Family Nurse Practitioner II – NURS 743

CG • Section 8WK • 07/01/2018 to 12/31/2199 • Modified 09/21/2022

Course Description

This practicum course builds on the skills obtained in Family Nurse Practitioner I. The student will continue to develop the role of nurse practitioner in the primary care setting focusing on assessment and management of chronic and more complex acute care health problems across the lifespan. The student should manage episodic and follow up visits for chronic health and complex acute care issues. The student should demonstrate evidence based practice behaviors and adhere to standards of care to order and interpret diagnostic tests, prescribe therapeutics and develop a plan of care to manage disease states or conditions under the guidance of the preceptor. The student should provide physical, psychosocial, and spiritual care to the individuals and families through the integration of ethnicity, culture, and community.

For information regarding prerequisites for this course, please refer to the Academic Course Catalog.

Rationale

The FNP practicum courses provide the context and framework through which, upon completion of the post-BSN to DNP/FNP program, the nursing student will be prepared to enter the professional role of the Family Nurse Practitioner. This course helps to meet the required minimum of 1,000 post-BSN clinical hours, that include a minimum of 500 population-focused direct patient care hours in order to be eligible to sit for at least one nationally recognized certification (ANCC, 2006; NTF, 2016), and the Liberty University School of Nursing, minimum of 616 Family Nurse Practitioner practicum hours.

Course Assignment

Textbook readings and lecture presentations

Course Requirements Checklist

After reading the Course Syllabus and Student Expectations, the student will complete the related checklist found in the Course Overview module.

Discussions are collaborative learning experiences. Therefore, the student is required to provide a thread in response to the provided prompt for each discussion. There are 2 discussion cases that afford the student the opportunity to analyze and apply ethically sound solutions to issues in FNP professional practice.

Students are required to enter their practicum schedule into the InPlace System the first week of practicum.  Students must maintain an up-to-date schedule.

Students will attend a Skills & Simulation Seminar.  The Skills & Simulation Seminar is a faculty-guided immersion experience that aims to assist the student's acquisition of clinical and professional skills to support practicum learning objectives.    

The Practicum Objectives Assignments afford the student the opportunity to develop measurable practicum learning objectives that are consistent with the practicum focus, evaluate progress toward meeting practicum objectives, and identify opportunities for clinical improvement and subsequently develop a plan to improve clinical skills.  Please see Practicum Objectives Assignment Instructions & Grading Rubric

Practicum Objective Assignments include: 

  • Practicum Objectives: SMART Objectives for Practicum Assignment
  • Practicum Objectives: Midterm Assignment
  • Practicum Objectives: End-of-Term Assignment

The quiz covers Learn material assigned in the course, contains 1 file upload question, has a time limit of 30 minutes, and allows unlimited attempts.

  • Practicum Hours: During NURS 743 FNP Practicum II, students are required to complete 112 practicum hours under the supervision of the practicum preceptor.  NURS 743 FNP Practicum adheres to the practicum guidelines and requirements set forth in the current Liberty University Doctor of Nursing Practice Student Handbook. Students will submit the Practicum Hours, Tracking, Record, and Verification Form completed to the Quiz: Practicum Hours, Tracking, Record, and Verification at the conclusion of the course.
  • Practicum Hour Tracking:  Students are required to enter practicum time in the InPlace Logbook.
  • Practicum Tracking Record: Students are required to maintain a preceptor-verified, log documenting practicum hours for each Practicum Course that will become a part of the student’s permanent academic record (Practicum Tracking Record). Failure to maintain signed Practicum Tracking Record verifying practicum hours will result in an Incomplete for the Practicum Course and the student will not be permitted to progress to the subsequent Practicum Course.  The signed Practicum Tracking Record is submitted to the Practicum Coordinator at the end of each semester.

The CDC has published a guideline for prescribing opioids for chronic pain and provides training and continuing education for primary care prescribers. Students will register for a free CDC Training and Continuing Education (TCE) Online account and complete required CDC Modules. Once complete, the student will submit their individual Certificates of Completion to the corresponding submission link.

Students will prepare a Practicum Reflection Presentation according to the assignment rubric to present during the scheduled Practicum Reflection Presentation Meeting during the assigned module: week. Practicum Reflection Presentations will be submitted to the assignment submission link.  

Practicum Reflection Presentation: Midterm Assignment: Submit Practicum Reflection Presentation to assignment submission link after participating in the Practicum Reflection Presentation MS Teams meeting of the same module: week.

Practicum Reflection Presentation: End-of-Term Assignment: Submit Practicum Reflection Presentation to assignment submission link after participating in the Practicum Reflection Presentation MS Teams meeting of the same module: week.

Submission of a practicum log for each patient encounter into the InPlace system is a mandatory requirement of the practicum course. Each student is responsible for maintaining his or her own practicum logs. All patient encounters, whether seen independently, in collaboration with preceptor, or as observation, require an entry into InPlace. Every entry will include demographic information for each patient, level of student participation, and level of care.  Students are required to select three patient encounters on each practicum day to write an abbreviated SOAP note. The remaining patient encounters will be entered as clinical summaries.  Practicum Faculty will review practicum logs on a weekly basis and offer feedback.  Students are expected to respond to feedback and make corrections as recommended.

 Faculty will review practicum logs at the midterm and at the end of the semester looking for completeness and revision of logs and award points for completed logs. Please see  the Practicum/Clinical Log Grading Rubric.

SOAP notes must be entered within one week of the clinical experience or practicum suspension may result. Late submissions may not be accepted and Practicum days without associated InPlace case logs will not count toward the Practicum hours required for the course.  

The Subjective, Objective, Assessment, and Plan (SOAP) note assignment provides the student with the opportunity to documenting an established patient encounter of 1 female patient presenting for a women's health visit from their practicum experience to complete this assignment.

Students will complete 1 Case Analysis Exercise. This assignments affords the student the opportunity to analyze a patient encounter from their practicum experience. The student will select 1 female patient presenting for a women's health visit from their practicum experience to complete this assignment.

The portfolio will serve to demonstrate the FNP student’s ongoing professional development. The Portfolio provides the FNP student an avenue to present their knowledge, expertise and experience when seeking employment or professional opportunities, providing evidence for regulatory bodies and for identification of areas for personal or professional growth. Portfolios may present information through text, video, electronic files, hyperlinks, images and other online resources. Each student will develop a professional portfolio as part of the professional development. For the Post-BSN to FNP/DNP student, the first part of portfolio development will take place this course.

The Student Performance Evaluation will be completed by the student's preceptor. NURS 743 FNP Practicum student performance evaluation adheres to the student performance and evaluation requirements set forth in the current Liberty University Doctor of Nursing Practice Student Handbook.