Assignment: Primary Care of Adults Across The Lifespan Practicum
Assignment: Primary Care of Adults Across The Lifespan Practicum
PRAC 6531 Week 1 Assignment 2: CLINICAL SKILLS AND PROCEDURES SELF-ASSESSMENT
Before embarking on any professional or academic activity, it is important to understand the background, knowledge, and experience you bring to it. You might ask yourself “What do I already know? What do I need to know? And what do I want to know?” This critical self-reflection is especially important for developing clinical skills, such as those for advanced practice nursing.
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The Family Nurse Practitioner (FNP) Procedures List and Resource Review and FNP Clinical Skills and Procedures Self-Assessment Form or Adult Gerontology Primary Care Nurse Practitioner (AGPCNP) Clinical Skills Resource List and AGPCNP Clinical Skills and Procedures Self-Assessment Form provided in the Learning Resources can be used to celebrate your progress throughout your practicum and identify skills gaps. The lists cover all necessary skills you should demonstrate during your practicum course.
For this Assignment, you assess where you are now in your clinical skill development and make plans for your practicum. Specifically, you will identify strengths and opportunities for improvement regarding the required practicum skills and procedures.
In this practicum experience, when developing your goals and objectives, be sure to keep adult health guidelines and best practices in mind.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
LEARNING RESOURCES
Required Readings
Advanced Nursing Practice Competencies and Guidelines
American Association of Colleges of Nursing. (2010). Adult-Gerontology primary care nurse practitioner competenciesLinks to an external site.. https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/adult-geropccomps2010.pdf?hhSearchTerms=Adult-GeroPCComps2010+and+pdf
National Association of Clinical Nurse Specialists (NACNS). (2018). Family across the lifespan: The viability of taking pediatric and adult-gerontology certification examinations to attain CNS population certification in family across the lifespan.Links to an external site. http://www.nacns.org/wp-content/uploads/2018/04/Report-FINAL-4-3-18.pdf Links to an external site.
The National Organization of Nurse Practitioner Faculties (NONPF) (n.d.). National Organization of Nurse Practitioner FacultiesLinks to an external site.. https://www.nonpf.org/
The National Organization of Nurse Practitioner Faculties. (2012). Nurse practitioner core competencies.Links to an external site. https://www.pncb.org/sites/default/files/2017-02/NONPF_Core_Competencies.pdfLinks to an external site.
Chatterjee, D., & Corral, J. (2017). How to write well-defined learning objectivesLinks to an external site.. The Journal of Education in Perioperative Medicine, 19(4). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5944406/
Practicum Resources
Document: Practicum Site Information Form (Word document)Download Practicum Site Information Form (Word document)
Document: FNP Clinical Skills List and Resource Review (Word document) Download FNP Clinical Skills List and Resource Review (Word document)
Document: FNP Procedures List and Resource Review (Word document)Download FNP Procedures List and Resource Review (Word document)
Document: FNP Clinical Skills and Procedures Self-Assessment Form (Word document)Download FNP Clinical Skills and Procedures Self-Assessment Form (Word document)
Document: AGPCNP Clinical Skills List and Resource Review (Word document)Download AGPCNP Clinical Skills List and Resource Review (Word document)
Document: AGPCNP Procedure List and Resource Review (Word document)Download AGPCNP Procedure List and Resource Review (Word document)
Document: AGPCNP Clinical Skills and Procedures Self-Assessment Form (Word document)Download AGPCNP Clinical Skills and Procedures Self-Assessment Form (Word document)
HSoft Corporation. (2019). Meditrek: Home.Links to an external site. https://edu.meditrek.com/Default.html
Note: Use this website to log into Meditrek to report your clinical hours and patient encounters.
Walden University Field Experience. (2019a). Field experience: College of NursingLinks to an external site.. https://academicguides.waldenu.edu/fieldexperience/son/home
Walden University Field Experience. (2019b). Student practicum resources: NP student orientation.Links to an external site. https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation
Walden University. (2019). MSN nurse practitioner practicum manual.Links to an external site. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments
To prepare:
Review the resources and clinical skills in the Family Nurse Practitioner (FNP) Procedures List and Resource Review and FNP Clinical Skills and Procedures Self-Assessment Form or Adult Gerontology Primary Care Nurse Practitioner (AGPCNP) Clinical Skills Resource List and AGPCNP Clinical Skills and Procedures Self-Assessment Form specific to your selected NP track. It is recommended that you print out these documents to serve as guides throughout your practicum. 
Download the Clinical Skills and Procedures Self-Assessment Form that applies to your NP track to complete this Assignment. 
ASSIGNMENT
Using the Clinical Skills and Procedures Self-Assessment Form specific to your NP track (i.e., FNP or AGPCNP):
Rate yourself according to your confidence level performing the procedures identified on the Clinical Skills and Procedures Self-Assessment Form.
Based on your ratings, summarize your strengths and opportunities for improvement.
Based on your self-assessment and theory of nursing practice, develop 3–4 goals and objectives for this practicum experience. Include them on the designated area of the form.
** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.
BY DAY 7
Submit your completed FNP or AGPCNP Clinical Skills and Procedures Self-Assessment Form.
SUBMISSION INFORMATION
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
To submit your completed assignment, save your Assignment as WK1Assgn2_LastName_Firstinitial
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.
Rubric
PRAC_6531_Week1_Assignment2_Rubric
PRAC_6531_Week1_Assignment2_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeRate yourself according to your confidence level performing the procedures identified on the Clinical Skills and Procedures Self-Assessment Form.
25 to >22.0 pts
Excellent
The response provides ratings for all procedures on the form.
22 to >19.5 pts
Good
The response provides ratings for most of the procedures on the form.
19.5 to >17.0 pts
Fair
The response provides ratings for some of the procedures on the form.
17 to >0 pts
Poor
The response provides ratings for only a few procedures on the form, or ratings are missing.
25 pts
This criterion is linked to a Learning OutcomeBased on your ratings, summarize your strengths and opportunities for improvement.
30 to >26.0 pts
Excellent
The response provides an accurate, clear, and complete summary of both the strengths and opportunities for improvement.
26 to >23.0 pts
Good
The response provides an accurate summary of both the strengths and opportunities for improvement.
23 to >20.0 pts
Fair
The response provides a vague, inaccurate, or incomplete summary of both the strengths and opportunities for improvement.
20 to >0 pts
Poor
The response provides a vague, inaccurate, or incomplete summary of the strengths and/or opportunities for improvement, or the summaries are missing.
30 pts
This criterion is linked to a Learning OutcomeBased on your self-assessment and theory of nursing practice, develop 3-4 goals and objectives for this Practicum experience. Include them on the designated area of the form.
30 to >26.0 pts
Excellent
The response provides 3–4 clear and appropriate goals and objectives for the practicum experience.
26 to >23.0 pts
Good
The response provides 3–4 appropriate goals and objectives for the practicum experience.
23 to >20.0 pts
Fair
The response provides 3–4 unclear or inappropriate goals and objectives for the practicum experience.
20 to >0 pts
Poor
The response provides 3–4 unclear or inappropriate goals and objectives for the practicum experience, or goals and objectives are missing.
30 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
5 to >4.0 pts
Excellent
Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.
4 to >3.5 pts
Good
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.
3.5 to >3.0 pts
Fair
Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment is vague or off topic.
3 to >0 pts
Poor
Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion was provided.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation
5 to >4.0 pts
Excellent
Uses correct grammar, spelling, and punctuation with no errors.
4 to >3.5 pts
Good
Contains a few (1 or 2) grammar, spelling, and punctuation errors.
3.5 to >3.0 pts
Fair
Contains several (3 or 4) grammar, spelling, and punctuation errors.
3 to >0 pts
Poor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.
5 to >4.0 pts
Excellent
Uses correct APA format with no errors.
4 to >3.5 pts
Good
Contains a few (1 or 2) APA format errors.
3.5 to >3.0 pts
Fair
Contains several (3 or 4) APA format errors.
3 to >0 pts
Poor
Contains many (≥ 5) APA format errors.
5 pts
Total Points: 100
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PRAC 6531 Week 1 Assignment 3: CLINICAL HOUR AND PATIENT LOGS
Clinical Hours
For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to earn the points allocated for this assignment. You may only log hours with preceptors that are approved in Meditrek.
Students must complete a minimum of 160 hours of supervised direct patient clinical experience. You will enter your approved preceptor and clinical faculty as part of each time and patient encounter you log.
Your clinical hour log must include the following:
Dates
Course
Clinical Faculty
Approved Preceptor
Total Time (for the day)
Notes/Comments
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
PATIENT LOG
Throughout this course, you must keep a log of every patient that you encounter in clinical using Meditrek. You must record at least 120 patients by the end of this practicum.
The patient log must include the following:
Date
Course
Clinical Faculty
Approved Preceptor
Patient Number
Client Information
Visit Information
Practice Management
Diagnosis
Procedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)
Treatment Plan and Notes
BY DAY 7
Record your clinical hours and patient encounters in Meditrek.
Rubric
PRAC_6531_Week1_Assignment3_Rubric
PRAC_6531_Week1_Assignment3_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomePart 1: Time logs and patient logs are completed within 48 hours of completing clinical time.
5 pts
Excellent
*Time logs are completed within 48 hours of completing clinical time. *Patient logs are completed within 48 hours of completing clinical time.
0 pts
Poor
*Time logs are completed more than 48 hours after completing clinical time. *Patient logs are completed more than 48 hours after completing clinical time.
5 pts
This criterion is linked to a Learning Outcome*Each entry includes Date, Course, Clinical Instructor, Preceptor, Patient number, Client information, Visit information, Practice management, Diagnosis, Procedures (if applicable), Treatment plan and notes, Notes section (Students must include a brief summary/synopsis of the patient visit—this must include enough information to understand how the patient presnted and the student intervention. Do NOT include EMR SOAP notes. *LOGS MUST BE SUBMITTED WITHIN 48 HOURS TO BE ELIGIBLE FOR ANY POINTS
5 pts
Excellent
*Patient logs include all of the required documentation elements.
0 pts
Poor
*Patient logs do NOT include all of the required documentation elements. There are some elements missing or the logs are incomplete. *Patient logs were submitted more than 48 hours after completion of the clinical time.
5 pts
Total Points: 10
PRAC 6531 Week 2 Assignment: CLINICAL HOUR AND PATIENT LOGS
Clinical Hours
For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to earn the points allocated for this assignment. You may only log hours with preceptors that are approved in Meditrek.
Students must complete a minimum of 160 hours of supervised direct patient clinical experience. You will enter your approved preceptor and clinical faculty as part of each time and patient encounter you log.
Your clinical hour log must include the following:
Dates
Course
Clinical Faculty
Approved Preceptor
Total Time (for the day)
Notes/Comments
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
PATIENT LOG
Throughout this course, you must keep a log of every patient that you encounter in clinical using Meditrek. You must record at least 120 patients by the end of this practicum.
The patient log must include the following:
Date
Course
Clinical Faculty
Approved Preceptor
Patient Number
Client Information
Visit Information
Practice Management
Diagnosis
Procedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)
Treatment Plan and Notes
BY DAY 7
Record your clinical hours and patient encounters in Meditrek.
Rubric
PRAC_6531_Week2_Assignment_Rubric
PRAC_6531_Week2_Assignment_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomePart 1: Time logs and patient logs are completed within 48 hours of completing clinical time.
5 pts
Excellent
*Time logs are completed within 48 hours of completing clinical time. *Patient logs are completed within 48 hours of completing clinical time.
0 pts
Poor
*Time logs are completed more than 48 hours after completing clinical time. *Patient logs are completed more than 48 hours after completing clinical time.
5 pts
This criterion is linked to a Learning OutcomePart 2: Patient logs meet the minimum documentation requirements. *Each entry includes Date, Course, Clinical Instructor, Preceptor, Patient number, Client information, Visit information, Practice management, Diagnosis, Procedures (if applicable), Treatment plan and notes, Notes section (Students must include a brief summary/synopsis of the patient visit—this must include enough information to understand how the patient presnted and the student intervention. Do NOT include EMR SOAP notes. *LOGS MUST BE SUBMITTED WITHIN 48 HOURS TO BE ELIGIBLE FOR ANY POINTS
5 pts
Excellent
*Patient logs include all of the required documentation elements.
0 pts
Poor
*Patient logs do NOT include all of the required documentation elements. There are some elements missing or the logs are incomplete. *Patient logs were submitted more than 48 hours after completion of the clinical time.
5 pts
Total Points: 10
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PRAC 6531 Week 3 Assignment 1: CLINICAL HOUR AND PATIENT LOGS
Clinical Hours
For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to earn the points allocated for this assignment. You may only log hours with preceptors that are approved in Meditrek.
Students must complete a minimum of 160 hours of supervised direct patient clinical experience. You will enter your approved preceptor and clinical faculty as part of each time and patient encounter you log.
Your clinical hour log must include the following:
Dates
Course
Clinical Faculty
Approved Preceptor
Total Time (for the day)
Notes/Comments
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
PATIENT LOG
Throughout this course, you must keep a log of every patient that you encounter in clinical using Meditrek. You must record at least 120 patients by the end of this practicum.
The patient log must include the following:
Date
Course
Clinical Faculty
Approved Preceptor
Patient Number
Client Information
Visit Information
Practice Management
Diagnosis
Procedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)
Treatment Plan and Notes
BY DAY 7
Record your clinical hours and patient encounters in Meditrek.
Rubric
PRAC_6531_Week3_Assignment1_Rubric
PRAC_6531_Week3_Assignment1_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomePart 1: Time logs and patient logs are completed within 48 hours of completing clinical time.
5 pts
Excellent
*Time logs are completed within 48 hours of completing clinical time. *Patient logs are completed within 48 hours of completing clinical time.
0 pts
Poor
*Time logs are completed more than 48 hours after completing clinical time. *Patient logs are completed more than 48 hours after completing clinical time.
5 pts
This criterion is linked to a Learning OutcomePart 2: Patient logs meet the minimum documentation requirements. *Each entry includes Date, Course, Clinical Instructor, Preceptor, Patient number, Client information, Visit information, Practice management, Diagnosis, Procedures (if applicable), Treatment plan and notes, Notes section (Students must include a brief summary/synopsis of the patient visit—this must include enough information to understand how the patient presnted and the student intervention. Do NOT include EMR SOAP notes. *LOGS MUST BE SUBMITTED WITHIN 48 HOURS TO BE ELIGIBLE FOR ANY POINTS
5 pts
Excellent
*Patient logs include all of the required documentation elements.
0 pts
Poor
*Patient logs do NOT include all of the required documentation elements. There are some elements missing or the logs are incomplete. *Patient logs were submitted more than 48 hours after completion of the clinical time.
5 pts
Total Points: 10
PRAC 6531 Week 3 Assignment 2: EPISODIC VISIT: HEENT FOCUSED NOTE
Focused Notes are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly learning resources. Focused Notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.
For this Assignment, you will work with a patient with a HEENT condition that you examined during the last three weeks, and complete an Episodic/Focus Note Template Form where you will gather patient information and relevant diagnostic and treatment information and reflect on health promotion and disease prevention in light of patient factors such as age, ethnic group, past medical history (PMH), socioeconomic status, and cultural background. In this week’s Learning Resources, please refer to the Focused SOAP Note resources for guidance on writing Focused Notes.
Note: All Focused Notes must be signed, and each page must be initialed by your preceptor. When you submit your Focused Notes, you should include the complete Focused Note as a Word document and pdf/images of each page that is initialed and signed by your preceptor. You must submit your Focused Notes using Turnitin.
Note: Electronic signatures are not accepted. If both files are not received by the due date, faculty will deduct points per the Walden Late Policies.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To prepare:
Use the Episodic/Focus Note Template found in the Learning Resources for this week to complete this assignment.
Select a patient that you examined during the last three weeks that suffered from any HEENT condition. With this patient in mind, address the following in a Focused Note:
Assignment:
Subjective: What details did the patient provide regarding her personal and medical history?
Objective: What observations did you make during the physical assessment?
Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.
Reflection notes: What would you do differently in a similar patient evaluation?
Note: Your Focused Note Assignment must be signed by Day 7 of Week 3.
BY DAY 7
Submit your Episodic/Focused Note Assignment.
(Note: You will submit two files, your Focused Note Assignment, and a Word document of pdf/images of each page that is initialed and signed by your preceptor by Day 7 of Week 3.)
SUBMISSION INFORMATION
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
To submit your completed assignment, save your Assignment as WK3Assgn2_LastName_Firstinitial
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.
Rubric
PRAC_6531_Week3_Assignment2_Rubric
PRAC_6531_Week3_Assignment2_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeOrganization of Write-up
30 to >26.0 pts
Excellent
All information organized in logical sequence; follows acceptable format
26 to >23.0 pts
Good
Information generally organized in logical sequence; follows acceptable format
23 to >20.0 pts
Fair
Errors in format; information intermittently organized
20 to >0 pts
Poor
Errors in format; information disorganized
30 pts
This criterion is linked to a Learning OutcomeThoroughness of History
20 to >17.0 pts
Excellent
Thoroughly documents all pertinent history components for type of note; includes critical as well as supportive information
17 to >15.0 pts
Good
Documents most pertinent history components; includes critical information
15 to >13.0 pts
Fair
Fails to document most pertinent history components; Lacks some critical information or rambling in history
13 to >0 pts
Poor
Minimal history; critical information missing
20 pts
This criterion is linked to a Learning OutcomeThoroughness of Physical Exam
10 to >8.0 pts
Excellent
Thoroughly documents all pertinent examination components for type of note
8 to >7.0 pts
Good
Documents most pertinent examination components
7 to >6.0 pts
Fair
Documents some pertinent examination components
6 to >0 pts
Poor
Physical examination cursory; misses several pertinent components
10 pts
This criterion is linked to a Learning OutcomeDiagnostic Reasoning
10 to >8.0 pts
Excellent
Assessment consistent with prior documentation. Clear justification for diagnosis. Notes all secondary problems. Cost effective when ordering diagnostic tests
8 to >7.0 pts
Good
Assessment consistent with prior documentation. Clear justification for diagnosis. Notes most secondary problems.
7 to >6.0 pts
Fair
Assessment mostly consistent with prior documentation. Fails to clearly justify diagnosis or note secondary problems or orders inappropriate diagnostic tests
6 to >0 pts
Poor
Assessment not consistent with prior documentation. Fails to clearly justify diagnosis or note secondary problems or orders inappropriate diagnostic tests
10 pts
This criterion is linked to a Learning OutcomeTreatment Plan/Patient Education
10 to >8.0 pts
Excellent
Treatment plan and patient education addresses all issues raised by diagnoses, excellent insight into patient’s needs. Evidence based decisions. Cost effective treatment. Reflection is thoughtful and in depth.
8 to >7.0 pts
Good
Treatment plan and patient education addresses most issues raised by diagnoses. Reflection is thoughtful and in depth.
7 to >6.0 pts
Fair
Treatment plan and patient education fail to address most issues raised by diagnoses. … Reflection is brief, vague. and does not discuss anything that would have been done in addition to or differently.
6 to >0 pts
Poor
Minimal treatment plan and/or patient education addressed … Reflection is absent.
10 pts
This criterion is linked to a Learning OutcomeWritten Expression and FormattingEnglish writing standards: Correct grammar, mechanics, and proper punctuation.
10 to >8.0 pts
Excellent
Uses correct grammar, spelling, and punctuation with no errors.
8 to >7.0 pts
Good
Contains a few (1-2) grammar, spelling, and punctuation errors.
7 to >6.0 pts
Fair
Contains several (3-4) grammar, spelling, and punctuation errors.
6 to >0 pts
Poor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
10 pts
This criterion is linked to a Learning OutcomeWritten Expression and FormattingThe assignment follows parenthetical/in-text citations, and at least 3 evidenced based references are listed.
10 to >8.0 pts
Excellent
Contains parenthetical/in-text citations and at least 3 evidenced based references are listed.
8 to >7.0 pts
Good
Contains parenthetical/in-text citations and at least 2 evidenced based references are listed
7 to >6.0 pts
Fair
Contains parenthetical/in-text citations and at least 1 evidenced based reference is listed
6 to >0 pts
Poor
Contains no parenthetical/in-text citations and 0 evidenced based references listed.
10 pts
Total Points: 100
PRAC 6531 Week 4 Assignment: CLINICAL HOUR AND PATIENT LOGS
Clinical Hours
For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to earn the points allocated for this assignment. You may only log hours with preceptors that are approved in Meditrek.
Students must complete a minimum of 160 hours of supervised direct patient clinical experience. You will enter your approved preceptor and clinical faculty as part of each time and patient encounter you log.
Your clinical hour log must include the following:
Dates
Course
Clinical Faculty
Approved Preceptor
Total Time (for the day)
Notes/Comments
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
PATIENT LOG
Throughout this course, you must keep a log of every patient that you encounter in clinical using Meditrek. You must record at least 120 patients by the end of this practicum.
The patient log must include the following:
Date
Course
Clinical Faculty
Approved Preceptor
Patient Number
Client Information
Visit Information
Practice Management
Diagnosis
Procedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)
Treatment Plan and Notes
BY DAY 7
Record your clinical hours and patient encounters in Meditrek.
Rubric
PRAC_6531_Week4_Assignment_Rubric
PRAC_6531_Week4_Assignment_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomePart 1: Time logs and patient logs are completed within 48 hours of completing clinical time.
5 pts
Excellent
*Time logs are completed within 48 hours of completing clinical time. *Patient logs are completed within 48 hours of completing clinical time.
0 pts
Poor
*Time logs are completed more than 48 hours after completing clinical time. *Patient logs are completed more than 48 hours after completing clinical time.
5 pts
This criterion is linked to a Learning OutcomePart 2: Patient logs meet the minimum documentation requirements. *Each entry includes Date, Course, Clinical Instructor, Preceptor, Patient number, Client information, Visit information, Practice management, Diagnosis, Procedures (if applicable), Treatment plan and notes, Notes section (Students must include a brief summary/synopsis of the patient visit—this must include enough information to understand how the patient presnted and the student intervention. Do NOT include EMR SOAP notes. *LOGS MUST BE SUBMITTED WITHIN 48 HOURS TO BE ELIGIBLE FOR ANY POINTS
5 pts
Excellent
*Patient logs include all of the required documentation elements.
0 pts
Poor
*Patient logs do NOT include all of the required documentation elements. There are some elements missing or the logs are incomplete. *Patient logs were submitted more than 48 hours after completion of the clinical time.
5 pts
Total Points: 10
PRAC 6531 Week 5 Assignment 2: CLINICAL HOUR AND PATIENT LOGS
Clinical Hours
For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to earn the points allocated for this assignment. You may only log hours with preceptors that are approved in Meditrek.
Students must complete a minimum of 160 hours of supervised direct patient clinical experience. You will enter your approved preceptor and clinical faculty as part of each time and patient encounter you log.
Your clinical hour log must include the following:
Dates
Course
Clinical Faculty
Approved Preceptor
Total Time (for the day)
Notes/Comments
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
PATIENT LOG
Throughout this course, you must keep a log of every patient that you encounter in clinical using Meditrek. You must record at least 120 patients by the end of this practicum.
The patient log must include the following:
Date
Course
Clinical Faculty
Approved Preceptor
Patient Number
Client Information
Visit Information
Practice Management
Diagnosis
Procedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)
Treatment Plan and Notes
BY DAY 7
Record your clinical hours and patient encounters in Meditrek.
Rubric
PRAC_6531_Week5_Assignment2_Rubric
PRAC_6531_Week5_Assignment2_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomePart 1: Time logs and patient logs are completed within 48 hours of completing clinical time.
5 pts
Excellent
*Time logs are completed within 48 hours of completing clinical time. *Patient logs are completed within 48 hours of completing clinical time.
0 pts
Poor
*Time logs are completed more than 48 hours after completing clinical time. *Patient logs are completed more than 48 hours after completing clinical time.
5 pts
This criterion is linked to a Learning OutcomeThis criterion is linked to a Learning OutcomePart 2: Patient logs meet the minimum documentation requirements. *Each entry includes Date, Course, Clinical Instructor, Preceptor, Patient number, Client information, Visit information, Practice management, Diagnosis, Procedures (if applicable), Treatment plan and notes, Notes section (Students must include a brief summary/synopsis of the patient visit—this must include enough information to understand how the patient presnted and the student intervention. Do NOT include EMR SOAP notes. *LOGS MUST BE SUBMITTED WITHIN 48 HOURS TO BE ELIGIBLE FOR ANY POINTS
5 pts
Excellent
*Patient logs include all of the required documentation elements.
0 pts
Poor
*Patient logs do NOT include all of the required documentation elements. There are some elements missing or the logs are incomplete. *Patient logs were submitted more than 48 hours after completion of the clinical time.
5 pts
Total Points: 10
PRAC 6531 Week 6 Assignment 1: CLINICAL HOUR AND PATIENT LOGS
Clinical Hours
For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to earn the points allocated for this assignment. You may only log hours with preceptors that are approved in Meditrek.
Students must complete a minimum of 160 hours of supervised direct patient clinical experience. You will enter your approved preceptor and clinical faculty as part of each time and patient encounter you log.
Your clinical hour log must include the following:
Dates
Course
Clinical Faculty
Approved Preceptor
Total Time (for the day)
Notes/Comments
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
LEARNING RESOURCES
Required Readings
Fowler, G. C. (2020). Pfenninger and Fowler’s procedures for primary care (4th ed.). Elsevier.
Chapter 82, “Clinical Anorectal Anatomy and Digital Examination” (pp. 570–572)
Chapter 83. “Anoscopy” (pp. 573–576)
Chapter 87, “Office Treatment of Hemorrhoids” (pp. 596–606) specifically pp. 604 -606 external hemorrhoidal tags
Chapter 94, “Esophageal Foreign Body Removal” (pp. 676–679)
Chapter 95, “Inguinal Hernia Reduction” (pp. 680–683)
Chapter 20,: “Management of Fecal Impaction” (pp. 1382–1383)
Practicum Resources
HSoft Corporation. (2019). Meditrek: HomeLinks to an external site.. https://edu.meditrek.com/Default.html
Note: Use this website to log into Meditrek to report your clinical hours and patient encounters.
Walden University Field Experience. (2019a). Field experience: College of Nursing.Links to an external site. https://academicguides.waldenu.edu/fieldexperience/son/home
Walden University Field Experience. (2019b). Student practicum resources: NP student orientation.Links to an external site. https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation
Walden University. (2019). MSN nurse practitioner practicum manual.Links to an external site. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments
Document: Episodic/Focus Note Template (Word document)Download Episodic/Focus Note Template (Word document)
PATIENT LOG
Throughout this course, you must keep a log of every patient that you encounter in clinical using Meditrek. You must record at least 120 patients by the end of this practicum.
The patient log must include the following:
Date
Course
Clinical Faculty
Approved Preceptor
Patient Number
Client Information
Visit Information
Practice Management
Diagnosis
Procedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)
Treatment Plan and Notes
BY DAY 7
Record your clinical hours and patient encounters in Meditrek.
Rubric
PRAC_6531_Week6_Assignment1_Rubric
PRAC_6531_Week6_Assignment1_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomePart 1: Time logs and patient logs are completed within 48 hours of completing clinical time.
5 pts
Excellent
*Time logs are completed within 48 hours of completing clinical time. *Patient logs are completed within 48 hours of completing clinical time.
0 pts
Poor
*Time logs are completed more than 48 hours after completing clinical time. *Patient logs are completed more than 48 hours after completing clinical time.
5 ptsThis criterion is linked to a Learning OutcomeThis criterion is linked to a Learning OutcomePart 2: Patient logs meet the minimum documentation requirements. *Each entry includes Date, Course, Clinical Instructor, Preceptor, Patient number, Client information, Visit information, Practice management, Diagnosis, Procedures (if applicable), Treatment plan and notes, Notes section (Students must include a brief summary/synopsis of the patient visit—this must include enough information to understand how the patient presnted and the student intervention. Do NOT include EMR SOAP notes. *LOGS MUST BE SUBMITTED WITHIN 48 HOURS TO BE ELIGIBLE FOR ANY POINTS
5 pts
Excellent
*Patient logs include all of the required documentation elements.
0 pts
Poor
*Patient logs do NOT include all of the required documentation elements. There are some elements missing or the logs are incomplete. *Patient logs were submitted more than 48 hours after completion of the clinical time.
5 pts
Total Points: 10
ORDER A CUSTOMIZED, PLAGIARISM-FREE PRAC 6531 Primary Care of Adults Across The Lifespan Practicum Weekly Assignment HERE
PRAC 6531 Week 6 Assignment 2: EPISODIC VISIT: GASTROINTESTINAL FOCUSED NOTE
For this Assignment, you will work with a patient with a gastrointestinal condition that you examined during the last three weeks. You will complete your second Episodic/Focused Note Template Form for this course where you will gather patient information, relevant diagnostic and treatment information, and reflect on health promotion and disease prevention in light of patient factors, such as age, ethnic group, PMH, socioeconomic, cultural background, etc. In this week’s Learning Resources, please review the Focused Note resources for guidance on writing Focused Notes.
Note: All Focused Notes must be signed, and each page must be initialed by your preceptor. When you submit your Focused Notes, you should include the complete Focused Note as a Word document and pdf/images of each page that is initialed and signed by your preceptor. You must submit your Focused Notes using Turnitin.
Note: Electronic signatures are not accepted. If both files are not received by the due date, faculty will deduct points per the Walden Late Policies.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
LEARNING RESOURCES
Required Readings
Fowler, G. C. (2020). Pfenninger and Fowler’s procedures for primary care (4th ed.). Elsevier.
Chapter 82, “Clinical Anorectal Anatomy and Digital Examination” (pp. 570–572)
Chapter 83. “Anoscopy” (pp. 573–576)
Chapter 87, “Office Treatment of Hemorrhoids” (pp. 596–606) specifically pp. 604 -606 external hemorrhoidal tags
Chapter 94, “Esophageal Foreign Body Removal” (pp. 676–679)
Chapter 95, “Inguinal Hernia Reduction” (pp. 680–683)
Chapter 20,: “Management of Fecal Impaction” (pp. 1382–1383)
Practicum Resources
HSoft Corporation. (2019). Meditrek: HomeLinks to an external site.. https://edu.meditrek.com/Default.html
Note: Use this website to log into Meditrek to report your clinical hours and patient encounters.
Walden University Field Experience. (2019a). Field experience: College of Nursing.Links to an external site. https://academicguides.waldenu.edu/fieldexperience/son/home
Walden University Field Experience. (2019b). Student practicum resources: NP student orientation.Links to an external site. https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation
Walden University. (2019). MSN nurse practitioner practicum manual.Links to an external site. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments
Document: Episodic/Focus Note Template (Word document)Download Episodic/Focus Note Template (Word document)
To prepare:
Use the Episodic/Focused Note Template found in the Learning Resources for this week to complete this Assignment.
Select a patient that you examined during the last three weeks based on any gastrointestinal conditions. With this patient in mind, address the following in a Focused Note:
Assignment:
Subjective: What details did the patient provide regarding her personal and medical history?
Objective: What observations did you make during the physical assessment?
Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan.
Reflection notes: What would you do differently in a similar patient evaluation?
Note: Your Focused Note Assignment must be signed by Day 7 of Week 6.
BY DAY 7
Submit your Episodic/Focused Note Assignment. (Note: You will submit two files, your Focused Note Assignment, and a Word document of pdf/images of each page that is initialed and signed by your preceptor by Day 7 of Week 6.)
SUBMISSION INFORMATION
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
To submit your completed assignment, save your Assignment as WK6Assgn2_LastName_Firstinitial
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.
Rubric
PRAC_6531_Week6_Assignment2_Rubric
PRAC_6531_Week6_Assignment2_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeOrganization of Write-up
30 to >26.0 pts
Excellent
All information organized in logical sequence; follows acceptable format
26 to >23.0 pts
Good
Information generally organized in logical sequence; follows acceptable format
23 to >20.0 pts
Fair
Errors in format; information intermittently organized
20 to >0 pts
Poor
Errors in format; information disorganized
30 pts
This criterion is linked to a Learning OutcomeThoroughness of History
20 to >17.0 pts
Excellent
Thoroughly documents all pertinent history components for type of note; includes critical as well as supportive information
17 to >15.0 pts
Good
Documents most pertinent history components; includes critical information
15 to >13.0 pts
Fair
Fails to document most pertinent history components; Lacks some critical information or rambling in history
13 to >0 pts
Poor
Minimal history; critical information missing
20 pts
This criterion is linked to a Learning OutcomeThoroughness of Physical Exam
10 to >8.0 pts
Excellent
Thoroughly documents all pertinent examination components for type of note
8 to >7.0 pts
Good
Documents most pertinent examination components
7 to >6.0 pts
Fair
Documents some pertinent examination components
6 to >0 pts
Poor
Physical examination cursory; misses several pertinent components
10 pts
This criterion is linked to a Learning OutcomeDiagnostic Reasoning
10 to >8.0 pts
Excellent
Assessment consistent with prior documentation. Clear justification for diagnosis. Notes all secondary problems. Cost effective when ordering diagnostic tests
8 to >7.0 pts
Good
Assessment consistent with prior documentation. Clear justification for diagnosis. Notes most secondary problems.
7 to >6.0 pts
Fair
Assessment mostly consistent with prior documentation. Fails to clearly justify diagnosis or note secondary problems or orders inappropriate diagnostic tests
6 to >0 pts
Poor
Assessment not consistent with prior documentation. Fails to clearly justify diagnosis or note secondary problems or orders inappropriate diagnostic tests
10 pts
This criterion is linked to a Learning OutcomeTreatment Plan/Patient Education
10 to >8.0 pts
Excellent
Treatment plan and patient education addresses all issues raised by diagnoses, excellent insight into patient’s needs. Evidence based decisions. Cost effective treatment. Reflection is thoughtful and in depth.
8 to >7.0 pts
Good
Treatment plan and patient education addresses most issues raised by diagnoses. Reflection is thoughtful and in depth.
7 to >6.0 pts
Fair
Treatment plan and patient education fail to address most issues raised by diagnoses. … Reflection is brief, vague. and does not discuss anything that would have been done in addition to or differently.
6 to >0 pts
Poor
Minimal treatment plan and/or patient education addressed … Reflection is absent.
10 pts
This criterion is linked to a Learning OutcomeWritten Expression and FormattingEnglish writing standards: Correct grammar, mechanics, and proper punctuation.
10 to >8.0 pts
Excellent
Uses correct grammar, spelling, and punctuation with no errors.
8 to >7.0 pts
Good
Contains a few (1-2) grammar, spelling, and punctuation errors.
7 to >6.0 pts
Fair
Contains several (3-4) grammar, spelling, and punctuation errors.
6 to >0 pts
Poor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
10 pts
This criterion is linked to a Learning OutcomeWritten Expression and FormattingThe assignment follows parenthetical/in-text citations, and at least 3 evidenced based references are listed.
10 to >8.0 pts
Excellent
Contains parenthetical/in-text citations and at least 3 evidenced based references are listed.
8 to >7.0 pts
Good
Contains parenthetical/in-text citations and at least 2 evidenced based references are listed
7 to >6.0 pts
Fair
Contains parenthetical/in-text citations and at least 1 evidenced based reference is listed
6 to >0 pts
Poor
Contains no parenthetical/in-text citations and 0 evidenced based references listed.
10 pts
Total Points: 100
PRAC 6531 Week 7 Assignment: Clinical Hour and Patient Logs
Clinical Hours
For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to earn the points allocated for this assignment. You may only log hours with preceptors that are approved in Meditrek.
Students must complete a minimum of 160 hours of supervised direct patient clinical experience. You will enter your approved preceptor and clinical faculty as part of each time and patient encounter you log.
Your clinical hour log must include the following:
Dates
Course
Clinical Faculty
Approved Preceptor
Total Time (for the day)
Notes/Comments
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
Patient Log
Throughout this course, you must keep a log of every patient that you encounter in clinical using Meditrek. You must record at least 120 patients by the end of this practicum.
The patient log must include the following:
Date
Course
Clinical Faculty
Approved Preceptor
Patient Number
Client Information
Visit Information
Practice Management
Diagnosis
Procedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)
Treatment Plan and Notes
By Day 7
Record your clinical hours and patient encounters in Meditrek.
Rubric
PRAC_6531_Week7_Assignment_Rubric
PRAC_6531_Week7_Assignment_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning Outcome Part 1: Time logs and patient logs are completed within 48 hours of completing clinical time.
5 pts
Excellent
*Time logs are completed within 48 hours of completing clinical time. *Patient logs are completed within 48 hours of completing clinical time.
0 pts
Poor
*Time logs are completed more than 48 hours after completing clinical time. *Patient logs are completed more than 48 hours after completing clinical time.
5 pts
This criterion is linked to a Learning Outcome Part 2: Patient logs meet the minimum documentation requirements. *Each entry includes Date, Course, Clinical Instructor, Preceptor, Patient number, Client information, Visit information, Practice management, Diagnosis, Procedures (if applicable), Treatment plan and notes, Notes section (Students must include a brief summary/synopsis of the patient visit—this must include enough information to understand how the patient presnted and the student intervention. Do NOT include EMR SOAP notes. *LOGS MUST BE SUBMITTED WITHIN 48 HOURS TO BE ELIGIBLE FOR ANY POINTS
5 pts
Excellent
*Patient logs include all of the required documentation elements.
0 pts
Poor
*Patient logs do NOT include all of the required documentation elements. There are some elements missing or the logs are incomplete. *Patient logs were submitted more than 48 hours after completion of the clinical time.
5 pts
Total Points: 10
PRAC 6531 Week 8 Assignment: CLINICAL HOUR AND PATIENT LOGS
Clinical Hours
For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to earn the points allocated for this assignment. You may only log hours with preceptors that are approved in Meditrek.
Students must complete a minimum of 160 hours of supervised direct patient clinical experience. You will enter your approved preceptor and clinical faculty as part of each time and patient encounter you log.
Your clinical hour log must include the following:
Dates
Course
Clinical Faculty
Approved Preceptor
Total Time (for the day)
Notes/Comments
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
PATIENT LOG
Throughout this course, you must keep a log of every patient that you encounter in clinical using Meditrek. You must record at least 120 patients by the end of this practicum.
The patient log must include the following:
Date
Course
Clinical Faculty
Approved Preceptor
Patient Number
Client Information
Visit Information
Practice Management
Diagnosis
Procedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)
Treatment Plan and Notes
BY DAY 7
Record your clinical hours and patient encounters in Meditrek.
Rubric
PRAC_6531_Week8_Assignment_Rubric
PRAC_6531_Week8_Assignment_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomePart 1: Time logs and patient logs are completed within 48 hours of completing clinical time.
5 pts
Excellent
*Time logs are completed within 48 hours of completing clinical time. *Patient logs are completed within 48 hours of completing clinical time.
0 pts
Poor
*Time logs are completed more than 48 hours after completing clinical time. *Patient logs are completed more than 48 hours after completing clinical time.
5 pts
This criterion is linked to a Learning OutcomePart 2: Patient logs meet the minimum documentation requirements. *Each entry includes Date, Course, Clinical Instructor, Preceptor, Patient number, Client information, Visit information, Practice management, Diagnosis, Procedures (if applicable), Treatment plan and notes, Notes section (Students must include a brief summary/synopsis of the patient visit—this must include enough information to understand how the patient presnted and the student intervention. Do NOT include EMR SOAP notes. *LOGS MUST BE SUBMITTED WITHIN 48 HOURS TO BE ELIGIBLE FOR ANY POINTS
5 pts
Excellent
*Patient logs include all of the required documentation elements.
0 pts
Poor
*Patient logs do NOT include all of the required documentation elements. There are some elements missing or the logs are incomplete. *Patient logs were submitted more than 48 hours after completion of the clinical time.
5 pts
Total Points: 10
PreviousNext
PRAC 6531 Week 9 Assignment 1: CLINICAL HOUR AND PATIENT LOGS
Clinical Hours
For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to earn the points allocated for this assignment. You may only log hours with preceptors that are approved in Meditrek.
Students must complete a minimum of 160 hours of supervised direct patient clinical experience. You will enter your approved preceptor and clinical faculty as part of each time and patient encounter you log.
Your clinical hour log must include the following:
Dates
Course
Clinical Faculty
Approved Preceptor
Total Time (for the day)
Notes/Comments
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
PATIENT LOG
Throughout this course, you must keep a log of every patient that you encounter in clinical using Meditrek. You must record at least 120 patients by the end of this practicum.
The patient log must include the following:
Date
Course
Clinical Faculty
Approved Preceptor
Patient Number
Client Information
Visit Information
Practice Management
Diagnosis
Procedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)
Treatment Plan and Notes
BY DAY 7
Record your clinical hours and patient encounters in Meditrek.
Rubric
PRAC_6531_Week9_Assignment1_Rubric
PRAC_6531_Week9_Assignment1_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomePart 1: Time logs and patient logs are completed within 48 hours of completing clinical time.
5 pts
Excellent
*Time logs are completed within 48 hours of completing clinical time. *Patient logs are completed within 48 hours of completing clinical time.
0 pts
Poor
*Time logs are completed more than 48 hours after completing clinical time. *Patient logs are completed more than 48 hours after completing clinical time.
5 pts
This criterion is linked to a Learning OutcomePart 2: Patient logs meet the minimum documentation requirements. *Each entry includes Date, Course, Clinical Instructor, Preceptor, Patient number, Client information, Visit information, Practice management, Diagnosis, Procedures (if applicable), Treatment plan and notes, Notes section (Students must include a brief summary/synopsis of the patient visit—this must include enough information to understand how the patient presnted and the student intervention. Do NOT include EMR SOAP notes. *LOGS MUST BE SUBMITTED WITHIN 48 HOURS TO BE ELIGIBLE FOR ANY POINTS
5 pts
Excellent
*Patient logs include all of the required documentation elements.
0 pts
Poor
*Patient logs do NOT include all of the required documentation elements. There are some elements missing or the logs are incomplete. *Patient logs were submitted more than 48 hours after completion of the clinical time.
5 pts
Total Points: 10
PRAC 6531 Week 9 Assignment 2: EPISODIC VISIT: MUSCULOSKELETAL FOCUSED NOTE
For this Assignment, you will work with a patient with a musculoskeletal condition that you examined during the last three weeks. You will complete your third Episodic/Focused Note Template Form for this course where you will gather patient information, relevant diagnostic and treatment information as well as reflect on health promotion and disease prevention in light of patient factors such as age, ethnic group, previous medical history (PMH), socio-economic, cultural background, etc. In this week’s Learning Resources, please review the Focused Note resources for guidance on writing Focused Notes.
Note: All Focused Notes must be signed, and each page must be initialed by your preceptor. When you submit your Focused Notes, you should include the complete Focused Note as a Word document and pdf/images of each page that is initialed and signed by your preceptor. You must submit your Focused Notes using Turnitin.
Note: Electronic signatures are not accepted. If both files are not received by the due date, faculty will deduct points per the Walden Late Policies.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
LEARNING RESOURCES
Required Readings
Fowler, G. C. (2020). Pfenninger and Fowler’s procedures for primary care (4th ed.). Elsevier.
Chapter 174, “Shoulder Dislocations” (pp. 1163–1167)
Chapter 175, “Ankle and Foot Splinting, Casting, and Taping” (pp. 1168–1175)
Chapter 176, “Cast Immobilization and Upper Extremity Splinting” (pp. 1176–1185)
Chapter 177, “Knee Braces” (pp. 1186–1192)
Chapter 178, “Fracture Care” (pp. 1193–1211)
Chapter 180, “Joint and Soft Tissue Aspiration and Injection (Arthrocentesis)” (pp. 1221–1239)
Chapter 181, “Trigger-Point Injection” (pp. 1240–1244)
Chapter 235, “Principles of X-Ray Interpretation” (pp. 1566–1575)
Practicum Resources
HSoft Corporation. (2019). Meditrek: Home.Links to an external site. https://edu.meditrek.com/Default.html
Note: Use this website to log into Meditrek to report your clinical hours and patient encounters.
Walden University Field Experience. (2019a). Field experience: College of Nursing.Links to an external site. https://academicguides.waldenu.edu/fieldexperience/son/home
Walden University Field Experience. (2019b). Student practicum resources: NP student orientation.Links to an external site. https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation
Walden University. (2019). MSN nurse practitioner practicum manual.Links to an external site. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments
Document: Episodic/Focus Note Template (Word document)Download Episodic/Focus Note Template (Word document)
To prepare:
Use the Episodic/Focused Note Template found in the Learning Resources for this week to complete this assignment.
Select a patient that you examined during the last three weeks based on musculoskeletal conditions. With this patient in mind, address the following in a Focused Note:
Assignment:
Subjective: What details did the patient provide regarding her personal and medical history?
Objective: What observations did you make during the physical assessment?
Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan.
Reflection notes: What would you do differently in a similar patient evaluation?
Note: Your Focused Note Assignment must be signed by Day 7 of Week 9.
BY DAY 7
Submit your Episodic/Focused Note Assignment.
(Note: You will submit two files, your Focused Note Assignment, and a Word document of pdf/images of each page that is initialed and signed by your preceptor by Day 7 of Week 9.)
SUBMISSION INFORMATION
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
To submit your completed assignment, save your Assignment as WK9Assgn2_LastName_Firstinitial
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.
Rubric
PRAC_6531_Week9_Assignment2_Rubric
PRAC_6531_Week9_Assignment2_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeOrganization of Write-up
30 to >26.0 pts
Excellent
All information organized in logical sequence; follows acceptable format
26 to >23.0 pts
Good
Information generally organized in logical sequence; follows acceptable format
23 to >20.0 pts
Fair
Errors in format; information intermittently organized
20 to >0 pts
Poor
Errors in format; information disorganized
30 pts
This criterion is linked to a Learning OutcomeThoroughness of History
20 to >17.0 pts
Excellent
Thoroughly documents all pertinent history components for type of note; includes critical as well as supportive information
17 to >15.0 pts
Good
Documents most pertinent history components; includes critical information
15 to >13.0 pts
Fair
Fails to document most pertinent history components; Lacks some critical information or rambling in history
13 to >0 pts
Poor
Minimal history; critical information missing
20 pts
This criterion is linked to a Learning OutcomeThoroughness of Physical Exam
10 to >8.0 pts
Excellent
Thoroughly documents all pertinent examination components for type of note
8 to >7.0 pts
Good
Documents most pertinent examination components
7 to >6.0 pts
Fair
Documents some pertinent examination components
6 to >0 pts
Poor
Physical examination cursory; misses several pertinent components
10 pts
This criterion is linked to a Learning OutcomeDiagnostic Reasoning
10 to >8.0 pts
Excellent
Assessment consistent with prior documentation. Clear justification for diagnosis. Notes all secondary problems. Cost effective when ordering diagnostic tests
8 to >7.0 pts
Good
Assessment consistent with prior documentation. Clear justification for diagnosis. Notes most secondary problems.
7 to >6.0 pts
Fair
Assessment mostly consistent with prior documentation. Fails to clearly justify diagnosis or note secondary problems or orders inappropriate diagnostic tests
6 to >0 pts
Poor
Assessment not consistent with prior documentation. Fails to clearly justify diagnosis or note secondary problems or orders inappropriate diagnostic tests
10 pts
This criterion is linked to a Learning OutcomeTreatment Plan/Patient Education
10 to >8.0 pts
Excellent
Treatment plan and patient education addresses all issues raised by diagnoses, excellent insight into patient’s needs. Evidence based decisions. Cost effective treatment. Reflection is thoughtful and in depth.
8 to >7.0 pts
Good
Treatment plan and patient education addresses most issues raised by diagnoses. Reflection is thoughtful and in depth.
7 to >6.0 pts
Fair
Treatment plan and patient education fail to address most issues raised by diagnoses. … Reflection is brief, vague. and does not discuss anything that would have been done in addition to or differently.
6 to >0 pts
Poor
Minimal treatment plan and/or patient education addressed … Reflection is absent.
10 pts
This criterion is linked to a Learning OutcomeWritten Expression and FormattingEnglish writing standards: Correct grammar, mechanics, and proper punctuation.
10 to >8.0 pts
Excellent
Uses correct grammar, spelling, and punctuation with no errors.
8 to >7.0 pts
Good
Contains a few (1-2) grammar, spelling, and punctuation errors.
7 to >6.0 pts
Fair
Contains several (3-4) grammar, spelling, and punctuation errors.
6 to >0 pts
Poor
Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
10 pts
This criterion is linked to a Learning OutcomeWritten Expression and FormattingThe assignment follows parenthetical/in-text citations, and at least 3 evidenced based references are listed.
10 to >8.0 pts
Excellent
Contains parenthetical/in-text citations and at least 3 evidenced based references are listed.
8 to >7.0 pts
Good
Contains parenthetical/in-text citations and at least 2 evidenced based references are listed
7 to >6.0 pts
Fair
Contains parenthetical/in-text citations and at least 1 evidenced based reference is listed
6 to >0 pts
Poor
Contains no parenthetical/in-text citations and 0 evidenced based references listed.
10 pts
Total Points: 100
PRAC 6531 Week 10 Assignment 1: Clinical Hour and Patient Logs
Clinical Hours
For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to earn the points allocated for this assignment. You may only log hours with preceptors that are approved in Meditrek.
Students must complete a minimum of 160 hours of supervised direct patient clinical experience. You will enter your approved preceptor and clinical faculty as part of each time and patient encounter you log.
Your clinical hour log must include the following:
Dates
Course
Clinical Faculty
Approved Preceptor
Total Time (for the day)
Notes/Comments
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
Patient Log
Throughout this course, you must keep a log of every patient that you encounter in clinical using Meditrek. You must record at least 120 patients by the end of this practicum.
The patient log must include the following:
Date
Course
Clinical Faculty
Approved Preceptor
Patient Number
Client Information
Visit Information
Practice Management
Diagnosis
Procedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)
Treatment Plan and Notes
By Day 7
Record your clinical hours and patient encounters in Meditrek. All clinical hours and patient encounters for this practicum must be entered by Day 7 of this week.
Rubric
PRAC_6531_Week10_Assignment1_Rubric
PRAC_6531_Week10_Assignment1_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning Outcome Part 1: Time logs and patient logs are completed within 48 hours of completing clinical time.
5 pts
Excellent
*Time logs are completed within 48 hours of completing clinical time. *Patient logs are completed within 48 hours of completing clinical time.
0 pts
Poor
*Time logs are completed more than 48 hours after completing clinical time. *Patient logs are completed more than 48 hours after completing clinical time.
5 pts
This criterion is linked to a Learning Outcome Part 2: Patient logs meet the minimum documentation requirements. *Each entry includes Date, Course, Clinical Instructor, Preceptor, Patient number, Client information, Visit information, Practice management, Diagnosis, Procedures (if applicable), Treatment plan and notes, Notes section (Students must include a brief summary/synopsis of the patient visit—this must include enough information to understand how the patient presnted and the student intervention. Do NOT include EMR SOAP notes. *LOGS MUST BE SUBMITTED WITHIN 48 HOURS TO BE ELIGIBLE FOR ANY POINTS
5 pts
Excellent
*Patient logs include all of the required documentation elements.
0 pts
Poor
*Patient logs do NOT include all of the required documentation elements. There are some elements missing or the logs are incomplete. *Patient logs were submitted more than 48 hours after completion of the clinical time.
5 pts
Total Points: 10
PRAC 6531 Week 10 Assignment 2: JOURNAL ENTRY
Critical reflection of your growth and development during your practicum experience in a clinical setting has the benefit of helping you to identify opportunities for improvement in your clinical skills, while also recognizing your clinical strengths and successes.
This week, you will write a Journal Entry, reflecting on your clinical strengths and opportunities for improvement.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
LEARNING RESOURCES
Required Readings
Muncie, H. L., Sirmans, S. M., & James, E. (2017). Dizziness: Approach to evaluation and management.Links to an external site. American Family Physician, 95(3), 154–162. https://www.aafp.org/afp/2017/0201/p154.html
Note: As you review this article consider the techniques and/or strategies used.
Practicum Resources
HSoft Corporation. (2019). Meditrek: Home.Links to an external site. https://edu.meditrek.com/Default.html
Note: Use this website to log into Meditrek to report your clinical hours and patient encounters.
Walden University Field Experience. (2019a). Field experience: College of Nursing.Links to an external site. https://academicguides.waldenu.edu/fieldexperience/son/home
Walden University Field Experience. (2019b). Student practicum resources: NP student orientation.Links to an external site. https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation
Walden University. (2019). MSN nurse practitioner practicum manual.Links to an external site. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments
To prepare:
Refer to the “Advanced Nursing Practice Competencies and Guidelines” found in Week 1’s Learning Resources and consider the quality measures or indicators advanced nursing practice nurses must possess in your specialty of interest.
Refer to your “Clinical Skills and Procedures Self-Assessment Form” you submitted in Week 1 and consider your strengths and opportunities for improvement.
Refer to your Patient Log in Meditrek and consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences.
Journal Entry (450–500 words): 
Learning from Experiences
Reflect on the three most challenging patients. What was most challenging for each?
What did you learn from this experience?
What resources did you have available?
What evidence-based practice did you use for this patient?
What new skills are you learning?
What would you do differently?
How are you managing patient flow and volume?
Communicating and Feedback
Reflect on how to improve on your skills and knowledge and how to communicate that back to your Preceptor.
How are you doing? What is missing?
What type of feedback are you receiving from your Preceptor?
BY DAY 7
Submit your Journal Entry Assignment.
SUBMISSION INFORMATION
Before submitting your final journal, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
To submit your completed journal, save your Journal as WK10Journal_LastName_Firstinitial
Then, click on Start Journal near the top of the page.
Next, click on Upload File and select Submit Journal for review.
Rubric
PRAC_6531_Week10_Assignment2_JournalEntry_Rubric
PRAC_6531_Week10_Assignment2_JournalEntry_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeAssimilation and Synthesis: Content Reflection
50 to >49.0 pts
Excellent
Reflection demonstrates a high level of critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or discussions. Insightful and relevant connections are made through contextual explanations and examples.
49 to >39.0 pts
Good
Reflection demonstrates moderate level of critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or discussions. Connections are made through explanations and/or examples.
39 to >30.0 pts
Fair
Reflection demonstrates minimal critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or discussions. Minimal connections made through explanations and/or examples.
30 to >0 pts
Poor
Reflection lacks critical thinking. Superficial connections are made with key course concepts and resources, and/or assignments
50 pts
This criterion is linked to a Learning OutcomeAssimilation and Synthesis: Personal Growth
30 to >29.0 pts
Excellent
Expresses solid evidence of reflection on own work. Demonstrates substantial personal growth and awareness of deeper meaning through inferences, well developed insights, and significant depth in awareness and challenges. Synthesizes current experience into future implications.
29 to >19.0 pts
Good
Expresses moderate evidence of reflection on own work. Demonstrates satisfactory personal growth and awareness through some inferences, insights, and challenges. There is mention of the future implications of student’s current experience.
19 to >9.0 pts
Fair
Expresses minimal evidence of reflection on own work. Demonstrates less than adequate personal growth and awareness through limited or simplistic inferences made, insights, and/or challenges that are not well developed. Minimal thought of future implications of student’s current experience.
9 to >0 pts
Poor
Expresses inadequate evidence of reflection on own work. Personal growth and awareness are not evident and/or demonstrate an impersonal experience. Lacks personal insights, challenges, inferences, and/or future implications are overlooked.
30 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting
15 to >14.0 pts
Excellent
Well written and clearly organized using standard English, characterized by elements of a strong writing style and basically free from grammar, punctuation, usage, and spelling errors.
14 to >10.0 pts
Good
Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling.
10 to >5.0 pts
Fair
Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling.
5 to >0 pts
Poor
Poor writing style lacking in standard English, clarity, language used, and/or frequent errors in grammar, punctuation, usage, and spelling. Needs work.
15 pts
This criterion is linked to a Learning OutcomeAPA
5 to >4.0 pts
Excellent
No APA errors
4 to >3.0 pts
Good
Contains 1-2 APA errors
3 to >1.0 pts
Fair
Contains 3-5 APA errors
1 to >0 pts
Poor
Contains > 5 APA errors
5 pts
Total Points: 100