Nurse Practitioner 

PRECEPTOR SUPERVISED CLINICAL EXPERIENCES 

Clinical experiences in the graduate program are supervised by qualified preceptors who are licensed and credentialed advanced practice nurses and physicians (MD or DO). Students may work with Physician Assistants if the supervising physician is also willing to work with the student and accepts responsibility as the preceptor of record., including completion of a Preceptor Agreement Students are primarily responsible for the identification of clinical preceptors and sites and may receive assistance from faculty when needed. The Clinical course coordinator and local clinical faculty will work with the student to ensure that they are linked with appropriate preceptors within a reasonable distance from their campus. As the student interacts with preceptors, the student needs to remember that they are representing the Penn State Ross and Carol Nese College of Nursing. The Ross and Carol Nese College of Nursing expects professional and courteous interactions.

Preceptor agreements are used to specify expectations for the clinical performance and clinical logs are used to document those experiences. The student’s role in securing and maintaining these documents will be fully explained in course syllabi and/or class sessions. The preceptor provides input regarding the clinical performance and, likewise, the student will have an opportunity to evaluate the preceptor and clinical agency/site. 

Should the student have any concerns or issues regarding preceptors or preceptor-supervised experiences that they feel have not been adequately addressed by the course instructor, the student should contact the Program Director. If the student is still unsatisfied with the resolution, they can contact the Associate Dean of Graduate Education & Research. 


GENERAL PRACTICUM INFORMATION 

All students must have all compliance requirements met in American DataBank (ADB) before attending clinical/practicum or continuing in clinical/practicum. Please refer to “Professional Compliances” in the M.S.N. Program Handbook for more information Students should keep copies of these documents. When sharing documents at clinical/practicum sites, write “copy” on any forms dispersed; this is a safety measure for the protection of your professional identification.

The student is responsible for tracking the required clinical hours per semester. At the end of each semester a summary of clinical hours should be provided to the Clinical faculty member. A copy of the students documented clinical hours will be maintained in the student’s Ross and Carol Nese College of Nursing permanent file. 

During the semester, students must communicate their clinical schedule to their Clinical faculty member. This can best be done by emailing or faxing a monthly calendar depicting the proposed schedule for clinical hours for the upcoming month. Any changes to the schedule must be reported prior to the date of the change. 


CLINICAL DRESS CODE POLICY 

Students are required to wear appropriate professional conservative attire. Professional attire includes dress slacks or skirt and conservative top (no shorts or open-toed shoes).  Students need to wear a lab coat* with a name tag. Both can be purchased at a  the New Look Uniform Shop.

The name tag is always worn and should have the following lines:  

1) Full name and educational credentials (Ex. RN, B.S.N.)  

2) Nurse Practitioner Student  

3) Penn State Ross and Carol Nese College of Nursing

LAB COAT 

The lab coat may be ordered through the Ross and Carol Nese College of Nursing’s vendor for the current Penn State Logo, sewn above the breast pocket. They may also be purchased at the vendor of your choice. The logo is not required. The lab coats should be mid-thigh to knee length. (NP students do not wear the hip/waist-length jackets that the medical students wear as NP students are already licensed, professional RNs.) 

You may order online or by phone: 

http://newlookuniforms.com/ 

New Look Uniform Shop 

800 South 20th Street and Pleasant Valley Blvd. 

Altoona, PA 16602  

Phone: 814-944-5515  

Toll Free: 800-752-7986  

Fax: 814-941-2694 

Email: NewLookUniform@yahoo.com  


Some clinical facilities may have other requirements for their dress code. Students should check with their clinical faculty or the site to identify variations in the dress code. Non-compliance with the dress code policy will result in clinical failure. 


ALTERNATIVE CLINICAL EXPERIENCES 

Alternative Clinical Experiences that are identified by students may be approved and included as accepted hours for clinical courses. Students must complete The Alternative Clinical Experience Request Form the semester before the alternative experience to obtain the necessary approval. 

Alternative experiences may include, but are not limited to local, national or international service projects specific to health care that serve to meet the course objectives. To qualify for these experiences students must: a) be progressing satisfactorily in the clinical course; b) receive approval from the Course Coordinator and Director; c) have identified an appropriate preceptor; d) obtain a signed Preceptor Agreement Form or Penn State CON contract prior to beginning the experience. Upon completion of the alternative clinical practicum work, students will provide a report as directed by Course Coordinator. The total number of direct patient contact hours that may be accepted for alternative experiences will be determined in advance by Course Coordinator but may not exceed 25% of the direct clinical hours for the course.  


Approved by Graduate Affairs Committee 4/26/2010 


DEFERMENT OF CLINICAL GRADES 

There may be situations where the student is unable to complete the required clinical hours within the semester. If this occurs, the student can request a deferred grade (DF) in the course until the required hours are completed. The student must have the approval of their Clinical Faculty to extend clinical experiences and must arrange for supervision of these clinical rotations with a Clinical Faculty member. Approval of the Director of the Program is also required. 

For an NP student, it is important that the student inform the Clinical Faculty when the hours are completed and their Typhon log is updated, so that a completed grade can be processed for the student. Students have no later than 12 weeks after the course end date as noted on the Registrar's Schedule of Courses. These incomplete hours cannot be acquired during the break between fall and spring semesters and can only be acquired in the summer if the appropriate supervision can be arranged. 


CLINICAL PRACTICUM TRANSPORTATION 

All nursing majors have clinical experiences in a variety of settings at Hershey Medical Center, University Park, and their local areas that will require travel to a clinical site. The Ross and Carol Nese College of Nursing requires that students assume responsibility for providing their own transportation to and from the clinical site. The use of a car and/or car-pooling is a necessity. 


NURSE PRACTITIONER SPECIFIC CLINICAL GUIDELINES 


CLINICAL ROTATIONS 

Students are primarily responsible for identifying clinical preceptors and sites. Assistance may be provided by faculty when needed. Although preceptors can be both nurse practitioners and/or physicians, it is important to be with a nurse practitioner preceptor approximately 50% of the hours in the program.  All preceptors are subject to the approval by the Course Coordinator and the Clinical Faculty member.  


The focus of the clinical rotation is Primary Care in both the Family and Adult Gerontology Primary Care options and Acute Care in the Adult Gerontology Acute Care option. Special emphasis is on experiences with under-served populations. Students need to consider that their clinical rotation will be primarily scheduled Monday through Fridays but may include off shifts and weekends based on your preceptor’s schedule and approval of course faculty.  If you work, your work schedule will need to flex around class, clinical and clinical conferences, plus allow study time. 


When students identify a clinical preceptor, the student will notify the Clinical Course Coordinator and Clinical faculty. The student, faculty and preceptor will complete an electronic Preceptor Agreement Form which may be accessed from the course. The Preceptor Agreement form must be completed with all signatures according to course deadlines before the first clinical day. It is the responsibility of the student to contact their preceptor to discuss a mutually agreeable schedule and obtain directions to the clinical site. This should be arranged prior to the beginning of the semester. Students may need to complete facility specific paperwork, compliances, and/or attend an orientation at the facility prior to starting clinical.  


Some clinical sites require a formal agreement to place students at their clinical site. Please notify the course coordinator and Director of the program immediately if the site requests a contract. The Ross and Carol Nese College of Nursing will work with the Penn State legal department to negotiate a binding contract between the clinical site and the University. Please note that this process may take up to 90 days and the student will not be permitted to be at the site until the formal contract has been approved. The Ross and Carol Nese College of Nursing office will inform the student and clinical instructor once the contract has been approved. 


Students will be responsible for bringing all required paperwork to the preceptor by the first clinical day. This will include:  



These forms will be accessible to the student in the current clinical course.  

Faculty will discuss students’ progress with preceptors throughout the semester to validate clinical competency. Students may need to complete additional clinical hours to achieve competency, if their skills are lacking.  

 

LAB FEES 

A clinical lab fee may be charged to cover the cost of clinical workshops, such as a one-time clinical lab fee for the duration of the program that will not exceed $100.00. Fee schedules will be reviewed annually for new incoming students and notice of fee changes will be communicated as part of the admission process. 

All clinical experiences / patients will be logged on the Typhon clinical log. There will be an orientation regarding using Typhon your first clinical semester; usually the first week. You must register and pay a one-time fee of $90.00 for use of Typhon. An email will be sent to you with your Typhon login and password during your first clinical semester. 


CLINICAL COURSE-SPECIFIC INFORMATION 


NURSE ADMINISTRATOR AND NURSE EDUCATOR PRACTICUM GUIDELINES 

All students must have all requirements met in Castle Branch before the practicum course start date. Students are primarily responsible for the identification of practicum preceptors and sites. This preceptor may not be a family member or close friend. Assistance may be provided by the Assistant Dean for Online Education and Outreach based on a list of preceptors/sites with current affiliation agreements that have been used by the program. Practicum preceptors should be either a Nurse Administrator or Nurse Educator dependent on your option. Preceptors should be masters prepared. Your practicum hours may be completed in your place of employment, but not in the area in which you are employed. If you are currently working in a nurse administrator or nurse educator role, your preceptor should be at a role level higher than your level. 


Students are encouraged to seek preceptors who will provide a mentoring opportunity and are appropriately prepared academically. Students will need to evaluate the preferred practicum site for the requirement for an Academic Affiliation. Some sites require that any student (and in some cases students who are also employed at the site) complete an Academic Affiliation Agreement. This is an agreement between the site and Penn State Ross and Carol Nese College of Nursing. Academic Affiliation Agreements may take up to 12 months to complete so identifying the site early in the academic plan of study is essential. 

Students will submit an Academic Affiliation Request Form at the end of the first semester of study (full-time students) and at the end of the second semester of study (part-time students). The Request Form will be submitted to Dr. Sheri Matter at sxm1898@psu.edu. Once the form is submitted, Penn State Ross and Carol Nese College of Nursing will initiate contact with the site to facilitate the Agreement process. Students will be advised when the Agreement is approved and signed. In some instances, a site may not agree to an Affiliation. In that case, the student will be required to select another option for the practicum/clinical site. It is important to have a primary site choice identified for the practicum courses and alternate sites in mind in case the first site agreement is not successful. The Request Form will be made available to the students via the CON Graduate Advising team. Students may not register for any clinical/practicum course without completing the Academic Affiliation Request process. 


Course Faculty must also approve your practicum preceptor. Once a preceptor and site have been identified and Affiliation Agreement confirmed, the following information should be sent to the course instructor: Full Name of the Preceptor, Name of the Practice/Site, Full Practice Address, Phone number, email, and phone number. 

Students who identify potential Alternative Clinical Experiences need to follow the policy on Alternative Clinical Experiences and complete the Alternative Clinical Form which can be found on the forms page of the Ross and Carol Nese College of Nursing website: https://www.nursing.psu.edu/student-forms/. More information can be found in the M.S.N. Handbook.

It is the responsibility of the student to contact their preceptor to discuss a mutually agreeable schedule and obtain directions to the site.  Ideally, this will be arranged prior to the beginning of the semester. Students may need to complete facility specific paperwork and /or attend an orientation at the facility prior to starting practicum hours.

Students will be responsible for bringing all required paperwork to the preceptor. This will include:   1) The Preceptor Agreement Form; 2) the Preceptor Evaluation of Student Performance; 3) Student, Preceptor, and Faculty Responsibilities form; and 4) Course Syllabus to their preceptor on or before the first day of the clinical rotation.  These forms can be found in Typhon and the instructions to access these forms can be found at https://www.nursing.psu.edu/graduate-forms/.Be certain that you are choosing the forms for your CURRENT course.

Faculty may discuss the student progress with preceptors throughout the semester to validate hours and completion of course objectives. The Student Evaluation Form will be completed by your practicum faculty, in consultation with your preceptor at mid-semester and at the end of the semester. The Preceptor Feedback of Student Performance will be completed by your preceptor at the end of each practicum rotation. The instructions to initiate a Preceptor Feedback can be found at https://www.nursing.psu.edu/graduate-forms/.

Students will complete Student Evaluation of Preceptor and Site at the end of each semester (or end of rotation). A link to the online evaluation can be found in the Practicum Paperwork and Preceptor Forms folder of your practicum course in Canvas. Completion and submission of this documentation is needed to complete requirements of each practicum course each semester. 


DRESS CODE 

Students are expected to wear appropriate professional attire for all practicum experiences. Students may need to wear a lab coat* with a name tag. Both can be purchased at a uniform shop. Some practicum facilities may have other requirements for their dress code. Students should check with their practicum faculty or the site to identify variations in the dress code. Inpatient practicum sites should verify appropriate attire with their preceptors, i.e. scrubs versus street attire. 

The name tag should have the following lines:


*Note that some sites prefer students do NOT wear lab coats. Each student should check with the preceptor regarding this. If lab coats are not required by the site, a name tag should be worn at all times.  


DOCUMENTATION OF PRACTICUM HOURS 


COURSE SPECIFIC INFORMATION 

NURS 848 Synthesis and Application of the Nurse Administrator Role (6 credits- 180 hours):  Practicum in the application of the nurse administrator role in health care settings. Prerequisite: NURS 845, 846, and 847.

NURS 843 Synthesis and Application of the Nurse Educator Role (6 credits- 270 hours): Practicum in the application of the nurse educator role in academic and healthcare settings. Prerequisite: NURS 840, 841, and 842.