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

Fall 2016: August 23, 2016 – August 20, 2017

Key dates:
Coursework: August 23, 2016 – March 10, 2017
On-site skills session: November 17-18, 2016 (Chapel Hill)
Clinical practicum: March 20-August 20, 2017

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 RN and 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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  • 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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During Part 1: PAA, this course consists of distance learning sessions during which students participate in live webinars and 1.5 day face-to-face session in Chapel Hill. During Part 2: STD, students participate in self-paced online modules. The combined practicum is a 5-month clinical practicum following the successful completion of Parts 1 and 2.

Part 1: Physical Assessment of Adults (PAA): August 23, 2016 – December 16, 2016

Part 2: Sexually Transmitted Diseases (STD): January 10, 2017 – March 10, 2017

Part 3: PAA/STD Combined Practicum: March 20, 2017 – August 20, 2017

Click here for the Fall 2016 cohort schedule

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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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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  • 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 clinical practicum. Students can obtain the required training by completing one of the trainings offered through Whetstone Consultations.

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Required pre-course planning

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

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Minimum technical requirements

Except for 1.5 days of face-to-face training, this training is completely online and is delivered through Sakai, a learning management system, and through webinars using the web conferencing system, Adobe Connect. In order for you to successfully complete the training, you must have access to the following:

  • 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 Sakai.

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, 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 Part 3 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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Continuing Education Units (CEUs) have been applied for through the William and Ida Friday Center for Continuing Education at the University of North Carolina at Chapel Hill. A certificate of CEUs will be provided for each student upon successful completion of the clinical practicum. Registration information will be sent to the CEU Office at the Friday Center for Continuing Education at UNC CH where a permanent transcript of all CEU courses taken from UNC CH are maintained.

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Applications are accepted through July 22, 2016.

To register, you must first submit an Application for Physical Assessment of Adults and STD Nurse Clinician Training Combined Practicum Course (see the link below) in order to verify that you have completed the necessary prerequisites. After your application is approved, you will be emailed the link to officially register for the course. The application must be signed by the student and his/her supervisor. Scan the approved application and send to

View and Print Application for Physical Assessment of Adults and STD Nurse Clinician Training Combined Practicum Course (required)

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

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Course registration 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 August 5, 2016.


Course Fee: $600

This fee is divided into two payments:

  • $400 is due August 5, 2016.
  • $200 will be billed after July 1, 2017.

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 August 5, 2016, 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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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