California State University, Fresno School Of Nursing .

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California State University, FresnoSchool of NursingSchool Nurse Services Credential ProgramNURS 187School Nurse Practicum IISyllabusSpring Semester 2020Leadership for Diverse CommunitiesSchool Nurses Bridging the Gap BetweenOptimal Health and a Child’s Ability to LearnAll rights reservedRevised BSM 1/2020- Important note: This syllabus is subject to change due to unforeseen circumstances. Writtensubstitution will be provided should this occur.

2TABLE OF CONTENTSCourse information, prerequisites, description, faculty information . 3Course objectives, learning activities, course navigation . 4Communication with instructor, course requirements . 5Reading requirements, required and recommended texts and publications . 6Course outline and assignment due dates . 8Teaching strategies, grading criteria, assignments/eval., attendance . 9Hours of practicum experience . 10Mental Health Tips (MH-TIPS) and Leadership Role . 11Experienced School Nurse Project . 12Guidelines (suggested) for clinical practice time. 13Student goals and learning objectives . 14Template for goals . 15Mid-term progress checkpoint, final narrative self-evaluation . 16Clinical journal entry guidelines . 16Examples of required journaling . 17Journal questions . 18Canvas discussion board participation. 19Written assignments . 20Newsletter . 20Health education curriculum proposal. 20Aggregate teaching/small group activity . 22Written assignments/grading criteria . 24Instructions for sending completed assignments . 25NURS 187 preceptor checklist . 26Preceptor evaluation of student performance . 29Experienced School Nurse Project proposal form . 30Student evaluation of course . 31Student evaluation of preceptor experience . 32University policy statements . 33Memorandum to school nurse student’s employer regarding release time . 35

3CSUF SCHOOL OF NURSINGCourse Number:Course s:NURS 187School Nurse Practicum II - Secondary3 Units,Letter - A, B, C, D, F (students must maintain C average)Spring Semester onlyClass participation online through Canvas/clinical at school sitesCDDS 125 Audiometry for School Nurses, Audiometrist’sCertificateNURS 136 Health AppraisalNURS 137 Teaching Strategies for the Healthcare ClientCOUN 174 Introduction to CounselingSPED 120 Introduction to Special EducationNURS 184 Introduction to School NursingNURS 185 Seminar in School Nursing (Prior to or concurrently)Note: Approval must be obtained from program coordinator to take prerequisites concurrently with corecourses or to take equivalent prerequisite courses at another university.Faculty:Barbara Miller, RN, MSN, PNP, Co-CoordinatorEmail: barmiller@csufresno.edu (preferred contact)FAX: (559) 228-2168Office: 559-228-2010Cell: (559) 360-0849Candace Hilvers, MSN, RN, PNP, LecturerEmail: chilvers@csufresno.eduCell: (559) 731-8082Wendee Winter, MSN, RN, PNPEmail: wendee.winter@csufresno.eduCell: (559) 647-7638Pat Soper, M. Ed, BSN, RNEmail: psoper@csufresno.eduCell: (559) 816-7513Office hours: By appointment onlyCoordinators:Patricia Gomes, RN, PHN, M. EdEmail: pgomes@csufresno.eduBarbara Miller, RN, MSN, PNPEmail: barmiller@csufresno.eduMailing address:Fresno State School Nurse Services Credential ProgramCSUF School of NursingCentral California Center for Excellence in Nursing1625 E. Shaw Ave., Suite #146, M/S OF126Fresno, CA 93710Catalog Course Description:Secondary level school nursing experience including special education; direct supervision by acredentialed school nurse required; scheduled conferences with preceptor and faculty.(9 clinical hours/week)All rights reserved

4NURSING 187 COURSE OBJECTIVESUpon completion of this course, the student will be able to:1. Apply the Scope and Standards of School Nursing Practice at the secondary level.2. Describe the multifaceted role of the secondary school nurse as it relates to the NursingProcess as a provider of health care, health educator, counselor, and advocate inmeeting the health-related needs of adolescents within legal parameters, ethicalpractice, and use of relevant theories.3. Discuss the various health related issues and health care needs of the adolescentpopulation with understanding for the legal rights of teens, issues related toconfidentiality and counseling, case finding, referral, and follow up.4. Demonstrate the application of Professional Dispositions in practice at the secondarylevel.5. Describe school nurse involvement in coordinated school health programs as acollaborator and active participant.6. Demonstrate the ability to participate effectively in the IEP (Individual Education Plan)process as a member of the education team related to the role of the school nurse.7. Demonstrate the ability to work effectively with community agencies and other resourcesin the community to meet the health care needs of adolescents; collaborate to providemeaningful health education/health promotion programs for the student population andparticipate meaningfully in disaster planning and preparedness.8. Describe the various ways in which the school nurse at the secondary level is involved incurriculum evaluation and development, health teaching, and health promotion forstudents and staff.9. Describe the role of the school nurse in communicating effectively and working withstudents and families of culturally different backgrounds.10. Discuss the need for continuing education and involvement in professional organizationsin order to stay abreast of what is happening in school nursing and to meet currenthealth related needs of the student population.LEARNING ACTIVITIESSupervised clinical practice, faculty-student conferences, electronic discussion board activities,individually planned experiences, journals and written assignments.COURSE NAVIGATIONTo take this course, students must be computer literate, have access to a reliable computer withinternet access, and maintain a CSUF email address. Canvas will be used in the same manneras N186. For tips on how to be a successful online student, on Literacy Expectations:Students in this class are expected to: Have the ability to navigate and use Canvas Have basic information and computer literacy in one of the computer formats (Windows,Macintosh, etc.) Have ability to use word processing programs (e.g. Microsoft Word); all files must be savedand uploaded in a Microsoft compatible file. Have ability to create PowerPoint presentations. Upload files in all of the computer formats (.doc, .docx, .jpeg, .Ppt., pdg, xps). Access and choose appropriate library and other scholarly sources of information. Search for and find relevant scholarly information effectively. Be able to paraphrase concepts without plagiarizing.

5STUDENT INSURANCEThe School of Nursing requires each student to carry private health insurance continuouslythroughout enrollment. Proof of health insurance will be requested by the School of Nursing atthe time of enrollment and periodically throughout your course of study. If the student does nothave health insurance, they will not be allowed to attend practicum. Effective January 1, 2015.COMMUNICATION WITH INSTRUCTOREmail will primarily be used for on-going communication between the student, preceptor, andclinical instructor throughout the semester. Students are strongly encouraged tocommunicate with their clinical instructor through use of "Ask the Instructor" in Canvas.Instructors check this forum frequently. Emails will receive a response within 24-48 hours.Email is checked daily, except for weekends. Feedback on assignments is given within 1 to2 weeks after the due date.Students may communicate with their clinical instructor by university email, messagetelephone, instructor cell phone and through visits to the CSUF office during scheduledappointments. Check with your instructor for their preference.COURSE REQUIREMENTSImmunization Requirements BEFORE clinical experience can begin: Proof of TB test or survey completed after Jan. 1, 2019Student items that must be on file BEFORE clinical experience can begin: RN license (copy). Keep current throughout practicum experience. Public Health Nurse Certificate (copy) or transcript with Community Health courses. Audiologist Certificate (copy) CPR certification (copy). Keep current throughout practicum experience. Preliminary School Nurse Services Credential (copy).Preceptor items that must be on file BEFORE clinical experience can begin:1. Preceptor Vitae (P102) - For a school nurse to qualify as a preceptor, he/she musthold a clear School Nurse Services Credential and been employed as a school nursefor a minimum of five full years. If your preceptor has acted in this capacity within thelast four years, a new vitae does not need to be submitted.2. Signed Student/Preceptor Clinical Contract. (P203)3. Immediate Supervisor Approval of Employee to Act as Preceptor (P201) must besigned by his/her immediate supervisor before a school nurse can act as preceptor.4. University/Agency Agreement -There must be a signed Affiliation Agreement betweenCSUF and the school district where the clinical experience will take place before astudent can make final arrangements with a preceptor. Email Tabitha Washington in theCSUF School of Nursing, at tabithaw@csufresno.edu to verify the existence of anagreement or to provide the name, mailing address, email, fax, and telephone numberof the responsible administrator or superintendent in that school district with whom anagreement must be made. Tabitha will make contact with the identified individual.

6READING REQUIREMENTSSelf-directed readings based on each student’s needs according to course objectives andcourse assignments. Readings will include current journal articles relevant to school nursingand other readings appropriate to the needs of the student, as well as presentations andinformation posted on Canvas Discussion Board by classmates and instructors throughoutthe semester.REQUIRED TEXTS AND PUBLICATIONSMiller, Bev. (2009) Revised 2019. Nursing 187 Syllabus. Fresno, CA: CSUF School NurseServices Credential Program.Miller, Bev. (2009) Revised 2019. Nursing 186/187 Preceptor Syllabus. Fresno, CA: CSUFSchool Nurse Services Credential Program.Seleckman, J. (Ed.) (2019). School nursing: A comprehensive text (3nd ed.). Philadelphia: F.A.Davis company. ISBN:978-0803622098*California Department of Education. (2019). Health education curriculum framework for Californiapublic schools.Sacramento, CA: Author. Visit www.CDE.ca.gov(Currently under revision)*California Department of Education (2007). Standards for scoliosis screening in Californiaschools. Sacramento, CA: Author. Free download issreening.pdf*California Department of Education (2006). A guide for vision testing in California publicschools. Sacramento, CA: Author. Free download sionreport.pdf*These documents are currently under review and revision and more current versions should becoming out soon or available now.Shots for Schools: www.shotsforschool.org/laws/records-forms/Offers an overview of immunization requirements.California School Nurses Organization. The Green Book: Guidelines for specialized physicalhealthcare services in school settings, 2nd Edition. www.csno.org (Most district health service supervisors have a CD. Check with them before purchasingbecause this is an expensive item).

7NURS 187, RECOMMENDED TEXTS AND PUBLICATIONS(Optional)Students are encouraged to begin creating a nursing library for use throughout their career.American Psychological Association. (2009). Publication manual of the American PsychologicalAssociation (6th ed.). Washington, D.C.: Author.Boynton, Rose W., Stephens, G. R., Pulcini, J. (2009). Manual of ambulatory pediatrics. 6th ed.Philadelphia, PA: Lippincott, Williams & Wilkins.Lewis, K. D. and Bear, B. J. (2008). Manual of school health, 3rd ed. NY: Saunders.National Association of School Nurses. Delegation of care. Scarborough, ME:Author. www.nasn.orgNational Association of School Nurses. Scope and standards of professionalschool nursing practice. Scarborough, ME: Author. www.nasn.orgCalifornia School Nurses Organization (2007). Communicable Disease flip chart.Sacramento, CA: Author. www.csno.orgCalifornia School Nurses Organization. First Aid Procedures flip chart.Sacramento, CA: Author. www.csno.orgOn-Demand Educational Webinars from School Health at www.schoolhealth.com/webinars. One example is Seeing Eye to Eye with New Vision Screening vision-screening-requirements/Pharmacology handbook of choice.Publications of choice from: California School Nurses Organization, www.csno.org National Association of School Nurses, www.nasn.org California Department of Education, www.cde.ca.gov California Dept. of Health Services, www.dhs.ca.govOrder Information: Required textbook and optional items available online at Amazon and other vendors.Open Educational Resources (OER)Open educational resources (OER) is a term used to describe “digitized materials offeredfreely and openly for educators, students and self-learners to use and re-use for teaching,learning and research.” There may be resources available to help you with class assignments.

8NURS 187 COURSE OUTLINE, SPRING 2020Assignment and Due DatesFriday1/17/20Documents DueMonday2/3/202/3/20Module I DueMonday2/10/20Weeks 1-4Module II DueMonday3/9/20Weeks 5-83/2/20- 3/30/20Weeks 7-10April 3-12Module III DueMonday4/20/20Weeks 9-12Module IV DueMonday5/11/20Weeks 13-15First day of class for universityFax (559-228-2168) or mail following documents: Immediate Supervisor Approval for SN to act as Preceptor (P201) Preceptor vitae if not already on file with university (P102) Student/Preceptor Contract for spring semester (P203) Verify University/Agency Affiliation Agreement is on file with CSUF School of Nursing Student Goals and Learning Objectives – email instructor for approvalModule I: Planning and Development of Student Goals and Learning Objectives Finalized Student Goals and Learning Objectives sent with other Module I work Experienced School Nurse Project Proposal (2 or more years at secondary level) Initial clinical journal entries Response to 1 journal question Contributions to discussion posted on Canvas, 2 quality paragraphs per wk. x 4 wks. 8.Module II: Clinical Experience toward Meeting Goals and Learning Objectives 2nd clinical journal entries (may include optional Mental Health Tips summary) Response to 1 journal question If applicable, first Experienced School Nurse Project progress report/journaling due Contributions to discussion posted on Canvas, 2 quality paragraphs per wk. x 4 wks. 8paragraphs. Newsletter/Web page placed on Canvas Discussion Board Schedule three-way conference Mid-Term: Evaluation of Progress toward Student Goals and Learning Objectives Meet with preceptor to review progress toward student Goals and Objectives3-Way Conferences, includes clinical instructor, preceptor, studentSpring BreakModule III: Progressing toward Completion of Goals and Learning Objectives 3rd clinical journal entries (may include optional Mental Health Tips summary) Response to 1 journal question Student contributions to discussion on Canvas, 2 quality paragraphs per wk. x 4 wks. 8 Health Ed. Curriculum/Teaching or Aggregate Teach/Small Group Activity paperShare key elements of curriculum development/teaching experience onCanvas.Module IV: Completion of Student Goals and Objectives, Clinical Competencies4th clinical journal entries (may include optional Mental Health Tips summary)Response to 1 journal questionFinal Narrative Self EvaluationContributions to discussion onCanvas.Final Documents to be turned in no later than May 15, 2020Student Evaluation of Course (P201)Student Evaluation of Preceptor Experience (P202)Preceptor Evaluation of Student Professional Dispositions (P204)Preceptor Evaluation of Student Performance, secondary (P205 Secondary)Preceptor Checklist of Clinical Skills (P206)Preceptor Evaluation of Clinical Course(P207)Note: Those who have completed all coursework requirements and two full years of school nursing practiceare eligible to apply for their Clear Credential. For information contact Sherri Nakashima, credential analyst atsherrin@csufresno.edu

9TEACHING STRATEGIESWith guidance and counseling from CSUF faculty, students gain knowledge in the clinicalsetting under the direct supervision of a qualified school nurse preceptor approved by faculty.Students are required to keep a journal of their clinical activities. The practicum includes arounded experience in secondary school nursing, i.e., health teaching, counseling, casemanagement of students with health problems; collaborating with other professionals at schoolsites; visiting community agencies; attending school nurse in-services and conferences;researching journal articles, websites, district policies, and CA codes to enhance knowledge;creating newsletters; communicating with legislators on relevant issues; class participation onCanvas Discussion Board sharing clinical experiences.GRADING CRITERIAA 90 – 100%, B 80 – 89%, C 70 – 79%, D 60 – 69%, F 59% and below.Students must maintain a C average to remain in the program.ASSIGNMENTS / EVALUATIONAssignmentStudent Goals and Learning ObjectivesClinical JournalingHealth Ed. Curriculum and Teach or Teaching Aggregate/Small Group ActivityClinical Journal QuestionsNewsletterCanvas Clinical Discussion participation3-Way conference/communication between student, preceptor, andinstructor.Preceptor Evaluation of Student Competencies with/without Exp. SN Project *Narrative Self-Evaluation of Clinical Learning ExperiencesTotal PointsPoints514161610125202100*Preceptor evaluation of student competency includes completion of mandated clinical time.Note: See assignment guidelines for details.There are no extra credit options. Any grade that falls below a C will not be acceptable for creditand the student will be removed from the program.All papers are to be APA format. Make up of an assignment must be arranged with theinstructor prior to the due date.ATTENDANCEThe didactic portion of this class is online and is open Monday at 12:00 a.m. to Sunday at 11:59p.m. You are expected to participate in online discussion as explained below and check theAnnouncement section of Canvas frequently. Communication from the instructor will bethrough your CSUF email and Announcements. If you have made a schedule with yourpreceptor you are expected to honor that schedule or give them 24-hour notice of change.Grade of Incomplete (I):University criteria for an incomplete grade will be followed. The grade of I is only appropriate whenthe student requesting it has completed a minimum of two-thirds of the work for the course with apassing grade. The instructor of record retains the right to decide whether or not an I grade isappropriate.

10HOURS OF PRACTICUM EXPERIENCEFor students currently working as a school nurse, the required 80 hours are broken down inclinical experience in the field. Below are examples of clinical hours.12 hours6 to 8 hours10 hoursLeadership RoleORWith preceptor approval, students may attend school nursemeetings, conferences, workshops related to school nursing (up to12 hours total). These may be district, local, or CSNO meetings.Not to include routine staff meetings related to job.Additionally, student must spend between 6 and 8 hours in activitiesinvolving the community that are relevant to school nursing, i.e.,involvement with community groups/activities, visiting health referralagencies. Attending a SARB meeting is considered communityinvolvement as long as outside agencies are involved.Students may spend 10 hours actively pursuing an additionalLeadership Role activity related to school nursing.NOT an option for students who choose to complete anExperienced School Nurse Project.Students with 2 years or more experience in Elementary schoolnursing may choose to complete an Experienced School Nurse20 hours ExperiencedProject. This assignment may be completed at the student’s workNurse Projectsite.12 hours for completion of New for 2020 we are offering 12 clinical hours for completion ofMental Health Tips webinars Mental Health Training Intervention for Health Providers inSchools (MH-TIPS) through the University of Maryland School ofMedicine. This is an optional choice.There are a total of 135 hours in the Practicum Experience.Below are examples of clinical hours.10 hoursParticipating in discussion on Canvas Discussion Board.Approximately 40 minutes per week throughout the semester.3 hours2 hoursThree (3) hours set aside for networking outside of Canvas witharea support group members, i.e., networking meetings/luncheon ornetworking lunch with preceptor.Two (2) hours spent in communication and conferencing withclinical instructor by email, telephone, and/or office visits. This alsoincludes at least one 3-way conference between student, preceptorand instructor during the semester.(The 15 hours above are embedded in the course)40 hoursStudents who are currently employed as school nurses will becredited with 40 hours for their school nursing experience.

11Mental Health Training Intervention for Health Providers in Schools (MH-TIPS) OptionalEach year, students in our program state that they feel ill prepared to deal with mental healthissues while a large portion of the students they see are seeking help for a mental health issueduring the second semester that focuses on adolescent issues. This year, we are encouragingstudents to take a training offered by a collaboration of the national Center for School MentalHealth at the University of Maryland School of Medicine in partnership with the NASN and theCenter for Mental Health Services in Pediatric Primary Care at the Johns Hopkins BloombergSchool of Public Health. The program available to students at no cost is the Mental HealthTraining Intervention for Health Providers in Schools (MH-TIPS). This is an in-service trainingdeveloped to help school nurses and other health providers feel better equipped to deal withemotional and behavioral difficulties that interfere with learning.The online training allows participants to work at their own pace. Participants can view trainingmodules, download materials, view video tips from experts, and explore related links, all from onecentral site.At the site of this training you will find three modules; Foundations for Practice, Skills and Practice 1and Skills and Practice 2. At the completion of these modules there is a test and when successfullycompleted it provides you with a certificate of completion.This semester, as a trial, we are offering 12 hours of clinical time for completion of the threemodules provided you submit your certificate of completion to your instructor. This is a perfect wayto gain hours for those of you who have difficulty leaving your school sites. You are also able toobtain continuing education hours through the site.This option is available to you, however, you can not complete it and a School Nurse Project. Youwill need to choose which one you want to complete.The module can be found at https://mdbehavioralhealth.com/training. You will need to complete ashort registration for access to the training.You are expected to write a short summary of each module using the ABCD format and include it inyour clinical journal. Print out and copy the final certificate of completion and submit to yourinstructor to receive credit. Journal entries can be submitted with any of the four Modules.LEADERSHIP ROLE - Optional(Open to all students except those choosing Experienced School Nurse Project)Students may earn up to a maximum of ten (10) hours for actively pursuing a Leadership Rolerelated to school nursing. For example: Presentation of school nurse issue/or student healthconcern to a school board, community group, parent group, school staff; a leadership role in aprofessional or community organization; chairing a school site committee; leadership role inhealth education; developing a school site plan for disaster/emergency health management; afund-raising activity related to children's health, participation in legislative advocacy relevant tochildren's health or school nursing. This leadership role may be one that comes up during thesemester. Students must petition their clinical instructor for a relevant number of hours. This isNOT an option for students who choose to complete an Experienced School Nurse Project.

12EXPERIENCED SCHOOL NURSE PROJECT - Optional(School Nurses with 2 or more years of secondary school nursing experience)A Project will take the place of one of the three student goals. As previously indicated theproject must be approved by the student’s preceptor and based upon a recognized need. Thismay take place at the student’s own school or that of the student’s preceptor. It must besomething that would benefit other school nurses and/or the school district in general.Examples of projects:oDeveloping a PowerPoint presentation that can be used as a school boardpresentation, an in-service of staff or presentation to parent group, etcoGetting involved in a research project or a survey, i.e., gathering data to determinethe need for a program; follow-up activities; etc.oInvolvement in grant writing project to fund a program/purchase equipment, e t c.oWorking on a segment of a coordinated school health and wellness program withanother district department, i.e., food services/administration to get vendingmachines removed from campus, or psychology services to develop a programrelated to school safety, bullying awareness and prevention, or physicaleducation department to facilitate exercise, nutrition; etc.oDeveloping a resource binder of relevant community agencies; planning andcarrying out a health fair on campus; etc.Completion of Experienced School Nurse Project Proposal:1. Project proposal must include a statement justifying the project, timelines for itscompletion within the semester, and the preceptor’s initials signifying approval.A copy of completed form is to be sent to clinical instructor with Module 1 work.2. For Module 2 and Module 3, project progress notes must be written up separatelyfrom other journaling and include details regarding time spent on project.3. On completion of project, student’s preceptor is to sign off on the project on theoriginal form. The signed completed project proposal, along with an electronic/hardcopy of the project is to be sent to the student’s clinical instructor.Note: Experienced School Nurse Project is worth up to 20 hours.

13Clinical Experience for Students who are NOT currently practicing School Nursing: Students must complete the full 120 hours under direct supervision of a preceptor. Of those 120 hours, students must attend a minimum of 3 school nurse meetings,conferences or workshops related to school nursing (up to 12 hours), with preceptorpre-approval. These may be district, local, or CSNO meetings. Additionally, students must spend between 6 and 8 hours in activities involving thecommunity that are relevant to elementary school nursing, i.e., visits to health referralagencies, participation in community health fairs, migrant clinics, PTA meetings, other.These activities must be with preceptor pre-approval. The remaining 100 hours must be spent at school sites working under the directsupervision of a qualified preceptor or his/her qualified school nurse designee.Nurses Currently Employed as Public Health Nurses: Nurses who are employed by a health department or other community agency will begiven 20 hours of credit toward their clinical practice leaving 100 hrs. remaining.ACTIVITYGUIDELINES FOR TIME SPENT IN CLINICAL PRACTICEBY STUDENTS NEW TO SECONDARY SCHOOL NURSING(SUGGESTED CLINICAL ACTIVITY CHART)80 HRS.120 HRS.Health office management/student visits to Health Office10 hrs.14 hrs.Screening (hearing, vision, dental, scoliosis)8 hrs.14 hrs.Immunizations (paperwork, clinics, follow-up)6 hrs.14 hrs.Medications/special proce

Fresno State School Nurse Services Credential Program CSUF School of Nursing Central California Center for Excellence in Nursing 1625 E. Shaw Ave., Suite #146, M/S OF126 Fresno, CA 93710 Catalog Course Description: Secondary level school nursing experi

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