NURS 5351 Family Nurse Practitioner Primary Care I
Course Description
NURS 5351 FNP Primary Care I
Application of major concepts and therapies necessary for development, implementation, and provision of primary health care. Emphasis on the pediatric population and genomics knowledge needed for counseling families. Strategies to eliminate health disparities will be explored.
Prerequisite
NURS 5339 AND Admission to MSN FNP program or NURS 5339 AND Admission to FNP Cert program *This course does not allow concurrent enrollment in NURS 5353 or NURS 5455
Course Learning Objectives
Upon successful completion of this course, the student will be able to:

1. Construct a patient-centered plan of care that incorporates current evidence to provide health promotion and/or restoration of heal with emphasis on the pediatric population and their fam
2. Incorporate basic knowledge of genetics and genomics into the provision of primary health care for the patients and their family
3. Provide high quality and appropriate care in a cost-effective and ethical manner
4. Refer clients to other interprofessional healthcare teams as appropriate.

Required Textbooks/Materials
Burns, Dunn, Brady, Starr, Blosser (2021) Pediatric Primary Care 7th ed. ISBN: 9780323581967
Required
Gilbert, et.al (2020, or current version at start of program) The Sanford Guide to Antimicrobial Therapy 2021 50th ed. 978-1944272142
Required
Ferri’s Clinical Advisor (2022) ISBN: 9780323755773
All students are required to have an active InPlace subscription. This can be purchased through the bookstore, or directly through InPlace at a discounted rate.
You are required to purchase APEA study materials for this semester. This includes APEA’s Pediatric and Women’s Health Competency Exams, a 3-month subscription to APEA’s question banks (MyQBank Pediatrics & Women’s Health), the Building Blocks of Growth Summary Cards, and the Online Review Course.  Specific APEA purchasing instructions are included at end of syllabus. PURCHASE MUST BE COMPLETE BY JANUARY 31, 2022.
Grading Policy and Criteria
Specific guidelines and grading criteria for all assignments are in the Modules. Final grades for the course will be determined based upon the following point assignments:
A – 90-100
B – 80-89
C – 70-79
D – 60-69
F – Below 60
Grades will not be rounded when calculating the average (79.5 is not rounded to 80 and 89.5 is not rounded to 90). Students are required to achieve an average of 80% (B) to successfully complete the course. Students must also achieve at least an 80% average on all exams and quizzes in order to successfully complete the course. If the overall grade is 80% or higher, but the exams and quizzes are not at least 80%, the student will not pass the course.
Late Policy: 5% will be deducted each day an assignment is past due unless prior arrangements have been made with your course faculty. Extenuating circumstances may apply.
Repeating a Course: Students repeating this course may not use previously submitted assignments nor utilize the same patients for an assignment. Submitting the same or slightly modified assignments from previous semesters is considered self-plagiarism and is subject to academic discipline, including failing the assignment or the course.
Attendance and Make-up Policy: Attendance/participation is expected. Make-up for exams, quizzes, assignments, and clinical time missed is at the discretion of the instructor.

Criteria for Evaluation:
Percentage of Grade:

Exams (Exams and quizzes)
80%

Pediatric SOAP notes (5)
10%

APEA Q Bank completion (>80%)
5%

OSCES/Clinical checkoffs completed successfully
5%

TOTAL:
100%

Important Course Dates:
Note: The complete course schedule is available in the Course Canvas site.
Classes Begin: May 9th
Exam One: May 27th  from 8-12pm
Exam Two: June 17th from 8-12pm
APEA Comprehensive Exam: July 8th from 8-12pm
OSCE 3 Lab Quizzes: July 15th from 8-12
OSCE dates: July 20th and July 21st from 7am-4pm
Exam Three: August 5th from 8-12pm
Exam Procedures: All exams will be auto-proctored via Proctor U and will be available from 0800 until 1200. You will have 75 minutes to complete each exam and must start with adequate time to complete by 1200. No resources will be allowed including scratch paper, textbooks, phone, etc. Any use of resources will result in an academic integrity investigation per the university protocol.
APEA Pediatric Exam: The APEA Exam will be given as a practice exam in preparation for Board Certification exams. The goal of the exam is to identify areas of weakness and to promote active participation in practice questions. This exam carries the same weight as a course exam.
SOAP NOTES:  Five SOAP notes are required for the course. SOAP notes must be completed on patients seen in the current course. Submission of SOAP notes from a previous semester is a violation of academic integrity. In addition, TurnItIn will be utilized for SOAP note submission. All work must be original.
CLINICAL DOCUMENTATION: All clinical documentation must be submitted by the assigned due dates for success in the course. This includes preceptor signature sheet, summary of clinical hours, CPEs, evaluations of site and preceptor, etc.
 

 

Advanced Health Assessment for the Nurse Practitioner Student NURS 5352
Summer 2022
Course Description
This course is intended for the nurse practitioner. Incorporates integration of advanced health assessment principles and skills for a comprehensive examination of clients that leads to differential diagnosis. Focus will be on common deviations from normal.
Populations across the lifespan will be included.  Prerequisite: Pre-Requisite or Co-Requisite of NURS 5350 AND Admission to NP programs or Pre-Requisite or Co-Requisite NURS 5350 AND Admission to NP Cert program.
Student Learning Outcomes
Upon successful completion of this course, the student will be able to:

1.  Demonstrate the ability to obtain and document a comprehensive health history for individuals across the lifespan.

2.  Perform a risk assessment of the patient including the assessment of lifestyle and other risk factors.

3.  Assess health promotion behaviors of individuals across the lifespan.

4.  Perform and document a complete advanced physical examination of individuals across the lifespan utilizing the full extent of the student’s education and training.

5.  Perform basic assessment tests and interpret pertinent laboratory and diagnostic data.

6.  Relate assessment findings to underlying pathophysiology.

7.  Analyze assessment data to determine differential diagnoses.

8.  Analyze assessment data to determine nursing diagnoses.

9.  Develop an effective and appropriate plan of care for the patient that is research-based (evidence-based practice) and takes into consideration life circumstances, cultural, ethnic, and developmental variations.

10.  Utilize the skills of advanced nursing assessment and an understanding of advanced practice nursing roles and evidence-based data collection to provide effective continuity of care among collaborating healthcare providers.

Summer 2022 NURS 5352 – Bundle ISBN 9780323941716
The bundle contains the following:

Shadow Health Advanced Health Assessment ISBN 9780323753661
Ball: Seidel’s Guide to Physical Exam 9e ISBN 9780323481953
Habif: Skin Disease: Diagnosis & Treatment 4e ISBN 9780323442220 • Symons & Seller: Differential Diagnosis 7e ISBN 9780323512329
Habif: Skin Disease: Diagnosis & Treatment 4e ISBN 9780323442220 • Symons & Seller: Differential Diagnosis 7e ISBN 9780323512329

Required Application and Readings:
**If you are in a clinical course, all students are required to have an active InPlace subscription.

***The only access code needed is for the Shadow Health bundle!
PLEASE NOTE THAT THE FOLLOWING BOOK BUNDLE (including Shadow Health) IS AVAILABLE THROUGH THE UTTYLER BOOKSTORE AND MAY SAVE YOU MONEY.

AUTHOR
TITLE
EDITION
PUBLISHER & or ISBN

Rhoades &
Petersen
Advanced Health Assessment and Diagnostic Reasoning This text can be accessed from the library’s guide:
https://libguides.uttyler.edu/textbooks
Required
4th ed.
978-1284170313

Habif, Campbell, & Chapman.
Skin Disease: Diagnosis and Treatment Required
4th ed.
978-0323442220

Ball, Dains, & Flynn
And
Shadow Health
Bundle
Seidel’s Physical Examination Handbook
With Shadow Health Bundle Elsevier website: Advanced Health Assessment Digital Clinical Experience Course ID:
The ISBN for the NURS 5352 bundle is9780323975322. Required
9th ed.
978-0323545327

Seller and
Symons
Differential Diagnosis of Common Complaints No access code is needed. Required
7th ed.
978-0323512329

American Psychological
Association
Publication Manual of the American Psychological Association- Required
7th ed.
978-1433832178

Recommended Textbook:
Pocket Guide:
▪ Tarascon Pocketbook Family Practice (Primary Care, Internal Medicine)
▪ Pocket Primary Care (Pocket Notebook Series) Second Edition
EBook:
▪ Pocket Notebook—Pocket Medicine 5-Minute Clinical Consult (5MCC)
Special Course Note:
First Week of School:  See Canvas for information to have your Diagnostic Kit shipped to you or you may pick it up on campus (see times).  This is MANDATORY for course completion and MUST be completed by Friday of the first week of school.
IMPORTANT DATES:
Census Date: May 23, 2022
Exam Dates:  June 2, June 30, July 28, August 11, 2022
Mid-Term Checkoff On-Campus:  June 20, 2022
Last Date to Withdraw: July 12, 2022 https://www.uttyler.edu/registrar/registration/withdrawals.php
Final Checkoff Date:  August 1, 2022
Skills Training/Q&A sessions via Zoom: (may watch the recording if work-related conflict). Supplemental trainings/meetings may be requested by individual students or groups at any time!!
Please take advantage of this!
Zoom Time for all sessions will be 7:30pm CST:
May 16, May 23; June 6, June 13, June 27; July 11, July 18, July 25; August 1
Zoom Invitation Link for all meetings:
https://uttyler.zoom.us/j/92931021086?pwd=WnBXdEdpd3V0N1VBZlpNajIxdWtnQT09
Passcode: NURS5352
One tap mobile; Dial by your location:
+13126266799,,92931021086#,,,,*49054751# US (Chicago)
+16468769923,,92931021086#,,,,*49054751# US (New York)
Meeting ID: 929 3102 1086
Proctoring Notice
This course will utilize ProctorU-auto for all four Exams.  However, the exams will NOT utilize a live proctoring service, but will utilize AUTO Proctoring.  Do NOT contact ProctorU to reserve exam times. Do Not pay for ProctorU.  All four exams will be accessed through Canvas at the appropriate day/time. You need only to download the appropriate extension for the browser you will be using.  See Canvas for more details.
Alternate Locations of Class:  This course is online except for TWO MANDATORY on-campus date, Monday, June 20, 2022.  The Final Checkoff date is August 1, 2022, for the clincal practicum or intensive component of this course.
Assignments and Weights/Point Values:

Criteria for Evaluation:
Percentage of Grade:

Exam #1
15%*

Exam #2
15%*

Exam #3
15%*

Exam #4
15%*

Advanced Practice Education Associates (APEA) Modules/ Exam
10%

Module Quizzes (12 quizzes total)
5%

Pediatric SOAP Note
5%

Adult/Geriatric SOAP Note
5%

Denver Developmental
5%

Shadow Health Modules
5%

Dermatology for Primary Care
5%

Participation in Learning Intensive
P/F**

Midterm Practicum & SOAP Note
P/F**

Final Practicum SOAP Note
P/F**

Course Clinical Practice Hours (20)
P/F**

Grading Scale:
Specific guidelines and grading criteria for all assignments are in the Modules. Final grades for the course will be determined based upon the following point assignments:
A – 90-100
B – 80-89
C – 70-79
D – 60-69
F – Below 60
Grades will NOT Be rounded up when calculating the average (79.5 is not rounded to 80 and 89.5 is not rounded to 90). Students are required to achieve an average of 80% (B) to successfully complete this course.
Exam and homework materials, questions, and problems are the intellectual property of faculty, UT Tyler, or publishers.

These materials may not be distributed without permission.
Distributing them or uploading them to online resources destroys the integrity of the assignments and the course, allowing others an unfair advantage by letting them view the materials.
Uploading these materials to online resources is a violation of UT Tyler’s academic misconduct policies and may result in formal conduct charges.

Sanctions for uploading or otherwise divulging the contents of these materials can include:
a reduced or failing grade on an assignment
a reduced or failing grade for the course
removal from the Nursing program
removal from UT Tyler

Late Policy
There will be a 5% will be deduction from the potential points for any late assignment for each day it is past due unless prior arrangements have been made with your course faculty. Extenuating circumstances may apply.
Repeating a Course
A student who repeats this course may not use previously submitted assignments nor utilize the same patients for an assignment. Submitting the same or slightly modified assignments from previous semesters is considered self-plagiarism and is subject to academic discipline, including failing the assignment or the course.
Attendance and Make-up Policy
Attendance/participation is expected. Make-up for exams, quizzes, assignments, clinical time missed is at the discretion of the instructor.
Graded Course Requirements Information:
REQUIRED COURSE EQUIPMENT
(These items should be used during all Advanced Practice Skills Learning Sessions and utilized in the on-campus AHA Intensives on June 20, 2022.)

Quality stethoscope, at least a Cardiology 3 or 4
Clear plastic ruler, 5-6 inches long
Penlight
Small Magnifying glass (with light)
Small portable mirror – to evaluate feet
Lab coat
Watch with second hand/function, or digital clock with timer function
UT Tyler student name badge ($15.00)
UT Tyler patch – purchased locally at CR Scrubs
Cell phone or other device with internet access
Web Cam for your computer

PROVIDED COURSE EQUIPMENT
You will be issued a Diagnostic kit (otoscope, ophthalmoscope, percussion hammer, and tuning fork), as well as a Denver Developmental kit, at the beginning of the semester. Please be aware that students should pick up the kits on campus, if at all possible.  If you do choose to come to campus to pick this up, please make sure you arrive on a pre-confirmed date/time.  This will be posted as an Announcement in Canvas.  Otherwise, you may make arrangements to have the kits mailed to you at your expense, should you so desire.  See Canvas Course for additional ‘first week of school’ details about ordering your diagnostic kit.  This will be an important part of getting started in the course.
The kits must be returned after completion of the FINAL PRACTICUM.  Those who fail to return these items, whether lost or stolen, will be responsible for the cost of replacing these items which total $1000.  Return Diagnostic Kit and Denver Kit by date outlined in the Course Calendar – This is the date the equipment must be received by the university.  You will not receive an official grade until all equipment is returned.
*Denver Developmental
The Denver Developmental Screening Test (DDST) was devised to provide a simple method of screening for evidence of slow development in infants and preschool children. The test covers four functions: gross motor, language, fine motor-adaptive, and personal-social.  This test is useful as a quick screen to determine whether a child is achieving developmental milestones in these areas. It can be used with children from birth to 6 years of age.  The Denver test equipment comes in your Diagnostic Kit for your review AND you will be required to actually use it this semester.  However, information on the Denver Test will be embedded in Course Modules and you will see questions on your exams regarding it.
****REQUIRED COURSE TECHNOLOGY****
Please see the Canvas Page that discusses each item, cost, or component specifically.

ProctorU-auto: no cost to student.
Shadow Health —Shadow Health may be purchased as part of a book bundle through the UTTyler bookstore or may be purchased separately. During the progression of the course, please consult your faculty or  Elsevier for questions about Shadow Health. To access Shadow Health, you must go through  Elsevier.  For other technical issues, contact the Shadow Health Help Desk:  support.shadowhealth.com & 1-800-860-3241

InPlace– As part of your orientation checklist, you should have purchased an InPlace subscription.  When you obtain your InPlace subscription and successfully complete this course with an A or a B, the 20 clinical hours you will achieve upon completion of this course will be automatically loaded into your InPlace account, so be sure to have this set up prior to completion of the course.  You will use InPlace throughout your program.
Dermatology for Primary Care- There will be several assigned learning modules in Dermatology for Primary Care (see Canvas Assignments).  More information to come when the semester starts.  See Canvas and attend all Zoom sessions for the course! You will use Derm for Primary Care throughout your program.
APEA: Advanced Practice Education Associates – Year 1 Bundle will be available for purchase for this course and is a required component (see Canvas for further instructions). This mandatory component will also be for other courses as you move through the program.  If you are in other courses now and have already purchased the Year 1 Bundle, there is no need to purchase again.  The subscription for Year 1 starts when faculty make it available for you to purchase (and after you have completed the purchase).  This will be an important component of your preparation for predictor exams throughout your program which you will be required to pass to move forward each semester.

To purchase:  First, please provide your name and email address to Dr. Tanya Schlemmer, course facilitator, for relaying to APEA. This will enable you to purchase through UTTyler with a considerable discount.  Follow in-course instructions on Canvas.
The Question Banks and Learning Modules will be very valuable to you as you move through your program and prepare for the certification exam after graduation.
Estimated Time Commitment Required for AHA Course Assignments
Reading of professional materials (books, journals, etc.) is an integral aspect of role development as a nurse practitioner. It is recommended that students spend a minimum of 2hours daily for materials related to assigned readings, clinical topics, and professional issues associated with the NP role and competencies. As a rough guide, you should plan to spend six to eight hours per week on this course, and more hours may likely be necessary, depending on the individual. This estimate includes the time you will spend reading, researching particular items for more information, and completing assignments.  Note that considerably more additional hours may be necessary to fully comprehend the didactic content as well as the clinical skills.
Every student is responsible for completing the recommended reading, completing the course module components, assignments, quizzes, and exams according to due dates in the course calendar. Reading assignments consist of associated materials in the course textbooks and this list may be viewed on the course calendar and in each module.  All assignments are made with the assumption that required reading assignments will be completed prior to completion of the assignments.
SPECIAL COURSE NOTES:
*The average of your exams must be greater than or equal to 80% in order to pass the course. Even if you have enough points to pass otherwise, you will not pass the course without making an 80 average on the four exams.
** Only when the clinical component is passed will the student be awarded a course grade based on the scored evaluation items listed above.  Failing to complete any clinical component satisfactorily will result in an overall course grade no higher than a C.
***You must pass the Mid-term and Final practicums to pass the course. Even if you have enough points to pass otherwise, you will not pass the course without passing the practicums. You will receive a percent grade for the Midterm and Final SOAP notes but understand that these components are Pass/Fail and the percent grade is simply for your own information so that you may improve upon this component as the semester progresses.
**** Dermatology for Primary Care is an online course that offers CEs with every completed module.  The use of pattern recognition and key diagnostic clues for common skin diseases makes learning much easier.  Please see Canvas for more details. Important Course Dates: Note: The complete course schedule is also available in the Course Canvas site.
Calendar of Topics, Readings, and Due Dates
Review the Summer 2022 Course Calendar
**Corresponding chapters of newer book editions may have changed.  Consult table of contents in each text.
Please see the Course Schedule Inside the Canvas Syllabus Tab
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Nursing Informatics and Organizational Decision Making Click on E-Book: Chapter 9 Scroll down & click on Chapter 13 Workflow and Beyond Meaningful Use. Click on E-Book: Chapter 13 Format Do not use quotations in this discussion. Paraphrase your sources. DIRECTIONS: Consider the Electronics systems used at the place you work (hospital). If not currently working in healthcare, consider the systems used in a former healthcare job or clinical site while in nursing school. Identify the weaknesses and strengths based on Workflow Analysis. This part of the assignment will be based on your own experiences and observations but must also be supported from the literature. How would you implement the Systems Development Life Cycle (SDLC) to improve the system weaknesses and needs you identified? What approach to the SDLC would you take, if you were in charge of the changes to be made? Support your analysis, recommendations, and approach from the literature. Support with 2 scholarly peer reviewed journal articles. References must be PEER REVIEWED JOURNALS, LESS than 5 YEARS OLD, and from the UNITED STATES. (Your text book may be used as a source but does NOT count toward the 2 required references). Your discussion post should be no less than 250 words and no more than 300-words. References do not count in the word count but citations do. APA formatting applies and includes the following A) In text citations in APA format B) Reference list in APA format (include doi) Grading Rubric: Initiative 1. Considers the electronics/informatics systems used in the workplace 2. Identifies weaknesses and strengths based on Workflow Analysis 3. Discusses use of the SDLC to improve weaknesses and needs identified 4. Identifies which approach to using the SDLC is chosen. 5. Supports position from the nursing literature, using at least two (2) recent peer reviewed journals Contribution of New Ideas 1. Contributed new information to the discussion by bringing in relevant ideas from outside course (prior knowledge). 2. Shared new perspective or analysis of ideas. 3. Substantive comments and questions that significantly helped to move the discussion forward. Expression of Ideas; APA Style 1. Elaborated on ideas of others, including instructor, and classmates, by sharing additional examples and adding further explanation 2. Discussion was expressed in a clear and respectful manner 3. APA style adhered to.
 

 

Assessment 1 Nursing case studyCase studyAssessment 1 Nursing case study (2000 words)Component of the assessment Scheme: 25%
Task aims:This task is your opportunity to explain the nursing care for an adult person experiencing a cardiovascular event by linking it to pathophysiology and pharmacology, explaining the nursing care required, while applying an inter-professional model of care.Introduction:Introduce the client and provide a brief overview of their case. Provide an outline of the purpose and structure of the report.(You might like to think about the overview of the case study like a verbal clinical handover: what is the key information from the case study that would be relevant for the plan of care for this client?)Primary Admission DiagnosisIdentify the primary diagnosis for the client (i.e. the reason the client was admitted to hospital). Provide a brief description of the pathophysiology of the disease and demonstrate how the presenting manifestations support the client’s primary diagnosis. It is also relevant to relate the pathophysiology of the disease to the client’s risk factors and previous medical history.Nursing ProblemsUsing your knowledge of pathophysiology and the clinical manifestations of the client; identify two (2) nursing problems that arise as a result of the client’s primary diagnosis. These problems may be actual or potential nursing problems. Provide a brief description for why these problems arise for this client. Support this discussion using current literature.Nursing ManagementThe nursing management must focus on the inpatient nursing assessment, nursing interventions and the role of the Registered Nurse (RN) related to medication management for this client and will address the two (2) identified nursing problems. Support this discussion using the current literature.(This section of the report focuses on assessments and interventions that the Registered Nurse conducts. So, avoid reverting to simple referrals to other members of the health team. What does the nurse physically do to provide optimal person-centred care as part of the nursing management plan? You should also prioritise your care. What is the most pressing concern for the client at this stage?)Nursing Problem 1: Nursing assessment, nursing intervention, medication management.Discuss one (1) method of nursing assessment that would need to be performed related to the ongoing nursing management of this nursing problem. Provide a rationale for this type of assessment and briefly describe how this assessment would be conducted in this case.Discuss one (1) nursing intervention that you would need to implement related to the ongoing nursing management of this nursing problem. Provide a rationale for the intervention.Discuss the role of the RN in the medication management related to the ongoing nursing management of this nursing problem.Nursing Problem 2: Nursing assessment, nursing intervention, medication management.Discuss one (1) method of nursing assessment that would need to be performed related to this nursing problem. Provide a rationale for this type of assessment and briefly describe how this assessment would be conducted in this case.Discuss one (1) nursing intervention that you would need to implement related to the ongoing nursing management of this nursing problem. Provide a rationale for the intervention.Discuss the role of the RN in the medication management related to the ongoing nursing management of this nursing problem.Discharge PlanningThe discharge plan must focus on the multidisciplinary management for this client and can refer to the nursing problems addressed throughout the paper.Discuss the aim for discharge planning and the importance of using a multidisciplinary approach. Discuss the role of the Registered Nurse to facilitate the multidisciplinary discharge plan for this client. Identify the members of the multidisciplinary health care team and the role that they would play. You can include your identified nursing problems discussed in the paper.(You may also like to discuss what socio-economic factors may impact your discharge planning.)ConclusionSummarise the major findings of this case report.General information:This assignment must be supported by at least 20 credible references presented in Harvard Style. These references should include course readings and the wider nursing academic literature. For further information refer to learn online Assessment Folder for Mr George’s scenario and the marking criteria. Please also refer to the School of Nursing and Midwifery, academic writing requirements located in the Learning and Teaching Resources on the Health of Adults Course Homepage.Please note: There is no resubmission for this assignment.Non-submission of this assignment will result in a fail gradeExtensions will be available in strict accordance with the 2019APPM and the School of Nursing and Midwifery Extension Policy.