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NUR559 - Practicum III

This is the last clinical course in the ANP program. The seminar portion of this course focuses on the course objectives as well as preparing the student for their first position as an NP. Our patient care focus will be the elder patient and issues specific to this group. We also focus on the "nuts and bolts" of practice such as getting certified, contract negotiation and landing that first position. In the clinical portion of this course you must focus on use of evidenced-based medicine in guiding your patient care decisions and perfecting your critical thinking and diagnostic skills. Your log should focus on the elder in the practice setting. This course is a culmination of everything you have learned since starting your masters education at Molloy College and as I call it "the putting it all together" semester.

Bookmarks

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  • Unit 1 [unit]

    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

  • End-of-Life/Palliative Care

    The following websites have information regarding the NYS Law on this vital issue.
    Compassion and Support at the End of Life
    NYS Website will all pertinent information on this subject
    Required
    www.compassionandsupport.org
    Assessing Capacity in Making End-Of-Life Decisions
    PPT presentation on assessing the patient's capacity to make decisions
    Required
    www.compassionandsupport.org
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  • Case Study 1 Resources

    It is suggested that you search guidelines.gov for the latest information on the diagnosis and treatment of those with dementia and early alzheimer's disease. Many of the questions in the case study are based on these guidelines. 
    Differential Diagnosis Dementia, Delirium and Depression
    Required
    www.youtube.com
    Understanding Alzheimer's Part 1
    Required
    www.youtube.com
    Understanding Alzheimer's Part 2
    Required
    www.youtube.com
    Treating Alzheimer's
    Required
    www.youtube.com
    Alzheimer's Disease
    Required
    www.youtube.com
    Management of Alzheimer's Disease and Related Dementia's
    Guideline Synthesis from the AHRQ
    Required
    guideline.gov
    Resources for Depression and Suicide in Older Adults
    Required
    www.apa.org
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

  • Case Study 2 Resources

    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

  • Case Study 3

    Resources for Case Study 3
    Center of Excellence on Elder Abuse and Neglect
    Excellent website with some great research on how to recognize bruising from abuse versus accidental injury. 
    Required
    www.centeronelderabuse.org
    National Center on Elder Abuse
    Required
    www.ncea.aoa.gov
    Elder Abuse
    Required
    www.youtube.com
    Forensic Markers of Elder Abuse
    Required
    www.youtube.com
    NYS OCFS Protective Services for Adults
    This website provides guidance for victims of elder abuse
    Required
    ocfs.ny.gov
    NYSNA Position Statement on Elder Abuse, Neglect and Maltreatment
    Required
    www.nysna.org
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

  • Employment Contract Resources

    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

  • Miscellaneous Resources for Certification and Practice

    Included here are links to websites with practice resources and "nice to know" information as you begin your practice as an NP. You can bookmark these sites to explore at a later date. Don't forget to reveiw your notes from "Role" class as there is allot of helpful information there. There will be questions from role class on your certification exams. As always, if you have any questions, please let me know. 
    Medscape Nurse Practitioner Resource Center
    You will need a Free Medscape Account to access most of these resources. 
    Required
    www.medscape.com
    AANP Certification Process
    Information regarding initial certification and re-certfication by the AANP
    Required
    www.aanpcertification.org
    NYS Office of the Professions - Nurse Practitioner Pages
    This site has all the required NYS Forms for Certfication. We will review at our last class. 
    Required
    www.op.nysed.gov
    Fitzgerald Health Education Associates
    Great Certification Preparation Course and Study Materials
    Required
    www.fhea.com
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

  • Ungrouped

    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.
While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

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Handouts

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  • Unit 1 [unit]

    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

  • Seminar 1

    At our first class we will discuss the specific steps to becoming certified as an NP in NYS. Please go to the NYS web pages for nurse practitioners, review the requirements and forms listed there. Print out the following forms: From 1, Form 2, Form 4NP. You will not need the other forms at this time. 
     
    Also please go to the American Academy of Nurse Practitioners and print the following: The certification handbook (at the bottom of the page) and the application for Adult Certification at the top of the page. When you get to to website, you do not need to log-in. Click on the Certification tab then Certification Documents in the orange drop down boxes. Please bring these documents to class.
     
    The web addresses for these both can be found in the "Bookmarks" section of this page.  
     
    Getting Certified In NYS
    Please print out and bring to the 1st night of class. 
    Required
    Getting Certified and Credentialed in NYS.docx
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  • Seminar 2 - Palliative Care/End-of-Life Issues

    This seminar will include a student led roundtable discussion on the NYS Laws for End-of-Life Care. Each student should bring information to discuss on how your facility is meeting the new laws. What actually happens in the ER? How do patients and families view this issue? How does your preceptor or clinical site view this issue and how are they meeting these new requirements? We will have a NYS EMT as a guest to discuss what happens in the home. 
    NYS DOH Palliative Care Law
    2011 mandate from NYS that NPs provide palliative care information to patient's and families. 
    Required
    NYS 2011 Palliative Care Law.pdf
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

  • Seminar 3 Employment Contracts

    Included are examples of NP contracts to assist your understanding of issues that are common in NP employment. Some are very simple and some are very detailed. I have also included an "independent contractor" agreement should you need one in the future. Remember, the NYS Collaborative Practice Agreement is an entirely different document and the two should not be confused. Please review these documents before class and be ready to discuss as per the course schedule.
     
    Review the chapter in Buppert's Book: NP Business and Legal Guide: "The employed nurse practitioner."
    Employment Contract 1
    Required
    NP Contract 1.doc
    Employment Contract 2
    Required
    Collaborative Agree #2.pdf
    Independent Contractor
    Required
    NP Independent Contractor Agreement.doc
    Employment Contract 3
    Required
    NUR559 Employment Agreement.pdf
    Class Notes for Discussion
    Required
    SN Contract Negotiation.pdf
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

  • Seminar 4 - Last Class Discussion

    This is your last class in the Adult NP program. Review the information posted here. Bring in any and all practice questions you may have with you to class for discussion.  Please ensure that you  bring all evaluation forms to class to include: the preceptor evaluation, clinical hours tool, YOUR evaluation of the preceptor and the graduate course evaluation. You will not receive a grade for this course unless all 4 of the evaluation tools are received. 
    20 Questions to ask a Prospective Employer by Carolyn Buppert
    She has other excellent resources on her website http://www.buppert.com and look under online articles.
    Required
    20 questions for prospective employers.pdf
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

  • Case Study 1 Resources

    While we have not discussed Alzheimer's specifically in Diagnostics & Therapeutics classes, there will be questions on your certification exams regarding Alzheimer's and Dementia. Your textbooks also have excellent information on these disease processes, so pay special attention to Risk Factors, History, Physical Exam and the Plan of Care/Education for each. You will only be asked about the basic drugs for Alzheimers such as Exelon, Aricept etc., of course by generic names. You must know the MMSE by heart.
    Guideline for Alzheimer's Management
    Required
    GD Alzheimers.pdf
    Patient Assessment in Functional Decline
    Required
    IADL article.pdf
    NIH Alzheimers Management
    This guideline is very old but has much helpful information in the diagnosis and management of patients with Dementia/Alzheimers
    Required
    NIH Alzheimers Disease.pdf
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

  • Case Study 2 Resources

    Review the following resources as well as Chapter 27 in Buttaro
    eMedicine Article on Cataracts
    Required
    Cataracts Senile.pdf
    AAFP PST checklist
    Required
    AAFP Pre-op checklist.pdf
    ICS HealthCare Guidelines
    Required
    ICS CAD GL.pdf
    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.

  • Ungrouped

    While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.
While focused on a reorder icon, press the Enter key or spacebar to "select" the icon. While a reorder icon is selected, pressing the up and down arrows will change the order of the selected item within the list. Pressing Enter key or spacebar again will drop the selected item at that location in the list.