NR 601 Primary Care of the Maturing and

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NR 601 Primary Care of the Maturing and Aged Family © 2013 Chamberlain College

NR 601 Primary Care of the Maturing and Aged Family © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

Agenda • • • Syllabus Learning Agreements Preceptor Communication e. Logs Evaluations Quizzes Readings

Agenda • • • Syllabus Learning Agreements Preceptor Communication e. Logs Evaluations Quizzes Readings Case Study Discussions SOAP Notes Week 8 Reflection Post 2 © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

Syllabus • Contact information for the faculty member is provided in the syllabus. 3

Syllabus • Contact information for the faculty member is provided in the syllabus. 3 © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

Learning Agreements • NEW Effective November, 2015 session – Learning Agreements are no longer

Learning Agreements • NEW Effective November, 2015 session – Learning Agreements are no longer required 4 © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

Preceptor Conference Call • Introduction email from the faculty will be sent during Week

Preceptor Conference Call • Introduction email from the faculty will be sent during Week 1. • Conference calls will be scheduled during Week 3. • Preceptors will be asked to select a date/time preference for the conference call. • Please inform me if special accommodations need to be made to the conference call schedule. 5 © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

e. Logs • You do NOT need to submit SOAP notes examples from your

e. Logs • You do NOT need to submit SOAP notes examples from your clinical site in e. Logs this course (as was required in NR 511). • Clinical hours will be audited throughout the session. • A minimum of 50 hours must be recorded by the end of Week 4, if not, you will hear from me and a Salesforce ticket may be necessary. 6 © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

e. Logs • Acceptable Alternative Clinical Hours Categories: – review of lab work –

e. Logs • Acceptable Alternative Clinical Hours Categories: – review of lab work – calling patients – chart review • If you perform a chart review while preparing to see a patient, include this time in the total amount of time required to see the patient. • Do NOT record the time in e. Logs twice (as a patient encounter and Alternative Clinical Hours) 7 © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

e. Logs • Alternative Clinical Encounter Hours- Students may NOT count clinical hours for:

e. Logs • Alternative Clinical Encounter Hours- Students may NOT count clinical hours for: – seminars that they attend – conferences – continuing education activities such as CPR or ACLS – pharmaceutical representative dinners – site-specific orientation including Electronic Medical Record training – other activity that is non-patient related 8 © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

e. Logs • Specific to NR 601: The following activities are approved: – rounding

e. Logs • Specific to NR 601: The following activities are approved: – rounding with your preceptor at long-term care facilities – hospital in-patient visits – home visits • Students MUST collect and submit pertinent patient information in e. Logs. • Do NOT use the alternative clinical hours category to document patients seen during visits outside of the office 9 © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

Evaluations – Mid-term and final student evaluations must be completed by your preceptor in

Evaluations – Mid-term and final student evaluations must be completed by your preceptor in e. Logs. – Timely evaluation submission is a student-driven process. – It is incumbent upon the student to be proactive and to be certain their preceptor has completed the mid-term evaluation by the end of Week 5 and the final evaluation by midnight (Mountain Time [MT]) on Wednesday of Week 8. – Students will not pass the course without satisfactory preceptor evaluations. 10 © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

Quizzes – Quizzes are required but not graded. – The textbooks in order of

Quizzes – Quizzes are required but not graded. – The textbooks in order of highest to lowest importance in regard to the quizzes in this course are: Seller, R. , & Symons, A. (2012). Differential diagnosis of common complaints. (6 th ed. ). Philadelphia, PA: Elsevier Saunders. Touhy, T. , & Jett, K. (2015). Ebersole and Hess’ toward healthy aging: Human needs and nursing response (9 th ed. ). St. Louis, MO: Elsevier. Kane, R. , Ouslander, J. , Abrass, I. , & Resnick, B. (2013). Essentials of clinical geriatrics (7 th ed. ). China: Mc. Graw Hill. Reuben, D. B. , Herr, K. A. , Pacala, J. T. , Pollock, B. G. , Potter, J. F. , & Semla, T. P. (2015). Geriatrics at your fingertips (17 th ed. ). New York, NY: The American Geriatrics Society Goroll, A. , & Mulley, A. (2014). Primary care medicine: Office evaluation and management of the adult patient (8 th ed. ). China: Wolters Kluwer Health. 11 © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

Quizzes • The quiz questions were taken from the publisher’s test banks from the

Quizzes • The quiz questions were taken from the publisher’s test banks from the course textbooks. • Students will have access to the correct answers to missed questions on midterm and final quizzes. 12 © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

Readings 13 © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

Readings 13 © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

Readings • The textbooks are the most current editions as of September 2015. •

Readings • The textbooks are the most current editions as of September 2015. • Many of the courses may use the same books, such as Primary Care Medicine by Goroll and Mulley (2014). • Other textbooks in this course were selected for their population specific content. • A few of the books are now available as e. Books. Please see the course syllabus for the details regarding access to e. Books. 14 © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

Case Study Discussions • Case Study discussions demonstrate clinical reasoning and documentation of a

Case Study Discussions • Case Study discussions demonstrate clinical reasoning and documentation of a patient encounter. • Case study topics are multifaceted and complex. • The scaffolding of information (provided in parts) is designed to inspire deeper learning and encourage you to ask questions. • Students are tasked to develop an understanding and appreciation for identifying the missing critical information that they need to arrive at a definitive diagnosis. 15 © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

Case Study Discussions • The critical thinking required to do that very much mirrors

Case Study Discussions • The critical thinking required to do that very much mirrors the clinical reasoning process necessary for real practice. • Select at least one evidence-based reference for each discussion post including your cross-post to one peer. • To be consistent with the policies of CCN for academic scholarship, students must demonstrate proper APA formatting on written work. Students should be encouraged to use the APA guideline resources in Doc Sharing as well as the CCN library. 16 © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

Case Study Discussions • The discussion forum is a “safe” place to post your

Case Study Discussions • The discussion forum is a “safe” place to post your thoughts and comments regarding the development of the case study. • Do NOT modify or edit your post. • Select “Reply” to your post to make additional comments or changes. • Consider the discussions for Part 1 and 2 as “rough drafts” for the final SOAP note • No required format, however, most students use the SOAP note template to frame their discussion posts 17 © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

Case Study Discussions • Effective November 2015 Session: – Initial post to Part 1

Case Study Discussions • Effective November 2015 Session: – Initial post to Part 1 due Tuesday at 11: 59 PM MT – Initial post to Part 2 due Thursday at 11: 59 PM MT – Final SOAP note due Sunday at 11: 59 PM MT • Part 2 will be opened on Wednesday. • You will not see submissions from other students until after you have posted in the discussion thread. 18 © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

SOAP Notes • Go to the Course Resources tab and DOWNLOAD the SOAP Note

SOAP Notes • Go to the Course Resources tab and DOWNLOAD the SOAP Note Format Template. Use the template as a framework for your SOAP notes. • Go to Doc Sharing and download the SOAP Note Example • Address ALL items on the template. • Do NOT skip over any heading. If the case study did not provide sufficient information, write “information not available”. • Do NOT substitute or invent additional data to augment for missing information from the case study. 19 © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

SOAP Notes • You need to identify 3 differential diagnoses based on one chief

SOAP Notes • You need to identify 3 differential diagnoses based on one chief complaint. Provide ICD-10 Diagnosis codes (not ICD-9) • You will decide upon a primary (presumptive) diagnosis, which should appear as the first diagnosis on the list of 3 differential diagnoses on the final SOAP note. • You will construct the plan of care based upon the primary diagnosis. • You need to provide pertinent positive and negative findings from the subjective history and objective physical examination to support each diagnosis 20 © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

SOAP Notes – Address each of the 5 key elements in the plan of

SOAP Notes – Address each of the 5 key elements in the plan of care (Diagnostics, Medication, Education, Referral, and Follow-up). – If one or more of these elements is not pertinent to the plan of care, explain why not but do not skip over it. – Provide a rationale and in-text citation for EACH intervention. No intervention is self-evident. – Citations and reference list must be in proper APA format. Refer to the APA Quick Citation Guide in Doc. Sharing. 21 © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

Week 8 Reflection Post • Reflect back over the past eight weeks and describe

Week 8 Reflection Post • Reflect back over the past eight weeks and describe how the achievement of the course outcomes in this course have prepared you to meet the MSN program outcome #2, the MSN Essential II, and the Nurse Practitioner Core Competency # 3 Quality Competency. • Week 8 Reflection is required and worth 50 points in the Gradebook. • Your reflection posts will be used again in NR 661 22 © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

Thank You! If you think of something later please let your faculty member know.

Thank You! If you think of something later please let your faculty member know. 23 © 2013 Chamberlain College of Nursing, LLC. All rights reserved. 0713 ccn

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