Child Health Enhanced Role Nurse Training Program

Next course: Spring 2015

An Enhanced Role Nurse (ERRN) Course

Overview

The CHTP was designed to provide a standardized curriculum for registered nurses who perform EPSDT (Health Check) screenings. The course focus is on the American Academy of Pediatrics (AAP) Bright Futures evidence-based recommendations as the clinical framework. The course addresses all required components of the Health Check screening visit, focusing on the comprehensive pediatric history and the complete physical assessment. There is a strong emphasis on identification of problems, assuring appropriate consultation, referral and/or treatment of identified problems, along with documentation to support quality of care and billing requirements. The course serves as a stand-alone training; public health nurses are not required to have completed other pediatric or physical assessment training programs prior to enrolling in the CHTP.

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Medicaid reimbursement for your health department

Successful completion of the two one-week on-site sessions, the webinars delivered both in between the two-week onsite sessions and during the clinical practicum, and the 12-week clinical practicum enables students to be rostered by the Division of Public Health as Child Health Nurse Screeners (Child Health Enhanced Role Nurse (ERN)). The Division of Medical Assistance reimburses for Health Check Screenings performed by rostered Child Health Nurse Screeners.

For example, the Medicaid reimbursement for Health Check visits by ERNs is the same as for physicians or nurse practitioners at a minimum rate of $90.00; the cost of ERN training can be recovered in as few as 25 billed Health Check visits. Activity 351 HMHC Child Health funds may be used at the same rate to offset the cost of preventative visits for children who are not Medicaid recipients. Additionally, with Branch approval, agencies may use Activity 351 funds to support the training of ERNs.

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Course format

This course consists of distance learning sessions during which students must participate in Clinical Topic Webinars and successfully pass the post-test for each topic and two weeks of on-site training, separated by a 12-week, 60+ hour clinical practicum in the student’s employing agency. During the practicum, students work with clinical advisors/preceptors to perform comprehensive histories and physical examinations on children and adolescents. During the clinical practicum, students must also complete additional Clinical Topic Webinars and submit four detailed write-ups documenting clinical findings, assessments, and plans of care for children seen. Click here for an outline and timeframe for the 2014 offering of the CHTP.

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Sponsors

  • Children and Youth Branch, Women’s and Children’s Health Section, Division of Public Health, North Carolina Department of Health and Human Services
  • Public Health Nursing and Professional Development, North Carolina Department of Health and Human Services
  • Office of Continuing Education (OCE), The North Carolina Institute for Public Health, UNC Gillings School of Global Public Health

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Objectives

Upon completion of the CHTP, the student will be able to:

  • Elicit a comprehensive pediatric health history, including investigation of any concerns or problems.
  • Demonstrate a comprehensive pediatric physical assessment.
  • Record a pediatric history, physical assessment, problem list, and plans according to POHR, programmatic guidelines and Bright Futures Tool and Resource Kit forms.
  • Document a clear nursing assessment of the physical, developmental, and psychosocial status of children and adolescents.
  • Perform, score, document results, and share results and implications with parents pediatric developmental screening using validated screening tools.
  • Demonstrate a breast exam for screening purposes.
  • Identify normal growth, development, and psychosocial patterns for children and adolescents.
  • Complete appropriate consultation and/or referral of clients with identified or suspected abnormal findings to appropriate providers and care.
  • Initiate nursing management of common pediatric health concerns, based on evidenced based agency protocols.
  • Provide client-focused, age-appropriate anticipatory guidance to children/adolescents and families.
  • Identify appropriate schedule for comprehensive pediatric health assessment based on AAP Bright Futures recommendations and the Health Check Billing Guide requirements.

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Prerequisites

Introduction to Public Health Nursing or BSN is required for RNs in the public health setting.

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Required pre-course planning

Each student must arrange for an on-site clinical advisor/preceptor that will oversee and provide feedback regarding skills progression during the clinical practicum. A Local Planning Document signed by the student, clinical advisor, nursing supervisor and Regional Child Health Nurse Consultant (RCHNC) must be completed after application and prior to registration for the course.

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Minimum technical requirements

Except for two weeks of face-to-face training, the CHTP is completely online and is delivered through Blackboard, a learning management system, and through webinars using the web conferencing system, Adobe Connect. In order for you to successfully complete the CHTP, you must have access to the following:

  • A computer with:
  • A sound card (most fairly new computers have a sound card already installed)
  • A microphone and speakers if you will be in a room by yourself or a headset with a microphone if you will not. The audio for the webinars will be delivered over the Internet; not the telephone.
  • Reliable, high-speed internet access
  • An email account that can handle attachments
  • An up-to-date web browser with JavaScript, Cookie, and CSS capabilities, such as:
      • Mozilla Firefox 11 or MS Internet Explorer 8 or later
  • The two free plug-ins:
  • A copier/scanner or a desktop scanner for scanning non-electronic homework assignments that you will upload to Blackboard.

If you do not have the latest versions of the plug-ins (Adobe Reader, Adobe Flash Player) listed above, please download them before starting the course. You can also test your system to see if you have the minimum technical requirements by completing the online skills test. If you have questions or need assistance in verifying that you have the necessary equipment, please contact your agency’s computer support person.

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Expectations of students

For successful completion, students must:

  • Participate in all webinars and face-to-face sessions in Week One and Week Two.
  • Complete all assignments with a score of “satisfactory” on all Clinical Topic Webinar post-tests and visit write-ups during the clinical practicum.
  • Complete at least 60 hours during the clinical practicum providing comprehensive histories and physicals (includes seeing 30 children/youth with a minimum of two from each required age group: 0-2; 3-5; 6-10; and 11-20).
  • Receive a rating of “satisfactory” on the final clinical evaluation by the student’s advisor/preceptor.
  • Receive a rating of “satisfactory” on the final clinical check-off by faculty.
  • Score at least 80% on the final written examination.

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Credit

A certificate of contact hours will be provided for each student upon successful completion of both didactic content and the clinical practicum.

Continuing education credit will be provided through Public Health Nursing and Professional Development (PHNPD) in the Local Technical Assistance and Training Branch of the Division of Public Health, Department of Health and Human Services. PHNPD is an Approved Provider of continuing nursing education by the North Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

The Office of Public Health Nursing and Professional Development qualifies as an acceptable provider of continuing education as defined by the NC Board of Nursing for the Continuing Competence process for RN license renewal. Clinical and continuing education credit earned for the Child Health Training Program MAY NOT be used towards clinical hours and CE for rostering purposes.

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Location and accommodations

The two weeks of on-site training will be held in Chapel Hill at a location TBD. Participants are responsible for reserving their own hotel rooms.  Details regarding lodging accommodations and meeting space will be posted soon.

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Application

Applications are accepted through April 7, 2014

To register, you must complete and email an Application for PHN Enrollment in the Enhanced Role Nurse Training Program to your RCHNC. In addition to emailing, you may print and mail the application to your RCHNC. Faxed applications will not be accepted. Your RCHNC will review the course requirements with your agency, verify that you have completed the necessary prerequisites, assure that an appropriate clinical advisor is available and understands his or her role in the practicum, assure adequate time and resources are made available by the agency, and if approved, refer you to register for the program. Applications must be approved no later than April 14, 2014 to be accepted into the Spring 2014 cohort. Once your application has been approved you will be emailed the link to officially register for the course.

Application for PHN Enrollment in the Enhanced Role Nurse Training Program

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Fees

All registration fees must be received or postmarked no later than April 21 or your registration will be canceled.

$1400 for full course
$250 for challenge

Payments are due when you register. Checks should be made payable to UNC Chapel Hill and mailed to:

NCIPH
Attn: Registrar
Campus Box 8165
Chapel Hill NC 27599

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For more information

For more information, contact Cherelle Whitfield by email at cwwhitfi@email.unc.edu or by phone at 919-843-9262.

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