Physical Assessment of Adults

 

An Enhanced Role Nurse (ERRN) Course

Overview

Physical Assessment of Adults forms the foundation of the enhanced role registered nurse (ERRN) courses. This course is designed to provide North Carolina public health nurses with comprehensive data on obtaining health histories and physical assessments of adults and enables them to perform a complete physical assessment and develop a plan of action. Successful completion of this course and the five -month clinical practicum will enable participants to meet the education requirements for billing for Medicaid services and to meet consolidated agreement and agreement addendum requirements.

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Format

The didactic portion of the course runs for eleven weeks and consists of four modules, with two weeks scheduled between modules. The course starts with a full-day of didactic instruction via webinar followed by a series of half-day webinars covering the topics in each module. After each webinar, participants work with their clinical advisors to practice specific physical exam skills in their individual health departments and document their experiences. The last full day and a half session will be face-to-face in Chapel Hill. The eleven-week course is followed by a five-month clinical practicum during which participants work with their clinical advisors to meet a set of required clinical encounters.  After their practicum is completed, students will be evaluated at their work-site for a final clinical examination.

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Schedule

The Orientation webinar is scheduled for Tuesday, January 7, 2014, from 9:00-10:30 am.

Webinar Schedule

  • Tuesday, January 14, 2014, from 9:00 am-4:00 pm
  • Tuesday, January 28, 2014, from 9:00 am-12:00 pm
  • Tuesday, February 11, 2014, from 9:00 am-12:00 pm
  • Tuesday, February 18, 2014, from 9:00 am-12:00 pm
  • Tuesday, March 4, 2014, from 9:00 am-12:00 pm
  • Tuesday, March 25, 2014, from 9:00 am-12:00 pm

On Site Practice

  • Monday, April 7, 2014, from 1:00 pm-5:00 pm
  • Tuesday, April 8, 2014, from 9:00 am-5:00 pm

Students must complete online examination and final skills assignments by April 30, 2014.

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Prerequisites

Introduction to Public Health Nursing or BSN

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Objectives

Given a client, the participant will be prepared to perform a comprehensive nursing assessment:

  • Elicit and document an age-appropriate health history; assess signs, symptoms, and risk factors; utilize the Problem Oriented Health Record.
  • Perform a physical assessment.
  • Distinguish between normal, possibly normal and abnormal conditions.
  • Describe and record the assessment findings in explicit terms.
  • Refer clients with possible abnormal or abnormal findings to appropriate medical care.
  • Plan for appropriate medical care and appropriate follow-up.
  • Provide clinical management utilizing the nursing process and principles of health promotion/disease prevention for individuals and populations at risk.

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Required Pre-Course Planning

Each participant must arrange (through the regional nurse consultant with the Office of Public Health Nursing) for an on-site clinical advisor. A Joint Planning Agreement signed by the participant, clinical advisor, and regional nurse consultant with the Office of Public Health Nursing must be completed by the start of class.

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Expectations of Students

For successful completion, participants must:

  • Attend all sessions.
  • Complete pre-test.
  • Complete all assignments by due date.
  • Score at least 80% on final examination.
  • Complete clinical practicum within five months.
  • Score at least 80% on a final clinical examination.

Students will be permitted only one extension on the clinical practicum. After that the student must take the challenge exam in order to continue the clinical practicum.

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Credits

A certificate of contact hours will be provided for each participant upon completion of the practicum.

Continuing education credit will be requested through the Public Health Nursing and Professional Development (PHNPD) Unit in the North Carolina 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.

PHNPD 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.

CE Disclaimer
No influential financial relationships have been disclosed by planners or presenters which would influence the planning of this activity. No commercial support has influenced the planning of the educational objectives and content of this event. Any commercial support will be used for events that are not CE related. There is no endorsement of any product by NCNA, ANCC, or other credentialing bodies associated with this session. No session relates to products governed by the Food and Drug Administration (FDA). In the event that a session does relate to products governed by the FDA, appropriate and off-label use will be shared.

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Cosponsors

  • Office of Public Health Nursing and Professional Development
    Division of Public Health, NC Department of Health and Human Services
  • The North Carolina Institute for Public Health, The University of North Carolina at Chapel Hill Gillings School of Global Public Health

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Enrollment in the course consists of two steps: application and registration.

Application

You must first submit an application for PHN Enrollment in the NC Enhanced Role Registered Nurse Training Program (see the link below) in order to verify that you have completed the necessary prerequisites. After your application is approved, you will receive a link to the online registration form.

The application must be signed by the student and her/his supervisor. If you have problems accessing or downloading or completing the application form, contact Jacqueline McIver at jkeith@email.unc.edu or 919-966-3309.

Send the completed application to jkeith@email.unc.edu before DECEMBER 13, 2013.

Application

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Registration and Fees

After your application is approved, you will receive a link to the online registration form. You must submit your registration and first payment (see below) on or before December 23, 2013. The fees are as follows:

For Physical Assessment of Adults course only: $400
This fee is divided into two payments:

  • $250 is due December 23, 2013.
  • $150 will be billed at the start of the practicum.

Combination discount: $600
For those students who enroll in the spring 2014 Physical Assessment of Adults course and the fall 2014 STD Nurse Clinician Training courses and who intend to complete the combined Clinical Practicum, the fee is $600. This fee is divided into two payments:

  • $250 is due December 23, 2013.
  • $350 will be billed at the start of the STD course in fall 2014 (registration for this course will take place later in 2014).

Important: The first registration fee payment must be received or postmarked no later than DECEMBER 23, 2013, or your registration will be CANCELLED.

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Challenge Exam

Contact Jean Davison at davison@unc.edu for more information about the challenge exam or to see if you meet the requirements to challenge this course. The challenge fee is $250.

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Confirmation of Registration

Confirmation of registration will be done only by email. If you do not have email capability, please give us a colleague’s email address so we can transmit your confirmation. If you have not received your confirmation within two weeks of registering, please email Jacqueline McIver at jkeith@email.unc.edu.

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Cancellation and Refund Policies

If you find that you cannot attend this course, you must cancel no later than December 23, 2013. Any cancellation received after this date will be charged the full registration fee.

All cancellations must be received in writing. You may send cancellations to Jacqueline McIver at jkeith@email.unc.edu. Substitutions from the same organization are allowed at any time with prior written notification to Jacqueline McIver at jkeith@email.unc.edu.

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More information

For more information about the course or the challenge process, contact Jacqueline McIver at jkeith@email.unc.edu, 919-966-3309, or Jean Davison at davison@unc.edu.

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