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FNP Student Survival Guide

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1 FNP Student Survival Guide
By Coppin State University Master of science in nursing Family Nurse Practitioner program Class of 2015

2 Table of Contents Preclinical Requirements Clinical Courses -Resources
Introduction Preclinical Requirements Clinical Courses -Resources -Study Tips -FAQ’s IV. Clinical Sites

3 INTRODUCTION The Family Nurse Practitioner (FNP) graduating class of spring 2015 welcomes you as you have made an excellent decision to become a part of the Coppin family. In partial fulfilment of the requirements for the Master’s degree/Certificate of Family Nurse Practitioner (FNP), we collectively made the decision to create an orientation packet entitled, “CLINICAL SURVIVAL KIT” for future students of this graduate program. Experience became our motivation in the choice we made to complete this project. We desire to leave a legacy and a positive imprint for upcoming students to follow to achieve success in their academic endeavors. We hope that as we exit, the FNP program at Coppin State University remains strong and meets the needs of the student population it serves. We have prepared this orientation packet to assist you in your academic journey to experience excellence. We the FNP Graduate Class of spring 2015, believe that students come first at the Helene Fuld School of Nursing (HFSON); therefore, we are creating a “mentoring” environment to encourage you to reach your highest potential. We endeavor to present information you need to know for preparation before clinical begins to ensure a smooth transition into a successful clinical experience.

4 INTRODUCTION The purpose of the FNP Program is to prepare nurses to provide advanced primary health care to underserved populations in an urban setting. In order to support your goal of being able to provide excellent primary health care that is culturally sensitive, we have put together need to know clinical information and a list of various of settings for your practicum experiences to reduce the anxiety and pressure in seeking clinical placements. Please note that whether you are in the traditional MSN-FNP or Post Masters Certificate track, there is an expectation that you complete a minimum of 500 direct patient care clinical hours in the preparation for the Nurse Practitioner role. These clinical experiences vary and are distributed throughout the curriculum to include exposures to primary health care of: children, women, adult/older adults, and families. Each clinical component has a specific number of hours assigned. Please refer to your syllabus/student handbook for specifics.

5 INTRODUCTION FNP Class of spring 2015 HFSON
We have put together important information you need to know and complete before beginning clinical rotations, as well as compiled a list of several clinical sites we have used for our practicum exposure. These clinical sites have approved contracts with HFSON (at this time), however, we advise you to make contact with potential preceptors as soon as you have registered for the course. Note, that although we have opened the door to these sites, other students from other institutions utilize these practitioners and the sites. It would be most beneficial to you to visit the sites you chose and make face to face contact and secure your clinical ahead of time. We wish you success on your journey. FNP Class of spring 2015 HFSON

6 Clinical/Lab Supplies
These supplies will be needed in the simulation lab and in your clinical settings: White lab coat/jacket - $10-30 (Alko, Uniform City, uniform stores, etc.) School of Nursing shoulder patch w/ department emblem $5 (School uniform company) Royal/sapphire blue name tag with credentials & degrees $10-15 (Staples, Office Depot) High-quality Stethoscope w/ diaphragm & bell or bell function - $ (Amazon, EBay, uniform stores, etc.) Blood pressure cuff - $10-40 (Alko, Amazon, uniform city, etc.) Percussion hammer $3-20 (Alko, Amazon, uniform store, etc.) Penlight (Alko, Amazon, uniform store, etc.) Tuning fork -$3-5 (Amazon) Otoscope/Ophthalmoscope - $ (EBay for dual attachment set) Watch w/ second hand $5-(Walmart, etc.) Tape measure w/ inches & centimeters (Amazon, uniform store) Pocket notepad or electronic notebook Pocket or electronic medication reference

7 Background Check or
Cost- $117.00 Coppin log-in Code- CQ52 Contains access to: Urine Drug Screen information **All forms, immunization records, etc. will need to be faxed or uploaded to your Certified Background profile each clinical school year. It is advisable that you keep a folder or flash drive with these items in it, so that they may be easily updated and retrieved.** ***This information is solely intended to serve as a guide to help you prepare for clinicals. It is not intended to be an authoritative or final source on clinical or program requirements. Please refer to your Student Handbook, course syllabi and departmental/course faculty for official information.***

8 Pre-Clinical Requirements
1. Physical Examination (renew every year) 2. Measles, Mumps & Rubella (MMR) titers 3. Varicella (Chicken Pox) titers 4. Hepatitis B titers 5. Tetanus Vaccine or proof of vaccination in last 10 years 6. Proof of negative TB Test or Chest X-ray 7. Yearly Influenza vaccination 8. Current adult, child & infant CPR Certification 9. Current RN License 10. Signed Confidentiality Statement 11. School Honor Code (refer to student handbook) 12. Release of Information form 13. Video and Photo Release form 14. HIPAA Certification (copy may be able to be obtained through current employer) 15. OSHA Certification (copy may be able to be obtained through current employer)

9 Tips Purchase a nurse practitioner certification review book at the beginning of the program. This can be utilized throughout the program and will give you exposure to answering questions the way they are asked on the board certification examinations and possibly on exams throughout the program. Even purchasing an older edition of the book will give you access to body systems and disease process overview, as well as practice questions while you are in a particular specialty course. At the end of your program when you are ready to study for your certification exam, you can purchase a newer version or the current edition. Check Amazon & EBay for less expensive copies or even used copies. -Recommended Nurse Practitioner Certification Examination and Practice Preparation by Margaret Fitzgerald Don't forget to utilize of all of your "outside" resources such as YouTube and the internet for difficult to understand procedures and concepts. There are many videos that can "break down" a topic that you may have trouble grasping from textbook readings.

10 Tips Formulate study groups early on in the program. Don't always study with people you are friends with. You all may think alike or be strong in the subject area. Search out people who have expertise in other areas that you are not as strong in. They may have the answer to your problem and you are much les likely to get sidetracked in the process. At the very least, you may make a new friend... Make "friends" with people in your work area or in your doctor's office. They may have insight into places you can go for clinical or jobs once you graduate. If APA format is not your friend or a strength of yours, purchase a program that automatically formats your papers in APA format like PERRLA. It costs about $40-50 and can be added on more than 1 computer, so you can split the cost w/ a colleague.

11 Tips  Pay attention to the professors teaching style, as it may give good insight on how to study for the exam. Get as much exposure to the topic as possible such as listening to Tegrity, review power point, read selected chapter and do practice questions Do not try to cram information the night before the exam. Take good notes in class and pay attention to areas emphasized by the professor

12 Nursing 600 Advanced Health assessment and Nursing 660/661 Primary care of Adults/older adults

13 Resources YouTube for head to toe assessment: Videos under BMEDINAGO and others are included on YouTube. Review books: Margaret Fitzgerald, Pathophysiology for dummies, or any other basic pathophysiology book. Most textbooks include online illustrations, test questions, and discussions for in-depth understanding and rationale, register for these programs. Take advantage of the school’s simulation labs for additional hands-on practice prior to starting your clinical rotation.

14 Resources The use of the school’s Writing center, located in the Grace Jacob Building can be helpful when writing your papers. Prior knowledge of APA formatting in critical in developing your papers. The purchase of the most recent APA book or online APA programs like OWL are helpful when properly formatting papers. PERRLA a program that can be downloaded to your computer, can also be used to help format your papers in APA style. The cost of this program is ~$39.99 The use of or Turnitin are used to identify plagiarized work. The programs work the same and identifies your papers similarity index. The cost for is ~$ and the school currently uses Turnitin for written submissions.

15 Study tips Study in small groups instead of individually. This gives you the opportunity to learn from other nurses experiences and actively engages you in the learning process; helping you retain the information. As previously mentioned in the use of review books can provided you with simple, less complex rational for understanding covered material. The use of flashcards can also be helpful. It also may be helpful to use index cards that can be used later when studying for the boards.

16 FAQs Do I need to buy the required health assessment equipment? Yes, you will find it useful for practice and the open skills sessions. Does the school place students into clinical sites? No! The student is responsible for finding their clinical site and moving forward you will need to provide your clinical site before you can be given the code to register for any clinical course. How should one dress for clinical? Professional attire and lab coat with the Coppin patch on the left arm as well as a name badge. NO SCRUBS!!( depending on site) How do I transition from non-degree seeking to degree seeking? Apply for degree seeking, meet the necessary requirements, and also consult your assigned faculty adviser for further instructions.

17 FAQs How do I obtain a code to register for classes? your clinical site information to the faculty /clinical coordinator to obtain a registration code. Can one use Thanksgiving or Spring break or any holiday to catch up on clinical hours? No, whenever school is closed be it for break, holiday, or inclement weather, the student is not to go for clinical and the school will not be liable should something go wrong. What if I my clinical site is not a good fit? Clinical is the only practice you will get before becoming an NP so, if you realize that your preceptor or the clinical setting is not a good fit for you, inform your instructor immediately and find a new preceptor immediately instead of waiting till the end of the semester.

18 Course Requirements NURS 600 requires 40 hours of clinical hours, in addition to a graded head-to-toe physical performed on a classmate. NURS 660/661 requires 120 clinical

19 Nursing 650/651 Primary Care of women

20 Resources CDC mobile app for diagnosis and treatment of STD’s
CDC mobile app for antibiotic use CDC mobile app for contraceptive use

21 STUDY TIPS Lecture/Didactic
Pay close attention to information reviewed during lectures. Join a study group. Review basic pathophysiology of the menstrual cycle and understand the function of hormones, pay close attention to negative feedback loops. Understanding these fundamental concepts will help you to understand many conditions associated with women’s health. Review anatomy & physiology of the pregnant female Review your category classification Case studies – make sure to really understanding the healthy pregnancy first, next AMA( advance for maternal age), then pathology in pregnancy

22 STUDY TIPS Clinical/ Practicum
Bring index cards filled with most common medications used Know trimester (1-3) management including the prenatal work up due for each trimester- Again use your index cards!!! Gyn exams takes practice, so the more you do the more comfortable you will be at pelvic exams Measuring fundus- Practice! Practice! Again , palpating the fundus and measuring correctly takes practice, again do Finding the FHR via Doppler- Again this takes practice, do it as much and as often as you can. Be open to with you preceptor – Practice! Practice! Practice makes perfect!

23 FAQ’S Is the course difficult? This course is not necessarily difficult but it is a lot information given in a short period of time. Be proactive with reading assignments and don’t allow yourself to fall behind. How many clinical hours do I need? You are responsible for 120 clinical hours. Do not delay!!! You will need at least practicum hours a week to complete the hours on time during the summer semester.

24 FAQ’s What should I do to be successful in the course? Read Chapters/ Review Power Points/Listen to Tegrity. **Pay attention to repetition ** Complete practicum hours ASAP !!! Complete clinical logs weekly Use additional resources (NP review books)

25 Nursing 650/651 Nursing care of children

26 RESOURCES CDC mobile app for immunization schedule
Heart Murmur Pro Mobile APP (Murmurs are common in PEDS, it is important to distinguish normal from abnormal). Lab Reference Values Mobile APP American Academy of Pediatrics

27 STUDY TIPS Join a study group
Do not ignore any document that was posted under your course Print the immunization and catch up schedules (shrink and laminate for quick pocket reference for class/clincals) Be sure to understand “A& P” of all the systems. This will help you identify abnormal functioning, symptoms you would expect to find, diagnose with proper differentials, and treat. Know common diseases that occur in the different age groups. Complete the case studies

28 FAQ’s How many clinical hours do I need for this class? 120 clinical hours What clinical sites are available to me? See clinical list provided. Start contacting clinical sites during your break before your class starts. You may need to sign a contract for a clinical cite that is new to the school. This process can take months before approval is obtained What if I do not find a clinical site? Notify the school and your instructor immediately. Continue to look and ask classmates if you can pair.


30 Non-thesis Nursing 513 vs. Thesis Nursing720/721 Course Description
Non-Thesis Research Project This course provides opportunities to develop, implement, and evaluate a research project. The project, designed in collaboration with a clinical faculty/preceptor, will reflect analysis, synthesis, and integration in exploring a topic related to advance nursing practice. Masters Thesis Guidelines This course provides opportunities to develop, and write a Master’s Thesis. The thesis written in collaboration with a faculty member will reflect analysis, synthesis, and integration in exploring.

31 Thesis vs. Non-Thesis Thesis Non- Thesis
Students have to complete all six chapters of research Three faculty members have to serve on the Thesis committee Student has to defend research topic Student does not have to sit for comprehensive exam Called “Research” due to student carrying out the entire research Only first three chapters are completed by student Committees are not used for non- thesis. Two reader minimum is required Oral presentation on clinical project is required Comprehensive examination is an requirement for non-thesis project Called “Clinical Project,” research is not carried out in its entirety

32 Nursing 513 Non-thesis option
For Non-thesis students- it is important to start studying for comps after the fall semester. This will prepare the student to do well and increase ones chances in passing both sections of the Comprehensive Exam. Non-thesis students should practice writing and rewriting daily to prepare for the Comprehensive Exam. Practicing writing will decrease chances of error when taken the actually Exam. Don’t be nervous, and know that you have the information. Eat a healthy balanced breakfast before the exam. Take deep breaths and relax.

33 Nursing 700 Primary care of Family Practicum

34 FAQs What are the total number of hours for Practicum clinical?
The total number of hours is 180 clinical hours Can clinical sites be combined? Yes, clinical sites can be combined, but no more than 40 hours in specialty areas. Specialty areas include: pediatrics and women health

35 Portfolio for Nursing 700 The portfolio is a representation of student academic achievements. The portfolio is to be submitted in a binder or in electronic format (according to faculty specifications) with the following sections:  Resume Licensure Education Copies of CEU’s Papers Presentations Clinical Sites Other items as specified by your course syllabus & faculty

36 FAQs: What is a DEA number? A DEA number (DEA Registration Number) is a number assigned to a health care provider (such as a medical practitioner, dentist, or veterinarian) by the U.S. Drug Enforcement Administration allowing them to write prescriptions for controlled substances. Legally, the DEA number is solely to be used for tracking controlled substances. Retrieved from:

37 Nurse Practitioner Review Courses and Materials
Fitzgerald Health Education Associations Check for NP certification exam review Courses dates and locations. Review book: Nurse Practitioner Certification Examination and Practice Prepartion Third Edition. ( I suggest buying this book day one of the program and start reading it and practicing questions) Barkley & Associates , Necessary Workshops ( Marye Dorsey Kellerman) This is a three day local course (towson) Day 1 & 2 8am to 6 pm, day 3 7:30 to 1 pm. It cost $475 , and allows you to retake course again prior to your test for $100.

38 NP certification exam Info
Choice of 2 National Certification Exams: ANCC or AANP Credentials Awarded: FNP-BC The ANCC Family Nurse Practitioner board certification examination is a competency based examination that provides a valid and reliable assessment of the entry-level clinical knowledge and skills of nurse practitioners. This certification aligns with the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification and Education. Once you complete eligibility requirements to take the certification examination and successfully pass the exam, you are awarded the credential: Family Nurse Practitioner-Board Certified (FNP-BC). This credential is valid for 5 years. You can continue to use this credential by maintaining your license to practice and meeting the renewal requirements in place at the time of your certification renewal. American Nurses Credentialing Center (ANCC), a subsidiary of the American Nurses Association (ANA) or American Academy of Nurse Practitioners Certification Program The certification examinations each consist of 150 multiple-choice items, which include 15 pretest questions that are not counted in the candidate's score.

39 Things to Consider Before Taking a NP Job
Schedule Salary Will it be M-F, 8a – 5p, no weekends no call? Anticipated patient volume. Will it be ppd Will it be $85-120k with a comprehensive benefit package including 4 wks vacation, malpractice, health insurance, retirement, and 1 wk paid CME. Relocation assistance and possible sign on bonus. Salary vs. Hourly

40 NP Malpractice Insurance info
You must have malpractice insurance. It can costs an estimated $2500 to $2800 a year , some employers may pay for this. Nurse Service Organization NSO's Professional Liability Insurance for Nurse Practitioners

41 Clinical sites Dr. Richard Akoto 344 University Blvd W # 326
Adult Health: Dr. Richard Akoto 344 University Blvd W # 326 Silver Spring, MD 20901 Daniel Howard (Also GYN) 402 N Paca Street Baltimore MD 21201

42 Clinical sites Women’s Health
Franklin Square OB- Cheryl Giese CRNP, dual certification Women’s/Adults 9000 Franklin Square Drive. Baltimore, MD 21239 Mercy Medical Center - Certified Nurse Midwives (they do lots of in office women's health) Dr. Nasreen Kango, MD - Internist 7701 Carroll Ave, Takoma Park, MD (301)

43 Clinical sites Women’s Health Stella Jeffiries, CRNP
Affordable Health Care Nurse Practitioner Clinic 11120 New Hampshire Ave, Silver Spring, MD 20904 1615 Rhode Island Ave, NE. Washington, DC, 20018 Dr. Nancy P. Youssefi, MD 7350 Van Dusen Rd Laurel, MD 20707 (301)

44 Clinical sites PEDS Baltimore City Schools (school based health centers) Mercy Medical Center/Family Health Centers of Baltimore Dr. Neelkantam Kamakshi 2108 Emmorton Park Dr. Edgewood MD 21040 (410) Dr. Juliet Anadu 7500 Hanover Pkwy Ste 202 Greenbelt, MD 20770 ( )

45 Clinical sites PEDS Harbor Pediatrics, Dr. John Irwin
3001 S. Hanover St. suite 302 Baltimore, MD 21225 (410) Harbor Pediatrics, Dr. William C. Dash 3001 south Hanover Street #302 Dr. Nicholas Donkor 10910 Little Patuxent Pkwy Columbia, MD 21044

46 Clinical Sites Lakewood Family Health Center Beltsville md
Franklin Square Hospital Good Samaritan Hospital Union Memorial Hospital Harbor Hospital Washington Hospital Center VA Hospital Mercy Medical Center Overlea Personal Physicians United Healthcare

47 Class of 2015 Words of wisdom
Choose your track early, thesis vs. non-thesis Always , always remain professional and don’t forget that you are a RN already. Keep the lines of communication open with your professors. They teach because they love what they do. They are in our corner and our biggest supporters. Make friends with your classmates immediately, stick together and keep each other on track. Part-time vs. full time: It doesn’t matter just as long as you make the commitment to do it. Do whatever is going to work best for your life.

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