overall student supervision, clinical
coordination, and evaluation of student performance.
We encourage you to contact us if you have any
questions or concerns about student performance, skills
and competencies, or your role as a preceptor.
Your student’s clinical faculty contact information
(phone number and email address) is included in
information provided to you by the student.
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Student Evaluations and Progress
Reports
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The Preceptor Mid-Semester and Final Student
Progress Report and the Faculty Evaluation are
available on line.Your student should provide you with
a copy of these evaluation forms at the beginning of the
semester.
A form stating that you have received the packet will
be included. Please sign this form and give it to your
student at the beginning of the clinical experience.
Clinical preceptors will not grade student work; faculty
strongly consider the preceptor’s evaluation in
determining the student’s grade.
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Preceptor’s
Form for
Evaluating
NP Student
Performance
Below Standards
Consistently has traits circled in
this column. Requires detailed
assistance
Needs Work
Sometimes has traits circled in this
column. Requires moderate
assistance
Average
Above Average
Consistently demonstrates traits
circled in this column. Requires
minimal assistance
Always demonstrates the traits
circled in this column. Requires no
assistance
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We value your
comments which
will help our
students to grow!
Don’t
forget to
sign &
date!
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Faculty Visits to the Clinic Site
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A faculty member from the ETSU CON will make a clinical
site visit during the student’s clinical rotation.
The faculty member directly observes the student’s
interaction with the patient. This includes review of the
patient’s medical record, patient history, and physical exam.
The student then reports their findings to the preceptor
and formulates a working diagnosis and treatment plan.
The plan will include any medications, change in
medications, treatments, health promotion strategies,
cultural and socioeconomic considerations, and patient
follow-up.
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Faculty Visits to the Clinic Site
Faculty do not examine patients.
 The faculty member will talk with the preceptor at the
end of the visit regarding how the student is
progressing in the clinical setting.
 Additional clinic site visits will be made for students
who need additional support, who are not performing
to the expected level of practice competency, or for
whom the preceptor has communicated concerns to
the faculty member.
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Faculty Evaluation
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Key elements of the faculty member’s evaluation of
student performance include:
◦ Professional demeanor and behavior
◦ Thorough, accurate & relevant H&P
◦ Critical assessment with corresponding appropriate
diagnosis(es) and treatment plan
◦ Appropriate and safe pharmacological management
◦ Evidence-based practice
◦ Preceptor and patient communication
◦ Use of professional references
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Evaluations
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Mid-term and final evaluations are needed. Students
need to know how they are progressing relative to
meeting course requirements, outcomes, and clinical
expectations.
We would like preceptors to go over the evaluation
with the student and provide feedback. Preceptors
should consider the student’s level in their NP
program and their past experience as an RN.
Students also evaluate their preceptor and their
experience in the clinic setting.
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Nurse Practitioner Preceptors
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You can receive credit toward your re-certification as
an NP by serving as a preceptor.
The Coordinator of Graduate Clinical Programs and
Clinical Affiliations keeps a record of the hours NPs
precept each semester.
If you would like a copy of the preceptor record,
please call Amy Bower at 439-4531 or
[email protected].
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Questions?
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If you have any questions or concerns, our phone
numbers and email addresses are included in the
information provided to you by the student.
We value your communication. Please feel free to
call the College of Nursing clinical faculty at any
time.
Please fill out and return the Preceptor Signature
Form (next page).
Thank you for all you do to facilitate our NP
students’ growth and expertise!
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Preceptor Signature Form
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I, __________________ have received the ETSU
College of Nursing Preceptor Orientation Packet for
nurse practitioner students.
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Student Name _____________________________
Preceptor Signature _________________________
Practice Site Name __________________________
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Date ____________________
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