PRAC 6531 Full Course Assignments (Week 1-10)

PRAC 6531 Full Course Assignments (Week 1-10)

PRAC 6531 Full Course Assignments (Week 1-10)

PRAC 6531 Week 1 Assignment: Competencies of Advanced Nursing Practice

Tell me and I forget, teach me and I may remember,
involve me and I learn.
— Xun Kuang, Chinese Confucian philosopher
What do I have to do? When do I have to do it?
Review your Learning Resources. Days 1–7
Assignment 1: Practicum Site Information Submit Assignment 1 by Day 2.
Assignment 2: Clinical Skills and Procedures Self-Assessment Submit Assignment 2 by Day 7.
Assignment 3: Clinical Hour and Patient Logs Track your clinical hours and patient encounters in Meditrek throughout this Practicum course. Each week, your logs must be completed by Day 7.

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Welcome to your Primary Care of Adults Across the Lifespan Practicum! The practicum experience is an experiential learning opportunity which allows you to gain and refine your clinical nursing skills under the mentorship of a Preceptor. As you engage with patients in the practicum setting, your involvement will extend your learning about a variety of primary healthcare needs and problems of the adult across the lifespan.
Throughout the next 11 weeks, you will evaluate your skill development, reflect on patient encounters, and generate goals related to your growth as an advanced practice nurse. This week, you start by assessing your strengths and opportunities related to Family Nurse Practitioner (FNP) or Adult Gerontology Primary Care Nurse Practitioner (AGPCNP) clinical skills and procedures.
Learning Objectives
Students will:
• Complete Practicum site form
• Assess clinical skills and procedures related to advanced nursing practice
• Assess strengths and opportunities for improvement of clinical skills
• Develop measurable goals and objectives for the practicum experience
• Describe clinical hours and patient encounters
________________________________________
Learning Resources

Required Readings (click to expand/reduce)

Advanced Nursing Practice Competencies and Guidelines

American Association of Colleges of Nursing. (2010). Adult-Gerontology primary care nurse practitioner competencies. https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/adult-geropccomps2010.pdf?hhSearchTerms=Adult-GeroPCComps2010+and+pdf

National Association of Clinical Nurse Specialists (NACNS). (2018). Family across the lifespan: The viability of taking pediatric and adult-gerontology certification examinations to attain CNS population certification in family across the lifespan. http://www.nacns.org/wp-content/uploads/2018/04/Report-FINAL-4-3-18.pdf

The National Organization of Nurse Practitioner Faculties (NONPF) (n.d.). National Organization of Nurse Practitioner Faculties. https://www.nonpf.org/

The National Organization of Nurse Practitioner Faculties. (2012). Nurse practitioner core competencies. https://www.pncb.org/sites/default/files/2017-02/NONPF_Core_Competencies.pdf

Practicum Resources

Document: Practicum Site Information Form (Word document)

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

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

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

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

Document: AGPCNP Procedure List and Resource Review (Word document)

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

HSoft Corporation. (2019). Meditrek: Home. https://edu.meditrek.com/Default.html
Note: Use this website to log into Meditrek to report your clinical hours and patient encounters.

Walden University Field Experience. (2019a). Field experience: College of Nursing. https://academicguides.waldenu.edu/fieldexperience/son/home

Walden University Field Experience. (2019b). Student practicum resources: NP student orientation. https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation

Walden University. (2019). MSN nurse practitioner practicum manual. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments

________________________________________
Assignment 1: Practicum Site Information

Photo Credit: EscoLux / E+ / Getty Images
Prior to starting the course, you should have applied for a practicum site following the guidelines for AGACNP practice. Now it is time to make it official. For this Assignment, you provide your Clinical Faculty with information about your practicum site, your preceptor, and your clinical calendar.
To prepare:
• Verify that your practicum application has been approved by logging in to Meditrek.
• Access the Practicum Site Information Form from the Learning Resources.
Assignment
Complete the designated areas of the Practicum Site Information Form, including your practicum site and contact information, your preceptor and contact information, and a schedule of when you plan to engage in practicum activities onsite.
By Day 2
Submit your completed Practicum Site Information Form.
Submit Your Assignment by Day 2

To participate in this Assignment:
Week 1 Assignment 1

________________________________________
Assignment 2: Clinical Skills and Procedures Self-Assessment

Photo Credit: AndreyPopov / iStock / Getty Images Plus / Getty Images
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 Family Nurse Practitioner (FNP) Procedures List and Resource Review and FNP Clinical Skills and Procedures Self-Assessment Form or Adult Gerontology Primary Care Nurse Practitioner (AGPCNP) Clinical Skills Resource List and AGPCNP Clinical Skills and Procedures Self-Assessment Form provided in the Learning Resources can be used to celebrate your progress throughout your practicum and identify skills gaps. The lists cover all necessary skills you should demonstrate during your practicum course.
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.
In this practicum experience, when developing your goals and objectives, be sure to keep adult health guidelines and best practices in mind.
To prepare:
• Review the resources and clinical skills in the Family Nurse Practitioner (FNP) Procedures List and Resource Review and FNP Clinical Skills and Procedures Self-Assessment Form or Adult Gerontology Primary Care Nurse Practitioner (AGPCNP) Clinical Skills Resource List and AGPCNP Clinical Skills and Procedures Self-Assessment Form specific to your selected NP track. It is recommended that you print out these documents to serve as guides throughout your practicum. 
• Download the Clinical Skills and Procedures Self-Assessment Form that applies to your NP track to complete this Assignment. 
Assignment
Using the Clinical Skills and Procedures Self-Assessment Form specific to your NP track (i.e., FNP or AGPCNP):
• Rate yourself according to your confidence level performing the procedures identified on the 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 or AGPCNP Clinical Skills and Procedures Self-Assessment Form.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
• Please save your Assignment using the naming convention “WK1Assgn2+last name+first initial.(extension)” as the name.
• Click the Week 1 Assignment 2 Rubric to review the Grading Criteria for the Assignment.
• Click the Week 1 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.
• Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK1Assgn2+last name+first initial.(extension)” and click Open.
• If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
• Click on the Submit button to complete your submission.
Grading Criteria

To access your rubric:
Week 1 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:
Submit your Week 1 Assignment draft and review the originality report.

Submit Your Assignment by Day 7

To participate in this Assignment:
Week 1 Assignment 2

________________________________________
Assignment 3: Clinical Hour and Patient Logs

Photo Credit: auremar / Adobe Stock
Clinical Hours
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 to be counted. You may only log hours with preceptors that are approved in Meditrek.
Students with catalog years before Spring 2018 must complete a minimum of 144 practicum hours. Students with catalog years beginning Spring 2018 must complete a minimum of 160 practicum hours.
Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.
Your clinical hour log must include the following:
• Dates
• Course
• Clinical Faculty
• Preceptor
• Total Time (for the day)
• Notes/Comments (including the objective to which the log entry is aligned)
Patient Log
Throughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 100 patients by the end of this practicum.

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
• IV Medication
By Day 7
Record your clinical hours and patient encounters in Meditrek.
________________________________________
Assignment 4 Practicum Manual Acknowledgment
The Practicum Manual describes the structure and timing of the classroom-based and practicum experiences and the policies students must follow to be successful in the nurse practitioner (NP) specialties.
• Field Experience: MSN Nurse Practitioner Practicum Manual

Click here and follow the instructions to confirm you have downloaded and read the entire MSN Nurse Practitioner Practicum Manual and will abide by the requirements described in order to successfully complete this program.

________________________________________
What’s Coming Up in Week 2?
Practicum – Upcoming Deadline
In the Nurse Practitioner programs of study (FNP, AGACNP, AGPCNP, and PMHNP) you are required to take several practicum courses. If you plan on taking a practicum course within the next two terms, you will need to submit your application via Meditrek .
For information on the practicum application process and deadlines, please visit the Field Experience: College of Nursing: Application Process – Graduate web page.
Please take the time to review the Appropriate Preceptors and Field Sites for your courses.
Please take the time to review the practicum manuals, FAQs, Webinars and any required forms on the Field Experience: College of Nursing: Student Resources and Manuals web page.
• Field Experience: College of Nursing Quick Answers

• Field Experience: MSN Nurse Practitioner Practicum Manual
• Student Practicum Resources: NP Student Orientation

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images
Next week, you will coordinate a conference call or e-mail with your Clinical Faculty and Preceptor for an orientation and onboarding, as well as to discuss goals and any related questions. You will continue recording your clinical hours and patient encounters in Meditrek. You will also engage in reading to bolster your confidence in evaluating and managing integumentary conditions.

To go to the next week:
Week 2

PRAC 6531 Week 2 Assignment: CLINICAL HOUR AND PATIENT LOGS

Clinical Hours

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 to earn the points allocated for this assignment. You may only log hours with preceptors that are approved in Meditrek.

Students must complete a minimum of 160 hours of supervised direct patient clinical experience. 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 must keep a log of every patient that you encounter in clinical using Meditrek. You must record at least 120 patients by the end of this practicum.

The patient log must include the following:
Date

Course

Clinical Faculty

Approved 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_6531_Week2_Assignment_Rubric

PRAC_6531_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

*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 6531 Week 3 Assignment 1: Clinical Hour and Patient Logs

Clinical Hours

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 to earn the points allocated for this assignment. You may only log hours with preceptors that are approved in Meditrek.

Students must complete a minimum of 160 hours of supervised direct patient clinical experience. 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 must keep a log of every patient that you encounter in clinical using Meditrek. You must record at least 120 patients by the end of this practicum.

The patient log must include the following:

Date

Course

Clinical Faculty

Approved 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_6531_Week3_Assignment1_Rubric

PRAC_6531_Week3_Assignment1_Rubric

Criteria Ratings Pts

This criterion is linked to a Learning Outcome Part 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 Part 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

*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 6531 Week 4 Assignment: Clinical Hour and Patient Logs

Clinical Hours

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 to earn the points allocated for this assignment. You may only log hours with preceptors that are approved in Meditrek.

Students must complete a minimum of 160 hours of supervised direct patient clinical experience. 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 must keep a log of every patient that you encounter in clinical using Meditrek. You must record at least 120 patients by the end of this practicum.

The patient log must include the following:

Date

Course

Clinical Faculty

Approved 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_6531_Week4_Assignment_Rubric

PRAC_6531_Week4_Assignment_Rubric

Criteria Ratings Pts

This criterion is linked to a Learning Outcome Part 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 Part 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

*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 6531 Week 5 Assignment 2: Clinical Hour and Patient Logs

Clinical Hours

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 to earn the points allocated for this assignment. You may only log hours with preceptors that are approved in Meditrek.

Students must complete a minimum of 160 hours of supervised direct patient clinical experience. 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 must keep a log of every patient that you encounter in clinical using Meditrek. You must record at least 120 patients by the end of this practicum.

The patient log must include the following:

Date

Course

Clinical Faculty

Approved 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_6531_Week5_Assignment2_Rubric

PRAC_6531_Week5_Assignment2_Rubric

Criteria Ratings Pts

This criterion is linked to a Learning Outcome Part 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 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

*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 6531 Week 6 Assignment 1: Clinical Hour and Patient Logs

Clinical Hours

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 to earn the points allocated for this assignment. You may only log hours with preceptors that are approved in Meditrek.

Students must complete a minimum of 160 hours of supervised direct patient clinical experience. 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 must keep a log of every patient that you encounter in clinical using Meditrek. You must record at least 120 patients by the end of this practicum.

The patient log must include the following:

Date

Course

Clinical Faculty

Approved 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_6531_Week6_Assignment1_Rubric

PRAC_6531_Week6_Assignment1_Rubric

Criteria Ratings Pts

This criterion is linked to a Learning Outcome Part 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 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

*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

ORDER A CUSTOMIZED, PLAGIARISM-FREE PRAC 6531 Full Course Assignments (Week 1-10) HERE

PRAC 6531 Week 6 Assignment 2: Episodic Visit: Gastrointestinal Focused Note

For this Assignment, you will work with a patient with a gastrointestinal condition that you examined during the last three weeks. You will complete your second Episodic/Focused Note Template Form for this course where 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, PMH, socioeconomic, cultural background, etc. In this week’s Learning Resources, please review 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

Fowler, G. C. (2020). Pfenninger and Fowler’s procedures for primary care (4th ed.). Elsevier.

Chapter 82, “Clinical Anorectal Anatomy and Digital Examination” (pp. 570–572)

Chapter 83. “Anoscopy” (pp. 573–576)

Chapter 87, “Office Treatment of Hemorrhoids” (pp. 596–606) specifically pp. 604 -606 external hemorrhoidal tags

Chapter 94, “Esophageal Foreign Body Removal” (pp. 676–679)

Chapter 95, “Inguinal Hernia Reduction” (pp. 680–683)

Chapter 20,: “Management of Fecal Impaction” (pp. 1382–1383)

Practicum Resources

HSoft Corporation. (2019). Meditrek: Home

Links to an external site.. https://edu.meditrek.com/Default.html

Note: Use this website to log into Meditrek to report your clinical hours and patient encounters.

Walden University Field Experience. (2019a). Field experience: College of Nursing.

Links to an external site. https://academicguides.waldenu.edu/fieldexperience/son/homeWalden University Field Experience. (2019b). Student practicum resources: NP student orientation.

Links to an external site. https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation

Walden University. (2019). MSN nurse practitioner practicum manual.

Links to an external site. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments

Document: Episodic/Focus Note Template (Word document)

Download Episodic/Focus Note Template (Word document)

To prepare:

Use the Episodic/Focused Note Template found in the Learning Resources for this week to complete this Assignment.

Select a patient that you examined during the last three weeks based on any gastrointestinal conditions. With this patient in mind, address the following in a Focused Note:

Assignment:
Subjective: What details did the patient provide regarding her personal and medical history?

Objective: What observations did you make during the physical assessment?

Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?

Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan.

Reflection notes: What would you do differently in a similar patient evaluation?

Note: Your Focused Note Assignment must be signed by Day 7 of Week 6.

By Day 7

Submit your Episodic/Focused Note Assignment. (Note: You will submit two files, your Focused Note Assignment, and a Word document of pdf/images of each page that is initialed and signed by your preceptor by Day 7 of Week 6.)

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 WK6Assgn2_LastName_Firstinitial

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

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

Rubric

PRAC_6531_Week6_Assignment2_Rubric

PRAC_6531_Week6_Assignment2_Rubric

Criteria Ratings Pts

This criterion is linked to a Learning Outcome Organization of Write-up

30 to >26.0 pts

Excellent

All information organized in logical sequence; follows acceptable format

26 to >23.0 pts

Good

Information generally organized in logical sequence; follows acceptable format

23 to >20.0 pts

Fair

Errors in format; information intermittently organized

20 to >0 pts

Poor

Errors in format; information disorganized
30 pts

This criterion is linked to a Learning Outcome Thoroughness of History

20 to >17.0 pts

Excellent

Thoroughly documents all pertinent history components for type of note; includes critical as well as supportive information

17 to >15.0 pts

Good

Documents most pertinent history components; includes critical information

15 to >13.0 pts

Fair

Fails to document most pertinent history components; Lacks some critical information or rambling in history

13 to >0 pts

Poor

Minimal history; critical information missing

20 pts

This criterion is linked to a Learning Outcome Thoroughness of Physical Exam
10 to >8.0 pts

Excellent

Thoroughly documents all pertinent examination components for type of note

8 to >7.0 pts

Good

Documents most pertinent examination components

7 to >6.0 pts

Fair

Documents some pertinent examination components

6 to >0 pts

Poor

Physical examination cursory; misses several pertinent components

10 pts

This criterion is linked to a Learning Outcome Diagnostic Reasoning

10 to >8.0 pts

Excellent

Assessment consistent with prior documentation. Clear justification for diagnosis. Notes all secondary problems. Cost effective when ordering diagnostic tests

8 to >7.0 pts

Good

Assessment consistent with prior documentation. Clear justification for diagnosis. Notes most secondary problems.

7 to >6.0 pts

Fair

Assessment mostly consistent with prior documentation. Fails to clearly justify diagnosis or note secondary problems or orders inappropriate diagnostic tests

6 to >0 pts

Poor

Assessment not consistent with prior documentation. Fails to clearly justify diagnosis or note secondary problems or orders inappropriate diagnostic tests

10 pts

This criterion is linked to a Learning Outcome Treatment Plan/Patient Education
10 to >8.0 pts

Excellent

Treatment plan and patient education addresses all issues raised by diagnoses, excellent insight into patient’s needs. Evidence based decisions. Cost effective treatment. Reflection is thoughtful and in depth.

8 to >7.0 pts

Good

Treatment plan and patient education addresses most issues raised by diagnoses. Reflection is thoughtful and in depth.

7 to >6.0 pts

Fair

Treatment plan and patient education fail to address most issues raised by diagnoses. … Reflection is brief, vague. and does not discuss anything that would have been done in addition to or differently.

6 to >0 pts

Poor

Minimal treatment plan and/or patient education addressed … Reflection is absent.
10 pts

This criterion is linked to a Learning Outcome Written Expression and FormattingEnglish writing standards: Correct grammar, mechanics, and proper punctuation.
10 to >8.0 pts

Excellent

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

8 to >7.0 pts

Good

Contains a few (1-2) grammar, spelling, and punctuation errors.

7 to >6.0 pts

Fair

Contains several (3-4) grammar, spelling, and punctuation errors.

6 to >0 pts

Poor

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

This criterion is linked to a Learning Outcome Written Expression and FormattingThe assignment follows parenthetical/in-text citations, and at least 3 evidenced based references are listed.

10 to >8.0 pts

Excellent

Contains parenthetical/in-text citations and at least 3 evidenced based references are listed.

8 to >7.0 pts

Good

Contains parenthetical/in-text citations and at least 2 evidenced based references are listed

7 to >6.0 pts

Fair

Contains parenthetical/in-text citations and at least 1 evidenced based reference is listed

6 to >0 pts

Poor

Contains no parenthetical/in-text citations and 0 evidenced based references listed.
10 pts

Total Points: 100

PRAC 6531 Week 7 Assignment: CLINICAL HOUR AND PATIENT LOGS

Clinical Hours

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 to earn the points allocated for this assignment. You may only log hours with preceptors that are approved in Meditrek.

Students must complete a minimum of 160 hours of supervised direct patient clinical experience. 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 must keep a log of every patient that you encounter in clinical using Meditrek. You must record at least 120 patients by the end of this practicum.

The patient log must include the following:

Date

Course

Clinical Faculty

Approved 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_6531_Week7_Assignment_Rubric

PRAC_6531_Week7_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

*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 6531 Week 9 Assignment 2: Episodic Visit: Musculoskeletal Focused Note

For this Assignment, you will work with a patient with a musculoskeletal condition that you examined during the last three weeks. You will complete your third Episodic/Focused Note Template Form for this course where you will gather patient information, relevant diagnostic and treatment information as well as reflect on health promotion and disease prevention in light of patient factors such as age, ethnic group, previous medical history (PMH), socio-economic, cultural background, etc. In this week’s Learning Resources, please review 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

Fowler, G. C. (2020). Pfenninger and Fowler’s procedures for primary care (4th ed.). Elsevier.

Chapter 174, “Shoulder Dislocations” (pp. 1163–1167)

Chapter 175, “Ankle and Foot Splinting, Casting, and Taping” (pp. 1168–1175)

Chapter 176, “Cast Immobilization and Upper Extremity Splinting” (pp. 1176–1185)

Chapter 177, “Knee Braces” (pp. 1186–1192)

Chapter 178, “Fracture Care” (pp. 1193–1211)

Chapter 180, “Joint and Soft Tissue Aspiration and Injection (Arthrocentesis)” (pp. 1221–1239)

Chapter 181, “Trigger-Point Injection” (pp. 1240–1244)

Chapter 235, “Principles of X-Ray Interpretation” (pp. 1566–1575)

Practicum Resources

HSoft Corporation. (2019). Meditrek: Home.

Links to an external site. https://edu.meditrek.com/Default.html

Note: Use this website to log into Meditrek to report your clinical hours and patient encounters.

Walden University Field Experience. (2019a). Field experience: College of Nursing.

Links to an external site. https://academicguides.waldenu.edu/fieldexperience/son/home

Walden University Field Experience. (2019b). Student practicum resources: NP student orientation.

Links to an external site. https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation

Walden University. (2019). MSN nurse practitioner practicum manual.

Links to an external site. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments

Document: Episodic/Focus Note Template (Word document)
Download Episodic/Focus Note Template (Word document)

To prepare:

Use the Episodic/Focused Note Template found in the Learning Resources for this week to complete this assignment.

Select a patient that you examined during the last three weeks based on musculoskeletal conditions. With this patient in mind, address the following in a Focused Note:

Assignment:

Subjective: What details did the patient provide regarding her personal and medical history?

Objective: What observations did you make during the physical assessment?

Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?

Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan.

Reflection notes: What would you do differently in a similar patient evaluation?

Note: Your Focused Note Assignment must be signed by Day 7 of Week 9.

By Day 7

Submit your Episodic/Focused Note Assignment.

(Note: You will submit two files, your Focused Note Assignment, and a Word document of pdf/images of each page that is initialed and signed by your preceptor by Day 7 of Week 9.)

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 WK9Assgn2_LastName_Firstinitial

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

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

Rubric

PRAC_6531_Week9_Assignment2_Rubric

PRAC_6531_Week9_Assignment2_Rubric

Criteria Ratings Pts

This criterion is linked to a Learning Outcome Organization of Write-up
30 to >26.0 pts

Excellent

All information organized in logical sequence; follows acceptable format

26 to >23.0 pts

Good

Information generally organized in logical sequence; follows acceptable format

23 to >20.0 pts

Fair

Errors in format; information intermittently organized

20 to >0 pts

Poor

Errors in format; information disorganized

30 pts

This criterion is linked to a Learning Outcome Thoroughness of History

20 to >17.0 pts

Excellent

Thoroughly documents all pertinent history components for type of note; includes critical as well as supportive information

17 to >15.0 pts

Good

Documents most pertinent history components; includes critical information

15 to >13.0 pts

Fair

Fails to document most pertinent history components; Lacks some critical information or rambling in history

13 to >0 pts

Poor

Minimal history; critical information missing

20 pts

This criterion is linked to a Learning Outcome Thoroughness of Physical Exam
10 to >8.0 pts

Excellent

Thoroughly documents all pertinent examination components for type of note

8 to >7.0 pts

Good

Documents most pertinent examination components

7 to >6.0 pts

Fair

Documents some pertinent examination components

6 to >0 pts

Poor

Physical examination cursory; misses several pertinent components
10 pts

This criterion is linked to a Learning Outcome Diagnostic Reasoning

10 to >8.0 pts

Excellent

Assessment consistent with prior documentation. Clear justification for diagnosis. Notes all secondary problems. Cost effective when ordering diagnostic tests

8 to >7.0 pts

Good

Assessment consistent with prior documentation. Clear justification for diagnosis. Notes most secondary problems.

7 to >6.0 pts

Fair

Assessment mostly consistent with prior documentation. Fails to clearly justify diagnosis or note secondary problems or orders inappropriate diagnostic tests

6 to >0 pts

Poor

Assessment not consistent with prior documentation. Fails to clearly justify diagnosis or note secondary problems or orders inappropriate diagnostic tests
10 pts

This criterion is linked to a Learning Outcome Treatment Plan/Patient Education
10 to >8.0 pts

Excellent

Treatment plan and patient education addresses all issues raised by diagnoses, excellent insight into patient’s needs. Evidence based decisions. Cost effective treatment. Reflection is thoughtful and in depth.

8 to >7.0 pts

Good

Treatment plan and patient education addresses most issues raised by diagnoses. Reflection is thoughtful and in depth.

7 to >6.0 pts

Fair

Treatment plan and patient education fail to address most issues raised by diagnoses. … Reflection is brief, vague. and does not discuss anything that would have been done in addition to or differently.

6 to >0 pts

Poor

Minimal treatment plan and/or patient education addressed … Reflection is absent.

10 pts

This criterion is linked to a Learning Outcome Written Expression and FormattingEnglish writing standards: Correct grammar, mechanics, and proper punctuation.

10 to >8.0 pts

Excellent

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

8 to >7.0 pts

Good

Contains a few (1-2) grammar, spelling, and punctuation errors.

7 to >6.0 pts

Fair

Contains several (3-4) grammar, spelling, and punctuation errors.

6 to >0 pts

Poor

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

10 pts

This criterion is linked to a Learning Outcome Written Expression and FormattingThe assignment follows parenthetical/in-text citations, and at least 3 evidenced based references are listed.

10 to >8.0 pts

Excellent

Contains parenthetical/in-text citations and at least 3 evidenced based references are listed.

8 to >7.0 pts

Good

Contains parenthetical/in-text citations and at least 2 evidenced based references are listed

7 to >6.0 pts

Fair

Contains parenthetical/in-text citations and at least 1 evidenced based reference is listed

6 to >0 pts

Poor

Contains no parenthetical/in-text citations and 0 evidenced based references listed.
10 pts

Total Points: 100