Psychiatric Mental Health - UNMC
PsychiatricMental HealthPROFESSIONAL GRADUATE NURSING PROGRAMPRECEPTORORIENTATIONHANDBOOKAcademic Year 2018-2019
TABLE OF CONTENTSUNMC College of Nursing Contact Information . 1The Role of the Preceptor . 2Preceptor Responsibilities . 2Student Responsibilities . 3Clinical Faculty Responsibilities . 3Preceptor Credentials Form Information . 4Clinical Preceptor Assessment of Student Form . 5Specialty Area Course Descriptions . 7NRSG 662/862 . 7NRSG 663/863 . 8NRSG 664/864 . 9NRSG 668/868 . 10Scope of Practice .11Standards of Practice .12
UNMC College of NursingSpecialty Contact InformationPsychiatric Mental Health Specialty CoordinatorTerri Mathews, PhD, APRN-NP, BCBA-DUNMC College of Nursing 985330 Nebraska Medical Center Omaha, NE 68198-5330Office: 402-559-6633 Fax: 402-559-9666tmathews@unmc.eduAssistant ProfessorNick Guenzel, RN, PhDUNMC College of Nursing 550 N. 19th St. Lincoln, NE 68508-0620Office: 402-472-7391 Fax: 402-472-7345jrreed@unmc.edu and cathrin.carithers@unmc.eduNurse SpecialistLyndsay Dean, RN, MSN, APRN-NPUNMC College of Nursing 985330 Nebraska Medical Center Omaha, NE 68198-5330Office: 402-559-2187 Fax: 402-559-4303lyndsay.dean@unmc.eduAssistant ProfessorNancy Meier RN, DNP, APRN-NPUNMC College of Nursing 1601 E. 27th Street Scottsbluff, NE 69361Office: 308-632-0437 Fax: 308-632-0415nmeier@unmc.eduAssistant ProfessorMargaret Emerson, DNP, APRN, PMHNP-BCUNMC College of Nursing 985330 Nebraska Medical Center Omaha, NE 68198-5330Office: 402-559-6625 Fax: 402-559-9666margaret.emerson@unmc.eduPreceptor Program and Clinical Contract AdministrationLori TurnerAdministrator IOffice: 402-559-6581Fax: 402-559-9666loturner@unmc.eduNichole BaerClinical Placement CoordinatorOffice: 402-559-5469Fax: 402-559-9666nichole.baer@unmc.edu1
The Role of the PreceptorThe College of Nursing Graduate Faculty would like to thank you for taking time to be a preceptor for one ofour students. The role of the preceptor is important in shaping the development of a nurse practitioner. Werecognize that it takes time to supervise a student, and we appreciate the additional time you give to eachstudent. As the semester advances, the student will become more accomplished and require less supervisionon your part and should begin to facilitate your client caseload.Expectations of All Preceptors Review semester objectives and goals to facilitate clinical learningReview daily objectives to be discussed at the beginning of each clinical dayCreate a learning environment for the student and facilitate the critical thinking skills required of astudentComplete the Preceptor Credentials electronic form on our websiteAt https://app1.unmc.edu/nursing/preceptor/, which will allow you to fill out the form onlineAt the end of the semester, complete the Clinical Preceptor Assessment of Student Performanceform and return to designated clinical faculty memberExpectations of Preceptors for APRN Students Listen to the student’s case presentation on each patientProvide feedback about assessments, differential diagnosis, problem lists and proposed plans of careSee patients with the studentSupervise the student on all new proceduresRecheck all abnormal examination findings identified by the student and evaluate the student’smanagement plans for these problemsAlways be present in the clinical area during the student’s experience, and name a qualified substituteif you must leave the clinicReview all student entries in the patient’s health/medical recordsExpectations of Preceptors for Lead/Nursing Executive Students Facilitate student’s skill in completing an organizational assessmentFacilitate student’s development, implementation and evaluation of a clinical project.Engage student in organizational meetings and follow up to share decision-making related to specificagenda itemsDialogue on-going conversations with student related to organizational activities including operationsand strategic initiatives2
UNMC College of NursingRole of the PreceptorStudent Responsibilities Prepare for each clinical experience by Sharing daily objectives with the preceptor at the beginning of the day Studying presentations and diagnoses seen the previous week to build on knowledgeand skills, and Bringing materials learned in the classroom for application in the clinical settingDemonstrate active learning strategies by Appropriate use of printed and electronic clinical resources (brought by student) Asking questions Identifying strengths and weaknesses, and Being proactive in seeking learning opportunities Seek confirmation with the preceptor of any findings of which you may be unsure Ask for assistance with new procedures or learning opportunities Demonstrate evidence of using the clinical experience for advanced learning Dress in appropriate attireClinical Faculty Member Responsibilities Make arrangements with the student and preceptor to visit the clinical site (if feasible) toevaluate the student’s performance at various times throughout the semester Evaluate the student’s performance at mid-term and at the end of the semester(The preceptor will provide input into the evaluation process by completing the ClinicalPreceptor Assessment of Student Performance form)Please contact the student’s clinical faculty instructor with questions, concerns or comments.3
UNMC College of NursingClinical Preceptor Credentials FormThe University Of Nebraska Medical Center College Of Nursing is required by our accrediting agencies andthe State Board of Nursing to document the credentials and professional experience of persons who serveas clinical preceptors with our students. Preceptors must have an advanced practice degree (APRN, MD,DO, PA) and at least one year experience at the advanced practice level. The Preceptor Credentials formis available to complete electronically. The link to register and login to access and complete the formelectronically is listed below. This form will be updated annually.https://app1.unmc.edu/nursing/preceptor/4
UNMC College of NursingClinical Preceptor Assessment of Student PerformanceStudentPreceptorSpecialty AreaPreceptor EmailClinical InstructorCourse NumberClinical Start DateCampusClinical End DateAt the end of the semester, please provide an assessment of the student using the rating scale below. Select the rating thatbest describes the level of expectation achieved by the student this semester. Students will not receive a grade for theirclinical experiences if this 2 page assessment form is not completed and returned to faculty.FarExceededMetDid NotMeetNot ApplicableClinicalExpectation to this ClinicalSettingNot Observed1. Comes to the setting with learning objectives and discussesthem with me.2. Performs a systematic psychiatric assessment, differentialdiagnoses, and conclusive diagnoses to my satisfaction.3. Discusses with me common physical co-morbidities,laboratory and diagnostic tests and rationale for use.4. Discusses pharmacological and non- pharmacologicaltreatments to my satisfaction.5. Discusses a clinical treatment management plan(including safety regarding suicide/homicide ideation)to my satisfaction.6. Formulates a Preventative Health/Health Promotion Plan forthe patient to my satisfaction.7. Discusses the psychopathophysiology of common mentalillnesses/DSM-5 Diagnoses.8. Uses research and evidence based practice standards ofcare in discussions with me.9. Discusses the need for referrals/access to communityresources follow-up appointments to my satisfaction.10. Completes concise written and verbal reports to mysatisfaction.11. Is professional, on time, courteous, appropriatelydressed, and has needed resources.12. Attends to quality care, safety issues, and cultural diversityfactors.5
UNMC College of NursingClinical Preceptor Assessment of Student PerformancePreceptor Comments:Preceptor SignatureDatePlease return completed assessment to the clinical instructor or fax to 402-559-9666 at end of semester.6
UNMC College of NursingPsychiatric Mental Health Course DescriptionsNRSG 662/862 Counseling Models in Advanced Psychiatric Mental Health NursingCourse Description: Application of counseling frameworks in the care of individuals, families, groups, andcommunities, representing diversity in culture, lifestyle, and values. Emphasizes the counseling role of thePsychiatric Mental Health Advanced Practice Nurse (PMHAPN) as well as the concepts underlying nursing’spractice of the counseling role, including ethical and legal considerations. Lab focus on the development ofindividual and group counseling skills for advanced nursing practice.PREREQUISITE COURSES: NoneCREDIT ALLOCATION: 2 - 3 credits (2 didactic/0 - 1 lab)Purpose of the Course: This course is designed for survey and application of selected counseling frameworksin the care of individuals, families, groups, and communities representing diversity in culture, lifestyle, andvalues. The emphasis will be on the development of the counseling role of the Psychiatric Mental HealthNurse Practitioner (PMHNP) as well as the concepts underlying nursing's practice of the counseling role.Introduction to legal and ethical parameters of the PMHNP's counseling role within the context of advancedpsychiatric mental health nursing practice will also be included.Course Objectives1. Use knowledge, concepts, theories, models, and research from nursing and related disciplines in theapplication of counseling frameworks for the care of individuals, families, groups, and communitiesrepresenting diversity in culture, lifestyle, and values.2. Make clinical decisions related to the counseling needs of individuals, families, groups, and communitiesbased on diagnostic reasoning, legal and ethical considerations, scholarly inquiry, and the process of thetherapeutic relationship.3. Work collaboratively with clients, interdisciplinary health care providers, and others to systematically planand evaluate the quality and cost-effectiveness of counseling provided in response to the psychiatricmental health needs of clients.4. Analyze factors contributing to the present and emerging use of counseling in the provision of psychiatricmental health care to clients.5. Describe the use of outcomes research to demonstrate the contribution of counseling to the achievementof client treatment goals.6. Demonstrate a commitment to improve the use of counseling for psychiatric mental health clients basedon an understanding of the limitations in: a) own professional competence, b) relevant knowledge, and c)available counseling services.7
UNMC College of NursingPsychiatric Mental Health Course DescriptionsNRSG 663/863 Advanced Psychiatric Mental Health Nursing with AdultsCourse Description: The advanced nursing role in assessment, diagnosis, treatment, and management ofpsychiatric mental health problems in adulthood at the individual, family, and community levels.PREREQUISITE COURSES: NRSG 662/862PREREQUISITE or COREQUISITE COURSES: NRSG 606/806, NRSG 665/865 or permission of instructorCREDIT ALLOCATION: 2 or 4 credits (2 asynchronous education/0 or 2 lab)Purpose of the Course: The course is designed for in-depth study of selected actual and potential psychiatricmental health problems in adults and their families. The emphasis will be on adult development; mentalhealth in adulthood; assessment, diagnosis, treatment, and management of psychiatric mental healthproblems in adulthood at the individual, family and community levels in collaboration with theinterdisciplinary team. Contextual, policy, economic, legal and ethical Issues activities will be examined.Course Objectives1. Use knowledge, theories, models, and research from nursing and related disciplines in the management ofselected actual and potential psychiatric mental health problems in adults and their families.2. Employ advanced assessment, diagnostic, treatment, and management strategies in the care of adults andtheir families with actual or potential psychiatric mental health problems.3. Apply advanced psychiatric mental health nursing services in the care of adults and their familiesrepresenting diversity in culture, lifestyle, and values.4. Make clinical decisions related to the psychiatric mental health care of adults and their families based ondiagnostic reasoning, legal and ethical considerations, scholarly inquiry, the process of the therapeuticrelationship, and the creative use of resources.5. Base clinical decisions on an understanding of the relationship between selected physical problems andactual and potential psychiatric mental health problems.6. Collaborate with clients, interdisciplinary health care providers, and others to systematically plan andevaluate quality and cost-effective programs that address actual or potential psychiatric mental healthproblems of adults and their families.7. Analyze factors contributing to present and emerging systems for the provision of psychiatric mentalhealth care to adults and their families as a basis for influencing change.8. Participate in the research process to improve the delivery of psychiatric mental health care to adults andtheir families.9. Demonstrate a commitment to improve the psychiatric mental health care of adults and their familiesthrough planned change based on: a) understanding of strengths and limitations in own professionalcompetence, b) understanding of advances and limits in relevant knowledge, c) understanding ofopportunities and limitations in available services, d) understanding of client preferences, motivation forchange, and resistance to change, and e) a commitment to participation in professional and communityorganizations.8
UNMC College of NursingPsychiatric Mental Health Course DescriptionsNRSG 664/864 Advanced Psychiatric Mental Health Nursing with Children and AdolescentsCourse Description: The advanced nursing role in assessment, diagnosis, treatment, and management ofpsychiatric mental health problems in childhood and adolescence at the individual, family, and communitylevels.PREREQUISITE COURSES: NRSG 662/862PREREQUISITE or CO-REQUISITE COURSES: NRSG 606/806, NRSG 665/865 or permission of instructorCREDIT ALLOCATION: 2 or 4 credits (2 asynchronous education/0 or 2 lab)Purpose of the Course: This course is designed for in-depth study of the management of selected actual andpotential psychiatric mental health problems in children and adolescents and their families representingdiversity in culture, lifestyle, and values. Content and clinical experiences will emphasize the normativeprocess of development in childhood and adolescence; promotion and maintenance of mental health throughadolescence; assessment, diagnosis, treatment, and management of psychiatric mental health problems inchildhood and adolescence; and the process of systems development and management for the provision ofneeded services. There is an emphasis on collaboration with interdisciplinary health-care team members andothers in the management of selected problems at the individual, family and community levels. Contextual,policy, economic, legal and ethical issues will be examined.Course Objectives1. Use knowledge, theories, models, and research from nursing and related disciplines in the management ofselected actual and potential psychiatric mental health problems in children/adolescents and theirfamilies.2. Employ advanced assessment, diagnostic, treatment and management strategies in the care ofchildren/adolescents and their families with actual or potential psychiatric mental health problems.3. Apply advanced psychiatric mental health nursing services in the care of children/adolescents and theirfamilies representing diversity in culture, lifestyle, and values.4. Make clinical decisions related to the psychiatric mental health care of children/adolescents and theirfamilies based on diagnostic reasoning, legal and ethical considerations, scholarly inquiry, the process ofthe therapeutic relationship, and the creative use of resources.5. Base clinical decisions on an understanding of the relationship between selected physical problems andactual and potential psychiatric mental health problems.6. Collaborate with clients, interdisciplinary health care providers, and others to systematically plan andevaluate quality and cost-effective programs that address actual or potential psychiatric mental healthproblems of children/adolescents and their families.7. Analyze factors contributing to present and emerging systems for the provision of psychiatric mentalhealth care to children/adolescents and their families as a basis for influencing change.8. Participate in the research process to improve the delivery of psychiatric mental health care tochildren/adolescents and their families.9. Demonstrate a commitment to improve the psychiatric mental health care of children/adolescents andtheir families through planned change based on: a) understanding of strengths and limitations in ownprofessional competence, b) understanding of advances and limits in relevant knowledge, c)understanding of opportunities and limitations in available services, d) understanding of clientpreferences, motivation for change, and resistance to change, and e) a commitment to participation inprofessional and community organizations.9
UNMC College of NursingPsychiatric Mental Health Course DescriptionsNRSG 668/868 Practicum In Advanced Psychiatric Mental Health NursingCourse Description: Development of additional clinical skills, including advanced nursing judgment, decisionmaking skills, and leadership. Specific learning objectives and setting(s) determined in consultation withfaculty.PREREQUISITE COURSES: NRSG 606/806, NRSG 662/862, NRSG 663/863, NRSG 664/864 and NRSG 665/865 orpermission of instructorCREDIT ALLOCATION: 1 - 8 credits (1 - 8 lab)Purpose of the Course: This course is designed to be taught primarily as a practicum. Students focus on one ormore of the following areas of advanced psychiatric mental health nursing: (a) rural mental health, (b) childrenand adolescents, (c) adults, (d) geriatric psychiatry, (e) severely and persistently mentally ill, (f) addictions, or(g) consultation-liaison psychiatric nursing.Course Objectives1. Apply knowledge of advanced psychiatric mental health nursing, as well as the strengths and limitations ofown professional practice, in the delivery of services to clients representing the selected clinical focuschosen by the student.2. Propose changes in policies and/or professional practice guidelines related to the area of study based onsynthesis of information from the legal, ethical, political, and health care arenas.3. Develop collaborative relationships with clients, interdisciplinary health care providers, and others to plan,deliver, and evaluate th hysical examination based on age and history Performing or ordering preventative and diagnostic procedures based on the patient’s age and history Identifying health and medical risk factorsB. DiagnosisThe nurse practitioner makes a diagnosis by: Utilizing critical thinking in the diagnostic process Synthesizing and analyzing the collected data Formulating a differential diagnosis based on the history, physical examination and diagnostictest results Establishing priorities to meet the health and medical needs of the individual, family, or communityC. Development of a treatment planThe nurse practitioner, together with the patient and family, establishes an evidence-based, mutuallyacceptable, cost-awareness plan of care that maximizes health potential. Formulation of the treatmentplan includes: Ordering and interpreting additional diagnostic tests Prescribing or ordering appropriate pharmacologic and non-pharmacologic interventions Developing a patient education plan Recommending consultations or referrals as appropriateD. Implementation of the planInterventions are based upon established priorities. Actions by the nurse practitioners are: Individualized Consistent with the appropriate plan for care Based on scientific principles, theoretical knowledge and clinical expertise Consistent with teaching and learning opportunitiesE. Follow-up and evaluation of the patient statusThe nurse practitioner maintains a process for systematic follow-up by: Determining the effectiveness of the treatment plan with documentation of patient care outcomes Reassessing and modifying the plan with the patient and family as necessary to achieve health andmedical goalsAdministration: PO Box 12846 Austin, TX 78711 512-442-4262 Email: admin@aanp.org Website: www.aanp.orgGovernment Affairs: 225 Reinekers Lane, Suite 525 Alexandria, VA 22314 703-740-2529 Email: governmentaffairs@aanp.org
III. Care PrioritiesThe nurse practitioner’s practice model emphasizes:A. Patient and family educationThe nurse practitioner provides health education and utilizes community resource opportunities for theindividual and/or familyB. Facilitation of patient participation in self care.The nurse practitioner facilitates patient participation in health and medical care by providing informationneeded to make decisions and choices about: Promotion, maintenance and restoration of health Consultation with other appropriate health care personnel Appropriate utilization of health care resourcesC. Promotion of optimal healthD. Provision of continually competent careE. Facilitation of entry into the health care systemF. The promotion of a safe environmentIV. Interdisciplinary and Collaborative ResponsibilitiesAs a licensed, independent practitioner, the nurse practitioner participates as a team leader and member in theprovision of health and medical care, interacting with professional colleagues to provide comprehensive care.V. Accurate Documentation of Patient Status and CareThe nurse practitioner maintains accurate, legible and confidential records.VI. Responsibility as Patient AdvocateEthical and legal standards provide the basis of patient advocacy. As an advocate, the nurse practitionerparticipates in health policy activities at the local, state, national and international levels.VII. Quality Assurance and Continued CompetenceNurse practitioners recognize the importance of continued learning through:A. Participation in quality assurance review, including the systematic, periodic review of records andtreatment plansB. Maintenance of current knowledge by attending continuing education programsC. Maintenance of certification in compliance with current state lawD. Application of standardized care guidelines in clinical practiceVIII. Adjunct Roles of Nurse PractitionersNurse practitioners combine the roles of provider, mentor, educator, researcher, manager and consultant. Thenurse practitioner interprets the role of the nurse practitioner to individuals, families and other professionals.IX. Research as Basis for PracticeNurse practitioners support research by developing clinical research questions, conducting or participating instudies, and disseminating and incorporating findings into practice. American Association of Nurse Practitioners, 1993Revised 1999, 2003, 2007, 2010, 2013
their families with actual or potential psychiatric mental health problems. 3. Apply advanced psychiatric mental health nursing services in the care of adults and their families representing diversity in cul ture, lifestyle, and values. 4. Make clinical decisions related to the psychiatric mental health care of adults and their families based on
Advanced Practice Registered Nurses (APRNs must be nurse practitioner specialists in adult psychiatric and mental health, and family psychiatric and mental health, or certified nurse specialists in psychosocial, gerontological psychiatric mental health, adult psychiatric and mental health and child- adolescent mental health and may
psychiatric/mental health nursing and complete two (2) years of supervised clinical experience in providing psychiatric/mental health counseling services. The master’s degree in nursing must be . directly related to mental health, such as psychiatric/mental health File Size: 676KB
Psychiatric and mental health nursing practice is having a significant impact on the health and recovery of service users. Psychiatric and mental health nursing research and theory is making substantial contributions when it comes to developing and managing the organization and delivery of health care. The study of psychiatric and mental health
It is therefore important to provide this psychiatric and mental health services operational policy to further strengthen the psychiatric and mental health services of the MOH. This wi ll further support the implementation of the Mental Health Act 2001 and Mental Health Regulations 2010 which came into force on June 15th 2010.
The success of UNMC is rooted in the hard work and dedication of its employees. Our employee appreciation programs encourage all of us to recognize those co-workers whose work embodies UNMC’s most vital values – innovation, t
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UNMC College of Nursing Advances is published annually by the University of Nebraska Medical Center College of Nursing. Permission is granted to reprint any written materials herein, provided proper credit is given. UNMC College of Nursing Advances 985330 Nebraska Medical Center Omaha, Nebraska 68198-5330 For address changes,
Automotive Engineering, which was validated in December 2008. This document includes: background information on the development of the Group Award, its aims, guidance on access, details of the Group Award structure, and guidance on delivery. This revised award will replace the HNC Automotive Engineering which was validated in 1999. The revised award is designed to equip candidates with the .
