School of Nursing

Graduate Nursing Program

Internship Planning Packetfor

Advanced Practice Internships:

Adult-Gerontology Primary Care Nurse Practitioner

Adult-Gerontology Clinical Nurse SpecialistFamily Nurse Practitioner

Internship Course Numbers:NURS 653NURS 663NURS 673

Revised and updated August 28, 2017

Please review all materials in this document AFTER ADMISSION TO THE NURSING PROGRAM and PRIOR TO contacting the faculty member assigned to

teach your internship section.

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Table of Contents

Procedures for Notification of Intent to Enroll in Internships..................................................3Obtain an Approved Program of Study/Course SequenceGeneral Guidelines for Planning InternshipsProcedures for Scheduling and Enrolling in Internships

Finalizing Plans for the Internships…………………………………………………………….7Finding a PreceptorDocuments Required for Each InternshipRequired Documentation Submission by FacultyFollow-up with Faculty Regarding Status of Submission/AgreementEnroll in Correct, Assigned SectionCurrent Clinical Requirements on FileRequired Preliminary MeetingsStandardized Patient informationSign the Professional ContractNIU Nursing Photo ID BadgeInstructions for completing the electronic log

Internship Personal Goals & Objectives Sheet: Advanced Practice.......................................10Contents of Internship Cover Letter..........................................................................................12Student's Curriculum Vitae (CV)..............................................................................................13Roles and Functions of Clinical Preceptors...............................................................................14Student Responsibilities..............................................................................................................16Professionalism Contract............................................................................................................18Profile Form for Preceptors of APN Students………………………………………………..19Standardized Patient for Advanced Practice Nurse Internships............................................20Typhon E-Log Instructions for Students………………...……..…………………………..…23

Appendix A: Important Deadlines Related to Internships………………………………….24

Appendix B: Graduate Nursing Preceptor Planning Sheet…………………………………25

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Procedures for Notification of Intent to Enroll in Internships

The student should begin planning for the gradate internships soon after admission to the graduate nursing program. In order to facilitate obtaining a qualified preceptor for the student internship, each graduate nursing student must follow these guidelines.

Obtain an Approved Program of Study/Course Sequence

The first step is to obtain an approved plan of study/course sequence for all required courses in the student’s specialization early in the first semester that the student is admitted to NIU. The student must meet with the graduate advisor to obtain approval. After final approval from the Director of Nursing Graduate Studies, the student will be sent an electronic copy of their plan of study. An electronic copy will be sent to the student’s NIU e-mail address. After the student’s plan is approved, they will be “tracked” for internships. Any changes to the approved plan, must be resubmitted for approval. Re-tracking of internships will be done based on availability of space.

General Guidelines for Planning Internships

The graduate nursing faculty strongly recommends that:

The student limits the hours of work for an outside employer so that they can meet the requirements for the internship. The student must plan on a MINIMUM of 12 hours of time with their preceptor each week. Summer internships require a MINIMUM of 24 hours of time with their preceptor each week. This does not include preparation time, required weekly documentation time, or time to complete internship-related assignments.

The student will take only one other required course in their program of study during the semesters when they are enrolled in internships.

NOTE: In order to foster optimal development of knowledge and skills at an advanced practice level, students may only register for one clinical internship per semester.

Requests for exceptions to these recommendations must be made in writing and sent to the Director of Nursing Graduate Studies and the current Chair of the Advanced Practice Nursing Committee. The Advanced Practice Nursing Faculty Committee will review and make a recommendation regarding the student’s request. Exceptions are made only for unique, extenuating circumstances.

Please read the internship course syllabi included in this packet. For each internship course, 182 hours are required in direct care. In addition, 10 “indirect” hours will be scheduled for internship seminars with course peers and faculty in the student’s internship section.

The Adult-Gerontology Primary Care Nurse Practitioner (A-G PCNP) and Family Nurse Practitioner (FNP) specializations are focused on primary care. This means that internships must be conducted in primary care settings.

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Primary Care sites include the following: Family practice Internal medicine Nursing home OB/Gyne PediatricsPlease note: Hospital visits are NOT allowed

Additional guidelines regarding practice in specialty areas are as follows: For FNPs – one half (91 hours) may be in a specialty area during NURS 663. For A-G PCNPs – the last internship may be in a specialty clinic.

Specialty sites include the following: Cardiology Dermatology Orthopedics Pulmonology Retail clinics Urgent carePlease note: Hospital visits are NOT allowed

Procedures for Scheduling and Enrolling in Internships

All graduate nursing students will be scheduled for internships when they obtain an approved plan of study/course sequence for the graduate specialization to which they were admitted. As soon as the student’s plan of study (this is an official document and must have actual signatures) is submitted, signed and dated by the student, the student’s assigned graduate faculty advisor, and the Director of Nursing Graduate Studies, the student will be “scheduled” for all internships in the semesters on their approved plan.

It is mandated that you contact the Graduate Internship Coordinator, one year prior to each internship (Appendix A). If the student does not meet these deadlines and does not contact the Graduate Internship Coordinator to obtain a referral for a preceptor, the student will be notified that their planned internship is cancelled and that they will need to resubmit a plan of study for approval.

NOTE: The student’s internships will be rescheduled on a space available basis.

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The procedural steps are as follows:

1. After admission to a specialization in the graduate nursing program, the student must meet with the graduate advisor to plan their program of study.

2. The student must obtain approval for their plan by signing and dating the form and then requesting a signature from the graduate advisor. The graduate advisor will submit the signed and dated form to the Director of Graduate Nursing Studies.

3. If approved, the student’s plan of study will be returned to them electronically as a pdf document. (Please allow sufficient time for approval and return of the document. This will usually occur approximately the 1st and 15th of the month after the plan was submitted to the Director of Nursing Graduate Studies.)

For example, if the graduate advisor submits the student’s plan of study to the Director of Graduate Studies on the 20th of a month, the student should receive the electronic copy in their NIU E-mail by the 1st of the subsequent month.

If the student’s plan of study is submitted to the Director on the 2nd of a month, the student should receive the electronic copy in their NIU E-mail by the 15th of that same month.

4. If the plan of study changes for any reason, the student will need to meet with the graduate advisor to devise a new plan of study and to obtain proper approvals.

5. Deadlines for contacting the Graduate Internship Coordinator to receive a preceptor assignment ONE YEAR PRIOR TO EACH INTERNSHIP are as follows:

September 1 – November 1 for Fall Internships January 1 – March 1 for Spring Internships June 1 – August 15 for Summer Internships

NOTE: If the student does not contact the Graduate Internship Coordinator by e-mail during the above periods of time, the student will be required to re-track their internships on a space available basis.

6. The Internship Planning Packet can be found on the School of Nursing Community Blackboard page under “Graduate Student Information.” The student must read the entire packet before contacting the Graduate Internship Coordinator.

7. For each internship, the student must also contact their faculty member assigned to teach the internship by deadlines outlined in Appendix A

The student must contact the faculty member by E-MAIL to introduce their self and to request information about how the faculty member wants them to submit their required internship documents.

o Required documents include: Internship personal learning objectives form The student’s curriculum vitae (CV) Contact information form for each preceptor

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The preceptor’s IDFPR license report (the student will find this on the IDFPR license look-up website) https://www.idfpr.com/LicenseLookUp/LicenseLookup.asp -- and print the detailed report).

The student might also need to submit a “Preceptor Profile Form” for their preceptor; the faculty teaching the internship will advise if there is a need for this document.

The assigned faculty teaching the internship gives final approval of the student’s internship materials. Faculty approval is required prior to the student’s enrollment in each internship.

The student must communicate directly with their faculty member and not with the nursing office staff regarding the processing of these materials.

Any questions regarding this procedure may be directed to Director of Graduate Nursing Studies or the Graduate Internship Coordinator.

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Finalizing Plans for the Internships

NIU- Graduate Nursing Preceptor Placement Planning Sheet: Advanced Practice Students

Complete the Graduate Nursing Preceptor Planning Sheet (Appendix B) and return to the Graduate Internship Coordinator 1 year prior to your internship by the following due dates:

September 1 – November 1 for Fall Internships January 1 – March 1 for Spring Internships June 1 – August 15 for Summer Internships

1. Finding a preceptor: This process should be initiated one year in advance of each internship and within the timeframe specified in the previous table. The student must contact the Graduate Internship Coordinator by e-mail to obtain a referral to a qualified preceptor.

a. Preceptor qualifications: The student is placed in a setting with an advanced practice nurse who is available to serve as a preceptor and who is willing to facilitate attainment of internship objectives. Ideally, advanced practice students shall have the majority of their clinical experiences with master’s prepared certified nurse practitioners (FNP and A-G Primary Care NP students) or master’s prepared certified clinical nurse specialists (A-G CNS students). Students may have portions of the internship experience with a physician. Physician Assistants/PAs may not be used as preceptors. It is important for the student to have exposure to a preceptor functioning in the role of an Advanced Practice Nurse.

b. A student may have no more than two preceptors located in different clinical agencies within any given internship. A preceptor agreement is required from EACH preceptor. Having two preceptors in the same agency also requires separate agreements from each.

c. The internship setting must be located in Illinois. Students may not complete their internship in the same physical setting in which they are currently employed or have been employed during the previous 24 months. Students may possibly do their internship in another physical/clinical setting if they are employed by a large health care system with multiple settings. For example, a student working for Rockford Health Care System and employed in the Emergency Room may arrange an internship experience in the medical clinic owned by this health care system.

d. If the student would like to use a specific preceptor, the student MUST notify the Graduate Internship Coordinator before contacting any potential preceptors. Failure to follow this guideline will result in re-tracking of the student’s internship. The student is NOT to contact preceptors without prior approval from the Graduate Internship Coordinator. Students are to report back to the Graduate Internship Coordinator regarding their contact within the timeframe given. Reporting back to the coordinator is required; failure to report back will result in re-tracking of the student’s internship.

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e. When contacting the Graduate Internship Coordinator by e-mail, students should provide a copy of the “Internship Planning Sheet.” Students will be informed if there are special requirements at the site, e.g., signing a code of conduct agreement, must be Spanish speaking, etc.

2. Contact faculty member teaching the internship section: The student must contact the faculty member assigned to teach their internship section by E-MAIL by the published deadlines (Appendix A). The purpose of this contact is for the student to introduce themselves and to ask the faculty’s preferences for submitting required internship documents.

3. Documents required for each internship: Internship personal learning objectives form The student’s curriculum vitae (CV) Contact information form for each preceptor The preceptor’s IDFPR license report (the student will find this on the IDFPR

license look-up website -- https://www.idfpr.com/LicenseLookUp/LicenseLookup.asp -- and print the detailed report).

4. The student must follow the guidelines for completing and submitting internship documents to their assigned faculty member. The student must adhere to published deadlines. Failure to meet these deadlines will result in re-tracking of the internship. The faculty member will submit your approved documents to the nursing office staff for processing and sending out to your preceptor. Students are not to submit documents to office staff directly.

5. The student must communicate with their assigned faculty member about the status of their documents and agreements returned by their preceptor.

6. The student must follow up with their preceptor to obtain documents or the preceptor agreement form as requested by their faculty member. The student may be asked to complete a “Preceptor Profile Form” for each preceptor (per faculty’s instruction if it is not on file)

7. Enroll in the correct, assigned section of your internship when enrollment opens in MyNIU.

8. The student must be certain that they submit any required documentation of having met clinical requirements prior to the July 1 deadline and according to the current Clinical Requirement Policy for Graduate Nursing Students that is published on the Nursing website. In even numbered years, the student must submit their renewed RN license. The student will not be able to continue their enrollment in the internship if these documents are not current and on file.

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9. The student will prepare for and attend any required preliminary meetings of their internship section and all meetings during the semester when enrolled in the internship.

10. The student should prepare for Standardized Patient prior to the start of the semester. All students must pass Standardized Patient before completing any clinical internship hours at their site.

11. The student will sign the “Professionalism Contract” and submit to their internship faculty member during the first week of classes when enrolled in the internship.

12. The student must wear their NIU nursing photo ID badge during all your internship activities. If the student needs a badge, they should contact the nursing office, 815.753.1231, to make arrangements. The office is open 8:30 – 4:00 PM Monday through Friday.

13. The student must read the instructions for completing the Typhon E-log prior to the first meeting with their faculty member teaching their internship.

Enjoy the Internship!

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Northern Illinois UniversitySchool of Nursing

Internship Personal Goals & Objectives

NAME: Z-ID :

ADDRESS:

TELEPHONE: ____________________________(HOME)____________________________(WORK)____________________________ (CELL)

NIU E-mail:

Career Goals-

Internship Goals-

A.)

B.)

Behavioral Objectives- (What you intend to accomplish during this internship. Minimum of 6) Use the course objectives as a basis and word the objectives in appropriate language and context using Bloom’s taxonomy.

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In previous internships, what specific client age-group and gender have you cared for within the life span continuum?

In previous internships, what roles have you observed and interacted with, i.e. nurse practitioner, physicians, physician’s assistant, etc.?

Rev. 3/18/15

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Northern Illinois UniversitySchool of Nursing

Graduate Nursing Internship

Contents for Internship Cover LetterContact Information

Instructions: Each student should type and submit the following information in the table provided; check for accurate spelling of the preceptor’s name (see IDFPR report). Faculty members teaching internships will review and ensure that the information is complete and accurate. This information is used to send information to each preceptor. If inaccurate, preceptor agreements/final approval and internship activities may be delayed.

The student should try to obtain all the requested information and insert into the left column. Use the smaller right column to check the preceptor’s preferred method of contact (e.g., USPS, phone, e-mail, FAX, etc.)

Type Requested Information in Each Cell Below

Check Preceptor’s Preferred Method of Contact

Course number and section number (assigned by SON):      Preceptor’s name & credentials:     Preceptor’s professional title:     Preceptor’s Mailing Address (complete as applicable - Healthcare Organization/Institution Name; Attention to: [insert name/title of office manager, etc.]; Street and number; Apt/Office #;City, State Zip)     

Preceptor’s Phone Number:     Preceptor’s FAX Number:     Preceptor’s E-mail Address:     Student’s Name with Correct Spelling:     

3/18/15 jeh

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NORTHERN ILLINOIS UNIVERSITYSchool of Nursing

STUDENT’S CURRICULUM VITAE (CV)Name

AddressCity, State ZIP Code

Home/Cell telephone # (include area code)Work telephone # (include area code)

Student Z-ID #

NOTE: Please follow this template.

EDUCATIONAL BACKGROUND:School Dates Attended DegreeList most recent first and include School’s name, City and StateInclude major or specialty, if any.

EMPLOYMENT:Agency and Dates Position and ResponsibilitiesInclude Agency, City, State

SPECIAL SKILLS AND/OR STRENGTHS:List certifications, special skills, etc.

CONTINUING EDUCATION DURING THE LAST 3 YEARS IN AREA OF SPECIALIZATION:Program Title Sponsor Date(s)List most recent first and include City and State where program was held

PROFESSIONAL ACTIVITIES:List memberships, committees, awards, publications, and presentations/speeches with dates

GRADUATE COURSES COMPLETED:Department Course # Course TitleList all courses that will be taken prior to the internship

GRADUATE COURSES TO BE TAKEN CONCURRENTLY WITH INTERNSHIPDepartment Course # Course TitleList all courses including Thesis and Graduate/Research Assistantships

PROFESSIONAL GOALS:Brief statement indicating post-graduate and long-term plans.

Note: If any years are not accounted for by educational background or employment, please add a note to explain.Student CV 7-16-06; Rev 3/10/14

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ROLES AND FUNCTIONS OF CLINICAL PRECEPTORS

The role of the preceptor is to create an environment that is supportive, challenging, non-threatening, and that fosters the student’s inquiry into clinical phenomena, patient experiences and collaborative management of primary health care. Within the clinical setting, the preceptor facilitates a student’s ability to think through clinical situations, reflect upon these situations, develop and apply knowledge, and practice skills within the scope of the advanced-practice nursing role. It is anticipated that the preceptor will facilitate the student’s progression from joint assessment and management to independent assessment with collaborative management.

Preceptors guide the student’s application of clinical decision-making processes by structuring a learning environment that enables the student to: a) perform individual, family, and community assessments; and b) plan and implement primary health care management plans focused on health promotion, disease/ illness prevention, health maintenance and restoration. Additionally, the preceptor guides the advanced practice nurse in evaluating the effectiveness of prescribed care.

Guidance activities may include:

Enabling independent assessment of the patient. Analyzing oral presentations of the history and physical findings. Providing insights related to incomplete, vagaries and/or inconsistencies and inaccuracies in the

health care database and redirect thinking in order to facilitate the formulation of an accurate diagnosis and/or plans of care.

Analyzing identified differential diagnoses and working diagnoses for congruency with collected data and providing the learner with immediate feedback.

Redirecting thinking when data inconsistencies exist, differential diagnoses are irrelevant to the patient’s situation, and diagnoses are inaccurate.

Reinforcing accurate conclusions to facilitate the development of self-confidence and clinical competence.

Validating the subjective and objective database to build confidence and competence as well as redirect thinking as necessary.

Analyzing proposed plans for diagnostic laboratory data collection and facilitating an understanding of the need for such test data and the cost-effectiveness in terms of information yield and economic impact on patient and insurance corporation.

Analyzing proposed health care management plans, including proposed pharmacological interventions and providing insights into its potential effectiveness or ineffectiveness in achieving desired health outcomes.

Analyzing health care management to assure compliance with national guidelines and standards of care.

Assisting in the formulations of criteria that measure the achievement of the desired health care outcomes.

Imparting clinical guides, based on standards of practice, related to the need for referrals to specialists.

Demonstrating special assessment techniques/strategies that enable higher levels of specificity in differentiating potential health problems.

Demonstrating and enabling participation in special diagnostic tests and treatments such as performing ECG's, interpreting x-rays, suturing, lesion removal, and injections of joints.

Communicate the progress of the graduate student at the midterm and final conference to Northern Illinois University School of Nursing and Health Studies faculty. If there are problems or issues with the graduate student, the faculty member needs to be contacted as soon as possible.

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Additionally, clinical preceptors: Provide the opportunity to be in the role of an advanced practice nurse practitioner. Facilitate the internalization of the role of an advanced practice nurse. Provide constructive evaluative feedback of strengths and weaknesses that enables continued

professional development and role inculcation. Facilitate behavioral changes in the novice to achieve success in the advanced practice role. Provide the opportunity for the student to identify her/his learning needs and strategies to meet

those needs.

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STUDENT RESPONSIBILITIES

All students are expected to:

1. Be prepared for and actively participate in the delivery of primary health care in the clinical learning experience.

2. Set up an orientation time with their preceptors prior to the beginning of the semester or before a new clinical internship begins. There may be overlap between clinical sites (practice time and orientation time) when rotating to new clinical sites. The initial time spent in orienting to a setting and negotiating with preceptors is not considered part of your clinical hours

3. Establish with your preceptor the expected dress and behaviors for the setting. Clarify with your preceptor exactly what type of dress, identification, and equipment are needed for the setting. Included in expectations is hair length, amount of jewelry, nail length, etc. Some primary care settings have very specific dress codes.

4. Clarify with your preceptor if any published clinical guidelines, protocols, national guidelines, and standards of care are used in the setting and obtain these prior to entering the agency.

5. Negotiate days and hours for the clinical learning experience with the preceptor. Once the times are established, they are to be reported to the faculty responsible for the course. This enables faculty to begin planning clinical site visits and to establish times for computer interaction during your clinical experience. You must consider that the preceptors are “donating” their time for your learning and, therefore, accommodations to their schedules must be made.

6. Negotiate with the preceptor how each client visit will proceed. Clients should always be given the right to accept or refuse to work with a student. However, you can do much to establish an accepting environment. During your first weeks within a site, the staff and preceptor do not know you and, therefore, will supervise your clinical performance very closely—perhaps going in with you while you elicit a health history and perform a physical assessment. Other preceptors will allow you to see the client by yourself, request that you report your findings to them, and then visit the client with you observing his or her history taking and physical examination skills. As a preceptor becomes more comfortable with your knowledge and skill level, he or she will afford you more “space/freedom” in assessing and working with clients.

7. Provide the preceptor with a verbal report of the client’s history and physical findings, and a plan for laboratory tests (with concise justification), your differential diagnosis, and a working diagnosis. Additionally, your plan of care, including pharmacotherapeutic agents (if needed) must be identified for the preceptor. You should view your preceptor as a consultant, remembering he/she is responsible for the patient’s care. However, since you are a practicing RN, you are also legally accountable for everything you do.

8. Keep a log of clinical experiences. This log will identify the types of experience you have had as well as your reactions to client’s values, life styles, your own decision-making abilities, and ability to take responsibility for making “front line” primary care decisions.

9. Keep a “black book” which summarizes diagnostic categories, any special circumstances and plans of care. This is a long-term professional behavior engaged in by most advanced practice nurse practitioners. It serves as a quick and handy personal reference guide.

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10. Take responsibility in pacing yourself in seeing clients. Once you become proficient in eliciting a health history and performing the physical assessment component of the visit, the greatest portion of the time will be spent on working with the client in implementing and evaluating the prescribed plan of care.

11. It is anticipated and expected that the highest level of professional courtesy be extended to your preceptor (be on time, respect input and critiques, not arguing or becoming defensive with preceptor).

12. Utilize preceptors as a resource who have a knowledge base and expertise that can facilitate your development as an advanced practice nurse.

13. Be open to constructive criticism of: communication techniques, cognitive and psychomotor processes used in establishing a health database, use of the diagnostic reasoning process, development, implementation and evaluation of primary health care plans.

14. Interact with faculty and peers regarding clinical experiences.

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Northern Illinois UniversityStandards for Graduate Nursing Students

PROFESSIONALISM CONTRACTProfessional Role ‐ The student conducts self as a professional role model at all times and in compliance with Standards of Practice Relative to Registered Nurses (OAC Chapter 4723‐4) and the ANA Code of Ethics for Nurses with Interpretive Statements (http://nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses).

I have read, understand, and will adhere to the NIU Standards for Graduate Nursing Students, regarding professional conduct, dress and attitude that includes, but is not limited to:

Keeping informed by professional, legal and ethical responsibilities and policies. Engaging in clinical internship and didactic course work that is enhanced by a reflective,

collaborative, professional growth-centered culturally sensitive practice. Adhering to school and, if applicable, internship standards of professional dress. Conducting self ethically and professionally at all times. Working productively and cooperatively; being on time and in attendance when required

and submitting complete assignments promptly. Ensuring that all forms of communication will be rendered in a professional manner and

in keeping with HIPAA guidelines. Assuming personal responsibility for ones’ own performance. Displaying initiative by using resources appropriately. Initiating personal growth in clinical internship area(s), didactic classes, and/or

instructional practices; including establishing goals for professional improvement. Inviting faculty and preceptor feedback and adjusting behavior and actions based on

feedback. Demonstrating respect for patients, preceptors, other students, faculty and administration.

I understand that the consequences for failing to comply with these expectations may include, but are not limited to, dismissal from the program, dismissal from the university, probation, removal from the internship, postponement of the internship, low internship performance ratings, or an unsatisfactory internship grade.

My signature below acknowledges that I have read, understand, and will adhere to the Standards and that I fully understand the consequences for failing to meet any of those expectations. I also acknowledge my responsibility in fully understanding all expectations and corresponding policies, rules, laws, and regulations.

           Print Name Z-ID#

___________________________________________ ______________ Student Signature Date

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Profile Form for Preceptors of APN Students

This form is to be used if a curriculum vita is not available from a preceptor for a proposed internship. The student must complete and submit this form to the internship faculty member, or the student will not be allowed to start the internship. This is a Commission on Collegiate Nursing Education (CCNE) requirement.

Date (Valid for 2 years; update in even number years):      

Preceptor’s Name & Credentials:      

Educational Institution, Terminal/Highest Level Degree & Year:      

Years of Practice in Population-Focused or Specialty Area:      

Current Employer/Practice Name & Address:      

Site specialization (e.g. pediatrics, family, adult, women’s health):      

Types of patients (acute, chronic, in-hospital, etc):      

Type of clinical supervision (must include student option of teaming and consulting, rather than just observation):      

Number of students supervised concurrently:      

Name & title of person completing form (print):      

_________________________________________________ ________________Signature of person completing form Date

Approved APN Committee 12.3.12, edited 10/8/14 jeh

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Guidelines for Standardized Patient (SP)

1. Each student will receive approximately 20 minutes to work through a mock case they could encounter in the primary care setting.

a. The instructor is to choose the appropriate mock visit from the bank of SP cases listed on the shared drive for the School of Nursing

b. The instructor can create note cards with the history, labs, physical exam and differential diagnoses that can be shared when appropriate as the student progresses through the case

c. Students will each take turns one role playing the patient and the other as the APN as the APN instructor observes and facilitates as needed

2. After the two students each complete a standardized patient case as the APN they are to proceed to the computer lab to write up their SOAP note on the visit

a. This write up should be done immediately afterwards and submitted electronically to the instructor within an hour of completing the SP case. Students are allowed to only use Lexicomp and their history and physical notes they took while completing the SP case.

3. This experience will be as close to an actual visit as possiblea. Students must score 85% to passb. Instructors can allow one retry to remediate if they fail their first attemptc. Evaluation of SP performance must be completed by the approved APN instructord. The instructor is to return a copy of grading rubric and SOAP note with feedback

to the student and provide a copy to the School of Nursing for the student’s file4. Students may not start at their internship site until they have successfully completed and

passed the SP process.

Approved APN Committee 2/27/15, 4/7/15

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Standardized Patient Rubric

SP Content Criteria EvaluationHistory Onset

LocationDurationCharacteristicsAggravating & Associated symptoms (ask 3+)-Timing-Severity

-Exacerbation-Relief-RadiationObtain history around chief complaintTake notes – make a pertinent positive & negative list

Graded – _____ /10 x 25% = ______

Physical exam - focused

Appropriate systems exam per chief complaintHand washingCorrect techniqueProceed cephalocaudalExplain exam to pt.Correct handling of equipment

Graded – _____ /7 x 25% = ______

Differential Diagnosis

Choose 3 Graded – _____ /3 x 10% = ______1. __________________________2. __________________________3. __________________________

Order lab and diagnostic tests

Used to rule in or rule out differentialsVerbalize tests or say no testing needed

Graded – 5% = ______

Diagnosis Graded – 5% = ______

Interaction with patient

Eye contactIntroduce selfAvoids leading questionsModels the role of the APN

Graded – _____ /4 x 5% = ______

Appearance of student

Professional dressNIU name badgeConfidentProfessional language

Graded – _____ /4 x 5% = ______

Documentation Use SOAP format:S – SubjectiveO – Vital signs and PEA – Assessment P – Plan

Graded – _____ /4 x 10% = ______

Verbal history to preceptor

Able to articulate the pertinent positives and negatives from the history and physical exam

Graded – _____ /4 x 10% = ______

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GRADE(need 85% to pass)

SOAP NOTE ATTACHED Total: _______ / 100%

Approved APN Committee 2/27/15, 4/7/15, 3/28/16

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Typhon E-Log Instructions for FNP, A-G PCNP and A-G CNS Students

Introduction

Typhon Group’s NPST System is software used by your school to track your clinical encounters, your time spent at clinical facilities, your evaluations, schedule, portfolio, and much more. Typhon Group is web-based software. This means you can access your account and enter information on any computer or device that has a modern browser. There are no “apps” to install. You can login directly to the Typhon Group website (www.typhongroup.net) from anywhere you have internet access.

Students DO NOT self-register for Typhon. Your program creates an account for you. Once your account has been created and your program is ready to grant you access, they will send you an email with login instructions and information. Typhon Group cannot directly provide you with this information. Once you have received the initial email from your school, you can log in to your account. If your temporary password has expired (or you forgot your password), you can request another one by clicking “Forgot Login or Password.” Classroom training may be provided by your school, but once you log in, you’ll gain access to the complete instruction manual and video tutorials.

Log In Tips

Typhon Group provides several kinds of products, so to ensure you log in to the correct area, utilize the special page we created for your school. Your school’s home page is http://www.typhongroup.net/xxxx, where xxxx is the main web domain of your school. Click on your specialty, then “Student Data Entry Login.” Add this page to your favorites or bookmarks for future reference. You should see the screen below (with the red NPST logo and “Student Data Entry Login”), plus your account number will automatically get inserted when you log in through your school’s special page.

Additional Help

Although Typhon Group hosts and provides the software, the system is customized and maintained by your school. Thus, your school is responsible for handling your questions regarding access to your account and login issues. Your questions should be directed to the Typhon Group program administrator at your school. They can also answer your questions about clinical content, missing drop-down items (ie. your preceptor or clinical site is not listed), or specifics on how to use the system.

To log into Typhon go to: https://www3.typhongroup.net/np/data/login.asp?facility=

NIU School of Nursing’s account number is: 3092

The student has access to a library of video tutorials with a detailed overview of every part of the system. The student can also utilize the FAQ or Help section in Typhon.

If the student has forgotten their password/ID, contact the Graduate Internship Coordinator or the Director of Graduate Nursing Studies.

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Appendix A

Important Deadlines Related to Internships

NOTE: Failure of the student to meet deadlines will result in a requirement to re-track and reschedule the internship on a space available basis.

Content Area Fall Internship

Spring Internship

Summer Internship

Assignment to a preceptor: The student must contact the Graduate Internship Coordinator by E-MAIL one year in advance of EACH internship.

September 1 – November 1

January 1 – March 1

June 1 – August 15

Nursing administration will notify students of their internship section and assigned faculty who will be teaching their internship section through NIU e-mail.

March 1 - 10

October 1 - 10

March 1 - 10

Student is to CONTACT faculty by E-MAIL regarding paperwork. March 15 October 15 March 15

Student to submit required paperwork to their course faculty. March 31 October 31 March 31

Paperwork is revised by student based on faculty feedback. April 15 November 15 April 15

Office staff to send request for preceptor agreement with student’s documents. No Later

Than May 1

No Later Than

December 1

No Later Than May 1

Receipt of preceptor agreement, preceptor’s license and CV/resume*

Friday of first week of classes

Friday of first week of classes

Friday of first week of classes

Faculty review preceptor’s documents. Prior to student’s internship activities

Prior to student’s internship activities

Prior to student’s internship activities

All clinical requirement documents must be current and documented according to the NIU graduate nursing program current procedures between May 15th and July 1st each year.

No clinical requirements may expire during the academic year, which is August 15 to May 15.

Clinical requirements may not expire during a summer internship, therefore, they must be documented prior to the start of that summer internship in mid-June.

All preceptor agreements/documents must be on file in the nursing program office PRIOR TO the student conducting any internship activities with the preceptor in the clinical setting.

Effective 2/6/15

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Appendix B

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