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Child Health Enhanced Role Nurse Training Program

Full Course: Aug 20, 2018 – Jan 25, 2019
In-Person Session Week One: Sept 10-14, 2018
In-Person Session Week Two: Jan 20-25, 2019

An Enhanced Role Nurse (ERRN) Course


Successful completion of this course and clinical practicum qualifies public health nurses for certification from the NC Division of Public Health as a Child Health Enhanced Role RN to perform comprehensive pediatric history and EPSDT (Health Check) screenings using the American Academy of Pediatrics (AAP) Bright Futures evidence-based recommendations as the clinical framework. A rostered Child Health Enhanced Role RN can provide a higher level of nursing services under standing orders in compliance with Medicaid billing guidelines and the North Carolina Nurse Practice Act.

This 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.


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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 and other community-based clinics. Selection of applicant(s) is the responsibility of the local public health nurse supervisors and Directors of Nursing in cooperation with the regional Child Health Nurse Consultants and the ERRN Program Director. Applicants are not required to have completed other pediatric or physical assessment training programs prior to enrolling in the Child Health Enhanced Role Registered Nurse Program, but six months of experience in ambulatory child health services is required.

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

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Course format

The Child Health Training Program (CHTP) 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 60+ hour clinical practicum in the student’s employing agency. During the practicum, students under the guidance of clinical advisors/preceptors to perform comprehensive histories and physical examinations on children and adolescents. Students must also complete additional Clinical Topic Webinars, two clinical practice scenarios completed with preceptors, and submit four detailed write-ups documenting clinical findings, assessments, and plans of care for children seen.

Click here for an outline of this offering of the Child Health Training Program.

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After completion of this course, participants 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.
  • Perform, score, document results and share results and implications with parents pediatric developmental screening using validated screening tools.
  • Document a clear nursing assessment of the physical, developmental and psychosocial status of children and adolescents.
  • 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 in order to develop an appropriate plan of care.
  • Follow agency appropriate standing orders and clinical policies for positive risk factors when indicated.
  • 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 Program Guide requirements.
  • Demonstrate RN scope of practice as it relates to the Child Health Enhanced Role Nurse role.

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BSN or completion of Principles and Practices of Public Health Nursing for RNs. Agencies must provide documentation of completion of Principles and Practices of Public Health Nursing.

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Required Textbooks

The following texts are required for the course. They can be purchased from any major bookseller.

  • Bates’ Guide to Physical Examination and History Taking, Lynn S. Bickley, 12th or 11th edition.
  • Bright Futures: Guidelines for the Health Supervision of Infants, Children and Adolescents, 4th edition, American Academy of Pediatrics

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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, this course is delivered online through a learning management system (Sakai), as well as through webinars using the web conferencing system, (Adobe Connect). In order for you to successfully complete this course, you must have access to the following:

  • A sound card (most fairly new computers have a sound card already installed)
  • Reliable, high-speed internet access
  • An email account that can handle attachments
  • An up-to-date web browser such as:
    • Mozilla Firefox (v52 or greater)
    • Google Chrome (v 55 or later)
    • Note:  for Sakai, Mozilla Firefox or Google Chrome is the preferred browser
  • The two free plug-ins:
  • A copier/scanner or a desktop scanner for scanning non-electronic homework assignments that you will upload to Sakai.
  • For the live webinars (Orientation and Practicum Check Ins), you will need to have access to both the internet (visual) and the telephone (audio). For the archived Clinical Topic Webinars, you will need either speakers or a headset (depending on whether you will be alone or not).

If you do not have the latest versions of the plug-ins (Adobe Reader, Adobe Flash Player) or web browsers 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. This is especially true if your employer utilizes firewalls for security.

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Expectations of students

For successful completion, participants 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 five 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 examination.

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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 course and 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.

Clinical and continuing education credit earned for this course MAY NOT be used towards clinical hours and CE for rostering purposes.

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Participants are responsible for reserving and paying for their own hotel rooms. Details and group rates to be provided.

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Applications will be available in Summer 2018

To register, you must complete and email an Application for PHN Enrollment in the Child Health Training Program to your RCHNC (see the link below). 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.

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Course Registration Fees

After your application is approved, you will receive a link to the online registration form.

Course Fee: $3,000 for full course including clinical practicum

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.

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Challenge Exam

For more information about the challenge exam or to see if you meet the requirements to challenge this course, please visit the Child Health Enhanced Role Nurse Challenge Process.

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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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