NURS 5323 Week 3 MSN Personal Clinical Objectives AssignmentNURS 5323 Week 3 MSN Personal Clinical O

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NURS 5323 Week 3 MSN Personal Clinical Objectives Assignment

NURS 5323 Week 3 MSN Personal Clinical Objectives Assignment

Overview: From this submission, you need to develop anywhere from 3-4 personal objectives for clinicals that you will work to meet throughout the semester. As you log your clinical hours, you will need to document how those hours helped you to meet one or more of your personal objectives. You will evaluate your progress towards meeting these objectives throughout your clinical rotation. You will share these objectives with your preceptor so that they will know what your goals are.

Instructions: Please use the template below to type in your objectives. You do NOT need a title page or a reference page. Please submit in pdf or word format by the due date indicated on the course schedule.

**Use SMART format when writing your clinical objectives. Try to be as specific as you can be when writing your objectives. Ensure that your goal is measurable. Do not use terms such as “more comfortable” as you often cannot measure this. Your goal should be relevant to your clinical rotation and site and should be attainable. Make sure to include the time frame for achievement. Make sure your objectives are clearly distinct from one another and do not overlap**

Example: By the third week of the clinical rotation, I will be able to independently interpret at least 3 treadmill stress tests without the assistance of my preceptor.

This assignment will help you meet the following: AACN Essentials (2022): Domains 2, 6, 9, 10; AACN MSN Essentials (2011): II, VII, IX; NONPF NP Core and Population-Focused Competencies (2012;2017): Leadership and Independent Practice.

Personal Clinical Objectives Template

Name:

Course Name and Number:

Preceptor’s name:

Agency/Practicum Site:

1.

2.

3.

4.

MSN Personal Clinical Objectives Rubric

CriteriaMeets ExpectationsDoes not Meet ExpectationsNo effortObjective 130 points ·       Objective is in SMART format·       Objective is specific and not superficial·       Objective is measurable and excludes any goals that cannot be measured·       Objective is attainable within the students scope of practice and clinical rotation·       Objective is relevant to the clinical rotation and fits within the overall objectives for the clinical rotation·       Objectives is defined by time and the time is appropriate for the written objective 15 points ·       Missing one or more components 0 Points ·       No effortObjective 230 points ·       Objective is in SMART format·       Objective is specific and not superficial·       Objective is measurable and excludes any goals that cannot be measured·       Objective is attainable within the students scope of practice and clinical rotation·       Objective is relevant to the clinical rotation and fits within the overall objectives for the clinical rotation·       Objectives is defined by time and the time is appropriate for the written objective 15 points ·       Missing one or more components 0 Points ·       No effortObjective 330 points ·       Objective is in SMART format·       Objective is specific and not superficial·       Objective is measurable and excludes any goals that cannot be measured·       Objective is attainable within the students scope of practice and clinical rotation·       Objective is relevant to the clinical rotation and fits within the overall objectives for the clinical rotation·       Objectives is defined by time and the time is appropriate for the written objective 15 points ·       Missing one or more components 0 Points ·       No effortProfessionalism10 Points ·       Objectives submitted on appropriate template·       Less than 2 grammatical or spelling errors·       Additional objectives meet all the appropriate criteria 5 Points ·       Objectives not submitted on appropriate template and/or·       More than 2 grammatical or spelling errors·       Additional objectives do not meet the appropriate criteria0 Points ·       No effort

NURS 5323 Module 4

Readings: Leifer & Fleck: Chapters 5–6

PowerPoints

Attached Files:

o    Leifer – Chapter 5 Book Powerpoint (79.324 KB)

o    Leifer – Chapter 6 Book Powerpoint (69.646 KB)

Texas Health Steps Modules Week 4

Due Saturday 23:59

1. Go to https://www.txhealthsteps.com/courses
2. Complete the required modules:

• Genetic Screening, Testing, Treatment and Referral
• Preconception Health: Screening and Intervention
• Prenatal Health: Screening and Intervention

3. Submit a PDF copy of CE certificate/proof of completion.

NURS 5323 Module 5 Overview

Review as needed

Exam 1 will open on Wednesday at 0000 and close on Saturday at 2359.  The exam will not be visible in this Module or your Blackboard calendar until the exam opens.

NURS 5323 Module 6·  

Readings: Leifer & Fleck: Chapter 7

PowerPoint

Attached Files:

o    Leifer – Chapter 7 Book Powerpoint.pptx (64.229 KB)

Texas Health Steps Modules Week 6

Due Saturday 23:59

1. Go to https://www.txhealthsteps.com/courses
2. Complete the required modules:

• Critical Congenital Heart Disease
• Infant Safe Sleep
• Newborn Hearing Screening
• Newborn Screening

3. Submit a PDF copy of the CE certificate/proof of completion.

NURS 5323 Module 7

Overview

Readings: Leifer & Fleck: Chapter 7

PowerPoint

Attached Files:

o    Leifer – Chapter 7 Book Powerpoint (64.229 KB)

Texas Health Steps Modules Week 7

Due Saturday 23:59

1. Go to https://www.txhealthsteps.com/courses
2. Complete the required modules:

• XALD: Newborn Screening, Treatment, and Referral
• Sickle Cell Disease and Trait
• Developmental Surveillance and Screening: Birth through 6 Years

3. Submit a PDF copy of the CE certificate/proof of completion.

Infant Discussion Board Case Study Discussion

A 6-month-old male infant is brought to your office by his mother for a routine well-child visit. His mother is concerned that he is not yet saying “mama,” because her best friend’s baby said “mama” by age 6 months. Your patient was born via an uncomplicated pregnancy to a 23-year-old G1 P1 mother. He was delivered by a spontaneous vaginal delivery at full term and there were no complications in the neonatal period. You have been following him since his birth.

He has had appropriate immunizations. He had one upper respiratory infection at 5 months that was treated symptomatically. There is no family history of any developmental, hearing, or speech disorders. He has been fed since birth with iron-fortified infant formula. Cereals and other baby foods were added starting at age 4 months. He lives with both parents, neither of whom smokes cigarettes.

On exam, he is a vigorous infant who is at the 50th percentile for length and weight and 75th percentile for head circumference. His physical examination is normal. On developmental examination, he is seen to sit for a short period of time without support, reach out with one hand for your examining light, pick up a Cheerio with a raking grasp and put it in his mouth, and he is noted to babble frequently.

Answer questions 1- 5 using course resources and at least one additional scholarly resource found outside the course resources.

1. What immunizations would be recommended at this visit?
2. By what age should an infant say “mama” and “dada”?
3. What are some milestones to discuss with the parent during this visit?
4. The child’s mother asks when she can place him in a front-facing car seat. What is your recommendation?
5. Discuss health maintenance in infancy.

Answer questions 1- 5 using course resources and at least one additional scholarly resource found outside the course resources.

Deliverable Instructions:

• You will not be able to see posts until you post yours.
• Initial post by Wednesday 23:59.
• Replies to peers by Friday 23:59.
• Additional replies as appropriate by Saturday 23:59 (closing the loop).
• Initial discussion post word count should be no more than 500 words.
• Reply posts should be no more than 350 words.
• Late posts will incur a 10% penalty per day.
• For grading criteria, see Discussion Board Participation Rubric.

MSN Personal Clinical Objectives Update

Overview: From this submission, you need to evaluate your progress towards meeting the objectives you submitted previously. Have you met the objectives? Do you realize the objective is not relevant or unattainable? If you have met the objectives, do you have new ones? Do you need to revise the objectives? Remember, as you log your clinical hours, you will need to document how those hours helped you to meet one or more of your personal clinical objectives.

Instructions: Please use the template below to fill in your updates. Make sure to include your original personal clinical objective created earlier in the semester. Type your updates directly underneath your stated objective. You must address each objective – whether it has been met or your progress towards meeting it. Discuss specific patient cases (1-2 cases) as examples to justify that the objective was met. You do NOT need a title page or a reference page. Please submit in pdf or word format by the due date indicated on the course schedule.

**Use SMART format when writing your clinical objectives. Try to be as specific as you can be when writing your objectives. Ensure that your goal is measurable. Your goal should be relevant to your clinical rotation and site and should be attainable. **

Example: By the end of this clinical rotation, I will be able to independently interpret at least 3 treadmill-stress tests.

I have completed 5 treadmill-stress tests but was only able to interpret 1 without the assistance of my preceptor. My preceptor made plans to give me a few stress EKGs that have been completed for me to practice some more. The clinic does about 4 -5 treadmill stress test per day, so I am confident that I can achieve this goal by the end of my clinical rotation.

This assignment will help you meet the following: AACN Essentials (2022): Domains 2, 6, 9, 10; AACN MSN Essentials (2011): II, VII, IX; NONPF NP Core and Population-Focused Competencies (2012;2017): Leadership and Independent Practice.

Personal Clinical Objectives Update Template

Name:

Course Name and Number:

Preceptor’s name:

Agency/Practicum Site:

1.

2.

3.

4. 

Clinical Log for NP Student Clinical Hours and Preceptor Signature

Student Name:

Clinical Site: 

Course:

DateHoursTotal Hours at SitePreceptor Signature                                        

MSN Clinical Update Assignment Instructions and Rubric 

Overview: The purpose of the clinical update assignment is to thoroughly reflect on your time spent during your clinical rotation. This reflection should be consistent and ongoing throughout your clinical rotation. The clinical update assignment allows for you and your clinical faculty/preceptor to address both positive experiences and concerns encountered during the clinical rotation.

In the assignment, the student will reflect on their personal clinical objectives created at the beginning of the semester and evaluate their progress towards achieving the objectives. The Clinical Update helps ensure the student is on track in documenting their clinical hours and clinical case logs in Typhon. The assignment helps to facilitate communication between the student, clinical faculty, and preceptor.

Instructions: The assignment has four components:

1.     Grad CPAT Student Reflection Form (Clinical Update #1)

Students will check competencies that have been accomplished thus far in the current clinical rotation. Only mark the actions that apply. Students must make comments under each Domain showing deep reflection on how these competencies have been met or are in progress. You assign a self-score for each Domain.

Scoring Scale: (1) Failing; does not meet standards; requires constant guidance (2) Needs Improvement; requires intensive guidance (3) Satisfactory with direction (4) Meets Expectations with Assistance (5) Exceeds Expectations with Minimal Assistance.

 Remember that the quality of your clinical performance as you describe in detail in the “Student Comments” determines your grade.  It is not necessary to check all of the actions listed to get higher grades. Grades are determined by the quality of your work and reflections in the “Student Comments” not by the number of items checked. You should provide concrete examples, especially if assigning a score of 1 or 5.

or

Clinical Update Form (Clinical Update #2)

Students will type answers to prompts directly on the form. Answers should be thorough and show deep reflection of the student’s clinical experience. Each prompt must be addressed.

2.     MSN Personal Clinical Objectives Update

Students will use the template provided in the course to provide a thorough evaluation of their progress towards their personal clinical objectives. Student’s original personal clinical objective created earlier in the semester should be included and the student will type updates directly underneath your stated objective. Student will discuss specific patient cases (1-2 cases) as examples to justify that the objective was met. You do NOT need a title page or a reference page.

3.     Typhon Update

Student should be logging their patients in Typhon on a frequent and consistent basis. For this update, please submit a graphical spreadsheet showing that case logs and hours for the clinical rotation are up-to-date. An example can be located in the course.

4.     Clinical Hours Log

Student is responsible for obtaining preceptor signature at the end of each clinical day. For the update, student will submit the signed clinical hours log. Dates and hours must match the dates and hours in Typhon and the latest clinical schedule submitted in the course.

This assignment will help you meet the following: AACN Essentials (2022): Domains 2, 6, 9, 10; AACN MSN Essentials (2011): II, VII, IX; NONPF NP Core and Population-Focused Competencies (2012;2017): Leadership, Practice Inquiry, and Independent Practice.

MSN Clinical Update Assignment Rubric 

CriteriaMeets ExpectationsNeeds ImprovementDoes not meet ExpectationsGraduate CPAT Self-Reflection Form / Clinical Update Form40 points ·   Graduate CPAT Self Reflection Form / Clinical update form submitted on appropriate template·   Student answers show thorough reflection and insight into clinical experience/progress·   Each prompt is addressed·   0-2 grammatical or spelling errors20 points ·   Superficial responses to question prompts·   Missing one or more components·   More than 3 grammatical or spelling errors 0 Points ·       Not submittedPersonal Clinical Objectives Update15 Points ·       Personal objective update submitted on appropriate template and in appropriate format·       Reflections show thorough insight into progress with 1-2 cases as examples for met objectives·       0-2 grammatical or spelling errors7.5 points ·        Superficial responses to question prompts·       Missing one or more components·        More than 3 grammatical or spelling errors 0 Points ·       Not submittedTyphon Update30 points ·       Typhon log pdf submitted to Blackboard·       Case logs are up-to-date·       Case logs are in proper format15 points ·       Missing one or more components 0 Points ·       Not submittedClinical Hours Log15 Points ·       Clinical log accurate with preceptor’s signature·       Clinical hours log match the latest submitted clinical schedule and Typhon history 7.5 Points ·       Clinical log missing dates and/or not signed by preceptor·       Clinical hours log does not match submitted clinical schedule and Typhon history 0 Points ·       No submitted

GRADUATE CLINICAL PERFORMANCE ASSESSMENT TOOL (GCPAT)—

Student Self-Reflection Worksheet: Course NURS ______

Check one of the following:  Clinical Mid-point ____   or End of Semester Review _____ 

Instructions: Only mark the actions that apply.  Remember that the quality of your clinical performance as you describe in detail in the “Student Comments” determines your grade.  It is not necessary to check all of the actions listed to get higher grades.  Grades are determined by the quality of your work and reflections in the “Student Comments” not by the number of items checked.

Role 1 (R1): Provider of Care; Domain 1 (R 1-D1) Knowledge of Nursing PracticeCompetencies: Clinical reasoning and Judgment, Scope of Practice, Standards of Care.  NP: Knowledge of PracticeScore·   ____ Assesses environmental and Individual factors to obtain and accurately document relevant health histories and focused assessments for clients of all ages·   ____ Performs and accurately documents appropriate comprehensive or focused physical examinations of clients of all ages.·   ____ Conducts family assessment·  
____ Recognizes & analyzes cues to formulate and refine hypotheses of health needs/concerns to identify health and psychosocial risk factors of clients and families in all stages of the family life cycle.·   ____ Distinguishes between normal and abnormal changes with aging·   ____ Identifies signs and symptoms of acute and chronic illnesses across the lifespan·  
____ Prioritizes health needs and generates planned solutions to meet those needs·   ____ Takes action to implement standards of care within scope of practice for APRN’s·   ____ Evaluates outcomes of care and revises plan and interventions based on the evaluation data Student Comments:   Domain 2 (R1-D2): NP: Person-Centered CareCompetencies:  Patient Centered Care and Nursing Skills.  ·   ____ Provides holistic, patient-centered, safe nursing care using systematic processes·   ____ Safely performs preventative, restorative, rehabilitative, and supportive interventions including safe client handling and interdisciplinary care measures·   ____ Promptly and accurately documents care and client’s response to care·  
____ Plans, directs, controls, and evaluates according to the goals established, the setting of the activities, and persons involved.·   ____ Considers alternative approaches when faced with a problem to solve·  
____ Considers the ethical outcome of actions before they are implemented·   ____ Examines all aspects (physical psychosocial, developmental, cultural, and spiritual) of a situation when establishing a goal or making a judgment that will affect others·   ____ Uses imagination to generate new ways to solve old and repetitive problems. Student Comments:   Domain 3 (R1-D3): Population HealthCompetencies: Community Health, Global Health, and Healthcare Delivery System. NP Health Delivery System and Clinical Prevention and Populations Health CompetenciesNP: Population Health ·   ____ Assesses environmental, cultural and spiritual relationships that impact quality of life, years of healthy life and health disparities·   ____ Analyzes the family and community health factors that affect the person’s health·   ____ Adheres to legal and ethical principles, and site policies and procedures·   ____ Seeks site resources for providing holistic care Student Comments:   Role 2 (R2): Member of the Profession.  Domain 4 (R2-D4): Scholarship for Nursing PracticeCompetencies:  Nursing Research/Evidence –Based Practice and Nursing Science.NP: Practice Scholarship and Translational Science ·   ____ Demonstrates knowledge of current literature (particularly research literature) related to clinical practice.·   ____ Incorporates information from textbooks and professional journals into the plan of care·   ____ Uses research findings as a basis for discussion for actions taken with clients·  
____ Uses resources to solve problems when faced with an unfamiliar or new dilemma·   ____ Uses standard references to compare expected and achieved outcomes of nursing care and modifies care in response to subtle or overt shifts in client status·   ____ Evaluates the credibility of information sources including data accessed on the world wide web Student Comments:   Domain 9 (R2-D9): ProfessionalismCompetencies: Lifelong Learning and Contributions to the Profession. NP: Professional Acumen ·   ____ Demonstrates professional conduct, appearance, and dress·   ____ Assumes responsibility for own actions, practice and learning; seeks out and accepts constructive feedback on own performance and improves behaviors·   ____ Engages in self-reflection and evaluation to refine practice and improve care·  
____ Complies with professional and organizational standards of appearance, demeanor, behavior, and client confidentiality·   ____ Seeks guidance and clarification in areas outside of scope and own knowledge and abilities·   ____ Demonstrates good professional character·   ____ Reports unsafe incidents including near misses·   ____ Upholds boundaries of the Nurse-Client Relationship Student Comments:   Domain 10 (R2-D10): Personal, Professional, and Leadership DevelopmentCompetencies: Innovation, Integration of Resources for Patient Care, Upholds Regulatory and Accreditation Standards, and Guides others for Care CoordinationNP: Personal and Professional Leadership ·   ____ Individualizes care based on client’s personal, cultural, and spiritual relationships while maintaining standards of care and APRN scope of practice·   ____ Upholds National Patient Safety Goals and other Joint Commission standards·   ____ Provides clear directives when delegating activities to others____ Communicates (verbally and in writing) desires, concerns and information in a concise, clear and respectful way to clients, preceptors, staff and faculty Student Comments:   Role 3 (R3): Patient Safety Advocate.  Domain 5 (R3-D5): NP: Quality and Safety.Competency:  Quality Improvement, including Patient Safety, Core Measures, and Cultural of Safety.  ·   ____ Role models and acts as an advocate for client needs, health literacy, healthy lifestyle, and early detections and treatment of diseases, illnesses, mental illnesses and injuries in adults·   ____ Provides educational materials that address the language and cultural beliefs of clients; provides anticipatory guidance, teaching, counseling and education for clients and their families·  
____ Plan of care is based on Specific, Measurable, Achievable, Realistic, and Timely (SMART) goals·   ____ Seeks feedback and demonstrates efforts to improve own performance·   ____ Provides feedback to appropriate colleagues and leaders to promote quality improvement Student Comments:    Role 4 (R4): Member of Healthcare Team.  Domain 6 (R4-D6): Inter-professional PartnershipsCompetencies: Teamwork, Collaboration, and CommunicationNP: Interprofessional Collaboration in Practice ·   ____ Monitors and reports changes promptly and with accuracy·   ____ Evaluates immediate and/or necessary interventions·   ____ Collaborates and/or consults with members of the healthcare team regarding variations in health outcomes·   ____ Assists other team members with care or tasks as consistent with own education and capabilities·   ____ Uses therapeutic communication with clients and staff·   ____ Recognizes communication barriers; alert to nonverbal cues Student Comments:   Domain 7 (R4-D7): Systems-Based PracticeCompetencies: Diversity, equity, and inclusion in healthcare and advocate for the Profession and Patient Care. NP: Health Systems ·   ____ Informs patients regarding their plans of care·   ____ Encourages patient participation in decision-making to ensure consistency and accuracy in their care·   ____ Assesses the adequacy of the resources and support systems available for patient care·   ____ Provides holistic, patient-centered safe nursing care in a compassionate, caring, nonjudgmental, culturally appropriate, non-discriminatory manner·  
____ Demonstrates concern for client’s safety, welfare, and dignity·   ____ Identifies cultural and spiritual differences that impact care and communication·   ____ Shows respect for the inherent dignity of every human being regardless of age, gender, religion, socioeconomic class, sexual orientation and ethnicity.
·   ____ Demonstrates sensitivity and concern for others; recognizes cultural issues and interact with clients in culturally sensitive ways.·   ____ Makes decisions so problems are solved in precise and equitable ways by incorporating cultural preferences, health beliefs, behaviors, and practices into the management of care Student Comments:    Domain 8 (R4-D8): Information and Healthcare TechnologyCompetencies:  Informatics. NP: Technology and Information Literacy Competencies ·   ____ Uses technology for assessment, provision of care and evaluation of care and client’s responses to care·   ____ Skillfully uses equipment according to its function and ensures competency with new equipment, technology and electronic data access·   ____ Updates electronic health record in timely manner with accurate data·   ____ Adheres to information management policies Student Comments:     Average score and Grade Conversion per chart  

NURS 5323 Module 9

Overview

Readings: Leifer & Fleck: Chapter 8

PowerPoint

Attached Files:

o    Leifer – Chapter 8 Book Powerpoint (59.07 KB)

Texas Health Steps Modules Week 9

Due Saturday 23:59

1. Go to https://www.txhealthsteps.com/courses
2. Complete the required modules:

• ADHD: Screening, Diagnosis and Management
• Autism Spectrum Disorder: Screening, Diagnosis and Management
• Childhood Anxiety Disorder
• Identifying and Treating Children with Asthma

3. Submit a PDF copy of the CE certificate/proof of completion.

NURS 5323 Module 10

Readings: Leifer & Fleck: Chapter 8

PowerPoint

Attached Files:

o    Leifer – Chapter 8 Book Powerpoint (59.07 KB)

Texas Health Steps Modules Week 10

Due Saturday 23:59

1. Go to https://www.txhealthsteps.com/courses
2. Complete the required modules:

• Hearing and Vision Screening
• Diabetes Screening, Diagnosis and Management
• Exercise-Induced Dyspnea

3. Submit a PDF copy of the CE certificate/proof of completion.  

Well-Visit Case Write-Up #1

Attached Files:

o    2021EMCoding (222.35 KB)

o    MSN Well-Visit Case Write Up Assignment Instructions & Rubric_HCU_08.01.23.docx (94.957 KB)

o    Growth and Development Template_HCU_08.01.23.docx (62.688 KB)

Please use attached instructions to complete the assignment. Due Saturday 23:59

FNP students: If Well-Visit Case Write-Up #1 is completed on a pediatric patient, then you will have to select an adult patient for Well-Visit Case Write-Up #2. If Well-Visit Case Write-Up #1 was completed on an adult patient, then you will have to select a pediatric patient for Well-Visit Case Write-Up #2. 

PNP-PC students: Pay attention to the developmental stage of the patient selected for Well-Visit Case Write-Up #1. You must select a patient of a different developmental stage for Well-Visit Case Write-Up #2. 

School of Nursing and Allied Health – MSN Well-Visit Case Write Up Assignment

The purpose of the Well Visit Case Write- Up Assignment is for your instructor to “see” what you are doing in clinical and “see” how you are making clinical decisions. For these write-ups, you will select a patient seen in your current clinical rotation. You will “write-up” the visit, omitting any identifying patient factors. Ensure your write-ups demonstrate comprehensive advanced practice thinkin

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