FNP Survival Kit

BYClass of 2015

Outline

Clinical Survival Kit •Introduction •Table of Contents

I.PreclinicalII.Study TipsIII.Q &AIV.Clinical Sites

INTRODUCTION TO CLINICAL SURVIVAL KIT

The Family Nurse Practitioner (FNP) graduating class of spring 2015 welcomes you as you have made an excellent decision to become a part of the Coppin family. In partial fulfilment of the requirements for the Master’s degree/Certificate of Family Nurse Practitioner (FNP), we collectively made the decision to create an orientation packet entitled, “CLINICAL SURVIVAL KIT” for future students of this graduate program. Experience became our motivation in the choice we made to complete this project. We desire to leave a legacy and a positive imprint for upcoming students to follow to achieve success in their academic endeavors. We hope that as we exit, the FNP program at Coppin State University remains strong and meets the needs of the student population it serves. We have prepared this orientation packet to assist you in your academic journey experience excellence. We the FNP Graduate Class of spring 2015 believe that students come first at the Helene Fuld School of Nursing (HFSON); therefore, we are creating a “mentoring” environment to encourage you to reach your highest potential. We endeavor to present information you need to know for preparation before clinical begins to ensure a smooth transition into a successful clinical experience.

INTRODUCTION TO CLINICAL SURVIVAL KIT

The purpose of the FNP Program is to prepare nurses to provide advanced primary health care to underserved populations in an urban setting. In order to support your goal of being able to provide excellent primary health care that is culturally sensitive, we have put together need to know clinical information and a list of variety of settings for your practicum experiences to reduce your anxiety and pressure in seeking clinical placements. Please note that whether you are in the traditional MSN-FNP or Post Masters Certificate track, there is an expectation that you complete a minimum of 500 direct patient care clinical hours in the preparation for the Nurse Practitioner role. These clinical experiences vary and are distributed throughout the curriculum to include exposures to primary health care of: children, women, adult/older adults, and family. Each clinical component has a specific number of hours assigned. Please refer to your syllabus/student handbook for specifics.

INTRODUCTION TO CLINICAL SURVIVAL KIT

We have put together important information you need to know and complete before beginning clinical rotations, as well as compiled a list of several clinical sites we used for our practicum exposure. These clinical sites have approved contract with HFSON (at this time), however, we advise you to make contact with potential preceptors as soon as you have registered for the course. Note, that although we have opened the door to these sites, other students from other institutions utilize these practitioners and the sites. It will be most beneficial to you to visit the sites you chose and make face to face contact and secure your clinical ahead of time. We wish you success on your journey. FNP Class of spring 2015 HFSON

Clinical/Lab SuppliesThese supplies will be needed in the simulation lab and in your clinical settings:• White lab coat/jacket - $10-30 (Alko, Uniform City, uniform stores, etc.)• School of Nursing shoulder patch w/ department emblem $5 (School uniform company)• Royal/sapphire blue name tag with credentials & degrees $10-15 (Staples, Office Depot)• High-quality Stethoscope w/ diaphragm & bell or bell function - $30-200 (Amazon, EBay,

uniform stores, etc.)• Blood pressure cuff - $10-40 (Alko, Amazon, uniform city, etc.)• Percussion hammer $3-20 (Alko, Amazon, uniform store, etc.)• Penlight (Alko, Amazon, uniform store, etc.)• Tuning fork -$3-5 (Amazon)• Otoscope/Ophthalmoscope - $50-100 (EBay for dual attachment set)• Watch w/ second hand $5-(Walmart, etc.)• Tape measure w/ inches & centimeters (Amazon, uniform store)• Pocket notepad or electronic notebook• Pocket or electronic medication reference

Clinical/Lab Supplies

CertifiedBackground.com or CertifiedProfile.comCost- $117.00Coppin log-in Code- CQ52Contains access to:Background CheckUrine Drug Screen information

**All forms, immunization records, etc. will need to be faxed or uploaded to your Certified Background profile each clinical school year. It is advisable that you keep a folder or flash drive with these items in it, so that they may be easily updated and retrieved.*****This information is solely intended to serve as a guide to help you prepare for clinicals. It is not intended to be an authoritative or final source on clinical or program requirements. Please refer to your Student Handbook, course syllabi and departmental/course faculty for official information.***

Pre-Clinical Requirements

Background Check Requirements Other Requirements

Clinical requirements include:

• 1. Physical Examination (renew every year)• 2. Measles, Mumps & Rubella (MMR) titers• 3. Varicella (Chicken Pox) titers• 4. Hepatitis B titers• 5. Tetanus Vaccine or proof of vaccination in last 10 years• 6. Proof of negative TB Test or Chest X-ray• 7. Yearly Influenza vaccination • 8. Current adult, child & infant CPR Certification• 9. Current RN License• 10. Signed Confidentiality Statement • 11. School Honor Code (refer to student handbook)• 12. Release of Information form• 13. Video and Photo Release form• 14. HIPAA Certification (copy may be able to be obtained through current employer)• 15. OSHA Certification (copy may be able to be obtained through current employer)

Tips1. Purchase a nurse practitioner certification review book at the beginning of the program. This can be utilized throughout the program and will give you exposure to answering questions the way they are asked on the board certification exminations and possibly on exams throughout the program. Even purchasing an older edition of the book will give you access to body systems and disease process overview, as well as practice questions while you are in a particular specialty course. At the end of your program when you are ready to study for your certification exam, you can purchase a newer version or the current edition. Check Amazon & Ebay for less expensive copies or even used copies.-Recommended Nurse Practitioner Certification Examination and Practice Preparation by Margaret Fitgerald2. Don't forget to utilize of all of your "outside" resources such as YouTube and the internet for difficult to understand procedures and concepts. There are many videos that can "break down" a topic that you may have trouble grasping from textbook readings.

Tips3. Formulate study groups early on in the program. Don't always study with people you are are friends with. You all may think alike or be strong in the subject area. Search out people who have expertise in other areas that you are not as strong in. They may have the answer to your problem and you are much les likely to get sidetracked in the process. At the very least, you may make a new friend...4. Make "friends" with people in your work area or in your doctor's office. They may have insight into places you can go for clinical or jobs once you graduate.5. If APA format is not your friend or a strength of yours, purchase a program that automatically formats your papers in APA format like PERRLA. It costs about $40-50 and can be added on more than 1 computer, so you can split the cost w/ a colleague.

TipsStudy tip for the Nurse Practitioner program

• Pay attention to the professors

teaching style, as it may give good insight on how to study for the exam.

• Get as much exposure to the

topic as possible such as listening to tegrity, review power point, read selected chapter and do practice questions.

• Do not try to cram information the night before the exam.

• Take good notes in class and

pay attention to areas emphasized by the professor

Nursing 600 and Nursing 640

Resources

• Youtube for head to toe assessment: Videos under BMEDINAGO and others are

included on Youtube.• Review books: Margaret Fitzgerald, Pathophysiology for

dummies, or any

other basic pathophysiology book. Most textbooks include

online illustrations, test questions, and discussions for in-

depth understanding and rationale, register for these

programs.• Take advantage of the school’s simulation labs for additional

hands-on practice prior to starting your clinical rotation.

FAQs:

1. Do I need to buy the required health assessment equipments?

Yes, you will find it useful for practice and the open sessions2. Does the school place students into clinical sites?No! The student is responsible for finding their clinical site and moving forward you will need to provide your clinical site before you can be given the code to register for any clinical course.3. How should one dress for clinicals?Professional attire and lab coat with the coppin patch on the left arm as well as a name badge. NO SCRUBS!!

FAQs:4. Can one use Thanksgiving or Spring break or any holiday to catch up on clinical hours? No, whenever school is closed be it for break, holiday, or inclement weather, the student is not to go for clinical and the school will not be liable should something go wrong.5. what if I my clinical site is not a good fit?Clinical is the only practice you will get before becoming an NP so, if you realize that your preceptor or the clinical setting is not a good fit for you, inform your instructor immediately and find a new preceptor immediately instead of waiting till the end of the semester.

Resources6. How do I transition from non-degree seeking to degree seeking? Apply for degree seeking, meet the necessary requirements, and also consult your assigned faculty adviser for further instructions.7. How do I obtain a code to register for classes? Email your clinical site information to the faculty /clinical coordinator to obtain a code.

Resources continued

•The use of the school’s Writing center, located in the Grace Jacob Building can be helpful when writing your papers. Prior knowledge of APA formatting in critical in developing your papers. •The purchase of the most recent APA book or online APA programs like OWL are helpful when properly formatting papers. •PERRLA a program that can be downloaded to your computer, can also be used to help format your papers in APA style. The cost of this program is ~$39.99•The use of Writecheck.com or Turnitin are used to identify plagiarized work. The programs work the same and identifies your papers similarity index. The cost for writecheck.com is ~$30.00. and the school currently uses Turnitin for written submissions.

Study tips:

• Study in small groups instead of individually. This gives you the opportunity to learn from other nurses experiences and actively engages you in the learning process; helping you retain the information.

• As previously mentioned in the use of review books can provided you with simple, less complex rational for understanding covered material.

• The use of flashcards can also be helpful. It also may be helpful to use index cards that can be used later when studying for the boards.

Course Requirements

• NURS 600 requires 40 hours of clinical hours, in addition to a graded head-to-toe physical performed on a classmate.

• NURS 660 requires 120 clinical hours.• The purchase some medical tools including a pen

light, reflex

hammer, Otoscope, and ophthalmoscope, etc. may be needed for your final head-to-toe assessment. The tools can also be used for at home practice with friends and family.

Clinical Sites Suggestions

Pediatric Location SiteHarbor PediatricsDr. John Irwin3001 S. Hanover St. suite 302Baltimore, MD 21225(410) 350-2173 Family Practice (Adult)Dr. Daniel Howard405 N. Paca StreetBaltimore Md. 21201(410) 779-9609

PEDSDr. Nicholas Donkor10910 Little Patuxent PkwyColumbia, MD 21044

Adult PracticeDr. Richard Akoto344 University Blvd W # 326Silver Spring, MD 20901

Thesis v.s. Non-Thesis

Thesis

• Students have to complete all six chapters of research

• Three faculty members have to serve on the Thesis committee

• Student has to defend research topic

• Student does not have to sit for comprehensive exam

• Called “Research” due to student carrying out the entire research

Non- Thesis

• Only first three chapters are completed by student

• Committees are not used for non-thesis. Two reader minimum is required

• Oral presentation on clinical project is required

• Comprehensive examination is an requirement for non-thesis project

• Called “Clinical Project,” research is not carried out in its entirety

Thesis v.s Non-thesis Course Description

Non-Thesis Research Project • This course provides opportunities to develop, implement, and evaluate a

research project. The project, designed in collaboration with a clinical faculty/preceptor, will reflect analysis, synthesis, and integration in exploring a topic related to advance nursing practice.

Masters Thesis Guidelines • This course provides opportunities to develop, and write a Masters Thesis.

The thesisis written in collaboration with a faculty member will reflect analysis, synthesis, and integration in exploring.

Clinical sites: Assessment & Adult

Dr. Richard Akoto

344 University Blvd W # 326

Silver Spring, MD 20901

Daniel Howard

402 N Paca Street

Baltimore Md 21201

410-779-9609

Clinical sites: Assessment & Adult

Medstar Hospitals

-Harbor

-Franklin Square

-Good Samaritan

Clinical Sites Suggestions

Adult & GYNDaniel Howard402 N Paca StreetBaltimore Md 21201410-779-9609

Womens HealthStella Jeffiries, CRNPAffordable Health Care Nurse Practitioner Clinic11120 New Hampshire Ave, Silver Spring, MD

20904 301-593-83001615 Rhode Island Ave, NE. Wahsington, DC,

20018

Peds ClinicalWilliam C. Dash, MDHarbor Pediatrics3001 south Hanover Street #302Baltimore, MD 21225410-350-2173

Clinical Sites: Assessment & Adult

Lakewood Family Health Center Beltsville, MD

United Healthcare

Clinical Sites Suggestions

Women’s Health Dr. Nasreen Kango, MD - Internist in Takoma

Park7701 Carroll Ave, Takoma Park, MD 20912

(301) 270-7606

PedsDr. Juliet Anadu7500 Hanover Pkwy

Ste 202Greenbelt, MD 20770

(301 318 7259)

http://www.vitals.com/doctors/Dr_Juliet_Anadu.html#ixzz3VVU9uE63

Women's Health Dr. Nancy P. Youssefi, MD7350 Van Dusen Rd Laurel, MD

20707(301) 317-6281

PedsNaldo Juliet MD7411 Riggs Rd # 314 Hyattsville,

MD 20783(301) 434-0924

Clinical Sites Suggestions

• Lakewood family health center Beltsville md

• Medstar Health– Franklin Square– Good Sam– Union Memorial– Harbor Hospital– Washington Hospital Center

• VA Hospital• Mercy Medical Center• Overlea Personal Physicians

Women’s Health

Ellenor Chance, Christiana Ikome, Samantha Kite,

Honorine Mumah, & Amanda Rothenbecker

PRECEPTORS

• Stella Jeffiries, CRNP

Affordable Health Care Nurse Practitioner Clinic

11120 New Hampshire Ave, Silver Spring, MD 20904

301-593-8300

1615 Rhode Island Ave, NE. Washington, DC, 20018• Dr. Nancy P. Youssefi, MD

7350 Van Dusen Rd Laurel, MD 20707

(301) 317-6281

PRECEPTORS

• Franklin Square OB- Cheryl Giese CRNP, dual certification Women’s/Adults

9000 Franklin Square Drive. Baltimore, MD 21239• Mercy Medical Center-Certified Nurse Midwife as

preceptor (they do lots of in office women's health• Dr. Nasreen Kango, MD - Internist

7701 Carroll Ave, Takoma Park, MD 20912(301) 270-7606

STUDY TIPS

Lecture/Didactic • Pay close attention to information reviewed during

lectures.• Join a study group.• Review basic pathophysiology of the menstrual

cycle and understand the function of hormones, pay close attention to negative feedback loops. Understanding these fundamental concepts will help you to understand many conditions associated with women’s health.

STUDY TIPS

Lecture/ Didactic– Review anatomy & physiology of the

pregnant female– Review your category classification – Case studies – make sure to really

understanding the healthy pregnancy first, next AMA( advance for maternal age), then pathology in pregnancy

STUDY TIPS

Clinical/ Practicum• Bring you index cards filled with most

common medications used • Know trimester (1-3) management including

the prenatal work up due for each semester- Again use your index cards

• Be open to with you preceptor – Practice! Practice! Practice makes perfect

STUDY TIPS

Clinical/ Practicum• Gyn exams takes practice, so the more you do

the more comfortable you will be at pelvic exams

• Measuring fundus- Practice! Practice! Again , palpating the fundus and measuring correctly takes practice, again do

• Finding the FHR via Doppler- Again this takes practice, do it as much and as often

FAQ’S

Is the course difficult?

This course is not necessarily difficult but it is a lot information given in a short period of time. Be proactive with reading assignments and don’t allow yourself to fall behind.

FAQ’S

How many clinical hours do I need?

You are responsible for 120 clinical hours.

Do not delay!!!

You will need at least 16-24 practicum hours a week to complete the hours on time.

FAQ’s

What should I do to be successful in the course?

Read Chapters/ Review Power Points/Listen to Tegrity.

**Pay attention to repetition

Complete practicum hours ASAP !!!

Complete clinical logs weekly

Use additional resources (NP review books)

Resources

• CDC mobile app for diagnosis and treatment of STD’s

• CDC mobile app for antibiotic use• CDC mobile app for contraceptive use

PEDS

Ellenor Chance, Christiana Ikome, Samantha Kite,

Honorine Mumah, & Amanda Rothenbecker

PRECEPTORS

• Baltimore City Schools (school based health centers)

• Mercy Medical Center/Family Health Centers of Baltimore

• Dr. Neelkantam Kamakshi

2108 Emmorton Park Dr.

Edgewood MD 21040

4106717777

PRECEPTORS

Dr. Juliet Anadu– 7500 Hanover Pkwy

Ste 202Greenbelt, MD 20770

(301-318 -7259)

• Harbor Pediatrics, Dr. John Irwin

3001 S. Hanover St. suite 302

Baltimore, MD 21225

(410) 350-2173

STUDY TIPS

• Join a study group• Do not ignore any document that was posted

under your course • Print the immunization and catch up schedules

(shrink and laminate for quick pocket reference for class/clincals)

STUDY TIPS

• Be sure to understand “A& P” of all the systems. This will help you identify abnormal functioning, symptoms you would expect to find, diagnose with proper differentials, and treat.

• Know common diseases that occur in the different age groups.

• Complete the case studies

FAQ’s

• How many clinical hours do I need for this class

120 hours

• What clinical sites are available to me?

See clinical list provided. Start contacting clinical sites during your break before your class starts. You may need to sign a contract for a clinical cite that is new to the school. This process can take months before approval is obtained.

FAQ’S

• What if I do not find a clinical site?

Notify the school and your instructor immediately. Continue to look and ask classmates if you can pair.

RESOURCES

• CDC mobile app for immunization schedule• Heart Murmur Pro Mobile APP (Murmurs are

common in PEDS, it is important to distinguish normal from abnormal).

• Lab Reference Values Mobile APP • American Academy of Pediatrics

Nursing 700

Nursing 700

Nursing 700 Q&A

• Do you have to pass the Comprehensive Exam to qualify for graduation?Yes, a passing grade on both sections of the comprehensive is an requirement before one can qualify to graduate

• How is the Comprehensive Exam graded?

There are 3 readers for the comprehensive exam. Two of the three readers have to pass the student, before the patient is considered successful on passing the comprehensive. There is a checklist, that the readers use to score the exam

• What are the total number of hours for Practicum clinical?

The total number of hours are 180 clinical hours

• Can clinical sites be combined?

Yes, clinical sites can be combined, but no more than 40 hours in specialty areas. Specialty areas include: pediatrics and women health

Portfolio for Nursing 700

• The portfolio is a representation of student academic achievements. The portfolio is to be submitted in a binder with the following sections:

• Resume• Licensure• Education• Copies of CEU’s• Papers• Clinical Sites• Presentations

FAQs:

What is a DEA number? A DEA number (DEA Registration Number) is a number assigned to a health care provider (such as a medical practitioner, dentist, or veterinarian) by the U.S. Drug Enforcement Administration allowing them to write prescriptions for controlled substances. Legally, the DEA number is solely to be used for tracking controlled substances.

Retrieved from: www.deadiversion.gov

FAQs:

What is a DEA number? A DEA number (DEA Registration Number) is a number assigned to a health care provider (such as a medical practitioner, dentist, or veterinarian) by the U.S. Drug Enforcement Administration allowing them to write prescriptions for controlled substances. Legally, the DEA number is solely to be used for tracking controlled substances.

Retrieved from: www.deadiversion.gov

Nursing 700 Study Tips

• For Non-thesis students- it is important to start studying for comps after the fall semsester. This will prepare the student to do well and increase ones chances in passing both sections of the Comprehensive Exam.

• Non-thesis students should practice

writing and rewriting daily to prepare for the Comprehensive Exam. Practicing writing will decrease chances of error when taken the actually Exam.

• Students should time themselves when practicing for the Comprehensive Exam. The actual exam is timed, this will decrease anxiety on exam day.

• Don’t be nervous, and know that

you have the information. Eat a healthy balanced breakfast before the exam. Take deep breaths and relax.

NURS 700 PRIMARY HEALTH CARE OF FAMILY PRACTICUM

SPRING 2nd YEARNurse Practitiopner Review Courses and Material

1. Fitzgerald Health Education AssociationsCheck www.fhea.com for NP certification exam review Courses dates and locations. Review book: Nurse Practitioner Certification Examination and Practice Prepartion Third Edition. ( I suggest buying this book day one of the program and start reading it and practicing questions)2. Barkley & Associates , www.npcourses.com3. Necessary Workshops ( Marye Dorsey Kellerman)https://www.necessaryworkshops.comThis is a three day local course (towson) Day 1 & 2 8am to 6 pm, day 3 7:30 to 1 pm. It cost $475 , and allows you to retake course again prior to your test for $100.

NURS 700 PRIMARY HEALTH CARE OF

FAMILY PRACTICUMSPRING 2nd YEARNP certification exam

Credential Awarded: FNP-BCThe ANCC Family Nurse Practitioner board certification examination is a competency based examination that provides a valid and reliable assessment of the entry-level clinical knowledge and skills of nurse practitioners. This certification aligns with the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification and Education. Once you complete eligibility requirements to take the certification examination and successfully pass the exam, you are awarded the credential: Family Nurse Practitioner-Board Certified (FNP-BC). This credential is valid for 5 years. You can continue to use this credential by maintaining your license to practice and meeting the renewal requirements in place at the time of your certification renewal.

American Nurses Credentialing Center (ANCC), a subsidiary of the American Nurses Association (ANA)

http://www.nursecredentialing.org

NURS 700 PRIMARY HEALTH CARE OF

FAMILY PRACTICUMSPRING 2nd YEARNP certification exam

The certification examinations each consist of 150 multiple-choice items, which include 15 pretest

questions that are not counted in the candidate's

scoreAmerican Academy of

Nurse Practitioners Certification Program

http://www.aanpcert.org

NURS 700 PRIMARY HEALTH CARE OF FAMILY PRACTICUM

SPRING 2nd YEAR

You must have malpractice insurance. It can costs an

estimated $2500 to $2800 a year , some employers may

pay for this.

Nurse Service OrganizationNSO's Professional Liability Insurance for Nurse Practitioners

http://www.nso.com

Things to Consider Before Taking a NP Job

Schedule

• will it be M-F, 8a – 5p, no weekends no call.

• Anticipated patient volume will it be 20-25 ppd.

Salary

• will be $85-120k with a comprehensive benefit package

• including 4 wks vacation, malpractice, health insurance, retirement, and 1 wk paid CME.

• Relocation assistance and possible sign on bonus.

• Salary vs. Hourly

APRN Consensus Model: APRN Report.pdf

Maryland Board of Nursing Agreement: np_agreement.pdf

American Academy of Nurse Practitioner Site:AANPCMS2

ANCC: http://www.nursecredentialing.org/

Angie’s Words of wisdom

Choose your track early, thesis vs. non-thesisAlways , always remain professional and don’t forget that

you are a RN already.Keep communication open with your professor, they teach

because they love what they do, they are in our corner, our biggest supporters.

Make friends with your classmates immediately, stick together and keep each other on track.

Part time vs full time, it doesn’t matter just as long as you make the commitment to do it, whatever is going to work best for your life.

Best of luck from the Class of 2015