Frances Payne Bolton School of Nursing - Case Western Reserve ...

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Teaching Strategies:Lecture, case studies and discussions are the major teaching strategies utilized in this course.2Evaluation Methods:Clinical 30% (must receive a passing grade on evaluation to pass this course) DUE MONDAY DEC 15Clinical Conference 5%Case Presentation Part I 10%, Part II 10%Practice Issues Controversies Presentation 15%Abstract related to controversies (co-authored) 10%Midterm 5%Final Exam 15%Required/Recommended Textbooks: Choose one related to differential diagnosis and treatment, and one for diagnostictests. Build your library as a continuation of last semester. There are several great specialty textbooks—ask for arecommendation if you want to invest in one.Adler, S.N.,(2008). A Pocket Manual of Differential Diagnosis. (5 th ed). Philadelphia: Lippincot Williams &Wilkins.Cavalli, F. Hansen, H.H. & Kaye, S.B. (2004). Textbook of Medical Oncology (3 rd ed). Malden, MA: BlackwellScience. ISBN 184184389XCooper, D.H et al. (2008). The Washington Manual of Medical Therapeutics (33rd ed.). Philadelphia:Lippincott Williams & Wilkins. (new editions come out in March). Also comes in PDA and CD-ROM versions.Corne J, Carroll M. & Delany D. (2002). Chest X-Ray Made Easy. Elsevier. Similar texts for abdomen,orthopedics, etc.Daly, B.J. (ed.). (1997). Acute care nurse practitioners. NY: Springer. (out of print—use Health Sci Lib copy)Domino, F.J. (2009). 5 Minute Clinical Consult. Philadelphia: Lippincott, Williams & Wilkens. Also PDAversion.Fauci. A., Braunwald, E. et al. (2008). Harrison's principles of internal medicine (17 th ed.). New York: McGrawHill.Ferrell, B.R. & Coyle, N. (2005). Textbook of palliative nursing. New York: Oxford: University Press.ISBN# 0195175492Goldman, L. & Ausiello, D (Eds.) (2007). Cecil’s textbook of medicine (23 rd ed). Elsevier.McPhee, S.J. & Papdakis, M.A. & Tierney, L. (eds.) (2008). Current Medical Diagnosis and Treatment. NewYork: McGraw-Hill. Note: several recent grads recommend this text for certification preparation.Nicoll, D., McPhee, S.J., Pignone, M., Detmer, W.M. & S.J., Chou, T.M. (2007). Pocket Guide to DiagnosticTests (4th ed.). New York: McGraw Hill.Schwartz, D.T. & Reisdorf, E. (2000). Emergency Radiology. New York: McGraw-Hill.Wallach, J. (2006). Interpretation of Diagnostic Tests, 8 th ed. Philadelphia: Lippincott Williams & Wilkins.Websiteswww.nurse.org/acnp American College of NPwww.aanp.org American Academy of NPwww.neonp.org Northeast Ohio Nurse Practitioner Groupwww.ooapn.org Ohio Association of Advanced Practice Nurses (1/444-886-5107)www.uptodateonline.com www.lungusa.orgwww.guideline.govwww.healthlinksusa.comwww.ahrq.govwww.uptpdateonline.comwww.americanheart.org www.medscape.comwww.pacep.org (pulmonary artery catheter education project from novice to expert)http://owl.english.purdue.edu/handouts/research/r_apa.htmlFor Personal Digital Assistants (PDAs)www.pdamd.comwww.worksmartdoc.comwww.epocrates.com or www.tarscon.comwww.skyscape.com.
3CXR Library:http://www.meddean.luc.edu/lumen/meded/medicine/pulmonar/cxr/atlas/cxratlas_f.htmRadiology for all organ systems, incl. a section on infections.http://www.meddean.luc.edu/lumen/MedEd/Radio/curriculum/Harrisons/Harrisons_f.htm Atlasof Radiologic Images.http://student.bmj.com/issues/00/11/education/408.php Student BMJ website—good infohere!Clinical Component of NUNP 444The clinical requirement for NUNP 444 is 16 hours per week for 15 weeks. It is highly recommended that there are twoclinical days weekly and that these days are consecutive. It is required that patient(s) are seen at least three times perweek (even if the third contact is only during rounds) twice during the semester (i.e. 2/15 weeks require clinical presence3 times weekly).Requirements: Current Ohio R.N. License, current ACLS certification, insurance as a NP studentVerification of TB Status/ Hepatitis VaccineClinical Objectives: At completion of the clinical experience, the student will:1) Competently perform complete history and physical examinations on patients with complex health problems in anefficient manner2) Thoroughly document assessment data, diagnostic study results, problem lists and plan of care3) Determine appropriate diagnostic strategies based on pathophysiology and assessment of the client4) Independently formulate a comprehensive problem list based on past medical history and current complaint5) Explain rationale for treatment based on concepts of pathophysiology6) Select advanced nonpharmacologic/pharmacologic therapies and evaluate their effectiveness7) Incorporate theory and findings of clinical research into clinical decision making8) Present patient data in a concise, efficient manner9) Provide care for patients from admission to discharge including necessary referral and collaboration10) Demonstrate collaborative decision making regarding patient care11) Make decisions on behalf of patients in an ethical manner12) Assess learning needs and provides client teaching--------------------------------------------------------------Students should be proficient with the following skills. The clinical conference should include the following:Client ProfileChief ComplaintPast Medical HistoryPast Surgical HistoryFamily HistorySocial History: occupation, marital status, children, educationMedicationsReview of SystemsPhysical ExaminationLaboratory and Diagnostic Study ResultsProblem list (include differential diagnosis)Plan (include further diagnostic testing, pharmacological as well as nonpharmacological strategies)
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