ubusiness u: uplease note u: the meeting will be in...

UMARYLAND BOARD OF NURSING

UBOARD MEETING UOPEN AGENDA

DATE: November 15, 2017 TIME: 9:00 A.M.

PLACE: Maryland Board of Nursing

4140 Patterson Avenue Baltimore, Maryland UBUSINESSU: UPLEASE NOTEU: THE MEETING WILL BE IN OPEN SESSION FROM 9:00 A.M. UNTIL APPROXIMATELY 10:00 A.M. WITH CLOSED SESSION IMMEDIATELY FOLLOWING.

1. UCall to Order

A. Roll Call and Declaration of Quorum

2. UConsent Agenda A. Approval of Nurse Practitioner Schools Programs (Ann Tyminski)

1. Clarkson College, Omaha, NE - Adult Gerontology Primary Care Nurse Practitioner, MSN and Postmaster's.

2. Seton Hall University, South Orange, NJ - Adult Gerontology Primary Care Nurse Practitioner, MSN

3. UDiscussion of Items Removed from Consent Agenda

4. UEducationU (Dr. Patricia Kennedy)

a. Wor-Wic Community College, Department of Nursing implements transition courses for all non-graduates of their Licensed Practical Nurse (LPN) Certificate Program

5. UPractice and Certification U (Monica Mentzer)

No Items

Open Session Agenda November 15, 2017

6. ULicensure U(Keva Jackson McCoy) No Items 7. UAdministrative and Legislative (UShirley Devaris)

a. Request approval to publish Amendments for: COMAR 10.27.21 - Registered Nurse – Forensic Nurse Examiner COMAR 10.27.26 - Sanctioning Guidelines

8. UDirect Entry Midwives and Electrology U– (Ann Tyminski) No Items

STATE OF MARYLAND

Boa.r RSING

To: Board Members

MARYLAND BOARD OF NURSING 4140 PATTERSON AVENUE

BAL TIM ORE, MARYLAND 21215-2254

(410) 585-1900 (410) 358-3530 FAX

(410) 585-1978 AUTOMATED VERIFICATION

1-888-202-9861 TOLL FREE

2A

From: Ann E. Tyminski, Administrator ;:;;~ f · ~ Advanced Practice School Programs

Re: Request for Program Approvals

Date: November 15, 2017

The Board is requested to approve the following programs:

Clarkson College, Omaha, Nebraska, Adult Gerontology Primary Care Nurse Practitioner, MSN Clarkson College, Omaha, Nebraska, Adult Gerontology Primary Care Nurse Practitioner, Post Master's

Seton Hall University, South Orange, N.J., Adult Gerontology Primary Care Nurse Practitioner, MSN

aet encls.

7/17

,CRITERIA FOR EVALUATION NURSE PRACTITIONER EDUCATIONAL PROGRAMS

CHECKLIST

SCHOOL NAME: C I Cir' /:'£'on Co ( r~c1 e NP PROGRAM TRACK: /I du 1-f cfl .e,£J r7"9-z, I 7 ,J

/Jri',no.,,-y (! IL re_ IV' CU'S"'e fhzcl--. ·f1ane

DEGREE: ftfa. .~.fer.s CU?d ~~ /ffa~~

Nurse Practitioner faculty have, at the minimum, a master's degree 10.27.07.06.B(l) >< The program operates within an institution of higher learning that is currently accredited by an X accrediting agency recognized by the United States Office of Education 10.27.07.06.B(2)

Students are registered nurses who have completed a formal educational program 10.27.07.06.B(3) x_

A variety of clinical sites are used and provide the students with a variety of learning X experiences relevant to the area of specialty study and population specific core competencies 10.27.07.06.B(4)

Curriculum content is appropriate for the specialty and has a didactic and clinical curriculum that, at a minimum, includes advanced courses in: 10.27.07.06.B(S) :,,(.

(a) Physiology & Pathophysiology X (b) Physical and health assessment X ( c) Pharmacology; and

X (d) Diagnosis and management of health problems and diseases commonly encountered within the respective nurse practitioner's population focus

__ ClinicaLpractice is supervise_d by the. faculty 10.27.07.06.B(6) .. f

The NP program is a nationally accredited education program X

10.27.07.06.C(l)

J l.Approve 0 *2. Disapprove D *3. Approve with clarification

* Must have written comments if checked:

Comments:

Signature of Reviewer __ acc....;_..;__; __ E'_. -~--:nF<----<-'----'---'--. -'---'-· _______ Date /d /~Y /2 z

10/92 Revised l l/97; 10/2015; 3/2016

Approved by Board: 2/24/98 , 11/2015

Ir

STATE OF MARYLAND MARYLAND BOARD OF NURSING 4140PATTERSON AVENUE

BALTIMORE, MARYLAND 21215-2254

Bo ·11 NG (410) 585-1900 (410) 358-3530 FAX

(410) 585-1978 AUTOMATED VERIFICATION

1-888-202-9861 TOLL FREE

I

INFORMATION REQUIRED FOR NURSE PRACTITIONER PROGRAM APPROVAL

The Board of Nursing must review and approve an applicant's nurse practitioner educational program, before it issues nurse practitioner certification to practice in Maryland. The program approval process is associated with Maryland Regulation 10.27.07.03 {nurse practitioner certification). · ·

The answers to the following questions will assist the Board's review of your nurse practitioner program. Please include appropriate documentation to support the information you submit.

ANSWER THE FOLLOWING QUESTIONS:

Clarkson College 101 S. 42nd Street

NAME AND FULL ADDRESS Omaha, NE 68131

OF COLLEGE OR UNIVERSITY

Dr. Layna Himmelberg, MSN, CNE Professor & Director, Graduate Nursing

CONTACT PERSON'S NAME, 402.552.2776

TITLE AND TELEPHONE NUMBER

PAGE 1 OF 8

I

~fi1il5, IJG;g8 PrHtUioner (Ma@mri: t:iM Psst Ma~er'o} NAME OF THE NURSE PRACTITIONER PROGRAM/TRACT Adult-Gerontology Primary Care Nurse Practitioner

& (Master's and Post Master's) DEGREE/CERTIFICATE

CONFERRED (POST MASTER'S OR MASTER'S)

PROGRAM: -- Classroom XX On line

DA TE OF PROGRAM OPERATION 1991

ACCREDITATION

NAME OF THE ACEN

ACCREDITATION/APPROVAL AGENCY

DATES OF PROGRAM Last review October 2015; continuing accreditation with conditions and follow-up report due Spring 2018, next

ACCREDITATION review Fall 2023

IS THE PROGRAM AFFILIATED WITH OR CONDUCTED BY A MEDICAL, PUBLIC HEAL TH, NURSING, OR A MEDICAL FACILITY?

IF YES, GIVE THE NAME OF THE MEDICAL, PUBLIC HEAL TH,

fill D NURSING OR MEDICAL FACILITY.

Nebraska Medicine Omaha, NE

YES NO

PAGE 2 OF S

WHAT ARE THE ADMISSION REQUIREMENTS?

"English proficiency *Official transcript

• *Scholarly essay I *2 professional references i *Resume 1 *Acute Care SkiHs Assessment Form ·Technical Standards Form *At least 2 years experience/BSN from an accredited program, 3 .0 GPA and a valid RN license

ARE THE STUDENTS IZ] D REGISTERED NURSES? YES NO

SUBMIT A SAMPLE [FULL-TIME] CURRENT PROGRAM OF STUDY FOR THIS NURSE PRACTITIONER PROGRAM

PRESENT COURSE DESCRIPTIONS FOR THIS NURSE PRACTITIONER TRACK

PAGE 30F6

FACULTY LIST THE FACULTY FOR THIS NURSE PRACTITIONER TRACK

(INCLUDE PROFESSIONAL ACADEMIC CREDENTIALS AND PRACTICE AFFILIATIONS)

Kris Smith, MSN, ARNP, FNP George Smith , MSN, ARNP, FNP Robyn Helser, MSN, APRN, FNP Pam Holtz, DNP, APRN, FNP-C Anne Darga , MSN, ARNP, FNP-C Kelly Pelcher, DNP, APRN, FNP-C Candice Carter, MSN, APRN Martha Nepper, PhD, RD, LMNT, COE Joe Councill, MSN, APRN, PMHNP-BC Kim Brown, DNP, APRN, FNP-C Cece Norton, MSN, APRN, CNM Jullle Greenwood, MSN, APRN Dena Neiman, MSN, APRN, FNP Elizabeth Hastreiter, MSN, APRN, FNP Layna Hlinmelberg, EdD, MSN, CNE Jene Langemeler, PhD, MSN Elizabeth Rogan, EdD, MSN-Ed, MA, RN, CNE Janet Henriksen, PhD, MBNHCM, BSN, RN Linda Jensen, PhD, MSN, RN Jodi Flynn, MS Valerie McGIii, JD

CLINICAL PRACTICE SITES

LIST EXAMPLES OF THE FACILITIES OR PRACTICE SETTINGS USED FOR CLINICAL PRACTICE SITES FOR

THIS NURSE PRACTITIONER SPECIAL TY (HOSPITALS, NURSING HOMES, PRIVATE OFFICES, SPECIALTY CLINICS ETC.)

Community health clinics, specialty clinics, private medical practices, outpatient care centers

IF OTHER THAN FACULTY; LIST THE NAME AND CREDENTIALS OF PRECEPTORS

Students find their own preceptors for each clinical rotation. These must be approved by the faculty and the program. Contracts are signed with each preceptor/clinical site prior to the student attending. See attached NP Preceptor Guidelines.

PAGE 4 OF 6

HOW ARE STUDENTS EVALUATED IN CLINICAL SETTINGS?

Preceptors evaluate the students with in clinical area through the Typhon system (midterm and final evaluations). Faculty review all documentation within Typhon as well as contact at least 10% of their student's preceptors each semester. Students also evaluate themselves at midterm and final evaluations through the Typhon system.

NUMBER OF CLINICAL PRACTICE PROGRAM HOURS 650

FORWARD BY:

MAIL:

OR

EMAIL:

APPROVED BY BOARD: 2/24/98

Quandra Horton Advanced Practice Unit Maryland Board of Nursing 4140 Patterson Avenue Baltimore, MD 21215-2254

[email protected]

REVISED: Sf}.0/97, 5/16/03, 12/20/05, 10/06, 3/07, 1/23/2012, 2/2013, 6/2013

PAGE 6 OF 6

CRITERIA FOR EVALUATION NURSE PRACTITIONER EDUCATIONAL PROGRAMS

CHECKLIST

The program is at least one academic year or nine calendar months in length including at least four months didactic instruction

The progrnm operates within an institution of higher learning that is currently accredited by an accrediting agency recognized by the United States Office of Education

The program is conducted by a collegiate school ofnursing, medicine or public health or the nur$ing and medical faculty affiliated with one of these schools

Program content is provided by nurse pructitioners, nurses, physicians and other appropriately credentialed professionals

Students are registered nurses who have completed a fonnal educational program

A variety of clinical ~itei1 are used and provide the students with a variety of learning experiences relevant to the area of specialty study

Nurse Practitioner faculty have, at the minimum, a masters degree

Other faculty, including preceptors, have credential appropriate to their discipline and expertise relevant to the nurse practitioner curriculum

Clinical practice is supervised by the faculty

Curriculum content is appropriate for the specialty and includes: Advanced health/physical assessment including history tal<lng,

interviewing and communication

Advanced physiology/pathophysiology

Ciinical decision making

Diagnosis and management of health problems commonly encountered in practice

Health promotion/disease prevention

Health teaching and counseling

Nurse practitioner role

Pharmacology equaling a minimum of 3 semester hours

Clinical practice of the specific program hours. A minimum of 500 hours shall be sufficient in quantity and quality to achieve the stated objectives

l <Wl llcvisud 11 11>7

Appl0\'e4 b~ Bow: 2/WJI

PAGE 6 OF 6

X

X

X

X

X

X

X

X

X

X

X

X

X

X

.x

X

X

X

Attached Documents

l. Sequence Plans a. Adult Gerontology b. Adult Gerontology Certificate (post-masters)

c. FNP d. FNP Certificate (post-masters)

2. Courses/course descriptions 3. Preceptor Guidelines

MSN COURSE SEQUENCE PIAN - AGPCNP (Admitted FA17)

~ Name: _____________________ ______ _

Address: _ _________ _______ _______ ___ _ Date:~----~--

Phone: _________ _

ColleF

.1

NS 842 and NS 831 are lnterchangable for NUAGP students. ' s/12 .LlghtBlue=Core · ···•·· ··· ····· ·-- · ·· -- ··

8/12 Yellow = Not Movable I I . .. . Notes· . . .

Ken l.eipr 402-552-6214 [email protected]

0

MSN COURSE SEQUENCE Pf.AN· AGKNP aRTIRCATE (Admitted FA11)

~ Nama: _____________________________ _

:Addrass: ------------------------------Date:--------

Phone: _______ _

CdJege ,_ ........

Completed 29 • (If not Clarkson Grad)

NS 842 and NS 831 are interchangable for NUAGP students.

Note$

Ken Zel&er 402·552-6214 zelgerl:[email protected]

0

MSN COURSE SEQUENCE PLAN - FNP (Admitted FAl1)

Clarkson Oll1eF

Name: ____________________ '------Address: ________________________ _

NS 842 and NS 840 are lnterchangable for FNP Students.

8/12 Light Blue = Care

8/12 Yellow= Not Movable I I Notes

47

Date: _______ _

Phone: _______ _ KenZetcer 402-552-6214 ttlger\<en@!lclarksoncollege.edu

0

MSN COURSE SEQUENCE PLAN· FNP aRTIF/CATE (AdmJtted FAl7}

~ Name: __________________________ _

Address: ---------------------------Date: _______ _

Phone: _______ _

C-o11ege _ .. Ile .. _

29 • (If not Clarkson Grad)

NS 842 and NS 840 are interchangable for FNP Students.

Notes

Ken lelger 402-552-6214 [email protected]

0

Courses for NPs:

GR 798 Essentials of Scholarly Writing One semester hour This course offers one hour of credit for developing skills needed to compose an evidence review of primary studies to address a focused question aimed at improving health care and/or health education. A review of methods to organize the document will be emphasized as well as sharpening basic writing skills, grammar, punctuation, and improving study requirements needed for the scholarly document appropriate for the academic community and professional healthcare arena.

NS 799 Role Transition

One semester hour This course provides a framework for the transition to graduate education and serves as a foundation for the graduate program at Clarkson College. Students will learn how to effectively write scholarly papers, both in terms of format and AP A style, and discuss the graduate student role as well as personal challenges to graduate education. This course provides an oyerview of the Clarkson College online course management platform. It includes a preview of the instructional methods and format of the courses, as well as special features within the course management platform.

NS 800 Theories and Concepts of Advanced Practice Roles Two semester hours This course provides an overview of the roles of the master's prepared nurse. The history, growth, and challenges of advanced practice will be explored. Educational requirements, licensure, credentialing, roles, scope of practice, and practice environments to include cultural aspects, ethical, and legal issues for master's prepared nurses will be reviewed. Various health policies will be discussed in relationship to the role of the master's prepared nurse.

NS 803 Health Care Delivery Systems and Managed Careo

Two semester hours This course is an overview of the United States health care system as compared to health systems in other countries. It includes the study of the evolution and current ~iate of health care services and insurance, health professionals, quality, health policy, and health services financing. HM Os, PPOs, and POS plans will be reviewed. Additionally, managed care objectives, functions and contracting will be discussed. This course emphasizes student engagement using a required service experience.

NS 805 Application and Evaluation of Theory in Nursing Two semester hours This course provides a general introduction to the philosophy of science as it applies to social and human phenomena. The history and process of theory development is discussed and various theories of nursing are analyzed and critiqued. Emphasis is placed on the application of nursing theories related to QSEN, IOM, Healthy People 2020, and evidence-based practice in a variety of settings. Through integrating theory and practice, students are given the opportunity to formulate their own personal application of theory in professional, education, research and service activities.

NS 808 Nursing Law and Ethics<>

Three semester hours This course provides various ethical frameworks and an overvie1-v of the U.S. legal system, as a basis for analyzing health care issues affecting health care institutions, individual patients throughout their life spans, and health care providers. Students will locate and identify primary legal resources related to nursing in order to answer specific legal questions related to their individuals nursing practices. Overall legal-ethical issues common to health care administration, expanded practice nursing, and health care education are reviewed. Selected complex health care ethical dilemmas, such as right to life, right to die, and health care allocation are examined. This course emphasizes student engagement using a required service experience. ·

NS 812 Research Design and Methods Three semester hours This course will examine the relationships among nursing theory, research and practice. An emphasis is placed on research competencies for the master's prepared professional nurse. The student will demonstrate knowledge of the research process, development of a researchable question, basic research designs, and research methodologies for the development of a research proposal applicable to nursing practice.

J NS 830 Advanced Physical Assessment Three semester hours This course examines the management of common health problems for adults in primary care. A conceptual framework for the primary care nurse practitioner's clinical practice is explored. The course addresses the concepts of primary health care promotion and maintenance, illness prevention, differentiation of clinical patterns, and clinical decision-making. Refinement of diagnostic reasoning strategies will be the focus. Principles of teaching/learning, family assessment to include the geriatric client, cost analysis, and cultural and spiritual beliefs are integrated in the development of evidence-based practice plans of care. The concept of caring and its role in evidencebased practice will be woven throughout the course. The course will examine the use of informatics in relation to negotiating and managing healthcare delivery systems as members of an interdisciplinary team. The course will integrate advocating professional behavior that advances the profession and improves health outcomes. Note: Requires preceptor and clinical site approval prior to registration. A Graduate Weekend is associated with this course. Clinical hours: 50.

J NS 831 Primary Care of the Adult-Gerontology Client Three semester hours This course provides the student with a framework for adult-gerontology primary care nursing pra<-1ice. The dynamic of aging and its effects on older adults and their health will be presented. Content focuses on the geriatric assessment, differential diagnoses, and data analysis of acute and chronic conditions. Common clinical issues experienced by geriatric clients and the effect on their well-being will be explored. Advanced planning for end of life issues will be discussed. Current practices, teaching-learning strategies and evidenced-based finding will support the implementation of interdisciplinary healthcare management of the adult-gerontology client Note: Requires preceptor and clinical site approval prior to registration Clinical hours: 160

NS 832 Primary Health Care 1 Three semester hours This course examines management of common health problems for adults in primary care. A conceptual framework for the primary care nurse practitioner's clinical practice is explored. The course addresses the concepts of primary care health promotion and maintenance, illness prevention, differentiation of clinical patterns, and clinical decision-making. Refinement of

I diagnostic reasoning strategies will be a focus. Principles of teaching/learning, family assessment to include the geriatric client, cost analysis, and cultural beliefs are integrated in the development of evidence-,based practice plans of care. The concept of caring and it's role in evidence-based practice will be woven throughout the course. The course will examine the use of informatics in relation to negotiating and managing healthcare delivery systems as members of an interdisciplinary team. The course will integrate advocating professional behavior that advances the profession and improves health outcomes. Note: Requires preceptor and clinical site approval prior to registration. A Graduate Weekend is associated with this course. Clinical hours: 120.

NS 834 Advanced Nutrition¢ Three semester hours This course emphasizes the essential components of nutrition including cultural aspects to prevent disease and promote and restore the health of individuals and families. Therapeutic diets will be included. This course emphasizes student engagement using a required service experience.

J NS 836 Pharmacology for Practitioners Three semester hours This course will build upon information learned during undergraduate nursing pharmacology courses and refined in practice. Students will review where, why, and how various classes of drugs exert their therapeutic effects (pharmacodynamics). Pharm.acokinetic concepts (i.e., the ac,'tions of the body on a drug) will also be reviewed. More importantly, advanced practice students will learn to integrate the clinical application of medications in practice to assume the prescriber role of advanced practice. Through the integration of pharmacoki-netics and pharmacodynamics, students will gain an understanding of the predictable nature of the therapeutic actions, correlation of pathophysiology and diagnosis to safely prescribe (pharmacotherapeutic intervention) the appropriate medication across the life span.

J NS 838 Advanced Pathophysiology

Three semester hours Pathophysiology is the study of how cells, tissues, organs and organ systems respond to disease. This course is designed to provide the student with a comprehensive foundation of the phenomena that produce alterations in human physiologic function across the lifespan. The course examines general principles of path.ology such as inflammation, wound healing, genetic diseases and oncology. The course explores the mechanisms of how disease affects function, and how systems respond to each disease and compensate for disease.

NS 840 Primary Care of Children and Adolescents Three semester hours This course focuses on the management of the common health problems of individuals from birth to adolescence. The course integrates the concepts of primary health care promotion and maintenance, illness prevention, differentiation of clinical patterns, and clinical decision-making. Planning and evaluating care relative to the pediatric client will be emphasized. Note: Requires preceptor and clinical site approval prior to registration. Clinical hours: 160.

NS 843 Behavioral Health Care for Practitioners Two semester hours This course examines key mental health concepts and strategies for Primary Care Nurse Practitioners in various healthcare settings serving diverse populations across the life span. The course provides a theoretical basis for understanding the neurological underpinnings of common mental health illnesses. There is an emphasis on understanding the neuroscience behind common psychopharmacological treatments which aides in the selection of appropriate evidence based treatments for patients. Clinical hours: None

NS 842 Primary Care ofWomen Three semester hours This course examines management of common physical and psychological health issues facing women. Through the use of evidence-based practice as well as teamwork and collaboration, diagnostic reasoning strategies will be developed. Principles of client-centered care, safety, quality improvement, cost analysis, and cultural beliefs are integrated in the development of care strategies. The concept of caring and how it plays a part in the evidence-based practice will be woven throughout the course. Note: Requires preceptor and clinical site approval prior to registration. Clinical hours: 160.

J NS 844 Primary Heslth Care II Three semester hours This course examines the management of adult clients with complex/chronic health problems in primary care settings, with special attention given to the geriatric client and clients with emergency issues. A conceptual framework for the primary care nurse practitioner's clinical practice is explored. The course addresses the levels of health promotion, differentiation of clinical patterns, and clinical decision-making. Refinement of diagnostic reasoning strategies will be emphasized. Principles of teaching/learning, family assessment to include the geriatric client, cost analysis, and cultural and spiritual beliefs are integrated in the development of evidence-based practice plans of care. The concept of caring and its role in evidence-based practice wiII be woven throughout the course. The course will also examine the use of i,nformatics that relates to management and negotiation of interdisciplinary healthcare delivery systems. The course will integrate the principles of professional advocacy to improve health outcomes. Note: Requires preceptor and clinical site approval prior to registration. A Graduate Weekend is associated with this course. Clinical hours: 160.

NS 84 7 Applied Statistics Three semester hours An in-depth coverage of the strategies involved in data ana1ysis, including statistical procedures and interpretation of data for research. Students will apply knowledge of descriptive, parametric, nonparametric, univariate, and selected multivariate approaches to data analysis. Emphasis will be on interpretation of statistical results and on evaluation of published research and its applicability to health care. Each student is expected to be familiar with common terminology and with use of descriptive and inferential statistical techniques, including probability, chi-square, student t analysis of variance, rank sum, Mann Whitney U, median test, ·sign test, and correlation.

NS 910 Evidence-Based Practice Research Project I One semester hour NS 910 is the first of three courses culminating in a scholarly, evidence-based practice journal article and poster presentation. The EBP research project allows students to investigate a question of practical importance, or investigate a nursing problem of practice importance by developing and testing an intervention, curriculum or protocol for application to a specific population within a specific setting. Each student will complete a problem statement, theoretical framework and compile a literature review to include the concepts of QSEN, IOM, Healthy People 2020, gerontology, and/or genetics and genomics as appropriate, according to established requirements relevant to their area of concentration.

NS 911 Evidence-Based Practice Research Project II Two semester hour NS 911 is the second of three courses culminating in a scholarly, evidence-based practice journal article and poster presentation. The EBP research project allows students to investigate a question of practical importance, or investigate a nursing problem of practice importance by developing and testing an intervention, curriculum or protocol for application to a specific population within a specific setting. The student will build on the material completed in NS 910 and will add the methodology, IRB components and journal query letter. During this process the student will implement evidence-based practice guidelines to include the concepts of QSEN, IOM, Healthy People 2020, gerontology, and/or genetics and genomic.'> as appropriate.

NS 912 Evidence-Based Practice Research Project Ill One semester hour NS 912 is the final course in the three courses culminating in a scholarly, evidence-based practice journal article and poster presentation. The EBP research project allows students to investigate a question of practical importance, or investigate a nursing problem of practice importance by developing and testing an intervention, curriculum, or protocol for application to a specific population within a specific setting. The student will build on the material completed in NS 910 I and NS 911 II and will complete the project to include data collection and analysis, findings, discussion, implications and or recommendations, and conclusions. A completed journal article and poster presentation is required. The student will evaluate evidence-based practice guidelines to include the concepts of QSEN, IOM, Healthy People 2020, gerontology, and/or genetics and genomics as appropriate.

Preceptor Guidelines for the Nurse Practitioner Program

Guideline Review Select the preceptor guidefine(s) you w ish to review: NS 830: Advanced Physical Assessment NS 832: Primary Heafth Care I NS 840: Primary Care of Children and Adolescents NS 841: Behavioral Health Care for Practitioners NS 842: Primary Care of Women NS 844: Primary Care Ii

9 Clarkson

College Plq,metobethobc

NURSE PRACTITIONER PROGRAM

Preceptor Guidelines for NS 830: Advanced Physical Assessment

Introduction The Clarkson Nurse Practitioner (NP) student comes to your setting with a background in basic nursing practice, During the course of study, the student is expected to expand this knowledge to enable her or him to provide primary care to individuals and families. The course in which the student is currently enrolled is an advanced physical assessment course. The first portion of the course focuses on learning, history-taking and assessr:nent skills applicable to relatively well adults. Subsequent experiences need to Include refinement of history-taking and physical assessment skills, as well as formulation of wellness/health-maintenance plans for individuals across the age continuum.

The preceptor's responsibility for this course is to provide clinical experiences and guidance for the NP student. You will need to facilitate development of skills necessary to accurately and thoroughly assess patients during the history and physical process and to effectively record the findings. You will also need to assist the student In providing health-maintenance teaching for patients of all ages - neonate through frail elderly. Pregnancy/postpartum care is to be included. As the student progresses through the course, skills are expected to improve. The student will need opportunities to develop the following skills with patients of all age groups:

• Obtain comprehensive, complete health histories. • Perform comprehensive, complete physical examinations. • Assess developmental needs of patients. • Accurately document history and examination in patient record. • Distinguish between normal and abnormal findings, including recognizing variations of normal. • Contribute to professional collaboration, case management, and referral processes.

Students are expected to interview and examine an increasing number of patients independently as the semester progresses. All cases, however, should be "staffed" with the preceptor. Examples of types of patients to which the student should be assigned are those who need:

• Employment physicals.

• Well-baby exams. • Well-child checkups. • Well-adult physicals. • Well-woman examinations with pelvic exam and pap smear.

• Specific health promotion needs, such as: · o Environmental/health behavior risk assessment. o Parenting guidance. o Adolescent self-care. o Self-breast exam. o Testicular self-exam. o Cancer risk reduction.

.·


Preceptor Guidelines for NS 832: Primary Health Care I

Introduction The Clarkson Nurse Practitioner (NP) student comes to your practice with a background in baccalaureate level nursing practice. During this semester's course of study, the second in a series of five clinical courses, the student is expected to expand this knowledge to enable her or him to provide primary care to individuals and families. The course in which the student is currently enrolled examines management of common physical and psychological health problems for adults in primary care. Refinement of diagnostic reasoning strategies will be the focus.

Your responsibility to the NP students for this course is to provide clinical experiences and guidance related to patients who have relatively acute, common physical and psychological health problems. You will need to facilitate development of skills necessary to accurately and thoroughly assess patients during the history and physical process and to effectively record the process. You will also need to assist the student to use developmental and psycho-behavioral assessment tools, and to provide health-maintenance teaching related to healthy lifestyle for patients across the life span. As the student progresses through the course, skills are expected to improve. The student will need opportunities to develop the following skills with patients across the life span:

• Obtain comprehensive, complete health histories. • Perform comprehensive, focused physical examinations.

• Assess developmental, psychosocial needs of patients using standardized protocols/screening measures. • Accurately document history and examination in patient record. • Distinguish between normal and abnormal findings, including recognizing variations of normal.

• Use current standards of practice and published clinical research to determine plans of care. • Contribute to professional collaboration, case management, and referral processes.

Students are expected to interview and examine some patients independently; however, all cases should be "staffed" with the preceptor. Examples of types of patients to which the student should especially be assigned are those who present for: ·

• Acute and stable chronic hematologic problems.

• Common dermatologic problems. • Acute and chronic upper and lower respiratory tract diseases. • Conditions of the:

o Eye o Head and Neck o . Ear, nose and throat

• Employment physicals. ~ Well-child checkups. • Well-adult physicals. • Well-woman examinations with pelvic exam and pap smear.


Preceptor Guidelines for NS 840: Primary Care for Children and Adolescents

8 Clarkson

College Pzcpm:tobothebelt.

Introduction The Clarkson Nurse Practitioner (NP) student comes to your practice with a background in baccalaureate level nursing practice. The student is expected to expand this knowledge to enable her or him to provide primary care to individuals and families. This clinical practicum is one of five during which the student should acquire necessary primary care skills related to common acute medical health problems and stable chronic illnesses related to children and adolescents. Your responsibility for the course is to provide clinical experiences and guidance for the NP student, particularly related to physical and psychosocial issues for children and adolescents. You will need to facilitate development of skills necessary to provide primary care to patients with acute, minor, and stable chronic health problems, and to provide health-maintenance care these patients. Expected clinical outcomes are listed below.

Students will need opportunities to develop skills in each of the following activities with patients from infancy through adolescence.

• Obtain focused or comprehen_sive health histories.

• Perform focused or comprehensive physical examinations to include specific assessment procedures. • Assess developmental and psychosocial needs of patients using standardized protocols/assessment

measures. • Accurately and concisely document history and examination in patient record. • Distinguish between normal and abnormal findings, recognize variations or normal, formulate clinical

diagnostic patterns, and begin to determine differential diagnoses.

• Develop plans of care that include screening and diagnostic tests, medication, patient education, referrals, and follow-up visits using current standards of practice.

• Contribute to professional collaboration, case management, and referral processes.

During each clinical experience, students are expected to interview and examine most assigned patients independently; however, all cases should be staffed with the preceptor. Examples of types of patients to which the student should be assigned during this clinical course are those infants, children, and adolescents with :

• Acute or stable chronic hematologic disorders requiring monitoring and general healthmaintenance

• Stable malignancies requiring healthmaintenance, pain management, or treatment i>f a simple acute illness or injury.

• Common dermatologic problems. • Cardiovascular problems. • Gastrointestinal problems. • Neurological problems. • Musculoskeletal problems.

• Conditions involving the: o Eye. o Head and neck. o Ear, nose, mouth, and throat. o Acute or chronic upper and lower

respiratory tract infectious diseases. • Need for employment physicals.

• Need for well-baby check-ups. • Need for well-child checkups. • Need for sports physicals.

. .


Preceptor Guidelines for NS 841: Behavioral Health Care for Practitioners

~ College Pftlpua 1D botbe bat.

Introduction The Clarkson Nurse Practitioner (NP) student comes to your practice with a background in baccalaureate level nursing practice. The student is expected to expand this knowledge to enable her or him to provide primary care to indivlduals and families. This clinical practicum is one of five In which the student should acquire necessary primary care skills related to family problems, behavioral health risk behaviors and common psychiatric disorder. Your responsibility for the course is to provide clinical experiences and guidance for the NP student, particularly related to behavioral health. You will need to facilitate development of skills necessary to provide primary care to patients with common behavior problems and experience interventlonal techniques, and participate in counseling. Expected clinical outcomes are fisted below.

Students will need opportunities to develop skills In each of the following activities with patients in all aspects of women's health.

• Obtain focused or comprehensive health histories.

• · Perform focused or comprehensive physical examinations to include specific assessment procedures.

• Assess developmental and psychosocial needs of patients using standardized protocols/assessment measures.

• Accurately and concisely document history and examination in patient record. • Distinguish between normal and abnormal findings, recognize variations or normal, formulate clinical




During each clinical experience, students are expected to Interview and examine most assigned patients independently; however, all cases should be staffed with the preceptor. Examples of types of patients to which the student should be assigned during this clinical course are patients with:

• Need for common behavioral health assessments

• Need tor counseling 1. behavior change

2. motivational therapies

3. life style contracting

4. stress management

5. biofeedback

6. cognitive therapy for common behavioral health problems. • Need for a variety of interventional techniques • Need for patient/family interactions


Preceptor Guidelines for NS 842: Primary Care of Women

Introduction The Clarkson Nurse Practitioner (NP) student comes to your practice with a background in baccalaureate level nursing practice. The student Is expected to expand this knowledge to enable her or him to provide primary care to Individuals and families. This clinical practicum Is one of five in which the student should acquire necessary primary care skills related to common acute medical health problems and stable chronic illnesses related to women's health. Your responsibility for the course is to provide clinical experiences and guidance for the NP student, particularly related to physical and psychosocial Issues for women. You will need to facilitate development of skills necessary to provide primary care to patients with acute, minor, and stable chronic health problems, and to provide health-maintenance care these patients. Expected clinical outcomes are listed below.

Students will need opportunities to develop skills in each of the following activities with patients in all aspects of women's health.

• Obtain focused or comprehensive health histories.

• Perform focused or comprehensive physical examinations to include specific assessment procedures.


• Accurately and concisely document history and examination In patient record. • Distinguish between normal and abnormal findings, recognize variations or normal, formulate clinical




During each clinical experience, students are expected to interview and examine most assigned patients Independently; however, all cases should be staffed with the preceptor. Examples of types of patients to which the student should be assigned during this clinical course are women with:

• Need for gynecological assessments • Need for well-woman physlcals.

• Need for menopausal care • Need for Pap Smear, breast examinations • Stable malignancies requiring health-maintenance, pain management, or treatment of a simple acute

Illness or injury. • Need for monthly and/or weekly obstetrical visits. • Need post-partum assessment.

•


Preceptor Guidelines for NS 844: Primary Care II

Introduction The Clarkson Nurse Practitioner (NP) student comes to your practice with a background in basic nursing practice. The student is expected to expand th is knowledge to enable her or him to provide primary ca re to individuals and families. Th is clinical practicum is the last of five during wh ich the student will acquire necessary primary care skills. The preceptor's responsibility is to provide clin ical experiences and gu idance for the NP student. You will need to facilitate development of skills necessary to provide primary care to patients with acute, minor, and stable chronic health problems, and to provide health-maintenance care for patients across the life span.

Students will need opportunities to develop skills in each of the following activit ies with patients from infancy through advanced age.

• Obtain focused or comprehensive health histories. • Perform focused or comprehensive physical examinations to include specific assessment procedures.


• Accurately and concisely document history and examination In patient record. • Distinguish between normal and abnormal findings, recognize variations of normal, formulate clinical

diagnostic patterns, and begin to determine differential diagnoses. • Develop plans of care that include screening and diagnostic tests, medication, patient education, referrals,

and follow-up visits . • Contribute to professional collaboratlon, case management, and referral processes.

During each clinical experience, students are expected to interview and examine some patients independently; however, all cases should Involve collaboration with preceptor. Examples of types of patients to which the student should be assigned during this clinical course are those infants, children, adolescents, and adults with need for:

• Employment physicals.

• Well-child checkups. • Well-adult physicals.

• Neurological functional assessment. • Diagnosis and treatment of simple infectious diseases (bacterial, viral, fungal). • Assessment management and follow-up of stable, chronic disorders, and acute disorders/injuries of:

• Musculoskeletal system. • Neurological system. • Endocrine system. • Cardiovascular systems.

7/17

CRlT.ERlA FOR .EV AL UATlON NURSE PRACTITIONER EDUCATIONAL PROGRAMS

CHECKLIST

Se-fen,-, Ha.- 1r SCHOOL NAME:

Un,·ver.5 ;+'(

NP PROGRAM TRACK: f/d u. If- ae,cJv? +a f ocry P,,-r'ntA,,-y &re (l/1,1..r.;e... f?-a.cf. ·--h-;;

DEGREE: /L1 a.s--{---e, '.s ',) fl/u. rs,'';j-

Nurse Practitioner faculty have, at the minimum, a master's degree 10.27.07.06.B{l) X The program operates within an institution of higher learning that is currently accredited by an

A accrediting agency recognized by the United States Office of Education 10.27.07.06.B(2)

Students are registered nurses who have completed a formal educational program 10.27.07.06.B(3) '/-...

A variety of clinical sites are used and provide the students with a variety of learning ;<._. · experiences relevant to the area of specialty study and population specific core competencies

10.27.07.06.B(4)

Curriculum content is appropriate for the specialty and has a didactic and clinical curriculum that, at a minimum, includes advanced courses in: 10.27.07.06.B(S)

~ (a) Physiology & Pathophysiology x.. (b) Physical and health assessment

X. (c) Pharmacology; and (d) Diagnosis and management of health problems and diseases commonly 'j--.

encountered within the respective nurse practitioner's population focus

__ Clinicalpractice is supervised by the faculty 10.27.07.06.B(6) ):.__

The NP program is a nationally accredited education program 10.27.07.06.C( l) ;><-.

M. 1. Approve D *2. Disapprove D *3. Approve with clarification

* Must have written comments if checked:

Comments:

Signature of Reviewer _t2u ____ E_._~--,,...,.._ ___ -__ · ________ Date · / 0 / 3 O // 7

10/92 Revised 11/97; 10/2015; 3/2016

Approved by Board: 2/24/98, 11/2015

II

ST A TE OF MARYLAND

RSING

MARYLAND BOARD OF NURSING 4140 PATTERSON AVEN UE


(410) 585-1900 (410) 358-3530 FAX

(410) 585- 1978 AUTOMATED VERIFICATION

J-888-202-9861 TOLi,, FREE

INFORMATION REQUIRED FOR NURSE PRACTITIONER PROGRAM APPROVAL

7 he Board of Nursing must review and approve an applicant's nurse practitioner educational program, before it issues nurse practitioner certification to practice in Maryland. The program approval process is associated with Maryland Regulation 10.27 .07 .03 (nurse practitioner certification) .

The answers to the following questions will assist the Board's review of your nurse practitioner program. Please include appropriate documentation to support the information you submit.

ANSWER THE FOLLOWING QUESTIONS:

se-ton rlon un1verS\t1 100 JOU·\ \1 oro~e A e . NAME AND FULL ADDRESS 0DLJ\Y\ oro0ge/ T

OF COLLEGE OR UNIVERSITY 07079

GCAbb~ (l\{UY:, N -f\ . ' Dir e v u\' ~ vJattx~ Comp ho Y"I C-E~

CO~T ACT PERSON'S NAME, ctl 6- llJ? \-q58: TITLE AND TELEPHONE NUMBER

PAGE 1 OF 6

I

t ...

MAME OF THE NURSE Ac\u\-t - 6e(onto\09~ \Jf1m0;~ PRACTITIONER PROGRAM/TRACT Cc' e N\)J..se. .p,oe,ti c.Xlef N &

DEGREE/CERTIFICATE CONFERRED (POST MASTER'S

OR MASTER'S)

PROGRAM: -- Classroom )< On line

DATE OF PROGRAM OPERATION fQ\\JSpr1n9,sum~ semes\crs

ACCREDITATION

NAME OF THE

CCNE ACCREDITATION/APPROVAL AGENCY

-·

DATES OF PROGRAM NO\J ern 'oe, \ o, 2008' ---.June. 3D1 2D\q

ACCREDITATION

IS THE PROGRAM AFFILIATED WITH OR CONDUCTED BY A MEDICAL, PUBLIC HEAL TH, NURSING, OR A MEDICAL FACILITY?

IF YES, GIVE THE NAME OF THE MEDICAL, PUBLIC HEAL TH,

D ~ NURSING OR MEDICAL FACILITY.

· YES NO

PAGE 2 OF 6

WHAT ARE THE ADMISSION REQUIREMENTS?

ARE THE STUDENTS ~ D REGISTERED NURSES? YES NO

SUBMIT A SAMPLE [FULL-TIME] CURRENT PROGRAM OF STUDY FOR THIS NURSE PRACTITIONER PROGRAM

PRESENT COURSE DESCRIPTIONS FOR THIS NURSE PRACTITIONER TRACK

PAGE 3 OF 6

)

FACULTY

LIST THE FA CUL TY FOR THIS NURSE PRACTITIONER TRACK (INCLUDE PROFESSIONAL ACADEMIC CREDENTIALS AND PRACTICE AFFILIATIONS)

Jo~c. e t'-1ag \i on e~ PhD jA PNBC 1eresC\ con'r::li I DNPJA?N

CLINICAL PRACTICE SITES

LIST EXAMPLES OF THE FACILITIES OR PRACTICE SETTINGS USED FOR CLINICAL PRACTICE SITES FOR

THIS NURSE PRACTITIONER SPECIAL TY (HOSPITALS, NURSING HOMES PRIVATE OFFICES, SPECIALTY CLINICS, ETC.)

IF OTHER THAN FACULTY; LIST THE NAME AND CREDENTIALS OF PRECEPTORS

PAGE 4 OF 6

HOW ARE STUDENTS EVALUATED IN CLINICAL SETTINGS?

NUMBER OF CLINICAL PRACTICE PROGRAM HOURS

FORWARD BY:

MAIL:

OR

EMAIL:

APPROVED BY BOARD: 2/24/98

Quandra Horton Advanced Practice Unit Maryland Board of Nursing 4140 Patterson Avenue Baltimore, MD 21215-2254

[email protected]

REVISED: 5/20/97, 5/16/03, 12/20/05, 10/06, 3/07, 1/23/2012, 2/2013, 6/2013

PAGE 5 OF 6

CRITERIA FOR EVALUATION NURSE PRACTITIONER EDUCATIONAL PROGRAMS

CHECKLIST

The program is at least one academic year or nine calendar months in length including at least four months didactic instruction

The program operates within an institution of higher learning that is currently accredited by an accrediting agency recognized by the United States Office of Education

The program is conducted by a collegiate school of nursing, medicine or public health or the nursing and medical faculty affiliated with one of these schools

Program content is provided by nurse practitioners, nurses, physicians and other appropriately ererientialed profossionals -Students are registered nurses who have completed a formal educational program

A variety of clinical sites are used and provide the students with a variety of learning experiences relevant to the area of specialty study

Nurse Practitioner faculty have, at the minimum, a masters degree

Other faculty , including preceptors, have credential appropriate to their discipline and expertise relevant to the nurse practitioner curriculum

Clinical practice is supervised by the faculty

Curriculum content is appropriate for the specialty and includes: Advanced health/physical assessment including history taking,

int..rviewing and com 111L1nication

Advanced physiology/pathophysiology

Clinical decision making

Diagnosis and ma~agement of health problems commonly encountered in practice

Health promotion/disease prevention

Health teaching and counseling

Nurse practitioner role

Phar'macology equaling a minimum of 3 semester hours

Clinkal practice of the specific program hours. A minimum of 500 hours shall be sufficient in quantity and quality to achieve the stated objectives

10/Ql R<~iS\.-d ! 119'1

Aprro"etl by O~rtl. l /2-t,"9&

PAGE 6 OF 6

J v v v J ~

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Seton Hall University College of Nursing

MSN-NURSE PRACTITIONER

Students complete courses in theory of advanced nursing practice in wh ich they develop skills in making independent clinical judgments as well as participate in experiences involving peer review, client advocacy, the development of collaborative, interdisciplinary relationsh ips and role negotiation. Clin ical instruction is carried out by nurse practitioners and/or physicians who model collaborative practice behaviors. All courses are completed online.

MSN ADULT-GERONTOLOGY PRIMARY CARE NURSE PRACTITIONER (AGNP) The AGNP program prepares nurses to provide a range of healthcare services that promote wellness, prevent illness and manage health and Illness needs of adults across the lifespan. The scope of practice of either the primary care or acute care NP is not setting specific, but is based on patient care needs. The particular expertise of the primary care AGNP emphasizes disease prevention, health promotion and the management of patients with acute and chronic multi-system health problems. The patient population of the acute care AGNP includes care of patients with complex acute, critical and chronic illness, disability and/or injury. The number of credits and clinical hours are determined by requirements for board certification in adult-gerontology, Graduates of the AGNP MSN track complete a minimum of 600 supe_rvised clinical practice hours and are eligible to sit for national certificat ion in Primary Care or Acute Care through either the American Nurses Credentialing Center, the American Academy of Nurse Practitioners Certification Program or the American Association of Critica l Care Nurses Certification Program.

ADMISSION REQUIREMENTS

Graduate of an accredited baccalaureate or master's degree program in nursing • Documentation of profess ional nursing licensure within the United States • Minimum GPA of 3.0

Satisfactory Test of English as a Foreign Langu;ige (TOEFL) scores for applicants whose native language is not English. Applicants with a degree from a U.S.-accredited college or university are exempt Official transcripts from all post-secondary colleges and schools attended. Transcripts from institutions not accredited in the United States or Canada must also be evaluated, course-by course, by an organization that is a member of the National Association of Credential Evaluation Service (NACES) or by the American Association of Collegiate Registrars and Admissions Officers (AACRAO) Personal statement outlining career goals and objectives Resume or curriculum vitae

• Two reference letters from master's prepared nurses, One professional from a supervisor and one academic. Two professional letters may be accepted fo.r students out of school for an extended time .

• Application fee

Selected c.,., id id ates will be invited for personal interview

APPLICATION

• Application deadline: April 1 for fall November 1 for spring Online application at W!Q,//WWw.shu.edu/ou~QPJy,,!;.frn

.,_.

Adult-Gerontology Primary Care NP Core Course Requirements

Course Name NURS 6124 Forces in Health Care (3) NURS 6123 Theoretical Basis of Nursing (3) NURS 714 1 Nursing Research (3) NURS 6223 Health Promotion (3) NURS 6411 Advanced Clinical Pathophysiology (3) NURS 6415 Clinical Pharmacology (3) NURS i 370 Advanced Health Assessment and Clinical Decision Making (3) NURS 7333 Graduate Nursing Practicum I: Older Years (3) NURS 7243 Advanced Practice Nursing I: Older Years (3) NURS 7349 Graduate Nursing Practicum II : Older Years (4) NURS 7246 Advanced Practice Nursing II : Older Years (3) NURS 7359 Graduate Nursing Practicum III: Older Years (4) NURS 7366 Graduate Nursing Practicum IV: Older Years (4) NURS 7470 Advanced Professional Role Enactment (3) NURS 6221 Health Concepts of Aging (3)

NURS 6123 Theoretical Basis for Advanced Nursing Practict. The course focus includes study of selected contemporary nursing and related theories. Major philosophical and theoretical orientations that provide the foundation for nursing practice are analyzed. Theory development and its connection to empirical research are evaluated. 3 credits NURS 6124 Forces in Health Care This course examines the issues and concepts that are relevant to an understanding of the relationships among forces in health care. Emphasis will be placed on the process ~y which health care policies are formulated and on identifying the central issues within policies together with their supportive and non-supportive argumentation. 3 credits NURS 7141 Nursing Research I This course examines methods of nursing research. Critique of published quantitative and qualitative nursing research studies is conducted. Emphasis is on the utilization of knowledge to provide evidence-based nursing skills. Students develop skills for preparing practice focused, nursing research utilization projects. Prerequisites : Undergraduate Nursing Research course, Undergraduate Basic Statistics Course. 3 credits

NURS 6223 Health Promotion The course focuses on primary, secondary and tertiary levels of prevention across the life span. Age and condition specific strategies for health promotion and risk reduction are synthesized from the physical, social and psychological sciences. The student views the person/family/community from a nursing persp ective, while integrating new theories and strategies for screening and early intervention programs. The provision of comprehensive health promotion and screenir:g are analyzed from am interdisciplinary and public health perspective. 3 credits NURS 6411 Advanced Clinical Pathophysiology Pathogenesis of major conditions will be presented. Symptoms and signs of clinical situations will be analyzed and discussed in order that the student may have an understanding of the etiology of health deviations as well as a cognizance of the rationale for their management. 3 credits NURS 6415 Clinical Pharmacology This co11rse provides a working knowledge of pharmacotherapeutics with emphasis on the needs of clients throughout the lifespan. Concepts in qualitative and quantitative drug actions within the body are discussed. Prerequisite: NURS 6411. 3 credits · NURS 7370 Advanced Health Assessment and Clinical Decision Making The focus of this course is on advanced comprehensive and integrated assessment skills leading to the making of accurate, efficacious, and expedient clinical decisions in the expanded nursing role. Relevancy of data is considered in the contexr of the patients' bio-psycho-socio-economic, cultural, developmental, and functional status. Strategies in shared decision making and decision support are explored. Failed heuristics, biases, and cognitive dispositions to respond are addressed. Assessments relevant to specialties are included. Pre-requisite: NURS 6415, Co-requisite: NURS 7333 or NURS 7334. 3 credits NURS 7333 Graduate Practicum I: Older Years Students spend 135 hours in a practice setting where they acquire mastery of advanced comprehensive and integrated assessmt!nt skills. These include bio-psycho-socioeconomic, developmental and functional appraisals of all

age groups, with a focus on cultural competence. Specialty assessments are incorporated. The student practices advanced assessment skills and begins role acculturation under close preceptorship supervision. Prerequisites: Matriculation for the Master of Science in Nursing Degree or acceptance for the Post-Master's Certificate. Basic Physical Assessment course completed within previous three years, NURS 6415 Corequisite: NURS 7370. 3 credits NURS 7243 Advanced Practice Nursing I: Older Years This course focuses on providing the student nurse practitioner with the necessary knowledge and skills to formulate clinical judgments needed to initiate, manage and evaluate culturally competent health care regimens for adults . Content is built upon concepts of the biopsychosocial aspects taught in the required prerequisites. Emphasis is placed on commonly occurring health problems. The concepts of health promotion and health maintenance are integrated throughout this course. Prerequisites: Successful completion of core courses and NURS 7333 and 7370. Corequisite: NURS 7349. 3 credits NURS ".'349 Graduate Nursing Practicum II: Older Years Students spend 180 hours in a clinical practice setting where they gain skill in providing scientifically-based, culturally competent primary health care to adults and the aged. With faculty guidance and preceptor supervision, students manage the health and illness of clients based upon analysis of findings from health histories, physical examination, developmental and behavioral assessments. Prerequisite: NURS 7333. Corequisite: NURS 7243. 4 credits NURS 7246 Advanced Practice Nursing II: Older Years This co11rse builds on information taught in the required prerequisites and provides the student with the necessary. knowledge and skill to formulate complex clinical judgments needed to initiate, manage, and evaluate culturally competent primary health care regimens for adult'i. The concepts of health promotior:i and health maintenance continue to be integrated throughout this course. Students will continue to synthesize and evaluate theoretical knowledge in primary health care of adults with increased independence and decision-making ability. Prerequisites: NURS 7243 and 7343. Corequisite: NURS 7356. 3 credits

NURS 7359 Graduate Nursing Practicum III: Older Years Students spend 180 hours in a clinical practice setting where they continue to develop skills needed to provide culturally competent primary health care to adults and the aged with increasingly complex health and illness issues. With faculty guidance and preceptor supervision, students manage the health and illness of clients. Prerequisites : NURS 7243, 7349. Corequisite: NURS 7246. 4 credits NURS 7366 Graduate Nursing Practicum IV: Older Years Students send l 80 hours in a clinical practice setting where they continue to integrate and synthesize data and demonstrate expert clinical judgment and decision making in the provisions of culturally competent care for adults and the aged. With faculty and preceptor consultation, students manage the health and illness of increasing numbers of clients with complex problems. Prerequisites: NURS 7359, 7246. Corequisite: NURS 7470. 4 credits NURS 7470 Advanced Professional Role Enactment This course will focus on sensitizing the student to the emerging and ever changing role of the Advanced Practice Nurse. ~tudents will explore the societal , economic, and politico-legal developments affecting acceptance and utilization of the role. Issues related to role development, leadership skills and case management for diverse client populations are analyzed. Prerequisite: Three semesters of advanced practice clinical nursing courses. 3 credits NURS 6221 Health Concepts for Aging This didactic course is designed to explore issues related to care of the elderly, including healthful aging, and issues related to chronic illness and frailty . Age related changes and the '>iopsychosocial theories of aging will provide the foundation for understanding key aspects of healthful aging. Principles of evidence-based practice will be utilized to explore the management of chronic health problems unique to older adults. An analysis of public policy and the impact of the prospective payment system in long-term care wi II highlight the constraints of healthcare services to institutionalize and community residing elders. Prerequisite: NURS 7243 or 7236. 3 credits

SETON HALL UNIVERSITY COLLEGE OF NURSING CLINICAL EVALUATION TOOL

STUDENT: ______ _ _ _ _ _ _ _ _ _

This form contains three sections to be evaluated by the preceptor: A. Data Collection B. Clinical Role Decision Making C. Role Development

The Nurse Practitioner student is evaluated two times during the clinical practicum at. mid~scmesler and final end of seme::.ter. At each poini in the evnlualion process, a ce11ain level of functioning is expected by the student. These expectations will serve as guidelines for determining appropriate behaviors and skills. Each subsequent evaluation builds on experience and knowledge, with increased expectations under each category.

The evaluation period and dates for submission are as follows (circle one): SPRING EYALUATlON: Mid semester, Final FALL EVALUATION: Mid semester, Final

Please rate each observation using the following criteria as guidelines, with the appropriate expectation level in mind.

NOT OBSERVED/ a. Does not need to perform task or procedure in this setting NOT APPLICABLE b. Unable to be observed in this setting

C. Not observed DOES NOT MEET The student is not learning a particular skill at a rate and level expected at this time; needs EXPECT A. 'IONS constant one-to-one assistance, guidance, review and/or supervision.

a. Omits task or procedure which is appropriate to client or complaint b. Unsafe with patients C. Unable to .improve interview and physical assessment skills as expected d. Does not apply knowledge and/or lacks knowledite for clinical management

SUPPORT The student has knowledge or understanding or a particular skill expected at this level, but REQUIRED needs frequent assistance, guidance and/or review.

a. Does not obtain pertinent/complete data b. Procedure only partially or unsafely performed C. Procedure performed with incorrect technique d. Rarely applies knowledge and/or skill

MEETS The student is learning a particular skill at a rate and level that is expected at this time, EXPECTATIONS with prt!ceptor consultation when appropriate.

a. Elicits most, but not all, major pertinent data b. Performs tasks and procedures with safety C. Technique infrequently needs to be reviewed and revised d. Usually aoolies knowledge and skill

EXCEEDS The student is learning a particular skill at a rate and level that exceeds expectationJ al

EXPECTATIONS this time.

- a. Elicits all major pertinent data b. Performs procedures and tasks with skill, efficiency and safety C. Consistently applies knowledge and skill d. Functions competently in _all areas of evaluation and management with little guidance

needed

Reference: Adapted from University of Pennsylvania School of Nursing

Seton Hall University-College of Nursing Clinical Evaluation Tool

STUDENT: ______________ _

DATE: Circle source of evaluation: SELF:

NOT DOES NOT SUPPORT OBSERVED/ MEET REQUIRED (2) NOT EXPECTATION APPLICABLE (0) (1)

DATA COLLECTION SKILLS Preparation: Reviews chart for P.H., current meds, significant lab, x-rayfindings Researches known problems and presenting chief complains using current texUiournal materials Subjective Data: Elicits a comolete health historv Ability to utilize appropriate mix of interviewino/listenina skills Elicits relevant follow-up history

Ability to obtain problem-focused historv· Objective Data: Performs comprehensive physical exam Performs a r<\levant physical exam

Obtains relevant and cost-effective laboratory studies Appropriately utilizes screening tools

CLINICAL DECISION-MAKING SKILLS Formulates diagnoses or differential diagnosis, based on loaical Proaression of data Develops and implements a therapeutic management plan:

a. Consistent with the identified needs of the oatient

b. Consistent with the identified psychosocial needs of patfenVfar>,ily

c. Consistent with the identified health education/counseling needs of patient/family

d. Integrating age developmental chanoes

e. Utilizing family, colleagues, and community resources studies

f. Within the time limits -of setting

g. Abili ty to provide client education and counseling for health problems

11 . Provides appropriate client education for health promotion

PRECEPTOR:

MEETS EXCEEDS EXPECTATION EXPECTATION (3) (4)

"'·

Seton Hall University- College of Nursing Clinical Evaluation Tool

STU DENT: --------------------DATE: C ircle source of eva luation : SELF:

NOT DOES NOT SUPPORT OBSERVED/ MEET REQUIRED (2) NOT EXPECTATION APPLICABLE (0) (1)

CLINICAL DECISION-MAKING SKILLS (continued) L Integrates social and cultural

differences into case Creates client specific evidence based on .:,Ian

Demonstrates an abil ity to manage clients using pharmacologic and nonpharrnacologic agents:

a. Common complex health problems/needs

b. Common minor problems/needs

c. Health maintenance care

Evaluates patient's response to therapeutic plan and modifies plan accordingly:

a. Follows lab work b. Schedules appropriate follow-up

aooointments c. Refers patients when

aooropriate d. Practices in a cost-effective

manner DOCUMENTATION

Ability to record data in concise , accurate and timely manner using SOAP format Documents data accurately in an organized and succinct format Case Presentation: Able to present case in succinct and aoorooriate manner

ROLE DEVELOPMENT Util izes effective communication skills to estaolish relationships Seeks and accepts consultation

Identifies own learning needs and I

negotiates clinical experience to ineet those needs Interacts as part of interdisciplinarv team Demonstrates independence in cl inical decision rnakina Articulates scope of practice

Ability to collaborate with peers, co-workers and others Overall clinical competency

PREC EPTOR:

MEETS EXCEEDS EXPECTATION EXPECTATION (3) (4)

Seton Hall University-College of Nursing Clinical Evaluation Tool

STUDENT: _ _ ____________ _

PLEASE MAKE A BRIEF COMMENT ABOUT THE FOLLOWING :

I . Strongest Areas:

2. Areas Needing Improvement:

3. Additional Comments or Suggestions:

SIGNATURE (Student) CLINICAL AGENCY

SIGNATURE (Preceptor) DATE

REVIEWED BY FACULTY DATE

Preceptors in A-GNP Program

Name and Credentials of Population Focus Certification• Years of Practice I # Students State Licensure/ Preceptor(s) at each site (& Specialty, if Sp~ify Type & in the Precepted Approval/

All sites are NJ unless specified applicable) Area Certifying body (as Populationfocused Concurrently Recognition• of Practice appropriate) or

Specialty Area Robert J. Vadovic, RN, DNP, APN,C College Health Adult NP Total & I NJ, NY, PA for both Kean University Health Service AANPCP Current specialty 3. RN and Adult NP

Susan Graziano, MSN, ANP College Health Adult NP 9 years I NJ APN Montclair University Health Service ANCC

Mary Elizabeth Costello, MA, MS, FNP Family Nurse Family Nurse 13 years 1 NJ, NY Seton Hall University Health Service Practitioner, Practitioner,

College Health last 5 ANCC years

Diane Lynch APN-C Family Family Nurse 4 years I NJ Seton Hall University Health Service Pediatrics Practitioner 2 years

College Health ANCC 6 months

Mohamud Dahir Afgarshe, MD Adults Internal Medicine 11 I Minnesota License: Gargar Urgent Care and Clinic, Private Practice Board of Internal Physician and Surgeon Minnesota Medicine

Lydia Mittennaier, RN, MSN, APN Pulmonary I Critical Family Nurse 15 l NJ Hunterdon Pulmonary/Critical Care Care outpatient office Practitioner ANCC

internal medicine and pulmonary patients.

Lisa Shindle, RN, APN Adults, Geriatrics Family Nurse 4 years Primary Care l NJ Internal Medicine of Totowa, NJ Primary Care Practitioner ANCC 8 years metabolic

bone disease

Michael Vincent MD Adults Internal medicine ..,.,

l NJ APN :>.>

Diagnostic and Treatment Center Private Practice American Board Of Ambulatory Medicine

Jason Ricks, MD Adults/Gero Internal Medicine 6 l NJMD Denville, NJ

Mabel Claire McCall, FNP-BC Family Nurse Family Nurse 20 1-2 Texas APN

•

Agape Clinic Dallas Texas Practitioner Primary Practitioner ANCC Care

Zoila PalTicia Congleton FNP -BC Family Nurse Family Nurse 15 l Virginia Greater Prince William Community Practitioner Primary Practitioner ANCC Health Center Woodbridge VA Care family

medicine/community Health Center

Nora Krick, MSN, RN, APN Adult Nurse Adult Nurse 17 I NJ Occupational Health Clinic VA Practitioner/ Practitioner ANCC

Occupational Health / employees 14-80+

Kathleen S. Burkhart MSN,APN Adult/Geontology ANCC 23 years l NJ Veterans Affairs Medical Service Piscataway, NJ

Carla Francis, MSN, APN Adult/Gerontologic Adult NP - ANCC and 22 years l NJ Veterans Affairs Medical Service AANP (Primary East Orange, NJ Care)

Gerontologic NP ANCC (Primary Care)

Laura Mercer, ANP-BC Palliative Care: ELNEC trainer 6 Adult/Gero 2 MA;Rl

Dept of Veterans Affairs Rhode Island Adult/Gero ANCC 3 Palliative Veterans Healthcare System

Robert Alexander MS, BSN, FNP-C Adult health Family Nurse 23 years l GAAPN Dept of Veterans Affairs Georgia Practitioner ANCC Veterans Healthcare System

Donna Lewis, MSN, NP, GNP-BC Gerontology - Long Gerontological Nurse 12 l Georgia- APN Dept of Veterans Affairs Georgia Term Care Primary Prnctitioner ANCC Veterans Healthcare System Care

Nina Flanagan PhD, GNP-BC, PMH-BC Gerontology-·- Long Gerontological Nurse 21 I Pennsylvania CRNP Mountain View Care Center term care Primary Practitioner ANCC Scranton, PA Care CNS Psych Mental

HealthANCC

Susan M. ~opolo Becker MS, APN,C. Gerontology primary Family Nurse 15 with majority in I NJAPN Cedar Crest Continuous Care care Practitioner ANCC Geriatrics Community

,-

Elizabeth Eriksson ARNP, ANP-BC Adult, primarily Adult NP ANCC 2 years with Adult I Florida ARNP • Halifax Health Hospice of Geriatrics. Specialty primary care , One

Volusia/Flagler Port Hospice and year in Hospice and Orange. FL Palliative Medicine. Palliative medivine

Nagavalli Thiruvalluvan, APN, CRRN Middle/older adults Adult NP AANP I 2 yrs as RN & l 1 NJAPN fn glemoor Rehabilitation and Care Prirnary!Rehab/Geria year as NP Center, Livingston, NJ tric in sub-acute

setting

Elizabeth Dunleavy. APN, MSN Geriatrics GNPANCC 23 l NJAPN McCarrick Care Center. Somerset, NJ

Jennifer Cellar, RN. ANP-BC, MSN Geriatrics Adult Nurse 6 l RI APN NPP37438 Evergreen House. East Providence, RJ Practitioner ANCC

STATE OF MARYLAND

4 A To: Maryland Board of Nursing

From: Patricia Kennedy, Director of Education

Date: November 15, 2017

Re: Wor-Wic Community College, Department of Nursing implements transition courses for

all non-graduates of their Licensed Practical Nurse (LPN) Certificate Program

FYI.

The Wor-Wic Department of Nursing reported to the MBON in August 2017 the intent to

implement a corrective transition course based on the low success rate (30-50%) of licensed

practical nurses (LPN) completing their Associate of Science in Nursing (ASN) (registered

nurse) Program who had not attended Wor-Wic’s practical nursing certificate program. The new

four (4) credit transition and additional one (1) credit Fundamentals of College Study courses for

non-Wor-Wic licensed practical nurses was approved by Wor-Wic’s Board of Trustees in

October 2017 and is published in the 2017-2018 Catalog. This new strategy will expand Wor-

Wic’s ASN graduates from 74-90 as well as offer the opportunity to enroll in a Bachelor of

Science (BSN) Program (Maryland’s Statewide RN to BSN Articulation Agreement) while

completing Wor-Wic’s registered nurse ASN program.

TDD FOR DISABLED MARYLAND RELAY SERVICE 1-800-735-2258

MARYLAND BOARD OF NURSING 4140 PATTERSON AVENUE


(410) 585-1900 (410) 358-3530 FAX (410) 585-1978 AUTOMATED VERIFICATION

1-888-202-9861 TOLL FREE

7. a.

M E M O R A N D U M

FROM: Shirley A. Devaris RN, JD Director of Legislation TO: The Board DATE: November 15, 2017 IN RE: Amendments to comply with revisions to the Nurse Practice Act in

2017 Legislative Session – COMAR 10.27.21 – Registered Nurse-Forensic Nurse Examiner COMAR 10.27.26 – Sanctioning Guidelines Request for approval to Publish __________________________________________________ These are the last Chapters of COMAR needing amendments for the revised Nurse Practice Act. Deleted language is in [ ]. New language is in Italics. Changes to the regulations are highlighted. The amendments add language to include the Multistate Licensure Privilege, add advanced practice registered nurses as needed, and change the Rehabilitation Program to the Safe Practice Program. Amendments: Registered Nurse – Forensic Nurse Examiners

10.27.21 (October 26, 2017)

.02 Definitions.

. In this chapter, the following terms have the meanings indicated.

B. Terms Defined.

(1)― (9) (text unchanged)

(10) “Multistate licensure privilege” has the meaning set forth in COMAR 10.27.01.01B.(11).

[(10)] (11)―[(15)] (16) (text unchanged)

(17) “Registered Nurse” means an individual who is licensed by the Board to practice registered nursing

or has a multistate licensure privilege to practice registered nursing.

[(16)] (18) (text unchanged)

2

[(17)](19) “RN-FNE Educator” means an individual who:

(a) Has a current:

(i) License to practice as a registered nurse in Maryland;

(ii) Multistate [licensing] licensure privilege to practice registered nursing under the

Nurse Licensure Compact; or

(iii) Certification to practice as an advanced practice registered nurse in Maryland; and

(b) Is certified under this chapter as a:

(i) Registered Nurse Forensic Examiner — Adult (RN-FNE-A);

(ii) Registered Nurse Forensic Examiner — Pediatric (RN-FNE-P); or

(iii) Registered Nurse Forensic Examiner — Adult and Pediatric (RN-FNE-AP); and

(c) Is qualified to teach the theoretical and clinical portions of the RN-FNE training program.

[(18)](20)―[(26)](28) (text unchanged)

.03 Authorization to Practice.

A. An individual may be certified as:

(1) A registered nurse forensic nurse examiner-adult (RN-FNE-A);

(2) A registered nurse forensic nurse examiner-pediatric (RN-FNE-P); or

(3) A registered nurse forensic nurse examiner-adult/pediatric (RN-FNE-AP).

B. An applicant applying for certification to practice as an RN-FNE-A, RN-FNE-P or

RN-FNE-AP shall:

(1) (a) Hold a current license to practice as a registered nurse in Maryland; or

(b) Have a multistate licensure privilege to practice registered nursing; and

(2)―(5) (text unchanged)

C.―E. (text unchanged)

.08 Reinstatement of Certification.

3

A. If the applicant does not meet the requirements in Regulation .07 of this chapter, the

applicant may apply for re-instatement if the applicant:

(1) (a) Has a current, active RN license; or

(b) Has a multistate licensure privilege to practice registered nursing; and


B.―C. (text unchanged)

Sanctioning Guidelines

10.27.26 (October 26, 2017)

.02 Definitions.

A. In this chapter, the following terms have the meanings indicated.

B. Terms Defined.

(1) “Board” means the Maryland State Board of Nursing.

(2) “Certificate holder” means an individual who has been issued a certificate by the

Board to practice as [a]an advanced practice nurse, a certified nursing assistant, or a

certified medication technician.


(5) “Licensee” means an individual who:

(a) [has] Has been issued a license by the Board to practice as a registered nurse,

licensed practical nurse, advanced practice registered nurse, [or as] an electrologist, or

a licensed direct-entry midwife; or

(b) Has a multistate licensure privilege to practice licensed practical nursing or

registered nursing under the Nurse Licensure Compact.

4

(6) “Multistate licensure privilege” has the meaning set forth in COMAR 10.27.01B.

(11).

[(6)] (7) — [(7)] (8) (text unchanged)

.07 Sanctioning Guidelines.

(text unchanged)

A.―L. (text unchanged)

M. Expulsion from [Rehabilitation] Safe Practice Program,

Severity Tier/Conduct Sanction Range Monetary Penalty Range Minimum Maximum Minimum Maximum

N/A

Is expelled from the [Rehabilitation] Safe Practice Program established under Health Occupations Article, §8-208, Annotated Code of Maryland, for failure to comply with the conditions of the program

(text unchanged)