PRAC 6541 Primary Care of Adolescents and Children Weekly Assignments

PRAC 6541 Week 1 JOURNAL ENTRY 1

Critical reflection of your growth and development during your practicum experience in a clinical setting has the benefit of helping you identify opportunities for improvement in your clinical skills while also recognizing your clinical strengths and successes.

This week, you will write a Journal Entry reflecting on your clinical strengths and opportunities for improvement.

RESOURCES

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Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

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WEEKLY RESOURCES

To prepare:

Refer to your FNP Clinical Skills and Procedures Self-Assessment Form from your previous assignment in this week and consider your strengths and opportunities for improvement.

Journal Entry (450–500 words):?

Explain what most excites and/or concerns you about pediatric clinical experiences. Include a description of your strengths and weaknesses in terms of working with children and how these strengths and weaknesses might impact your Practicum experience.

Discuss your personal definition of family and family roles that might impact the assessment of a child and his or her family. Also expand your discussion on the challenges of working with families. Explain how you would handle parents that do not want to vaccinate children.

Then, explain how culture (both the culture of the provider and that of the child and his or her family) may further influence the assessment.

Select and explain a nursing theory to guide your practice with pediatric patients.

BY DAY 7

Complete your Journal Entry #1 Assignment.

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

To submit your completed assignment, save your Assignment as WK1Journal1+last name+first initial.

Then, click on Start Assignment near the top of the page.

Next, click on Upload File and select Submit Assignment for review.

Rubric

PRAC_6541_Week1_Journal1_Rubric

Criteria Ratings Pts

This criterion is linked to a Learning OutcomeAssimilation and Synthesis: Content Reflection
50 to >49.0 pts

Excellent

Reflection demonstrates a high level of critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or discussions. Insightful and relevant connections are made through contextual explanations and examples.

49 to >39.0 pts

Good

Reflection demonstrates a moderate level of critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or discussions. Connections are made through explanations and/or examples.

39 to >30.0 pts

Fair

Reflection demonstrates minimal critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or discussions. Minimal connections are made through explanations and/or examples.

30 to >0 pts

Poor

Reflection lacks critical thinking. Superficial connections are made with key course concepts and resources, and/or assignments
50 pts

This criterion is linked to a Learning OutcomeAssimilation and Synthesis: Personal Growth
30 to >29.0 pts

Excellent

Expresses solid evidence of reflection on own work. Demonstrates substantial personal growth and awareness of deeper meaning through inferences, well-developed insights, and significant depth in awareness and challenges. Synthesizes current experience into future implications.

29 to >19.0 pts

Good

Expresses moderate evidence of reflection on own work. Demonstrates satisfactory personal growth and awareness through some inferences, insights, and challenges. There is mention of the future implications of student’s current experience.

19 to >9.0 pts

Fair

Expresses minimal evidence of reflection on own work. Demonstrates less than adequate personal growth and awareness through limited or simplistic inferences made, insights, and/or challenges that are not well developed. Minimal thought of future implications of student’s current experience.

9 to >0 pts

Poor

Expresses inadequate evidence of reflection on own work. Personal growth and awareness are not evident and/or demonstrate an impersonal experience. Lacks personal insights, challenges, inferences, and/or future implications are overlooked.

30 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting

15 to >14.0 pts

Excellent

Well written and clearly organized using standard English, characterized by elements of a strong writing style and basically free from grammar, punctuation, usage, and spelling errors.

14 to >10.0 pts

Good

Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling.

10 to >5.0 pts

Fair

Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling.

5 to >0 pts

Poor

Poor writing style lacking in standard English, clarity, language used, and/or frequent errors in grammar, punctuation, usage, and spelling. Needs work.
15 pts

This criterion is linked to a Learning OutcomeAPA

5 to >4.0 pts

Excellent

No APA errors

4 to >3.0 pts

Good

Contains 1-2 APA errors

3 to >1.0 pts

Fair

Contains 3-5 APA errors

1 to >0 pts

Poor

Contains > 5 APA errors
5 pts

Total Points: 100

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PRAC 6541 Week 1 Assignment 2: CLINICAL SKILLS AND PROCEDURES SELF-ASSESSMENT

Before embarking on any professional or academic activity, it is important to understand the background, knowledge, and experience you bring to it. You might ask yourself, “What do I already know? What do I need to know? And what do I want to know?” This critical self-reflection is especially important for developing clinical skills, such as those for advanced practice nursing.

The FNP Procedures List and Resource Review document, provided in the Learning Resources, can be used to celebrate your progress throughout your practicum and identify skills gaps. The list covers all necessary skills you should demonstrate during your three practicum courses.

For this Assignment, you assess where you are now in your clinical skill development and make plans for your practicum. Specifically, you will identify strengths and opportunities for improvement regarding the required practicum skills and procedures.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

LEARNING RESOURCES

Required Readings

Hagan, J. F., Jr., Shaw, J. S., Duncan, P. M. (Eds.) (2017). Bright futures: Guidelines for health supervision of infants, children, and adolescents (4th ed.). American Academy of Pediatrics.

“Promoting Family Support” (pp. 41–64)

“Promoting Healthy Weight” (pp. 151–166)

“Promoting Healthy Nutrition” (pp. 167–192)

“Promoting Physical Activity” (pp. 193–203)

“Promoting Safety and Injury Prevention” (pp. 235–256)

Maaks, D. G., Starr, N., Brady, M., Gaylord, N. Driessnack, M., & Duderstadt, K. (Eds.). (2020). Burns’ pediatric primary care (7th ed.). Elsevier.

Chapter 3, “Genetics and Genomics: The Basics for Child Health” (pp. 12–27)

Note: You should have this textbook in your personal library, as it was the required text in NRNP 6541: Primary Care of Adolescents and Children.

National Association of Pediatric Nurse Practitioners, Professional Issues Committee. (2019). NAPNAP position statement on age parameters for pediatric nurse practitioner practiceLinks to an external site.. Journal of Pediatric Healthcare, 33(2), A9–A11. https://doi.org/10.1016/j.pedhc.2018.10.007Links to an external site.

American Academy of Pediatrics. (2020). ImmunizationsLinks to an external site.. https://www.aap.org/en/patient-care/immunizations/Links to an external site.

U.S. Department of Health and Human Services. (2020).Healthy people 2020 topics and objectives.Links to an external site. https://www.healthypeople.gov/2020/topics-objectives

Note: This website provides evidence-based resources for a range of health topics including adolescent health, early and middle childhood, family planning, nutrition and weight status, and physical activity.

Links to an external site.

Practicum Resources

Document: FNP Clinical Skills and Procedures Self-Assessment Form Download FNP Clinical Skills and Procedures Self-Assessment Form(Word document)

Document: FNP Clinical Skills List and Resource Review Download FNP Clinical Skills List and Resource Review(Word document)

Document: FNP Procedures List and Resource Review Download FNP Procedures List and Resource Review(Word document)

Document: Practicum Site Information Form Download Practicum Site Information Form (Word document)

HSoft?Corporation. (2019).?Welcome to MeditrekLinks to an external site.. https://edu.meditrek.com/Default.html

Note: Use this website to log in to?Meditrek?to report your clinical hours and patient?encounters.Links to an external site.

University of North Carolina Wilmington. (n.d.). Writing SMART learning objectivesLinks to an external site.. https://uncw.edu/career/documents/writingsmartlearningobjectives.pdfLinks to an external site.

Walden University. (2019). MSN nurse practitioner practicum manualLinks to an external site.. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocumentsLinks to an external site.

Walden University Field Experience. (2019a). Field experience: College of Nursing.Links to an external site.?https://academicguides.waldenu.edu/fieldexperience/son/homeLinks to an external site.

Walden University Field Experience. (2019b). Student practicum resources: NP student orientationLinks to an external site..

https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation

Required Media

Lecturio Medical. (2019, April 29). Newborn physical exam – pediatrics [Video]Links to an external site.. YouTube. https://www.youtube.com/watch?v=xeKvlFn6wjA

Note: The approximate length of this media piece is 10 minutes.Links to an external site.

Lecturio Medical. (2017b, March 22). Tracking growth in children – pediatric endocrinology [Video]Links to an external site.. YouTube. https://www.youtube.com/watch?v=A0hpzAsBS_U

Note: The approximate length of this media piece is 4 minutes.

To prepare:

Review the FNP Procedures List and Resource Review and the FNP Clinical Skills and Procedures Self-Assessment Form documents found in the Learning Resources for this week. It is recommended that you print out these documents to serve as a guide throughout your practicum.

Download the FNP Clinical Skills and Procedures Self-Assessment Form to complete this Assignment.

Assignment

Using the FNP Clinical Skills and Procedures Self-Assessment Form:

Rate yourself according to your confidence level performing the procedures identified on the FNP Clinical Skills and Procedures Self-Assessment Form.

Based on your ratings, summarize your strengths and opportunities for improvement.

Based on your self-assessment and theory of nursing practice, develop 3–4 goals and objectives for this practicum experience. Include them on the designated area of the form.

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

BY DAY 7

Submit your completed FNP Clinical Skills and Procedures Self-Assessment Form.

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

To submit your completed assignment, save your Assignment as WK1Assgn2+last name+first initial.

Then, click on Start Assignment near the top of the page.

Next, click on Upload File and select Submit Assignment for review.

Rubric

PRAC_6541_Week1_Assignment2_Clinical_Skills

Criteria Ratings Pts

This criterion is linked to a Learning OutcomeRate yourself according to your confidence level performing the procedures identified on the FNP Clinical Skills and Procedures Self-Assessment Form.

25 to >22.0 pts

Excellent

The response provides ratings for all procedures on the form.

22 to >19.5 pts

Good

The response provides ratings for most of the procedures on the form.

19.5 to >17.0 pts

Fair

The response provides ratings for some of the procedures on the form.

17 to >0 pts

Poor

The response provides ratings for only a few procedures on the form, or ratings are missing.

25 pts

This criterion is linked to a Learning OutcomeBased on your ratings, summarize your strengths and opportunities for improvement.

30 to >26.0 pts

Excellent

The response provides an accurate, clear, and complete summary of both the strengths and opportunities for improvement.

26 to >23.0 pts

Good

The response provides an accurate summary of both the strengths and opportunities for improvement.

23 to >20.0 pts

Fair

The response provides a vague, inaccurate, or incomplete summary of both the strengths and opportunities for improvement.

20 to >0 pts

Poor

The response provides a vague, inaccurate, or incomplete summary of the strengths and/or opportunities for improvement, or the summaries are missing.
30 pts

This criterion is linked to a Learning OutcomeBased on your self-assessment and theory of nursing practice, develop 3–4 goals and objectives for this practicum experience. Include them on the designated area of the form.

30 to >26.0 pts

Excellent

The response provides 3–4 clear and appropriate goals and objectives for the practicum experience.

26 to >23.0 pts

Good

The response provides 3–4 appropriate goals and objectives for the practicum experience.

23 to >20.0 pts

Fair

The response provides 3–4 unclear or inappropriate goals and objectives for the practicum experience.

20 to >0 pts

Poor

The response provides 3–4 unclear or inappropriate goals and objectives for the practicum experience, or goals and objectives are missing.

30 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting— Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.
5 to >4.0 pts

Excellent

Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.

4 to >3.5 pts

Good

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.

3.5 to >3.0 pts

Fair

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic.

3 to >0 pts

Poor

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided.

5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting— English writing standards: Correct grammar, mechanics, and proper punctuation
5 to >4.0 pts

Excellent

Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.5 pts

Good

Contains a few (i.e., 1 or 2) grammar, spelling, and punctuation errors.

3.5 to >3.0 pts

Fair

Contains several (i.e., 3 or 4) grammar, spelling, and punctuation errors.

3 to >0 pts

Poor

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting— The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.
5 to >4.0 pts

Excellent

Uses correct APA format with no errors.

4 to >3.5 pts

Good

Contains a few (i.e., 1 or 2) APA format errors.

3.5 to >3.0 pts

Fair

Contains several (i.e., 3 or 4) APA format errors.

3 to >0 pts

Poor

Contains many (≥ 5) APA format errors.
5 pts

Total Points: 100

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PRAC 6541 Week 1 Assignment 3: COURSE LEARNING OUTCOMES

By the conclusion of this course, you should be able to:

Develop professional plans in advanced nursing practice for the practicum experience

Formulate diagnoses for adolescent and child patients

Synthesize the assessment and diagnosis of health conditions in pediatric patients

Formulate evidence-based treatment plans considering the developmental level of the child

Integrate appropriate theoretical perspectives to promote the health of infants, children and adolescents

Analyze practicum experiences for further growth and development in advanced nursing practice skills

CLINICAL HOUR AND PATIENT LOGS

Clinical Hour Log

For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order earn the points associated with this assignment.

You may only log hours with preceptors that are approved in Meditrek. Students must complete a minimum of 160 practicum hours. You will enter your approved preceptor and clinical faculty as part of each time and patient encounter you log.

Your clinical hour log must include the following:

Dates

Course

Clinical Faculty

Approved Preceptor

Total Time (for the day)

Notes/Comments

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

Patient Log

Throughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 160 encounters with patients by the end of this practicum. All patients seen must be pediatrics or adolescents (age newborn to 17).

The patient log must include the following:

Date

Course

Clinical Faculty

Preceptor

Patient Number

Client Information

Visit Information

Practice Management

Diagnosis

Procedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)

Treatment Plan and Notes

BY DAY 7

Record your clinical hours and patient encounters in Meditrek.

Rubric

PRAC_6541_Week1_Assignment3_Rubric

Criteria Ratings Pts

This criterion is linked to a Learning OutcomePart 1: Time logs and patient logs are completed within 48 hours of completing clinical time.
5 pts

Excellent

*Time logs are completed within 48 hours of completing clinical time. *Patient logs are completed within 48 hours of completing clinical time.

0 pts

Poor

*Time logs are completed more than 48 hours after completing clinical time. *Patient logs are completed more than 48 hours after completing clinical time.
5 pts

This criterion is linked to a Learning Outcome*Each entry includes Date, Course, Clinical Instructor, Preceptor, Patient number, Client information, Visit information, Practice management, Diagnosis, Procedures (if applicable), Treatment plan and notes, Notes section (Students must include a brief summary/synopsis of the patient visit—this must include enough information to understand how the patient presnted and the student intervention. Do NOT include EMR SOAP notes. *LOGS MUST BE SUBMITTED WITHIN 48 HOURS TO BE ELIGIBLE FOR ANY POINTS

5 pts

Excellent

*Patient logs include all of the required documentation elements.

0 pts

Poor

*Patient logs do NOT include all of the required documentation elements. There are some elements missing or the logs are incomplete. *Patient logs were submitted more than 48 hours after completion of the clinical time.

5 pts

Total Points: 10

PRAC 6541 Week 2 Assignment: CLINICAL HOUR AND PATIENT LOGS

Clinical Hour Log

Your clinical hour log must include the following:

Dates

Course

Clinical Faculty

Approved Preceptor

Total Time (for the day)

Notes/Comments

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

Patient Log

The patient log must include the following:

Date

Course

Clinical Faculty

Preceptor

Patient Number

Client Information

Visit Information

Practice Management

Diagnosis

Procedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)

Treatment Plan and Notes

BY DAY 7

Record your clinical hours and patient encounters in Meditrek.

Rubric

PRAC_6541_Week2_Assignment_Rubric

Criteria Ratings Pts

This criterion is linked to a Learning OutcomePart 1: Time logs and patient logs are completed within 48 hours of completing clinical time.
5 pts

Excellent

*Time logs are completed within 48 hours of completing clinical time. *Patient logs are completed within 48 hours of completing clinical time.

0 pts

Poor

*Time logs are completed more than 48 hours after completing clinical time. *Patient logs are completed more than 48 hours after completing clinical time.
5 pts

This criterion is linked to a Learning OutcomePart 2: Patient logs meet the minimum documentation requirements. *Each entry includes Date, Course, Clinical Instructor, Preceptor, Patient number, Client information, Visit information, Practice management, Diagnosis, Procedures (if applicable), Treatment plan and notes, Notes section (Students must include a brief summary/synopsis of the patient visit—this must include enough information to understand how the patient presnted and the student intervention. Do NOT include EMR SOAP notes. *LOGS MUST BE SUBMITTED WITHIN 48 HOURS TO BE ELIGIBLE FOR ANY POINTS

5 pts

Excellent

*Patient logs include all of the required documentation elements.

0 pts

Poor

Total Points: 10

PRAC 6541 Week 3 Assignment 1: CLINICAL HOUR AND PATIENT LOGS

Clinical Hour Log

Your clinical hour log must include the following:

Dates

Course

Clinical Faculty

Approved Preceptor

Total Time (for the day)

Notes/Comments

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

Patient Log

The patient log must include the following:

Date

Course

Clinical Faculty

Preceptor

Patient Number

Client Information

Visit Information

Practice Management

Diagnosis

Procedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)

Treatment Plan and Notes

BY DAY 7

Record your clinical hours and patient encounters in Meditrek.

Rubric

PRAC_6541_Week3_Assignment1_Rubric

PRAC_6541_Week3_Assignment1_Rubric
Criteria Ratings Pts

This criterion is linked to a Learning OutcomePart 1: Time logs and patient logs are completed within 48 hours of completing clinical time.

5 pts

Excellent

*Time logs are completed within 48 hours of completing clinical time. *Patient logs are completed within 48 hours of completing clinical time.

0 pts

Poor

*Time logs are completed more than 48 hours after completing clinical time. *Patient logs are completed more than 48 hours after completing clinical time.

5 pts

Excellent

*Patient logs include all of the required documentation elements.

0 pts

Poor

5 pts

Total Points: 10

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PRAC 6541 Week 3 Assignment 2: EPISODIC VISIT: ADOLESCENT FOCUSED NOTE (AGES 13-17)

Focused Notes are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. Focused Notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.

For this Assignment, you will work with an adolescent patient that you examined during the last 3 weeks and complete a Focused Note Template in which you will gather patient information, relevant diagnostic and treatment information, and reflect on health promotion and disease prevention in light of patient factors, such as age, ethnic group, past medical history (PMH), socio-economic status, cultural background, etc. In this week’s Learning Resources, please refer to the Focused Note resources for guidance on writing Focused Notes.

Note: All Focused Notes must be signed, and each page must be initialed by your preceptor. When you submit your Focused Notes, you should include the complete Focused Note as a Word document and pdf/images of each page that is initialed and signed by your preceptor. You must submit your Focused Notes using Turnitin.

Note: Electronic signatures are not accepted. If both files are not received by the due date, faculty will deduct points per the Walden Late Policies.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

LEARNING RESOURCES

Required Readings

Hagan, J. F., Jr., Shaw, J. S., Duncan, P. M. (Eds.). (2017). Bright futures: Guidelines for health supervision of infants, children, and adolescents (4th ed.). American Academy of Pediatrics.

“Promoting Healthy Nutrition” (pp. 167–192)

(Previously read in Weeks 1 and 2)

“Promoting Physical Activity” (pp. 193–203)

(Previously read in Weeks 1 and 2)

“Promoting Healthy Sexual Development and Sexuality” (pp. 217–227)

Promoting Safety and Injury Prevention” (pp. 235–256)

(Previously read in Weeks 1 and 2)

“Middle Childhood Visits” (pp. 649–730)

“Adolescence Visits” (pp. 731–822)

Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Mosby’s guide to physical examination Download Mosby’s guide to physical examination (7th ed.). Mosby.

Chapter 26, “Recording Information” (pp. 792–813)

Credit Line: Mosby’s guide to physical examination, 7th Edition by Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2011 by Mosby/Elsevier. Reprinted by permission of Mosby/Elsevier via the Copyright Clearance Center.

Document: Focused SOAP Note Checklist Download Focused SOAP Note Checklist(Word document)

Links to an external site.

Document: Focused SOAP Note Template Download Focused SOAP Note Template(Word document)