Physical Assessment of Adults and STD Nurse Clinician Training Combined Practicum Course

Spring 2016: January 5 to May 29, 2016

An Enhanced Role Nurse (ERRN) Course


Successful completion of this course and the five-month clinical practicum qualifies public health nurses for dual certification from the NC Division of Public Health as a Physical Assessment of Adults (PAA) Enhanced Role RNand Sexually Transmitted Diseases (STD) Enhanced Role RN to perform routine annual screening physical exams and provide STD services.The first part of this course, PAA, 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. The second part of this course, STD, prepares nurses to implement a comprehensive STD screening and management program to reach patients in their local communities who are at high risk for STDs.

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The curriculum is designed for registered nurses who are currently working or who are preparing to work in clinics at North Carolina local health departments. Selection of applicant(s) is the responsibility of the local public health nurse supervisors and Directors of Nursing in cooperation with the regional Communicable Disease Regional Nurse Consultants and the ERN Program Director.

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Jean Davison, RN, DNP, FNP-BC
Jean is a Family Nurse Practitioner, a Clinical Assistant Professor at the UNC School of Nursing, and a Nursing Education Specialist with the NC Institute for Public Health.

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Part 1: Physical Assessment of Adults (PAA)
  • Consists of 4 modules over 11 weeks, with 2 weeks scheduled between modules
  • Begins with a full-day live webinar followed by a series of half-day webinars covering topics in each module
  • After each module, 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 half session will be face-to-face in Chapel Hill
Part 2: Sexually Transmitted Diseases (STD)
  • Participants cannot begin Part 2 until they complete or pass the PAA section of the course
  • Consists of 6 self-paced online modules over 8 weeks
Combined Practicum
  • Consists of a 5-month clinical practicum following the successful completion of Parts 1 and 2
  • Participants work with their clinical advisor/preceptors to meet a set of required clinical encounters
  • After the practicum is completed, participants will be evaluated at their worksite for final clinical examination

For more information about the course’s technical requirements, please review the System Requirements section below. Technical support will be provided to students during the course.

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Spring 2016:

  • Course Dates: January 5-May 29, 2016
  • PAA Orientation Webinar: January 5, 2016, 9:00-10:30 am
  • Live Webinars:
    • January 12, 2016: 9:00 am – 4:00 pm
    • January 26, February 9, February 16, March 1, March 8: 9:00 am-12:00 pm
  • Onsite meeting: March 22-23, 2016 (Chapel Hill, NC)
  • STD Orientation Webinar: April 6, 2016, 2:00-3:30 pm
  • STD Q and A webinar: May 24, 2016, 1:00-2:00 pm
  • Course Practicum: June 1-October 31, 2016

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  • HIV counseling and testing is NOT offered in the context of this course. The North Carolina HIV Counseling, Testing & Referral Training must be completed prior to completion of the STD Nurse Clinician Training clinical practicum. Students can obtain the required training by completing one of the trainings offered through Whetstone Consultations.

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After completion of this course, participants will be able to:
  • Identify and document an age-appropriate health history; assess signs, symptoms, and risk factors; utilize the Problem Oriented Health Record.
  • Demonstrate a physical assessment.
  • Distinguish between normal, possibly normal, and abnormal conditions.
  • Describe and record the assessment findings in explicit terms.
  • Practice referring clients with possible abnormal or abnormal findings to appropriate medical care.
  • Plan for appropriate medical care and appropriate follow-up.
  • Demonstrate clinical management utilizing the nursing process and principles of health promotion/disease prevention for individuals and populations at risk.
  • Demonstrate and document an STD assessment.
  • Identify and treat specified STDs by standardized protocols and standing orders.
  • Develop a working knowledge of specimen collection and laboratory procedures as they relate to STD assessment and treatment.
  • Demonstrate STD patient education, risk reduction counseling, and follow-up for STDs utilizing a client-centered approach.
  • Combine STD risk assessment into the patient assessment process.

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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 course.

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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 Part 1 PAA examination.
  • Score at least 80% on final Part 2 STD examination.
  • Complete clinical practicum within five months.
  • Score at least 80% on a final clinical examination.

Note: students cannot begin Part 2 STD until all PAA assignments and PAA final examination are successfully completed.

Students are permitted only one extension for the clinical practicum. After the one extension, the student must take the challenge exam in order to continue the clinical practicum.

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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.

Some recorded lectures used during the course will offer additional CE credit on a per-lecture basis.

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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  • Office of Public Health Nursing and Professional DevelopmentDivision 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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Fall 2015 Application, Registration and Fees

Please note:

Our credit card processing system will be unavailable from 8:00 am to 1:00 pm on Friday October 3, 2015, while an upgrade is in process. During this time you’ll still be able to register online, but you won’t be able to pay online.


  • Completed and signed application due November 20, 2015
  • Registration and first payment of $400 due December 11, 2015
  • Final payment of $200 will be invoiced after July 1, 2016

Step 1: Application

Before you can register, 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 also be signed by the student and her/his supervisor. Scan the approved application and send to before November 20, 2015.

View and Print Application (required)

If you have problems accessing or downloading or completing the application form, contact Jacqueline McIver at or 919-966-3309.

Step 2: Registration

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 11, 2015.


Course Fee: $600

This fee is divided into two payments:

  • $400 is due December 11, 2015.
  • $200 will be billed after July 1, 2016.

Checks should be made out to the University of North Carolina at Chapel Hill and sent to NCIPH, Campus Box 8165, UNC, Chapel Hill, NC 27599-8165.

Important: The first registration fee payment must be received or postmarked no later than December 11, 2015, or your registration will be CANCELLED.

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 Challenge Exam

Contact Jean Davison at, 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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System Requirements

In order for students to successfully complete the course, they must have access to a computer with:

  • Reliable, high-speed internet access
  • A sound card (most fairly new computers have a sound card already installed)
  • A microphone and speakers if students will be in a room by themselves to view online presentations or a headset with a microphone if they will not
  • 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
  • Adobe Reader X or later (free)
  • Adobe Flash Player 11.0 or later (free)
  • A copier/scanner or a desktop scanner for scanning non-electronic homework assignments that students will upload to the Sakai learning management system.

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

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More information

For more information about the course application, registration or fees, contact course program manager Jacqueline McIver at 919-966-3309.

For more information about course schedule, curriculum or the challenge process contact course faculty Jean Davison at