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Introduction to Practice Rotation (NURS-DNP 535)

Overview

Rotation provides an introduction to advanced nursing practice emphasizing integration of assessment data to generate differential diagnoses and apply diagnostic reasoning skills. Located in an Urgent Care setting, or site that provides a wide overview of patient care.

NURS-DNP 535: Diagnosis & Management of Adult/Geriatric Health & Illness Clinical
Required For: AGNP Acute Care and FNP Doctor of Nursing Practice Students
Course Description: Using evidence-based, patient-centered concepts, to apply, integrate and evaluate advanced assessment, diagnosis, and management of common acute and chronic health issues across the lifespan.

Course Objectives

  • Display and document comprehensive problem-focused assessments correctly including a complete health history and physical examination, for adults from diverse populations across the lifespan.
  • Use critical inquiry, and clinical decision-making skills safely and efficiently to determine current health status and potential health problems.
  • Select appropriate differential diagnoses in the clinical setting.
  • Utilize theories, evidence, and scientific principles to categorize appropriate diagnostic strategies and outline effective patient centered plans of care to address common adult health issues, promote health, and/or prevent disease and injury.
  • Outline safe, effective, high quality, evidence-based, patient centered plans of care across a spectrum of health care settings.
  • Demonstrate partnerships with the patient or designee that enable patient-centered education, counseling, and care that recognizes and respects individual patient, family, and/or caregiver needs, preferences, values, and beliefs.
  • Display the role of the advanced practice nurse practitioner and participate in collaborative relationships with inter-professional team members using communication, mutual respect, and shared decision-making to contribute to quality patient care.

Clinical Competencies

All rotations require hands on, direct patient interaction. Observation only time should be very minimal. Student should acquire the following skills/competencies during this rotation:

  • Taking appropriately comprehensive complete and focused health histories.
  • Reconciliation of health information and medications.
  • Performing appropriately comprehensive complete and focused physical examinations.
  • Selecting and interpreting appropriate diagnostic testing as indicated by the clinical presentation.
  • Developing and prioritizing appropriate differential diagnoses with evidence-based rationale.
  • Identification of risk factors.
  • Patient education / counseling / health promotion and protection.
  • Documentation of a SOAP note. For educational purposes, students are expected to develop a traditional written note in the SOAP format. It is preferred that students document and review notes with their preceptor using this format rather than documenting in the EMR. The SOAP note format is better suited to developing and demonstrating skills of diagnostic reasoning than is an EMR template).

Note:  No procedures at this stage and limited expectation for developing a management plan since students have not yet had Procedures and Diagnostic