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 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.

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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.

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

Advanced Nursing Practice Competencies and Guidelines

American Association of Colleges of Nursing. (2010). Adult-Gerontology primary care nurse practitioner competenciesLinks to an external site.. 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.Links to an external site. http://www.nacns.org/wp-content/uploads/2018/04/Report-FINAL-4-3-18.pdf Links to an external site.

The National Organization of Nurse Practitioner Faculties (NONPF) (n.d.). National Organization of Nurse Practitioner FacultiesLinks to an external site.. https://www.nonpf.org/

The National Organization of Nurse Practitioner Faculties. (2012). Nurse practitioner core competencies.Links to an external site. https://www.pncb.org/sites/default/files/2017-02/NONPF_Core_Competencies.pdfLinks to an external site.

Chatterjee, D., & Corral, J. (2017). How to write well-defined learning objectivesLinks to an external site.. The Journal of Education in Perioperative Medicine, 19(4). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5944406/

Practicum Resources

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

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

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

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

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

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

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

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 NursingLinks 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

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 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_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_Week1_Assignment2_Rubric

PRAC_6531_Week1_Assignment2_Rubric

Criteria Ratings Pts

This criterion is linked to a Learning OutcomeRate yourself according to your confidence level performing the procedures identified on the 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 is provided which delineates 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 is provided which delineates 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 is stated, yet is 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 is 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 was 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 (1 or 2) grammar, spelling, and punctuation errors.

3.5 to >3.0 pts

Fair

Contains several (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 (1 or 2) APA format errors.

3.5 to >3.0 pts

Fair

Contains several (3 or 4) APA format errors.

3 to >0 pts

Poor

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

Total Points: 100

PreviousNext

PRAC 6531 Week 1 Assignment 3: 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_Week1_Assignment3_Rubric

PRAC_6531_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 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

PreviousNext

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 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 2: EPISODIC VISIT: HEENT FOCUSED NOTE

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 a patient with a HEENT condition that you examined during the last three weeks, and complete an Episodic/Focus Note Template Form where you will gather patient information and 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), socioeconomic status, and cultural background. In this week’s Learning Resources, please refer to the Focused SOAP 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

To prepare:

Use the Episodic/Focus 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 that suffered from any HEENT condition. 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 3.

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 3.)

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 WK3Assgn2_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_Week3_Assignment2_Rubric

PRAC_6531_Week3_Assignment2_Rubric

Criteria Ratings Pts

This criterion is linked to a Learning OutcomeOrganization 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 OutcomeThoroughness 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 OutcomeThoroughness 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 OutcomeDiagnostic 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 OutcomeTreatment 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 OutcomeWritten 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 OutcomeWritten 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 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 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 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 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 OutcomeThis 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

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: HomeLinks 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)

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 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 ptsThis criterion is linked to a Learning OutcomeThis 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: HomeLinks 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 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 OutcomeOrganization 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 OutcomeThoroughness 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 OutcomeThoroughness 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 OutcomeDiagnostic 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 OutcomeTreatment 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 OutcomeWritten 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 OutcomeWritten 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 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 8 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_Week8_Assignment_Rubric

PRAC_6531_Week8_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

PreviousNext

PRAC 6531 Week 9 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_Week9_Assignment1_Rubric

PRAC_6531_Week9_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

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 OutcomeOrganization 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 OutcomeThoroughness 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 OutcomeThoroughness 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 OutcomeDiagnostic 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 OutcomeTreatment 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 OutcomeWritten 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 OutcomeWritten 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 10 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. All clinical hours and patient encounters for this practicum must be entered by Day 7 of this week.

Rubric

PRAC_6531_Week10_Assignment1_Rubric

PRAC_6531_Week10_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 10 Assignment 2: JOURNAL ENTRY

Critical reflection of your growth and development during your practicum experience in a clinical setting has the benefit of helping you to 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

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

Muncie, H. L., Sirmans, S. M., & James, E. (2017). Dizziness: Approach to evaluation and management.Links to an external site. American Family Physician, 95(3), 154–162. https://www.aafp.org/afp/2017/0201/p154.html

Note: As you review this article consider the techniques and/or strategies used.

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

To prepare:

Refer to the “Advanced Nursing Practice Competencies and Guidelines” found in Week 1’s Learning Resources and consider the quality measures or indicators advanced nursing practice nurses must possess in your specialty of interest.

Refer to your “Clinical Skills and Procedures Self-Assessment Form” you submitted in Week 1 and consider your strengths and opportunities for improvement.

Refer to your Patient Log in Meditrek and consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences.

Journal Entry (450–500 words): 

Learning from Experiences

Reflect on the three most challenging patients. What was most challenging for each?

What did you learn from this experience?

What resources did you have available?

What evidence-based practice did you use for this patient?

What new skills are you learning?

What would you do differently?

How are you managing patient flow and volume?

Communicating and Feedback

Reflect on how to improve on your skills and knowledge and how to communicate that back to your Preceptor.

How are you doing? What is missing?

What type of feedback are you receiving from your Preceptor?

BY DAY 7

Submit your Journal Entry Assignment.

SUBMISSION INFORMATION

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

To submit your completed journal, save your Journal as WK10Journal_LastName_Firstinitial

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

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

Rubric

PRAC_6531_Week10_Assignment2_JournalEntry_Rubric

PRAC_6531_Week10_Assignment2_JournalEntry_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 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 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