Preceptor TrainingRN 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

A. 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.

B. 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.

C. 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

A. 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.

B. 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.

C. 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

A. 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.

B. 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.

C. 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 skillsCare, compassion, and professionalism Leadership

Precepting in the RN to BSN Program

Synthesis practicum 7 one-hour practicum conferences with

course faculty49 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 experiencesNotes 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 processesEvaluates 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 SyllabusFaculty contact informationStudent contact informationLearning objectives for the student’s

experience

The Student-Preceptor Relationship

Orienting phaseWorking phaseClosing phase

Getting Started!

Meet and learn about one another student background preceptor background

Establish trustClarify roles and expectationsReview 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!

Please submit your current CV to Abby Self at abbys@virginia.edu

Questions? Contact the Academic Program Director or Coordinator or Office of Academic Programs

(434) 924-0099 ● djm@virginia.edu

Thank you for viewing this preceptor orientation module!

More information and resources available online: http://www.nursing.virginia.edu/people/preceptors/