Preceptor Training RN to BSN Required Module for UVA Practicum Nursing Faculty and Preceptors

Presentation Overview: Board of Nursing Regulations about Preceptor Use Roles and Responsibilities for Course Professor, Practicum Faculty, Student, Preceptor Professional Standards for Students Getting Started and Phases of the Experience Important Resources for Preceptors (Checklist)

Preceptors: Serve as the on-site practicum teacher, mentor, and professional role model, Link the classroom to the practicum setting, and Enhance the profession by helping create excellent new nurses!

Commonwealth of Virginia Board of Nursing Regulations 18VAC90-20-95. Preceptorships Clinical preceptors may be used to augment the faculty and enhance the clinical learning experience. The clinical preceptor shall be licensed at or above the level for which the student is preparing. When giving direct care to patients, students shall be supervised by faculty or preceptors as designated by faculty. In utilizing preceptors to supervise students, the ratio shall not exceed two students to one preceptor at any given time. Faculty shall be responsible for the designation of a preceptor for each student and shall communicate such assignment with the preceptor. A preceptor may not further delegate the duties of the preceptorship.

Commonwealth of Virginia Board of Nursing Regulations 18VAC90-20-95. Preceptorships Clinical preceptors may be used to augment the faculty and enhance the clinical learning experience. The clinical preceptor shall be licensed at or above the level for which the student is preparing. When giving direct care to patients, students shall be supervised by faculty or preceptors as designated by faculty. In utilizing preceptors to supervise students, the ratio shall not exceed two students to one preceptor at any given time. Faculty shall be responsible for the designation of a preceptor for each student and shall communicate such assignment with the preceptor. A preceptor may not further delegate the duties of the preceptorship.

Commonwealth of Virginia Board of Nursing Regulations 18VAC90-20-95. Preceptorships Clinical preceptors may be used to augment the faculty and enhance the clinical learning experience. The clinical preceptor shall be licensed at or above the level for which the student is preparing. When giving direct care to patients, students shall be supervised by faculty or preceptors as designated by faculty. In utilizing preceptors to supervise students, the ratio shall not exceed two students to one preceptor at any given time. Faculty shall be responsible for the designation of a preceptor for each student and shall communicate such assignment with the preceptor. A preceptor may not further delegate the duties of the preceptorship.

Commonwealth of Virginia Board of Nursing Regulations Preceptorships shall include: Written objectives, methodology, and evaluation procedures for a specified period of time;

Commonwealth of Virginia Board of Nursing Regulations Preceptorships shall include: Written objectives, methodology, and evaluation procedures for a specified period of time; An orientation program for faculty, preceptors, and students;

Commonwealth of Virginia Board of Nursing Regulations Preceptorships shall include: Written objectives, methodology, and evaluation procedures for a specified period of time; An orientation program for faculty, preceptors, and students; The performance of skills for which the student has had faculty-supervised clinical and didactic preparation; and

Commonwealth of Virginia Board of Nursing Regulations Preceptorships shall include: Written objectives, methodology, and evaluation procedures for a specified period of time; An orientation program for faculty, preceptors, and students; The performance of skills for which the student has had faculty-supervised clinical and didactic preparation; and The overall coordination by faculty who assume ultimate responsibility for implementation, periodic monitoring, and evaluation.

Preceptors Show and Share: Knowledge Effective communication and collaboration Reasoning and problem-solving skills Care, compassion, and professionalism Leadership

Precepting in the RN to BSN Program Synthesis practicum 7 one-hour practicum conferences with course faculty 49 hours with preceptor

Course Professor Responsibilities Overall responsibility for ensuring that students meet the course objectives. Assigns final course grades. Resource as needed for practicum faculty and preceptors in problem solving student issues. Contributes to preceptor evaluation, including reviewing student evaluations of preceptor.

Practicum Faculty Responsibilities Serves as a resource to student and preceptor Is available to preceptor and student by phone or e-mail as needed. Contacts the preceptor 2 to 3 times during the practicum as mutually negotiated or arrange a visit if necessary to make sure the practicum is progressing as planned and the student is focused on the practicum and personal objectives. Assumes primary responsibility for problem solving student issues. Contributes to preceptor evaluation.

Practicum Faculty – cont. Ensures that practicum objectives are met Assists students in establishing appropriate objectives for practicum, based on opportunities in the practicum setting, student strengths and deficits, and general program objectives. Guides the preceptor and student in the selection of alternative learning experiences when appropriate to support achievement of learning objectives and facilitates these experiences. Meets with students in 7 scheduled Practicum Conferences.

Practicum faculty – cont. Assesses student performance for practicum component of the course grade Reviews all student logs. Assesses student’s knowledge through discussions in the practicum conferences. Works with the course professor to assess course work by the student that relates to the practicum experience. Seeks feedback from the preceptor about student performance and professionalism.

Preceptor Responsibilities Provides guidance to students Assists student to develop 3 learning objectives that focus on the added value of a BSN education. Objectives are individualized to the student’s interests. Exs may include role development, leadership, professionalism, comparing and contrasting clinical settings for strengths and areas of improvement (ex: healthy work environment, Interprofessional teamwork) The RN to BSN student is a licensed nurse and is not in the practice setting to learn basic nursing skills (basic assessment, administering meds) / leadership (charge nurse, delegation). Given the limited time in the practicum setting and the focus on other objectives, RN to BSN students will not complete institutional mandatory requirements for medication administration (PYXIS) and computerized charting (EPIC). Immerses and engages students in practicum experiences to facilitate meeting individual and course objectives

Preceptor – cont. Assists in the assessment of student performance Gives verbal feedback to the student at the end of each practicum day, following performance of procedures, and as needed. Completes a written evaluation of student performance at midterm (if needed) and at the end of the semester that includes anecdotal feedback. Informs practicum faculty of student progress as well as issues and concerns related to student performance.

Preceptor - cont. Assists the student to revise his/her objectives for the practicum experiences Notes progress toward meeting established objectives. In collaboration with practicum faculty, identifies additional practicum experiences to meet the student’s needs and enhance learning.

Student Responsibilities Establishes individual objectives Uses course objectives as a guide. Appropriately identifies own areas of strength and deficits. Collaborates with faculty and preceptor as needed in setting objectives. Collaborates with preceptor to revise objectives as the particular practicum experience proceeds.

Student Responsibilities Schedules practicum hours Contacts preceptor to determine a schedule for completing the required hours for the practicum experience. Informs practicum faculty of the schedule. Informs preceptor and practicum faculty of any change to the schedule. Attends practicum conferences.

Student Responsibilities Utilizes practicum faculty and preceptor appropriately Abides by ANA code of ethics and standards of practice at all times. Maintains self in student role vs. RN provider of care. Seeks guidance when needed. Acknowledges deficits and responds to feedback.

Student Responsibilities Participates in evaluation processes Evaluates self using reflective practice. Provides feedback to the preceptor, practicum learning site, and faculty (standardized tools administered via Collab/course computer survey)

Practicum Schedules The student develops the practicum schedule based on the preceptor’s established work schedule. Faculty should be apprised of changes in the student’s schedule.

Professional Standards Preparedness   Attendance and Punctuality Proper Attire – to be decided with preceptor. Business casual / Unit designated uniform. STUDENT ID must be worn when in the role of student (NOT place of employment ID). Professional Demeanor Time Utilization Confidentiality Abides by ANA Code of Ethics and Standards of Practice

Preparedness The student is consistently prepared to engage in practicum activities. Preparation includes physical, emotional, cognitive, and material readiness to enter the practicum setting in order to expand knowledge and skill acquisition.

Attendance and Punctuality   The student arrives on time for all practicum conferences and practicum learning experiences. Students are required to be present for each practicum experience arranged. Absences: In the event of serious illness, the student should inform the practicum faculty and preceptor.  

Professional Attire The student is professionally attired for all experiences on the unit as delineated by the institutional/unit requirements. The student ID is required when in the student role.  

Professional Demeanor   The student maintains a professional demeanor during all practicum experiences. The student does not bring personal issues into the practicum experiences. The student maintains professional boundaries at all times.

Legal and Personal Limits  The student: Recognizes learning needs and actively seeks to fulfill identified learning needs outside of practicum (consultation with the preceptor, practicum or course faculty. Maintains accountability for all actions. Uses practicum time to focus on and enhance learning. Maintains confidentiality. Abides by ANA Code of Ethics and Scope of Practice  

Administering Medications RN to BSN students are not in the practicum setting to learn the administration of medications. Due to limited time in the practicum setting, RN to BSN students are not assigned NetLearning / Institutional competencies for medication access and documentation. Therefore, these tasks, if they present, should be completed by the preceptor who has medication access and documentation privileges.

Preceptor Basic Check-list Course Syllabus Faculty contact information Student contact information Learning objectives for the student’s experience

The Student-Preceptor Relationship Orienting phase Working phase Closing phase

Getting Started! Meet and learn about one another Establish trust student background preceptor background Establish trust Clarify roles and expectations Review and determine the schedule

Working phase Teach, mentor and coach the student during practicum activities Stimulate reasoning skills THINK OUT LOUD! Challenge the student to think deeply and ask questions Encourage reflection

Closing the experience Participate in the evaluation process by providing feedback to the practicum faculty. Facilitate closure with mutual positive regard. Consider the possibility of your ongoing role as a professional mentor!

Thank you for viewing this preceptor orientation module! Please submit your current CV to Abby Self at abbys@virginia.edu More information and resources available online: http://www.nursing.virginia.edu/people/preceptors/ Questions? Contact the Academic Program Director or Coordinator or Office of Academic Programs (434) 924-0099 ● djm@virginia.edu