PHYSICAL ASSESSMENT FOR CLINICAL NURSE SPECIALISTS …

1 1 PHYSICAL ASSESSMENT FOR CLINICAL NURSE SPECIALISTS NUR 860 Sections 732 & 736 2 Credits Spring 2015 Catalog Course Description: development of advanced health history and PHYSICAL ASSESSMENT skills for CLINICAL NURSE SPECIALISTS (CNS). Additional Course Description: This advanced ASSESSMENT core course for the CNS is designed utilizing three foundations for learning: (1) online didactic/theory- based information, (2) the Shadow Health Digital CLINICAL Experience (DCE) through the examination of digital standardized patients (DSP), and (3) hands-on practicum experience with a preceptor. This educational triad is provided so students have the opportunity to integrate comprehensive history taking, the nursing process, therapeutic communication, PHYSICAL ASSESSMENT knowledge and psychomotor skills into the quality care of human beings.

2 Within a holistic framework, students learn how to systematically collect, analyze, synthesize and document subjective and objective findings. The context of human development through the lifecycle, professional utilization of interviewing techniques, therapeutic and effective communication, interpersonal skills, health literacy, and ethnic/cultural values and beliefs are integral elements of the course content. Emphasis is placed on interpretation of data for the purpose of differentiating normal findings, including aging, from variations from normal and recognizing actual and potential health problems. The problem-oriented system for organizing and recording data is applied. Course Objectives: At the end of this course, students will: 1.

3 Apply advanced therapeutic communication skills to data collection across the lifespan. 2. Utilize comprehensive health history and PHYSICAL ASSESSMENT skills for individuals across the lifespan. 3. Apply knowledge of cultural variations when collecting health ASSESSMENT data. 4. Synthesize subjective and objective health ASSESSMENT data into concise documentation. 5. Utilize advanced ASSESSMENT skills. Prerequisites: NUR 805 Co-requisites: None Professional Standards & Guidelines: The curriculum is guided by the following documents: American Association of Colleges of Nursing. (2010). Adult-gerontology CLINICAL NURSE specialist competencies. Washington, DC: Author. 2 American Association of Colleges of Nursing.

4 (2011). The essentials of master s education for advanced practice. Washington, DC: Author. American Nurses Association. (2010). Guide to the code of ethics for nurses with interpretive statements (3rd ed.). Silver Spring, MD: Author. National CNS Competency Task Force. (2008). CLINICAL NURSE specialist core competencies: Executive summary 2006-2008. Philadelphia, PA: National Association of CLINICAL NURSE SPECIALISTS . Faculty: Linda Keilman, DNP, GNP-BC Office Hours: Thursday 0800 - 1200 Assistant Professor, HP Gerontological NURSE Practitioner 517/355-3365 or Toll Free #: 1/800/605-6424 1355 Bogue Street A126 Life Sciences Building East Lansing, MI 48824 Required Textbooks: American Psychological Association.

5 (2010). Publication manual of the American psychological association (6th ed.). Washington, DC: Author. Bickley, , & Szilagyi, (2013). Bates guide to PHYSICAL exam and history taking (11th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. Required Computer Program: Digital CLINICAL Experience [Computer software]. Gainesville, FL: Shadow Health. The unique PIN number for this course is January2015-3565-5007-2578-6997 The cost of the program is $ for lifetime access. When you go to the link below, you will be directed on how to order. A major credit card must be used. You will have access to updates without further cost and will be utilizing this program in other courses in your CNS program.

6 You need to have purchased the program by the start of the semester. You will not have access to the program until January 12, 2015 @ 0800 (ESDST). Shadow Health Student Registration Guide: For registration and purchase, follow the guide at You will need to copy and paste the unique PIN above to register in the course. Recommended Textbooks: Bickley, (2013). Bates pocket guide to PHYSICAL exam and history taking (7th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. Office hours or contact times are flexible & can be arranged to accommodate student/faculty schedules! 3 Required Professional ASSESSMENT Equipment: Stethoscope (Littman Class II or higher quality) Otoscope & ophthalmoscope (with disposable specula) Clear plastic ruler(s), 5-6 inches long Reflex hammer Tuning fork (128 hz; 512 hz Flexible nylon tape measure Handheld visual acuity chart Penlight Monofilament instrument (for neurologic testing) MSU College of Nursing lab coat MSU student name badge Required professional tools of the CNS APRN can be ordered at a discount through The Medical Store.)

7 Go to and click on Schools and Organizations and select Michigan State University CNS using the password msucns2015. Any questions, please contact Required Resources, References, & Supplies: MSU Distance Learning Services Help Line/Desk (toll free; 24 hour, 7 days/week; North America and Hawaii) (24 hours, 7 days/week) Always check with the Help Desk first with NUR 860 course issues! Technology Requirements: (for D2L) Current internet browser: o Internet Explorer 9 (supported; recommended); Firefox (newest; supported; recommended); Chrome (newest; supported) o For Macintosh: Firefox (newest; supported; recommended); Safari (supported); Chrome (newest; supported) Desk or laptop computer with at least 256 MB High speed internet connection (DSL or cable) Microsoft Office Anti-virus software (that is kept updated) For further information related to system technology, please see The MSU Computer Store offers special computer hardware and software pricing for students Shadow Health Digital CLINICAL Experience (DCE) Recommended Computer Specifications: Shadow Health recommends using headphones to access the concept labs in which you will practice identifying normal and abnormal sounds.

8 An order form and a link to The Medical Store are provided (see below). You should purchase the equipment as you will need in your future APRN role. You may also borrow the equipment! 4 To ensure the best experience possible, please make sure your computer meets or exceeds the system specifications below: Windows System Specifications OS (operating system) Windows Vista SP2 Windows 7 SP1 Windows 8 Processor Intel Core i3/i5/i7 Memory 4GB RAM Graphics Intel series 2000 integrated graphics or better with DirectX or newer Macintosh System Specifications OS OS X Snow Leopard OS X Lion OS X Mountain Lion Processor Intel Core i3/i5/i7 Memory 4GB RAM Graphics Intel series 2000 integrated graphics or better with DirectX or newer General System Specifications Display 1024x768 or higher resolution display Internet Connection, Web Browser, and Network Mozilla Firefox, Google Chrome, Safari, Internet Explorer A minimum broadband cable internet connection of 3 Mbps is required.

9 A 5 Mbps connection is recommended for quicker load times The DCE performs best when directly connected to the internet. Due to the number of variables introduced when connecting to the DCE using VPN (Virtual Private Network) internet connections, users may experience extended module load times. If you must connect to a VPN to access your universities digital resources, please contact Learner Support for more information and additional setup instructions. Unity 3D Web Player The Unity Web Player is a free Web application that you must install in order to use the Shadow Health Digital CLINICAL Experience . Upon entering a module for the first time, your browser will prompt you to download the Unity Web Player installation file.

10 Once the file has downloaded, double-click on it to launch the installation process. If the installation is not successful, you may also download the Unity Web Player directly from the Unity website: Accessibility Shadow Health s Digital CLINICAL Experiences require the use of a computer monitor, keyboard, and mouse or touchpad. It is our goal to support alternative input modalities to improve accessibility for 5 all users. However, if you are currently unable to use the DCE due to a visual or motor impairment, please contact the Shadow Health Learner Support team. Tina Jones presents auditory and visual information representative of a human patient. To address auditory accessibility, when Tina Jones speaks, her speech is presented as both audio and text displayed at the bottom of the screen, except in instances where the textual representation would distinguish PHYSICAL findings ( textual descriptions of breathing sounds).