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Basic Health Management Rotation (NURS-DNP 537)

Overview

Rotation builds upon Rotation 1 to include development and evaluation of an evidence based management plan of care. Placed with a Hospitalist.

NURS-DNP 537: Acute Care Management of Adult/Geriatric Health and Illness
Required for: AGNP Acute Care Doctor of Nursing Practice Students
Course Description: Fosters development and application of expanded therapeutic and interventional skills to assess, diagnose, and manage care for adult and geriatric populations with complex acute, critical, and chronic health conditions in the acute care setting.

Course Objectives

  • Demonstrate and document comprehensive problem-focused assessments correctly, including a complete health history and physical examination and plan of care, for adults from diverse populations, across the lifespan, in the acute care setting.
  • Assemble theories, scientific principles, patient data, critical inquiry, and clinical decision-making to accurately determine current health status and potential health problems, including acute, chronic, and life-threatening issues.
  • Prioritize appropriate differential diagnoses in the clinical setting.
  • Examine theories, evidence, and scientific principles to analyze appropriate diagnostic strategies and determine effective patient centered plans of care to manage the acutely ill adult-geriatric populations with unstable, chronic, and episodic illness and/or injury.
  • Determine safe, effective, high quality, evidence-based, patient centered plans of care across a spectrum of health care settings.
  • Synthesize partnerships with the patient or designee to select patient-centered education, counseling, and care that recognizes and respects individual patient, family, and/or caregiver needs, preferences, values, and beliefs.
  • Demonstrate competency in the role of the advanced practice nurse practitioner and application of collaboration, communication, mutual respect, and shared decision-making skills as an inter-professional team member.

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 histories and medication.
  • Performing appropriately comprehensive complete and focused physical examinations.
  • Selecting and interpreting appropriate diagnostic testing as indicated by the clinical presentation.
  • Identification of risk factors.
  • Developing appropriate differential diagnoses with evidence based rationale.
  • Arriving at final working diagnosis with evidence based rationale.
  • Development of a management plan with preceptor guidance.
  • Patient education / counseling / health promotion and protection.
  • Evaluation of management plans with preceptor guidance.
  • May perform scope specific procedures under direct preceptor supervision.
  • 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.