Practicum Objectives

Preceptor Inquiry Form

Practicum Objectives

The clinical evaluations are based upon the course objectives of the Practicum in which the student is enrolled. Below is a list of links for each practicum's objectives.

    Adult/Gerontology Acute Care Specialty Track
      Practicum I

      NURS 7650 – Adult Acute Care Practicum 

      The student will:

      • Analyze presentations of illness and determine correct diagnoses in clients with selected acute care problems.
      • Propose appropriate intervention plans and case management for individuals and groups of clients with selected acute care problems.
      • Use a collaborative model to provide direct services to clients with selected acute care problems and acute exacerbations of chronic illness by: Assessing clients using appropriate general and specialized skills; Performing advanced interventions; and Evaluating outcomes.
      • Assess clients for the presence of symptoms and human responses that commonly accompany acute exacerbations of chronic illness.
      • Implement management for symptoms and human responses that commonly accompany acute exacerbations of chronic illness.
      • Collaborate and consult with physicians and other providers within health care systems in order to provide effective care.
      • Demonstrate independent and interdependent decision making and direct accountability for clinical judgment.
      • Complete learning experiences and demonstrate competence in performing technical skills using patient simulation devices. This objective will be based on individual learning objectives and course requirements for minimal achievement.
      • Develop diagnostic skills through application of medical decision-making concepts.
      • Consider health risks that are specific to the geriatric population and make changes to the medical treatment plan to minimize those risks.

      Students will work with a preceptor in an acute health care setting to integrate and synthesize knowledge about health and disease using research findings and advanced knowledge of pharmacology and therapeutics in order to apply this knowledge to the needs of patients and their families. Clinical conferences and seminars include discussion of the nurse practitioner role within the context of state and national health issues; presentation and analysis of clinical cases; and discussion of other clinical topics. Students develop diagnostic skills through application of medical decision-making concepts. Procedural skills are developed using simulation models.

      This course is designed to teach assessment and management of patients who are acutely ill or have an acute exacerbation of chronic illness. The purpose of the clinical seminars is to develop clinical skills required when caring for an acutely ill patient. In addition to assessment and management, the student will be taught differential diagnosis, laboratory and radiological interpretation, and how to formulate a plan of care. Clinical experiences with preceptors in acute care settings are intended to promote the learning of these skills. In addition to acquiring new clinical skills, the student will have the opportunity to shadow other professions who contribute to patient care in the acute care setting.

      In the first few days of the clinical rotation, you may choose to have the student follow you to allow the student to better understand your clinical approach to patient care. By the end of the rotation, the student should have progressed from shadowing to the beginning phases of providing patient care. This should include obtaining a medical history from the patient or the patient’s family, performing a physical exam, reviewing pertinent diagnostic studies, formulating a differential diagnosis, and proposing an assessment and plan for the patient.

      The student will receive two clinical evaluations conducted by a faculty member during the semester. At least one of these will occur at your clinical site. During these visits, we do not want to interrupt patient care. The faculty member providing the site visit will not be involved in the care of the patient but will observe the student’s progression in obtaining a history, conducting an appropriate physical exam, and interacting with you and the staff. We would also like to discuss any comments or concerns regarding the student or our program.

      We ask that you complete an evaluation of the student at the middle and end of the semester and review it with the student. The student will need to receive the completed evaluation forms from you. Your evaluation of the student’s progression is important and is used to determine the student’s final grade. The student will provide you with the evaluation forms.

      Lead Instructor Contact Information:
      Denise Ward, DNP, ACNP-BC, FNP-BC
      801-581-4642
      denise.ward@nurs.utah.edu

      Practicum II

      NURS 7651 – Adult Critical Care Practicum

      The student will:

      • Incorporate cultural diversity principles when analyzing human responses and presentations of selected organ failure, multiple system failure, and catastrophic illness to determine correct diagnoses.
      • Incorporate cultural diversity principles when proposing appropriate intervention plans and case management for individuals and groups of clients with selected organ failure, multiple system failure, and catastrophic illness.
      • Use a collaborative model to provide direct services to clients with selected critical care problems by:
        • Assessing clients for the presence of symptoms and human responses that commonly accompany critical illness using appropriate general and specialized skills;
        • Performing advanced interventions for symptoms and human responses that commonly accompany critical illness; and
        • Evaluating clinical outcomes.
      • Collaborate and consult with physicians and other providers within health care systems in order to provide effective care.
      • Coordinate care resources with other disciplines, family, and community agencies.
      • Demonstrate independent and interdependent decision making and direct accountability for clinical judgment.
      • Critically analyze new data and best practice evidence when formulating medical care plans for clients.
      • Demonstrate proficient and ethical use of the electronic medical record system utilized by the health care agency.
      • Complete learning experiences and demonstrate competence in performing technical skills using patient simulation devices.
      • Perform roles such as acute care nurse practitioner, staff educator, and case manager.

      Students will work with a preceptor in a critical or advanced specialized health care setting in order to integrate and synthesize knowledge about health and disease, research findings, and advanced knowledge of pharmacology and therapeutics. This knowledge will be applied to the needs of patients and their families. Clinical conferences and seminars include discussion of the nurse practitioner role within the context of state and national health issues, analysis of clinical cases, discussion of selected clinical topics, and acquisition of clinical skills using simulation models.

      This course is one of two practicums in which the student will develop advanced clinical skills with the goal of patient assessment and management of clients who are acutely or critically ill, including those with acute exacerbations of chronic illness.

      In the first few days of the clinical rotation, you may choose to have the student follow you to better understand your clinical approach to patient care. By the end of the semester, the student should have progressed to performing the majority of the patient’s assessment independently. This should include obtaining a medical history from the patient or the patient’s family, performing a physical exam, reviewing pertinent diagnostic studies, formulating a differential diagnosis, and proposing an assessment and plan for the patient.

      The student will receive two clinical evaluations conducted by a faculty member during the semester. At least one of these will occur at your clinical site. During these visits, we do not want to interrupt patient care. The faculty member providing the site visit will not be involved in the care of the patient but will observe the student’s progression in obtaining a history, conducting an appropriate physical exam, and interacting with you and the staff. We would also like to discuss any comments or concerns regarding the student or our program.

      We ask that you complete an evaluation of the student at the middle and end of the semester and review it with the student. The student will need to receive the completed evaluation forms from you. Your evaluation of the student’s progression is important and is used to determine the student’s final grade. The student will provide you with the evaluation forms.

      Lead Instructor Contact Information:
      Mary Vietti, APRN
      801-581-2436
      mary.vietti@hci.utah.edu

      Residency I

      NURS 7652 – Adult Acute Care Residency

      The student will:

      • Perform as an advanced practice nurse in a nursing specialty by doing the following for clients, both individuals and groups: accepting accountability for client management; assessing and diagnosing psychological and physical health care needs; prescribing interventions; and evaluating outcomes.
      • Collaborate with other health care providers to facilitate an interdisciplinary approach to holistic health care.
        • Serve as a consultant to other health care providers.
      • Educate personnel and/or patients by identifying educational needs; participating in planning and coordinating education; directing teaching in clinical or classroom settings; and evaluating teaching and learning.
      • Provide leadership in clinical nursing practice.
      • Solve problems related to clinical nursing practice.

      Under the supervision of clinical faculty and an onsite clinical preceptor, the student will demonstrate beginning competence as an Adult Gerontology Acute Care Nurse Practitioner (AGACNP). The student will apply evidence-based didactic knowledge and clinical skills while directly managing patients who are acutely, chronically, or critically ill for a total of 320 clinical hours.

      In the first few days of the clinical rotation, you may choose to have the student follow you in order to understand your clinical approach to patient care. Within a few weeks, the student should progress to performing patient assessments independently. This should include obtaining a medical history from the patient or the patient’s family, performing a physical exam, reviewing pertinent diagnostic studies, formulating a differential diagnosis, and developing the final assessment and plan. The student should consult with you throughout the entire process but is expected to provide medical care and complete the necessary documentation.

      The student will receive one clinical evaluation conducted by a faculty member during the semester. During this visit, we do not want to interrupt patient care. The faculty member providing the site visit will not be involved in the care of the patient; rather, they will observe the student’s progression in obtaining a history, conducting an appropriate physical exam, and interacting with you and the staff. We would also like to discuss any comments or concerns regarding the student or our program.

      We ask that you complete an evaluation of the student at the middle and end of the semester and review it with the student. The student will need to receive the completed evaluation forms from you. Your evaluation of the student’s progression is important and is used to determine the student’s final grade. The student will provide you with the evaluation forms.

      Lead Instructor Contact Information:
      Denise Ward, DNP, ACNP-BC, FNP-BC
      801-581-4642
      denise.ward@nurs.utah.edu

      Residency II

      NURS 7653 – Adult Acute Care Residency

      The student will:

      • Incorporate cultural diversity principles when analyzing human responses and presentations of selected organ failure, multiple system failure, and catastrophic illness to determine correct diagnoses.
      • Incorporate cultural diversity principles when proposing appropriate intervention plans and case management for individuals and groups of clients with selected organ failure, multiple system failure, and catastrophic illness.
      • Use an interprofessional collaborative model to provide direct services to clients with selected critical problems by:
        • Performing appropriate assessments of the physical and emotional responses of the critically ill and/or injured client;
        • Performing advanced interventions often required when managing a critically ill and/or injured client; and
        • Evaluating clinical outcomes and providing appropriate follow-up care when indicated.
      • Collaborate and consult with physicians and other health care providers to augment medical care outcomes.
      • Coordinate medical care with other medical and social disciplines, family, and community agencies.
      • Demonstrate independent and interdependent decision making and direct accountability for clinical judgment.
      • Critically analyze new data and best practice evidence when formulating medical care plans for clients.
      • Demonstrate proficient and ethical use of the electronic medical record system utilized by the health care agency.
      • Perform the roles of adult gerontology acute care nurse practitioner, staff educator, and case manager.

      Students work with a preceptor in a critical or advanced specialized health care setting to integrate and synthesize knowledge about health and disease, research findings, and advanced knowledge of pharmacology and therapeutics. They apply this knowledge to the needs of patients and their families. Clinical conferences and seminars include discussion of the nurse practitioner role within the context of state and national health issues; presentation and analysis of clinical cases; discussion of selected clinical topics; and acquisition of clinical skills.

      This course is the second-semester residency and final clinical course. Students should take the opportunity to enhance previously developed clinical skills, with the goal of working independently while caring for patients in the clinical setting.

      In the first few days of the clinical rotation, you may choose to have the student follow you in order to understand your clinical approach to patient care. Within a few weeks, the student should progress to performing patient assessments independently. This should include obtaining a medical history from the patient or the patient’s family, performing a physical exam, reviewing pertinent diagnostic studies, formulating a differential diagnosis, and developing the final assessment and plan. The student should consult with you throughout the entire process but is expected to provide medical care and complete the necessary documentation.

      The student will receive one clinical evaluation conducted by a faculty member during the semester. During this visit, we do not want to interrupt patient care. The faculty member providing the site visit will not be involved in the care of the patient; rather, they will observe the student’s progression in obtaining a history, conducting an appropriate physical exam, and interacting with you and the staff. We would also like to discuss any comments or concerns regarding the student or our program.

      We ask that you complete an evaluation of the student at the middle and end of the semester and review it with the student. The student will need to receive the completed evaluation forms from you. Your evaluation of the student’s progression is important and is used to determine the student’s final grade. The student will provide you with the evaluation forms.

      Lead Instructor Contact Information:
      Denise Ward, DNP, ACNP-BC, FNP-BC
      801-581-4642
      denise.ward@nurs.utah.edu

      Family, Adult/Gerontology, Pediatric Nurse Practitioner Specialty Track
        Practicum I

        NURS 7601 – Adult/Gerontology, Family, & Pediatric Practicum I

        The first in a series of six clinical courses, this course introduces the Primary Care Nurse Practitioner student to the role of the independent nurse practitioner. The student will apply evidence-based didactic knowledge and clinical skills under the supervision of a faculty or clinical preceptor. The focus of this semester is on the application of patient history-taking techniques, performing appropriate physical assessments, and beginning to identify differential diagnoses for the provision of primary health care in the outpatient setting.

        Course Objectives:
        The Primary Care DNP Nurse Practitioner student will:

        1. Identify and obtain pertinent subjective and objective data based on history, physical examination, and chart review.
        2. Identify potential differential diagnoses related to the current chief complaint and patient presentation.
        3. Demonstrate basic knowledge and application of evidence-based practice principles and theory from previous and current didactic courses.
        4. Demonstrate basic knowledge of the various roles of the interprofessional team and referral practices.
        5. Demonstrate knowledge of the differences between leadership and volunteer activities and how these apply to health care, health care policy, and the DNP role.
        Practicum II

        NURS 7602 – Adult/Gerontology, Family, & Pediatric Practicum II

        The second in a series of six clinical courses, this course provides additional opportunities for the Primary Care Nurse Practitioner student to further develop in the role of the independent nurse practitioner. The student will apply evidence-based didactic knowledge and further cultivate clinical skills under the supervision of a faculty or clinical preceptor. The focus of this semester is on improving patient history-taking techniques, performing appropriate physical assessments, and further developing differential diagnoses for the provision of primary health care in the outpatient setting. The focus also includes development of skills in leadership, policy, and quality improvement.

        Course Objectives:
        The student will:

        1. Identify and obtain pertinent subjective and objective data based on history, physical examination, and chart review in a timely manner.
        2. Identify potential differential diagnoses related to the current chief complaint and patient presentation.
        3. Demonstrate basic knowledge and application of evidence-based practice principles and theory from previous and current didactic courses in all aspects of patient care and leadership, policy, and quality improvement.
        4. Demonstrate basic knowledge of the various roles of the interprofessional team and referral practices.
        5. Demonstrate knowledge of the principles of leadership, policy, and quality improvement and how to apply these to health care, health care policy, and the DNP role.
        Practicum III

        NURS 7603 – Adult/Gerontology, Family, & Pediatric Practicum III

        The third in a series of clinical courses, this course supports the Primary Care Nurse Practitioner student’s role as an independent practitioner. The student applies didactic knowledge and clinical skills in the provision of health care for episodic medical diagnoses, with emphasis on the management of chronic medical diagnoses. The student develops, implements, and evaluates the plan of care under the supervision of faculty and preceptors. Incorporation of health promotion concepts, as well as interpretation of findings and laboratory results, is expected.

        Course Objectives:
        The student will:

        1. Integrate evidence-based practice knowledge, principles, and theory from previous and current didactic and clinical courses in the management of primary care health delivery with increasingly complex patients, including complex chronic diagnoses, with increasing independence.
        2. Demonstrate understanding of cultural issues and differences and their impact on health care. Apply this knowledge in the management of patients from diverse cultures while establishing therapeutic, respectful interactions and relationships with patients, families, and populations.
        3. Apply knowledge in providing an appropriate physical examination related to the chief complaint.
        4. Select and interpret appropriate evidence-based laboratory and diagnostic tests.
        5. Collaborate with other disciplines in providing care and making patient referrals.
        6. Develop and implement an appropriate plan of care for each patient encounter.
        7. Coordinate multiple aspects of health care in the provision of safe and effective practitioner practice.
        8. Apply concepts of health promotion and risk reduction in interactions with populations.
        9. Analyze and reflect on a leadership, policy, or quality improvement experience related to health care delivery.
        Practicum IV

        Nurs 7604 – Adult/Gerontology, Family, & Pediatric Practicum IV

        The fourth in the series of six clinical courses, this course provides greater opportunities for the Primary Care Nurse Practitioner student to increase expertise in application of evidence based didactic knowledge and clinical skills in the provision of primary health care. Emphasis is placed on refinement of techniques that assist in reaching a diagnosis, including obtaining a history, performing an appropriate physical exam and applying principles of differential diagnosis in primary care or specialty clinics. There is a focus on the continual development of a plan of care for patients in the management of episodic and chronic disease. Incorporation of health promotion concepts as well as interpretation of findings and laboratory results is expected. The focus also includes further development and implementation of skills in leadership/policy/quality improvement.

        Course Objectives:
        The student will:

        1. Apply objective and subjective knowledge obtained to formulation of an assessment and plan.
        2. Apply potential differential diagnoses to guide history, physical exam and ordering of laboratory and other tests.
        3. Demonstrate increased awareness and comprehension of cultural issues and differences, and their impact on healthcare to individuals and populations.
        4. Apply evidence based practice, principles and theory from previous and current didactic and clinical course to the management of primary care health delivery and clinical prevention.
        5. Apply knowledge of the various roles of the inter-professional team and interact with the team to improve patient care, collaboration, and referral.
        6. Apply leadership practices to projects related to healthcare, policy and quality improvement.
        Practicum V

        Nurs 7605 – Adult/Gerontology, Family, & Pediatric Practicum V

        The fifth in a series of six clinical courses, this course providers additional opportunities for the Primary Care Nurse Practitioner student to increase expertise in the role of an independent practitioner in the provision of primary health care. Emphasis is placed on greater refinement of techniques that assist in reaching a diagnosis, including obtaining a history, performing an appropriate physical exam and applying principles of differential diagnosis in primary care or specialty clinics. There is a focus on a more independent role of the development, implementation, and evaluation the plan of care for patients in the management of episodic and chronic disease. Incorporation of health promotion concepts as well as interpretation of clinical findings and laboratory results is expected. The focus also includes a more independent role of the development and implementation of skills in leadership/policy/quality improvement.

        Course Objectives:
        The student will:

        1. Build on previously acquired history and physical exam skills from past clinical courses to aid in the formulation of an assessment and plan on an increasingly complex patient population. This will be done with increased independence and decreased assistance from preceptor/provider.
        2. Demonstrate understanding of cultural issues and differences and their impact on health care. Application of this knowledge in the management of patients from all cultures in establishing therapeutic, respectful interaction and relationships with the patient, families and populations.
        3. Build on previously acquired history and physical exam skills from past clinical courses to aid in the formulation of an assessment and plan on an increasingly complex patient population. This will be done with increased independence and decreased assistance from preceptor/provider.
        4. Apply knowledge of cultural issues and differences, and their impact on healthcare to the health management of individuals and populations.
        5. Apply and analyze evidence based practice, principles and theory from previous and current didactic and clinical course to the management of primary care health delivery and clinical prevention.
        6. Analyze subjective and objective data from patient visits to provide effective interprofessional collaboration and referral on a semi-independent level.
        7. Demonstrate and apply leadership practices to projects related to healthcare, policy and quality improvement. Coordinate multiple aspects of health care in the provision of safe and effective practitioner practice.
        Practicum VI

        Nurs 7606 – Adult/Gerontology, Family, & Pediatric Practicum VI

        This is the final of six clinical courses, it provides opportunities for the Primary Care Nurse Practitioner student to develop mastery of the application of evidence based didactic knowledge and clinical skills in the provision of primary health care. There is a focus on an independent role of the development, implementation, and evaluation the plan of care for patients in the management of complex episodic and chronic diseases with the support of the preceptor. The focus also includes an independent role of the development and implementation of skills in leadership/policy/quality improvement. Evolution of knowledge and skills attained through previous practicum rotations and residency results in producing a capable, qualified primary care provider, who will transition into a safe novice independent nurse practitioner and health care leader.

        Course Objectives:
        The student will:

        1. Apply objective and subjective knowledge obtained to the formulation of an assessment and plan on a complex and varied patient population with independence and minimal guidance from preceptor/provider.
        2. Synthesize all subjective and objective data gathered to formulate appropriate final working diagnosis.
        3. Synthesize and apply knowledge of cultural issues and differences to the holistic management of individuals and populations.
        4. Synthesize evidence based practice, principles and theory from previous and current didactic and clinical course to the management of primary care health delivery and clinical prevention.
        5. Synthesize subjective and objective data from patient visits to provide effective interprofessional collaboration and referral on an independent yet supported level (by preceptor).
        6. Demonstrate and apply leadership practices to projects related to healthcare, policy and quality improvement.
        Neonatal Speciality Track
          Practicum I

          NURS 7620 – Neonatal Nurse Practitioner Practicum

          The student will:

          • Utilize the concepts of normal neonatal physiology and development when providing patient care in the Simulation Learning Center and in the clinical setting.
          • Identify the genetic and/or pathophysiologic basis of common neonatal health disorders.
          • Manage the care of sick neonates of varying acuity with simple and complex medical problems under the supervision of an NNP preceptor.
          • Demonstrate the advanced practice nurse practitioner role within the neonatal ICU setting consistent with established professional standards.
          • Discuss indications, contraindications, & side effects of drugs commonly prescribed in the neonatal ICU.
          • Apply the concepts of pharmacology of neonatal drug therapy in the clinical setting.
          • Accurately obtain and record complete history and physical examination of the neonatal patient.
          • Accurately document care of the neonatal patient in the medical record.
          • Perform basic technical skills inherent to the neonatal nurse practitioner role.
          • Present oral patient summaries and case analysis in a clear, concise and systematic manner.
          • Demonstrate the ability to accurately interpret common diagnostic lab data and radiographic images.

          Course Description
          The purpose of the NNP Practicum is to provide students with learning opportunities that facilitate development of clinical expertise required to practice as a Neonatal Nurse Practitioner. Students will work with NNP faculty and clinical preceptors in a variety of clinical settings to broaden their knowledge base and develop technical skills required for the Neonatal Nurse Practitioner role. In addition, students will learn to utilize clinically relevant evidence to develop a plan of care for a variety of neonatal patients.

          During the first semester of the NNP practicum experience, students will apply knowledge and skills acquired in previous semesters regarding care of infant in the Simulation Learning Center or the neonatal intensive care unit. In the second semester of the NNP practicum experience, students will build upon the application skills learned during the first semester of the NNP practicum experience.

          Other Information
          In the first few days of the clinical the student should take a light load 1–2 patients of low intensity and progress throughout the semester in both patient numbers and intensity. Initially you will both examine the patient. By the end of the semester our goal for the student is to obtain an accurate and thorough history, perform an appropriate physical examination, identify a problem, and develop differential diagnoses with beginning understanding of treatment recommendations specific to the diagnoses. Mastery of these skills will be a progression through their clinical experiences.

          You will always round with the student in attending rounds. The student will receive two clinical evaluations conducted by a faculty member during the semester. At least one of these will be at your clinical site. During these visits we do not want to interrupt the normal flow of the unit. The faculty providing the site visit will not be involved in the care of the patient; rather we are there to observe the student’s progression in obtaining a history, conducting an appropriate physical exam, and his/her interaction with you and the staff. We also would like to discuss with you any comments or concerns regarding the student or our program.

          We do ask you to complete an evaluation of the student in the middle and the end of the semester and review this with the student. The student will need to receive the completed evaluation forms from you. Your evaluation of the student progression is important, and is used to determine the student’s final grade. The student will provide you with the evaluation forms.

          Lead Instructor Contact Information:
          Marilyn Rigby, NNP DNP
          Marilyn.rigby@nurs.utah.edu
          Office at CON Room 4415: by appointment only
          Cell: 801‑510‑2765

          Practicum II

          NURS 7621 – Neonatal Nurse Practitioner Practicum

          The student will:

          • Utilize the concepts of normal neonatal physiology and development when providing direct patient care.
          • Identify the genetic and/or pathophysiologic basis of common neonatal health disorders.
          • Manage the care of sick neonates of varying acuity with simple and complex medical problems under the supervision of the NNP preceptor.
          • Demonstrate the advanced practice nurse practitioner role within the neonatal ICU setting consistent with established professional standards.
          • Discuss indications, contraindications, & side effects of drugs commonly prescribed in the neonatal ICU.
          • Apply the concepts of pharmacology of neonatal drug therapy in the clinical setting.
          • Accurately obtain and record complete history and physical examination of the neonatal patient.
          • Accurately document care of the neonatal patient in the medical record.
          • Perform basic technical skills inherent to the neonatal nurse practitioner role.
          • Present oral patient summaries and case analysis in a clear, concise and systematic manner.
          • Accurately interpret common diagnostic lab data, tests and radiographs.
          • Develop objectives for individual learning experience in student’s chosen area of interest (e.g., cardiac or surgical care, radiology, nutrition, end of life care, etc.).
          • Demonstrate the ability to make independent judgments in clinical practice.

          Course Description
          The purpose of the NNP Residency is to provide students with learning opportunities that facilitate continued development in the Neonatal Nurse Practitioner role. Students will work with preceptors in a variety of clinical settings to advance the knowledge and skills acquired in previous didactic and clinical coursework. This course provides the student with an immersion into the Neonatal Nurse Practitioner (NNP) role that allows development of increased skill and independence in decision-making as a NNP. Students are expected to identify, interpret, and apply current evidence to their practice and clinical decision-making. Students in the clinical residency will be directly precepted and observed by a licensed Neonatal Nurse Practitioner. 

          Topical Outline

          • Obtaining and documenting neonatal and maternal histories
          • Interpretation of diagnostic data including physical exam findings, intake and output, radiographs, surgical and interventional procedures, blood sample analysis, cerebral spinal fluid and urine analysis
          • Developing and documenting the plan of care for neonatal patients with various neonatal diseases
          • Electronic documentation of care
          • Procedures (endotracheal intubation, umbilical artery and venous catheterization, lumbar puncture, intraosseous needle insertion, chest thoracotomy)
          • Oral presentation of patient summaries, case analysis, and plan of care
          • Quality and safety in NNP practice

          Other Information
          During this clinical experience the student should take 4–6 patients of moderate/high intensity and progress throughout the semester in both patient numbers and intensity. Initially you will both examine the patient. By the end of the semester our goal for the student is to obtain an accurate and thorough history, perform an appropriate physical examination, identify a problem, and develop differential diagnoses with beginning understanding of treatment recommendations specific to the diagnoses. Mastery of these skills will be a progression through their clinical experiences.

          You will always round with the student in attending rounds. The student will receive two clinical evaluations conducted by a faculty member during the semester. At least one of these will be at your clinical site. During these visits we do not want to interrupt the normal flow of the unit. The faculty providing the site visit will not be involved in the care of the patient; rather we are there to observe the student’s progression in obtaining a history, conducting an appropriate physical exam, and his/her interaction with you and the staff. We also would like to discuss with you any comments or concerns regarding the student or our program.

          We do ask you to complete an evaluation of the student in the middle and the end of the semester and review this with the student. The student will need to receive the completed evaluation forms from you. Your evaluation of the student progression is important, and is used to determine the student’s final grade. The student will provide you with the evaluation forms.

          Lead Instructor Contact Information:
          Marilyn Rigby, NNP DNP
          Marilyn.rigby@nurs.utah.edu
          Office at CON Room 4415: by appointment only
          Cell: 801‑510‑2765

          Residency I

          NURS 7622 – Neonatal Nurse Practitioner Residency

          The student will:

          • Utilize the concepts of normal neonatal physiology and development when providing direct patient care.
          • Identify the genetic and/or pathophysiologic basis of common neonatal health disorders.
          • Manage the care of sick neonates of varying acuity with simple and complex medical problems under the supervision of the NNP preceptor.
          • Demonstrate the advanced practice nurse practitioner role within the neonatal ICU setting consistent with established professional standards.
          • Discuss indications, contraindications, & side effects of drugs commonly prescribed in the neonatal ICU.
          • Apply the concepts of pharmacology of neonatal drug therapy in the clinical setting.
          • Accurately obtain and record complete history and physical examination of the neonatal patient.
          • Accurately document care of the neonatal patient in the medical record.
          • Perform basic technical skills inherent to the neonatal nurse practitioner role.
          • Present oral patient summaries and case analysis in a clear, concise and systematic manner.
          • Accurately interpret common diagnostic lab data, tests and radiographs.
          • Develop objectives for individual learning experience in the student’s chosen area of interest (e.g., cardiac or surgical care, radiology, nutrition, end of life care, etc.).
          • Demonstrate the ability to make independent judgments in clinical practice. 

          Course Description
          The purpose of the NNP Residency is to provide students with learning opportunities that facilitate continued development in the Neonatal Nurse Practitioner role. Students will work with preceptors in a variety of clinical settings to advance the knowledge and skills acquired in previous didactic and clinical coursework. This course provides the student with an immersion into the Neonatal Nurse Practitioner (NNP) role that allows development of increased skill and independence in decision‑making as a NNP. Students are expected to identify, interpret, and apply current evidence to their practice and clinical decision‑making. Students in the clinical residency will be directly precepted and observed by a licensed Neonatal Nurse Practitioner. 

          Topical Outline

          • Obtaining and documenting neonatal and maternal histories
          • Interpretation of diagnostic data including physical exam findings, intake and output, radiographs, surgical and interventional procedures, blood sample analysis, cerebral spinal fluid and urine analysis
          • Developing and documenting the plan of care for neonatal patients with various neonatal diseases
          • Electronic documentation of care
          • Procedures (endotracheal intubation, umbilical artery and venous catheterization, lumbar puncture, intraosseous needle insertion, chest thoracotomy)
          • Oral presentation of patient summaries, case analysis, and plan of care
          • Quality and safety in NNP practice 

          Other Information
          The student should take a load of 3–6 patients of moderate intensity and progress throughout the semester in both patient numbers and intensity. Initially you will both examine the patient. By the end of the semester our goal for the student is to obtain an accurate and thorough history, perform an appropriate physical examination, identify a problem, and develop differential diagnoses with beginning understanding of treatment recommendations specific to the diagnoses. Mastery of these skills will be a progression through their clinical experiences. 

          You will always round with the student in attending rounds. The student will receive two clinical evaluations conducted by a faculty member during the semester. At least one of these will be at your clinical site. During these visits we do not want to interrupt the normal flow of the unit. The faculty providing the site visit will not be involved in the care of the patient; rather, we are there to observe the student’s progression in obtaining a history, conducting an appropriate physical exam, and his/her interaction with you and the staff. We also would like to discuss with you any comments or concerns regarding the student or our program.

          We do ask you to complete an evaluation of the student in the middle and the end of the semester and review this with the student. The student will need to receive the completed evaluation forms from you. Your evaluation of the student progression is important, and is used to determine the student’s final grade. The student will provide you with the evaluation forms.

          Lead Instructor Contact Information:
          Marilyn Rigby, NNP DNP
          Marilyn.rigby@nurs.utah.edu
          Office at CON Room 4415: by appointment only
          Cell: 801‑510‑2765 

          Residency II

          NURS 7623 – Neonatal Nurse Practitioner Residency

          The student will:

          • Utilize the concepts of normal neonatal physiology and development when providing patient care in the Simulation Learning Center and in the clinical setting.
          • Identify the genetic and/or pathophysiologic basis of common neonatal health disorders.
          • Manage the care of sick neonates of varying acuity with simple and complex medical problems under the supervision of an NNP preceptor.
          • Demonstrate the advanced practice nurse practitioner role within the neonatal ICU setting consistent with established professional standards.
          • Discuss indications, contraindications, & side effects of drugs commonly prescribed in the neonatal ICU.
          • Apply the concepts of pharmacology of neonatal drug therapy in the clinical setting.
          • Accurately obtain and record complete history and physical examination of the neonatal patient.
          • Accurately document care of the neonatal patient in the medical record.
          • Perform basic technical skills inherent to the neonatal nurse practitioner role.
          • Present oral patient summaries and case analysis in a clear, concise and systematic manner.
          • Demonstrate the ability to accurately interpret common diagnostic lab data and radiographic images.

          Course Description
          The purpose of the NNP Practicum is to provide students with learning opportunities that facilitate development of clinical expertise required to practice as a Neonatal Nurse Practitioner. Students will work with NNP faculty in the Simulation Learning Center to develop beginning clinical competence through application of didactic knowledge to scenarios specific to the neonatal specialty. They will also work with preceptors in a variety of clinical settings to broaden their knowledge base and develop technical skills required for the Neonatal Nurse Practitioner role. In addition, students will learn to utilize clinically relevant evidence to develop a plan of care for a variety of neonatal patients.

          During the first semester of the NNP practicum experience, students will apply knowledge and skills acquired in current and previous semesters regarding care of infant in the classroom, the Simulation Learning Center or the neonatal intensive care unit. In the second semester of the NNP practicum experience, students will build upon the application skills learned during the first semester of the NNP practicum experience.

          Other Information
          In the first few days of the clinical the student should take a light load 2–4 patients of moderate intensity and progress throughout the semester in both patient numbers and intensity. Initially you will both examine the patient. By the end of the semester our goal for the student is to obtain an accurate and thorough history, perform an appropriate physical examination, identify a problem, and develop differential diagnoses with beginning understanding of treatment recommendations specific to the diagnoses. Mastery of these skills will be a progression through their clinical experiences.

          You will always round with the student in attending rounds. The student will receive two clinical evaluations conducted by a faculty member during the semester. At least one of these will be at your clinical site. During these visits we do not want to interrupt the normal flow of the unit. The faculty providing the site visit will not be involved in the care of the patient; rather we are there to observe the student’s progression in obtaining a history, conducting an appropriate physical exam, and his/her interaction with you and the staff. We also would like to discuss with you any comments or concerns regarding the student or our program.

          We do ask you to complete an evaluation of the student in the middle and the end of the semester and review this with the student. The student will need to receive the completed evaluation forms from you. Your evaluation of the student progression is important, and is used to determine the student’s final grade. The student will provide you with the evaluation forms.

          Lead Instructor Contact Information:
          Marilyn Rigby, NNP DNP
          Marilyn.rigby@nurs.utah.edu
          Office at CON Room 4415: by appointment only
          Cell: 801‑510‑2765

          Nurse Midwifery Speciality Track
            Practicum I

            NURS 7610 – NMW Practicum I

            With substantial assistance, the nurse midwifery student and women’s health nurse practitioner students will function at the beginning professional practitioner level by meeting 1st semester objectives:

            • Demonstrate beginning understanding of cultural issues, cultural differences and their impact on health care of women.
            • Demonstrate the integration of evidenced based practice knowledge, principles and theory from previous and current didactic courses in management of women’s reproductive and gynecologic health.
            • Conduct systematic collection of women’s health history and objective data resulting in differential diagnoses.
            • Recognize normal anatomic, physiologic, psychosocial, sexual, and spiritual well‑being in women.
            • Apply effective care, teaching, support, anticipatory guidance, and interventions in childbearing and gynecologic health care.
            • Appropriately consult with preceptors and others, referring appropriately when deviations from normal are identified.
            • Provide women’s health care according to established guidelines for practice in the designated health care setting with assistance from preceptors.
            • Assume responsibility and accountability in clinical practice and professional responsibilities and standards as defined by Division of Nursing, Bureau of Health Professions HRSA US DHHS, Nurse Practitioners of Women’s Health (NPWH) and the American College of Nurse‑Midwives (ACNM).

            The first in a series, this course introduces nurse midwifery and women’s health nurse practitioner students to the philosophy and role of the independent practitioner in the ambulatory setting. Students apply didactic knowledge and clinical skills in the provision of women’s health care throughout the life span. With an emphasis on normal findings, students will practice techniques of assessment, beginning diagnosis, development and implementation of a plan of care. They work under the supervision of faculty preceptors. Mastery of these skills will be a progression through their clinical experiences.

            The student will receive clinical evaluations conducted by a faculty member during the semester. During these visits we do not want to interrupt the normal flow of the clinic. The faculty providing the site visit will not be involved in the care of the patient; rather we are there to observe the student’s progression in obtaining a history, conducting an appropriate physical exam, and his/her interaction with you and the staff. We also would like to discuss with you any comments or concerns regarding the student or our program.

            We do ask you to complete evaluations of the student and review them with the student. The students will also be evaluating their performance. Your evaluation of the student progression is important, and is used to determine the student’s final grade. The student will provide you with the evaluation forms.

            Practicum II

            NURS 7612 – NMW Practicum II

            With assistance from the preceptor, the nurse midwifery student will function in their role at an advanced level by meeting 2nd semester objectives:

            • Demonstrate understanding of cultural issues, cultural differences, their impact on health care, and utilize this knowledge in the management of women from other cultures.
            • Demonstrate the integration of evidenced based practice knowledge, principles and theory from previous and current didactic and clinical courses in the management of women’s reproductive and gynecologic health.
            • Coordinate multiple aspects of health care in the provision of safe and effective practitioner practice.
            • Conduct systematic collection of women’s health history and objective data resulting in differential diagnoses.
            • Recognize normal anatomic, physiologic, psychosocial, sexual, and spiritual well‑being in women.
            • Apply effective care, teaching, support, anticipatory guidance, and interventions in childbearing and gynecologic health care.
            • Appropriately consult with preceptors and others, referring appropriately when deviations from normal are identified.
            • Provide women’s health care according to established guidelines for practice in the designated health care setting.
            • Assume responsibility and accountability in clinical practice and professional responsibilities and standards as defined by American College of Nurse‑Midwives (NMW) and by Division of Nursing, Bureau of Health Professions HRSA US DHHS (WHNP).

            The second in a series, this course offers opportunities for nurse midwifery and women’s health nurse practitioner students to increase their understanding of the philosophy and role of the independent practitioner, application of didactic knowledge and use of clinical skills in the ambulatory setting. Students apply didactic knowledge and clinical skills in the provision of women’s health care throughout the life span. In the ambulatory setting, students will increase their expertise (built on their foundation from NURS 7610 / NURS 7611) in assessment, diagnosis, and development and implementation of a plan of care with an emphasis on abnormal findings. Nurse midwifery students will also be introduced to the nurse midwifery philosophy, role and care during the intrapartum period with an emphasis on normal intrapartum. They work under the supervision of faculty preceptors. Mastery of these skills will be a progression through their clinical experiences.

            The student will receive clinical evaluations conducted by a faculty member during the semester. During these visits we do not want to interrupt the normal flow of the clinic. The faculty providing the site visit will not be involved in the care of the patient; rather we are there to observe the student’s progression in obtaining a history, conducting an appropriate physical exam, and his/her interaction with you and the staff. We also would like to discuss with you any comments or concerns regarding the student or our program.

            We do ask you to complete evaluations of the student and review them with the student. The students will also be evaluating their performance. Your evaluation of the student progression is important, and is used to determine the student’s final grade. The student will provide you with the evaluation forms.

            Practicum III

            NURS 7614 – NMW Practicum III

            With minimal assistance from the preceptor, the nurse midwifery student will function in their role at an advanced level by meeting 3rd semester objectives:

            • Demonstrate recognition of cultural differences, comfort with cultural issues, and the ability to integrate them into a plan of care.
            • Demonstrate the integration of evidenced based practice knowledge, principles and theory from previous and current didactic and clinical courses.
            • Conduct systematic collection of women’s health history and objective data resulting in differential diagnoses.
            • Recognize normal and abnormal variations of anatomic, physiologic, psychosocial, sexual, and spiritual well being in women.
            • Develop a plan of care including appropriate consultation with preceptors and others, when deviations from normal are identified.
            • Apply effective teaching, support, anticipatory guidance, and intervention in providing childbearing, gynecologic and primary health care.
            • Demonstrate increasing competency of time management, productivity, quality of care, record keeping, patient flow, and managing health care resources and costs.
            • Develop and evaluate complex ethical issues underlying nurse‑midwifery clinical practice and research, in accordance with the University of Utah College of Nursing Handbooks and documents, the ACNM Standards for the Practice of Midwifery and ACNM’s Code of Ethics.
            • Provide women’s health care according to established guidelines for practice in the designated health care setting.
            • Assume responsibility and accountability in clinical practice and professional responsibilities and standards as defined by the American College of Nurse‑Midwives.

            The third in a series, this course supports nurse midwifery students’ progress towards the role of the safe entry‑level professional practitioner. Students will continue to integrate the philosophy and role of the nurse midwife, apply foundational and advanced knowledge and use of clinical skills in the ambulatory and intrapartum settings with an emphasis on intrapartum complications. Students will continue to refine their expertise in assessment, diagnosis, and development and implementation of a plan of care for women across the life span. They work under the supervision of faculty preceptors. Mastery of these skills will be a progression through their clinical experiences.

            The student will receive clinical evaluations conducted by a faculty member during the semester. During these visits we do not want to interrupt the normal flow of the clinic. The faculty providing the site visit will not be involved in the care of the patient; rather we are there to observe the student’s progression in obtaining a history, conducting an appropriate physical exam, and his/her interaction with you and the staff. We also would like to discuss with you any comments or concerns regarding the student or our program.

            We do ask you to complete evaluations of the student and review them with the student. The students will also be evaluating their performance. Your evaluation of the student progression is important, and is used to determine the student’s final grade. The student will provide you with the evaluation forms.

            Practicum IV

            NURS 7616 – NMW Practicum IV

            With assistance from preceptors, the nurse midwifery student will:

            • Describe the variety of advanced practice roles and how these roles relate to the scope of practice of a nurse midwife.
            • Demonstrate recognition of cultural differences, comfort with cultural issues, and the ability to integrate them into a plan of care.
            • Demonstrate the integration of evidenced based practice knowledge, principles and theory from previous and current didactic courses.
            • Conduct systematic collection of health history and objective data resulting in differential diagnoses.
            • Recognize normal and abnormal variations of anatomic, physiologic, psychosocial, sexual, and spiritual wellbeing in patients.
            • Develop a plan of care including appropriate consultation with preceptors and others, when deviations from normal are identified.
            • Apply effective teaching, support, anticipatory guidance, and intervention in providing childbearing, gynecologic and primary health care.
            • Demonstrate increasing competency of time management, productivity, quality of care, record keeping, patient flow, and managing health care resources and costs.
            • Develop and evaluate complex ethical issues underlying clinical practice and research.
            • Describe, observe and, as appropriate, participate in quality improvement and quality assurance activities at clinical sites.
            • Assume responsibility and accountability in clinical practice and professional responsibilities as defined by the American College of Nurse‑Midwives.

            The fourth in a series, this course offers nurse midwifery students clinical experiences in a variety of ambulatory and intrapartum specialty areas. Students will have opportunities to observe, assist, and provide care in specialty obstetrics, gynecology and primary care areas that could include but are not limited to birth complications, high risk obstetrics, infertility, ultrasound, antenatal testing, diabetes, pelvic floor disorders, surgery, and newborn care. Clinical course work can support the students’ capstone project. Students apply previous knowledge and skills, while gaining further expertise in the health care of women across the life span. They work under the supervision of preceptors. Mastery of these skills will be a progression through their clinical experiences.

            The student will receive clinical evaluations conducted by a faculty member during the semester. During these visits we do not want to interrupt the normal flow of the clinic. The faculty providing the site visit will not be involved in the care of the patient; rather we are there to observe the student’s progression in obtaining a history, conducting an appropriate physical exam, and his/her interaction with you and the staff. We also would like to discuss with you any comments or concerns regarding the student or our program.

            We do ask you to complete evaluations of the student and review them with the student. The students will also be evaluating their performance. Your evaluation of the student progression is important, and is used to determine the student’s final grade. The student will provide you with the evaluation forms.

            Residency

            NURS 7618 – NMW Residency

            With minimal assistance from preceptors, the nurse midwifery student will:

            • Function competently and safely as a beginning nurse midwife by meeting course evaluation objectives.
            • Demonstrate recognition of cultural differences, comfort with cultural issues, and the ability to integrate them into a plan of care.
            • Demonstrate the integration of evidenced based practice knowledge, principles and theory from previous didactic and clinical courses.
            • Conduct systematic collection of women’s health history and objective data resulting in differential diagnoses.
            • Recognize normal and abnormal variations of anatomic, physiologic, psychosocial, sexual, and spiritual wellbeing in women.
            • Develop a plan of care including appropriate consultation with preceptors and others, when deviations from normal are identified.
            • Apply effective teaching, support, anticipatory guidance, and intervention in providing childbearing, gynecologic and primary health care.
            • Demonstrate competency of time management, productivity, quality of care, record keeping, patient flow, and managing health care resources and costs.
            • Describe, observe and, as appropriate, participate in quality improvement and quality assurance activities at clinical sites.
            • Provide women’s health care according to established guidelines for practice in the designated health care setting.
            • Assume responsibility and accountability in clinical practice and professional responsibilities as defined by the American College of Nurse‑Midwives.

            This is the final clinical course for nurse‑midwifery students and solidifies their transition to a safe beginning practitioner. This residency experience is a minimum of eight weeks at a site that best matches students’ learning needs. Faculty determines the site in collaboration with students.

            Experiences in a site will include clinical experiences, intrapartum on‑call, quality assurance activities, consultation, and meeting attendance. The Student Nurse‑Midwife (SNM) must complete all experiences required by the site to successfully complete the nurse‑midwifery residency experience.

            Students are expected to apply previous didactic and clinical knowledge and experience in the care of women throughout the life span. During the Residency experience, students function semi‑autonomously under the supervision of nurse midwifery preceptors. This semester is very time intensive and students are urged to plan ahead to meet the required contact hours.

            Mastery of these skills has been a progression through their clinical experiences.

            The student will receive clinical evaluations conducted by a faculty member during the semester. During these visits we do not want to interrupt the normal flow of the clinic. The faculty providing the site visit will not be involved in the care of the patient; rather we are there to observe the student’s progression in obtaining a history, conducting an appropriate physical exam, and his/her interaction with you and the staff. We also would like to discuss with you any comments or concerns regarding the student or our program.

            We do ask you to complete evaluations of the student and review them with the student. The students will also be evaluating their performance. Your evaluation of the student progression is important, and is used to determine the student’s final grade. The student will provide you with the evaluation forms.

            Psychiatric / Mental Health Specialty Track
              Practicums I, II, & III

              Psychiatric Mental Health Nurse Practitioner Program — Clinical Practicum I, II, III Expectations

              Student Responsibilities:

              • Arrange for your clinical practice site with program faculty during the semester prior to starting your practicum experience.
              • Provide faculty with preceptor contact information as soon as possible.
              • Discuss course and personal learning objectives with both faculty clinical supervisor and agency preceptor prior to starting a clinical practicum.
              • Prepare for clinical supervision through completion of assessments, review of diagnostic criteria, review of audiotapes/process recordings with analysis of therapeutic communication, and appropriate documentation of information regarding clinical experience.
              • Maintain the required tracking system each week to record clinical hours and experiences after completing orientation to the system.
              • Maintain a weekly Practicum Log of patient contacts/clinical hours and bring to weekly seminars.
              • Regularly communicate with agency personnel related to client progress and needs. Plans for absences, breaks, and holidays should be coordinated with the agency preceptor and faculty supervisor prior to a scheduled absence.
              • Complete required end‑of‑semester evaluations with agency and faculty supervisors, including all course evaluations.
              • Program clinical hours include experiences across the lifespan (child, adolescent, adult, geriatric) and, as appropriate each semester, across modalities (individual, group, family, and medication‑management therapies).
              • Leadership, Policy, Quality Hours: During your practicum courses there is an expectation for 100 clinical hours (out of the 1000 required) to be devoted to leadership, policy, or quality projects.

              Psychiatric Mental Health Nursing Practicum I:

              1. Be “on site” in the clinical setting a minimum of 8 hours/week. Times are based on availability of groups, individual clients, and agency needs. A regular schedule is to be established collaboratively with the agency preceptor; changes should be negotiated with them.
              2. Complete a minimum of one psychiatric assessment per week (or more per faculty discretion). Document per agency standards and bring de‑identified copies to supervision.
              3. Attend, observe, and participate in at least one group per week.
                a. Assist with documentation as directed by the group leader.
              4. Work with the agency preceptor to establish contact and initiate individual therapy with 1–2 clients who can be seen over several weeks to months. Students should be seeing individual clients weekly by the 5th week.
                a. Complete comprehensive assessments on all individual clients.
                b. Establish treatment plans for individual clients.
                c. Provide written process recordings weekly; audiotaping of therapy sessions is required with agency and client consent.
                d. Document weekly in the agency record.
                e. Supervision of all clinical cases is to be negotiated with both agency preceptor and faculty supervisor.
                f. Communicate regularly with the preceptor regarding treatment plans and therapy.
                For beginning students, observation of individual therapy with a preceptor is encouraged when permitted.
              5. Attend a 2‑hour clinical supervision/seminar each week.
                a. Come prepared and actively participate.
                b. Complete case formulation as assigned.
                c. Bring clinical logs and current psychiatric assessments.
                d. Upload all assignments by the due date.

              Psychiatric Mental Health Nursing Practicum II & III:

              1. Be “on site” a minimum of 8 hours/week, with a regular schedule established with the agency preceptor.
              2. Complete comprehensive psychiatric assessments and treatment plans on all therapy clients.
              3. Facilitate at least one group per week (negotiated with the agency preceptor and clinical setting).
                a. Assist with documentation as directed by the group leader.

              4. Provide individual therapy with 3–4 clients weekly (minimum) over several weeks to months, building upon the first‑semester caseload.

                a. Complete comprehensive assessments on all individual clients.
                b. Establish treatment plans.
                c. Document weekly in the agency record.
                d. Supervision is to be negotiated with preceptor and faculty supervisors.
                e. Communicate regularly with the agency preceptor regarding treatment plans and therapy.

              5. Attend a 2‑hour clinical supervision/seminar each week.
                a. Come prepared and actively participate.
                b. Complete case formulation and comprehensive treatment plans for each individual therapy client.
                c. Identify and implement theoretical approaches and therapeutic strategies appropriate for each client.
              6. Negotiate Leadership Projects (to be completed over 4–5 semesters):
                a. Projects may consist of one large project or several small ones.
                b. Prepare a proposal for faculty approval.
                c. Include rationale, objectives, and timeline.
                d. Make revisions as needed and plan required hours with faculty, agency, and all involved individuals.
              Practicums IV, V, & Residency

              Psychiatric Mental Health Nurse Practitioner Program Clinical Practicum IV (NURS 7664), V (NURS 7665), and Residency (NURS 7666) Expectations Student Responsibilities:

              • Arrange for your clinical practice site with program faculty during the semester prior to starting your practicum experience.
              • Provide faculty with preceptor contact information as soon as possible.
              • Discuss course and personal learning objectives with both faculty clinical supervisor and agency preceptor prior to starting a clinical practicum.
              • Prepare for clinical supervision through completion of assessments, review of diagnostic criteria, review of audiotapes/process recordings with analysis of therapeutic communication, and appropriate documentation of information regarding clinical experience.
              • Maintain the required tracking system each week to record clinical hours and experiences after completing orientation to the system.
              • Maintain a weekly Practicum Log of patient contacts/clinical hours and bring to weekly seminars.
              • Regularly communicate with agency personnel related to client progress and needs. Plans for absences, breaks, and holidays should be coordinated with the agency preceptor and faculty supervisor prior to a scheduled absence to ensure client coverage.
              • Complete required end of semester evaluations with agency and faculty supervisors, including all course evaluations.
              • Program clinical hours include experiences across the lifespan (child, adolescent, adult, geriatric) and as appropriate each semester, across modalities (individual, group, family, and medication management therapies).
              • Leadership, Policy, Quality Hours: During your practicum courses there is an expectation for 100 clinical hours out of the 1000 hours required that will be devoted to leadership, policy, or quality projects.

              Psychiatric Mental Health Nursing Practicum IV (NURS 7664):

              1. Be “on site” in the clinical setting a minimum of 120 hours for Practicum IV and 180 hours each for Practicum V and Residency. An average of 12 to 16 hours per week will achieve the total minimum. Times will be established based upon availability of individual clients and needs of the agency. Students are expected to establish a regular schedule collaboratively with their agency preceptor. Changes and adjustments in schedules should be negotiated with the agency preceptor.
              2. Complete a minimum of eight psychiatric assessments per semester (or more as determined by clinical faculty discretion). Students are expected to document assessments according to agency standards and bring copies without identifying information to individual supervision meetings with faculty supervisor.
              3. Attend, observe and participate in groups as assigned by the agency or faculty supervisor.
              4. Work with agency preceptor to establish contact and initiate individual therapy with 1–2 clients (minimum) who can be seen over several weeks to months. Students are expected to be seeing individual clients weekly by the 5th week of the semester.
                a. Complete comprehensive assessment on all individual clients.
                b. Establish treatment plan for individual clients.
                c. Provide copies of written process recordings of an interaction with a therapy client to faculty supervisor weekly. Audiotaping of all individual therapy sessions is required with agency and client consent. Students will be asked to share audiotapes with faculty supervisor.
                d. Document weekly in the agency record related to individual therapy.
                e. Supervision of all clinical cases is to be negotiated both with agency preceptor and faculty supervisor.
                f. Regularly communicate with agency preceptor related to individual clients’ treatment plan and therapy.
                For beginning students, observation of individual therapy with an agency preceptor and clients in the early weeks of the semester is encouraged at the discretion of the preceptor and with client consent.
              5. Attend 2‑hour clinical supervision/seminar each week.
                a. Come prepared and actively participate.
                b. Complete case formulation as assigned.
                c. Come prepared for weekly supervision/seminar with copies of clinical logs and current psychiatric assessments.
                d. Upload all assignments to the class website by the due date.

              Psychiatric Mental Health Nursing Practicum V (NURS 7665) and Residency (NURS 7666):

              1. Be “on site” in the clinical setting a minimum of 8 hours/week. Times will be established based upon availability of groups, individual clients and needs of the agency. Students are expected to establish a regular schedule collaboratively with their agency preceptor. Changes and adjustments in schedules should be negotiated with the agency preceptor.
              2. Complete comprehensive psychiatric assessment and treatment plan on all therapy clients.
              3. Facilitate at least 1 group per week over the course of the semester (to be negotiated with agency preceptor and clinical setting).
                a. Regularly assist with documentation related to “group” as directed by group leader.
              4. Individual therapy with 3–4 clients weekly (minimum) who can be seen over several weeks to months. The student should build upon 1st semester caseload.
                a. Complete comprehensive assessment on all individual clients.
                b. Establish treatment plan for individual clients.
                c. Document weekly in agency record related to individual therapy.
                d. Supervision of all clinical cases is to be negotiated both with agency preceptor and faculty supervisors.
                e. Regularly communicate with agency preceptor related to individual clients’ treatment plan and therapy.
              5. Attend 2‑hour clinical supervision/seminar each week.
                a. Come prepared and actively participate.
                b. Complete case formulation and comprehensive treatment plans for each individual therapy client.
                c. Identify and implement theoretical approach and therapeutic strategies appropriate for each therapy client.
              6. Negotiate Leadership Projects (to be completed over 4–5 semesters):
                a. These hours may comprise one project or several small projects.
                b. Prepare proposal for faculty approval of leadership project.
                c. Include rationale, objectives and timeline for completion of project(s).
                d. Make revisions and where needed plan hours needed for project with faculty, agency, and appropriate persons involved in completing the project.
              Women's Health Specialty Track
                Practicum I

                NURS 7611 – WHNP Practicum I
                With substantial assistance, the nurse midwifery student and women’s health nurse practitioner students will function at the beginning professional practitioner level by meeting 1st semester objectives:

                • Demonstrate beginning understanding of cultural issues, cultural differences and their impact on health care of women.
                • Demonstrate the integration of evidenced based practice knowledge, principles and theory from previous and current didactic courses in management of women’s reproductive and gynecologic health.
                • Conduct systematic collection of women’s health history and objective data resulting in differential diagnoses.
                • Recognize normal anatomic, physiologic, psychosocial, sexual, and spiritual well‑being in women.
                • Apply effective care, teaching, support, anticipatory guidance, and interventions in childbearing and gynecologic health care.
                • Appropriately consult with preceptors and others, referring appropriately when deviations from normal are identified.
                • Provide women’s health care according to established guidelines for practice in the designated health care setting with assistance from preceptors.
                • Assume responsibility and accountability in clinical practice and professional responsibilities and standards as defined by Division of Nursing, Bureau of Health Professions HRSA US DHHS, Nurse Practitioners of Women’s Health (NPWH) and the American College of Nurse‑Midwives (ACNM).

                The first in a series, this course introduces nurse midwifery and women’s health nurse practitioner students to the philosophy and role of the independent practitioner in the ambulatory setting. Students apply didactic knowledge and clinical skills in the provision of women’s health care throughout the life span. With an emphasis on normal findings, students will practice techniques of assessment, beginning diagnosis, development and implementation of a plan of care. Mastery of these skills will be a progression through their clinical experiences.

                The student will receive clinical evaluations conducted by a faculty member during the semester. During these visits we do not want to interrupt the normal flow of the clinic. The faculty providing the site visit will not be involved in the care of the patient; rather we are there to observe the student’s progression in obtaining a history, conducting an appropriate physical exam, and his/her interaction with you and the staff. We also would like to discuss with you any comments or concerns regarding the student or our program. We do ask you to complete evaluations of the student and review them with the student. The students will also be evaluating their performance. Your evaluation of the student progression is important, and is used to determine the student’s final grade. The student will provide you with the evaluation forms.

                Practicum II

                NURS 7613 – WHNP Practicum II
                With assistance from the preceptor, the nurse midwifery student will function in their role at an advanced level by meeting 2nd semester objectives:

                • Demonstrate understanding of cultural issues, cultural differences, their impact on health care, and utilize this knowledge in the management of women from other cultures.
                • Demonstrate the integration of evidenced based practice knowledge, principles and theory from previous and current didactic and clinical courses in the management of women’s reproductive and gynecologic health.
                • Coordinate multiple aspects of health care in the provision of safe and effective practitioner practice.
                • Recognize normal anatomic, physiologic, psychosocial, sexual, and spiritual well‑being in women.
                • Apply effective care, teaching, support, anticipatory guidance, and interventions in childbearing and gynecologic health care.
                • Appropriately consult with preceptors and others, referring appropriately when deviations from normal are identified.
                • Provide women’s health care according to established guidelines for practice in the designated health care setting.
                • Assume responsibility and accountability in clinical practice and professional responsibilities and standards as defined by the American College of Nurse‑Midwives (NMW) and by Division of Nursing, Bureau of Health Professions HRSA US DHHS (WHNP).

                The second in a series, this course offers opportunities for nurse midwifery and women’s health nurse practitioner students to increase their understanding of the philosophy and role of the independent practitioner, application of didactic knowledge and use of clinical skills in the ambulatory setting. Students apply didactic knowledge and clinical skills in the provision of women’s health care throughout the life span. In the ambulatory setting, students will increase their expertise (built on their foundation from NURS 7610 / NURS 7611) in assessment, diagnosis, and development and implementation of a plan of care with an emphasis on abnormal findings. Nurse midwifery students will also be introduced to the nurse midwifery philosophy, role and care during the intrapartum period with an emphasis on normal intrapartum. Mastery of these skills will be a progression through their clinical experiences.

                The student will receive clinical evaluations conducted by a faculty member during the semester. During these visits we do not want to interrupt the normal flow of the clinic. The faculty providing the site visit will not be involved in the care of the patient; rather we are there to observe the student’s progression in obtaining a history, conducting an appropriate physical exam, and his/her interaction with you and the staff. We also would like to discuss with you any comments or concerns regarding the student or our program.

                We do ask you to complete evaluations of the student and review them with the student. The students will also be evaluating their performance. Your evaluation of the student progression is important, and is used to determine the student’s final grade. The student will provide you with the evaluation forms.

                Practicum III

                NURS 7615 – WHNP Practicum III
                With minimal assistance from the faculty preceptor, the nurse midwifery student will function in their role at an advanced level by meeting 3rd semester evaluation objectives:

                • Demonstrate recognition of cultural differences, comfort with cultural issues, and the ability to integrate them into a plan of care.
                • Demonstrate the integration of evidenced based practice knowledge, principles and theory from previous and current didactic courses.
                • Conduct systematic collection of women’s health history and objective data resulting in differential diagnoses.
                • Recognize normal and abnormal variations of anatomic, physiologic, psychosocial, sexual, and spiritual well‑being in women.
                • Develop a plan of care including appropriate consultation with preceptors and others, when deviations from normal are identified.
                • Apply effective teaching, support, anticipatory guidance, and intervention in providing childbearing, gynecologic and primary health care.
                • Demonstrate increasing competency of time management, productivity, quality of care, record keeping, patient flow, and managing health care resources and costs.
                • Develop and evaluate complex ethical issues underlying women’s health clinical practice and research, in accordance with the University of Utah College of Nursing Handbooks and documents, and the American Association of Women’s Health and Obstetrical Nurses.
                • Provide women’s health care according to established guidelines for practice in the designated health care setting.
                • Assume responsibility and accountability in clinical practice and professional responsibilities as defined by the Division of Nursing, Bureau of Health Professions HRSA US DHHS.

                The third in a series, this course supports women’s health nurse practitioner students’ progress towards the role of the safe beginning practitioner. Students will continue to integrate the philosophy and role of the nurse practitioner, application of didactic knowledge and use of clinical skills in the ambulatory settings with an emphasis on primary care and gynecology. Students will continue to refine their expertise in assessment, diagnosis, and development and implementation of a plan of care for women across the life span. Mastery of these skills will be a progression through their clinical experiences.

                The student will receive clinical evaluations conducted by a faculty member during the semester. During these visits we do not want to interrupt the normal flow of the clinic. The faculty providing the site visit will not be involved in the care of the patient; rather we are there to observe the student’s progression in obtaining a history, conducting an appropriate physical exam, and his/her interaction with you and the staff. We also would like to discuss with you any comments or concerns regarding the student or our program. We do ask you to complete evaluations of the student and review them with the student. The students will also be evaluating their performance. Your evaluation of the student progression is important, and is used to determine the student’s final grade. The student will provide you with the evaluation forms.

                Practicum IV & Residency

                WHNP Practicum IV and V (NURS 7617 & NURS 7619)
                This document outlines our expectations for the student we have placed with you and is designed to make sure you are aware of our hopes for the student experience. The women’s health nurse practitioner student who will be joining you this semester is in the final year of their DNP program and training. This student has had three semesters of experience within our faculty practice seeing normal OB and GYN visits. He/she should be able to function independently when:

                • Obtaining appropriate history
                • Providing an appropriate physical examination with interpretation of findings
                • Giving an organized report of H&P findings to you
                • Developing a thorough differential diagnosis
                • Outlining a plan of care
                • Charting their findings

                In the first few days of the clinical rotation you may choose to have the student follow you to allow the student to better understand your clinical interaction with patients. We hope the student will progress to begin to do patient visits independently. Within a few weeks the student is expected to interview the patient alone to obtain a history and perform the examination. The student would then leave the room and report the history and exam findings to you. You and the student would then return together to examine the patient.

                By the end of the semester our goal for the student is to obtain an accurate and thorough history, perform an appropriate physical examination, identify a problem, and develop differential diagnoses with beginning understanding of treatment recommendations specific to the diagnoses. Mastery of these skills will be a progression through their clinical experiences.

                A patient should never leave your clinic prior to your confirmation of the student’s exam and plan. The student is expected to tell you if the particular encounter is new to them (WHNP students will have little experience with orthopedics or radiology for example but can see male patients). Having the student observe a new experience is always acceptable.

                The student will receive two clinical evaluations conducted by a faculty member during the semester. At least one of these will be face‑to‑face with you. This may be an in‑person visit from the faculty or a video conference meeting with you and the student. During in‑person visits, we do not want to interrupt the normal flow of the clinic. The faculty providing the site visit will not be involved in the care of the patient; rather we are there to observe the student’s progression and his/her interaction with you and the staff. We also would like to discuss with you any comments or concerns regarding the student or our program.

                We do ask you to complete an evaluation of the student in the middle and the end of the semester and review this with the student. Your evaluation of the student’s progression and professional performance is important, and is used to provide the necessary information for the faculty to determine the student’s grade. The student will provide you with the evaluation forms or direct you to an online site.

                Again, please accept our sincere gratitude for being willing to serve as a preceptor; mentoring the next generation of providers is a critical contribution to the future.

                Lead Instructor Contact Information:
                Katie Ward DNP, WHNP
                Katie.ward@nurs.utah.edu
                801‑587‑3070