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

January 6-May 29, 2015

An Enhanced Role Nurse (ERRN) Course

Overview

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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Audience

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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Instructor

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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Format

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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Schedule

Overall Course Dates: January 6-May 29, 2015

Part 1: PAA Webinar Schedule

  • PAA Orientation webinar: Tuesday, January 6, 2015, 9:00-10:30 am
Part 1 consists of 6 live webinars:
  • Tuesday, January 13, 9:00 am-4:00 pm
  • Tuesday, January 27, 9:00 am-noon
  • Tuesday, February 10, 9:00 am-noon
  • Tuesday, February 17, 9:00 am-noon
  • Tuesday, March 3, 9:00 am-noon
  • Tuesday, March 17, 9:00 am-noon
PAA On-Site Practice
  • Tuesday, March 24, 1:00-5:00 pm
  • Wednesday, March 25, 9:00 am-5:00 pm
Students must complete PAA online examination and final skills assignments by April 2, 2015.

Part 2: STD Schedule

Part 2 consists of 6 self-paced modules from April 3, 2015 to May 29, 2015:
  • Module 1: Basic Physical Assessment and Sexual History Taking
  • Module 2: Viral Infections
  • Module 3: Bacterial and Fungal Infections
  • Module 4: Syphilis
  • Module 5: Genital Ulcers
  • Module 6: Programmatic and Legal Issues in STD Management

Students will be given a “suggested” schedule for Part 2 as the modules are self-paced.   During Module 6 there will be a scheduled webinar for a question and answer session with the NC DPH Communicable Disease staff.

Students must complete the STD modules and online examination by May 29, 2015.

Combined Practicum Schedule

The 5-month clinical practicum will run from June 1, 2015 to October 31, 2015. 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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Prerequisite

Corequisite

  • 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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Objectives

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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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.

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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Cosponsors

  • 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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Application, Registration and Fees

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 jkeith@email.unc.edu before December 8, 2014.

View and Print Application (required)

If you have problems accessing or downloading or completing the application form, contact Jacqueline McIver at jkeith@email.unc.edu 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 12, 2014.

Course Fee: $600

This fee is divided into two payments:

  • $400 is due December 12, 2014.
  • $200 will be billed at the completion of the practicum.
Important: The first registration fee payment must be received or postmarked no later than December 12, 2014, 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 12, 2014. 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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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 jkeith@email.unc.edu. 919-966-3309.

For more information about course schedule, curriculum or the challenge process contact course faculty Jean Davison at davison@unc.edu.