Finding clinical sites can be frustrating and very time consuming. Start the process early to ensure you submit the paperwork by the posted due dates. Student requests for clinical/practicum placements must be approved by your Concentration Coordinator and course faculty before beginning your preceptorship. All clinical experiences are arranged by the student in the student’s home area to the fullest extent possible. Affiliation Agreements must be executed with the approved agency and all required forms must be completed by the approved preceptor.
Initiation of preceptor requests and submission of forms does not imply approval. Initiation of a clinical affiliation agreement associated with a student request does not imply approval of the site for any clinical/practicum requirement.
Choosing an appropriate clinical site is necessary to achieve the objectives of the course and to use your time most wisely. It is the student’s responsibility to assess a clinical site in relation to the objectives of each clinical course. The following descriptions are guidelines the student may use to determine if a clinical site and preceptor will meet the concentration coordinators approval. Additionally, each student must review the syllabi of each course to assist in making appropriate site and preceptor selections.
The student must see a minimum of 10 pre-natal patient encounters during this rotation, post-natal exposure is required as well. Therefore the student must ensure that in addition to general women’s health issues the preceptor must also see pregnant women. This does not include simply informing the patient that they are indeed pregnant or treating their primary care issues. The clinical rotation must include pre-natal/post-natal assessmen interpretation, and anticipatory guidance.
If the student is unable to find an OB/GYN that will allow them to complete the entire 120 hours, then often the student is successful in finding an OB/GYN that will allow 2-3 days of clinical in the OB office. This is often enough time to complete the minimum requirement. The student therefore must find a primary care or family practice provider that performs a large amount of women’s health to include GYN issues and general women’s health.
Students must find a site that sees a large majority to adult patients in order to complete the 240 hour requirement. In this 240 hours, 90 hours of geriatric (greater than 65 years old) primary care must be completed. Be cautious as many health departments and pay-out-of pocket sites will not have enough geriatric patients to complete the geriatric component of the course. Also a primary care provider who has a large case load of pediatric patients may not be the best fit related to the hour requirements in this course.
The student can choose to spend a limited amount of hours in an urgent care center in the FNP II course (no more than 80 hours). If the student chooses this type of setting they obviously will need an additional site to meet the entire clinical course requirement. (Long term care facilities can be a component of the clinical hours and are approved on a case by case basis.)
The pediatric clinical rotation must be completed at a site that performs primary care on pediatric patients. Specialist and urgent care clinics are not appropriate. The objectives of this course are met only when performed with a provider who is seeing children of various ages for acute and chronic issues. Students choosing a family practice setting must ensure that the preceptor sees a majority of pediatric patients, ranging from newborn - 18 years of age. Additionally a provider who is performing well-visits and providing anticipatory guidance to the patients and parents is required.
For the final clinical course the student needs to find a site (preferably a family practice/primary care type setting) that sees patients across the lifespan. This course is the culmination of the entire education for the family nurse practitioner and is intended to help the student put it all together.
This rotation can consist of a maximum of 80 hours in an urgent care center.
This rotation can consist of a maximum of 40 hours in a specialty area of the students chose, not to include urgent care. (Long term care facilities can be a component of the clinical hours and are approved on a case by case basis.)
Students may use a clinical site twice if approved by the Clinical Course Coordinator.
No hospital or ER sites are approved in any of the clinical courses.