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STD Nurse Clinician Training

An Enhanced Role Registered Nurse (ERRN) Course


The purpose of this online course is to provide a standardized curriculum for local health department nurses in North Carolina to prepare them to implement a comprehensive STD screening and management program to reach patients who are at high risk for STDs in their local communities. The major emphasis is implementation of treatment protocols under standing orders. Successful completion of this eight-week course and the five-month clinical practicum will enable participants to meet the education requirements for billing for Medicaid services and to meet Communicable Disease Agreement Addenda requirements.

In this course, public health nurses will learn to gather data from the STD history and physical assessment of clinic patients to:
  • Perform an STD assessment, and
  • Implement standing orders for treatment of STDs.

This is a self-paced, 8-week online course with two required webinars: an Orientation webinar and a question and answer webinar with NC DPH Communicable Disease staff. There is also an optional on-site practice session.

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  • To expand the knowledge and increase the competencies of the public health nurse in order to participate as a STD Nurse Clinician in the care of clients with STDs and meet the certification requirements to direct bill Medicaid for their services.
  • To improve health education, screening and referral activities in the community and thereby increase early detection and treatment of STDs among high-risk groups.


At the completion of this course, you will be able to:

  • Perform 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.
  • Provide STD patient education, risk reduction counseling and follow-up for STDs, utilizing a client-centered approach.
  • Integrate STD risk assessment into the patient assessment process.

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The curriculum is designed for registered nurses who are currently working or who are preparing to work in STD clinics at North Carolina local health departments.

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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 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 School of Public Health

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Modules include: Programmatic and Legal Guidelines for STD Management, Basic Physical Assessment and Sexual History Taking, Viral Infections, Bacterial/Fungal Infections, Syphilis, and Genital Ulcers.

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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  • Satisfactory completion of the North Carolina HIV Counseling, Testing & Referral Training offered through Whetstone Consultations.

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Except for the two required webinars and the optional on-site practice session, the course is completely online and is delivered through Blackboard, a learning management system, and through webinars using the web conferencing system, Adobe Connect.

A variety of methods and media are used in the course, such as synchronized audio/slide presentations, video, handouts and activities. The instructor will be available to grade assignments and answer questions while the course is running.

Although students are allowed two months to complete the course, the course is completely self-paced so students are free to work ahead on their own. It is estimated that the course will take students approximately 35 hours to complete. An orientation webinar has been scheduled for Wednesday, August 27, 2014 from 1:00-2:30 pm to provide an overview and demo of the online course.

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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Course dates: August 27, 2014 to November 19, 2014

Orientation webinar (required)

August 27, 2014, 1:00 to 2:30 pm

Course begins

September 3, 2014

Webinar with Communicable Disease Branch staff (required)


On-Site Practice (Optional) Students enrolled in this course may participate in an on-site practice session in Chapel Hill held as part of the Physical Assessment of Adults course. During this session students can review and practice the GU/GYN exam using anatomical models.

November 19, 2014, 9:00 am to 5:00 pm

Completed STD modules and final exam

November 19, 2014

Practicum dates

November 20, 2014 – April 20, 2015

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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:

  • Complete online modules.
  • Complete all assignments by due date.
  • Score at least 80% on final examination.
  • Complete clinical practicum within five months.
  • Successfully pass 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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System Requirements

In order for students to successfully complete the course, they must have access to the following:

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 Blackboard.

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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Continuing Education Credit

Live webinars, assigned activities and readings will have Continuing Education Units (CEUs) awarded through the William and Ida Friday Center for Continuing Education at UNC-Chapel Hill. Some recorded lectures used during the course will offer CE credit on a per-lecture basis.

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


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 July 25, 2014.

Print and View Application (required)

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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 payment (see below) on or before August 15, 2014.

Fee: $300*

*Note a discount is given for the combined PAA/STD.

Important: The payment must be received or postmarked no later than August 15, 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 August 15, 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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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.

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