University of North Dakota College of Nursing

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					                   University of North Dakota College of Nursing


The University of North Dakota Family Nurse Practitioner Clinical Track prepares the student for
advanced practice in family primary care nursing. The course of study is five semesters which
includes one six-week summer session. The curriculum has 59 required credits with minimum
of 630 practicum hours. Enrollment is limited. Completed applications must be submitted by
March 15th for fall admission. A successful interview by the Admissions Committee is a part of
the admission process.

The program utilizes a clinical preceptorship model to provide the FNP student the opportunity
to obtain extended clinical experiences in a primary care setting. The preceptorship bridges
theory and actual practice and allows the student to try new skills and develop the nurse
practitioner role. Students are provided the opportunity to socialize into the nurse practitioner
role by becoming a health care team member with the preceptor providing guidance as a role
model, mentor, and resource person.

Students should identify a potential preceptor prior to application to the FNP Program. Final
preceptor selection, orientation, and evaluation are the responsibility of the Family Nurse
Practitioner Track faculty.

Preceptorships provide the clinical experience for three practicums during the course of study.
The first practicum focuses on interviewing and health assessment skills. This is a six-week
practicum of approximately 32 clinical hours per week (180 total hours minimum). The second
and third practicums focus on acute, emergent, and chronic conditions, interviewing, health
assessment, diagnosis, pharmacologic intervention, and patient education with each practicum
lasting 13 weeks (225 clinical hours minimum). Students participate in one intense week on
campus each semester.

                Definition of Advanced Practice Registered Nurse (APRN)
The APRN focuses on a specific clinical area in which to develop clinical expertise. The APRN is an expert
practitioner for a select clinical population of patients, and integrates health maintenance, disease
prevention, and management of acute, recurrent and episodic illness across the care continuum. As a
clinical expert in a specified area, the APRN may engage in sub-roles such as: educator, collaborator,
researcher, change agent and/or advanced case manager to assure quality care for a population of
patients. The APRN may utilize clinical expertise and practice in medical-surgical and critical care units in
hospitals, ambulatory settings, medical office settings, or acute and chronic care facilities in
collaboration with physicians and other health professionals. In collaboration with physicians, or
independently identification and treatment of urgent and complex problems and the recognition of the
need for medical referral or consultation are important components of the APRN role.
                  University of North Dakota College of Nursing

The Master of Science (M.S.) Program in Nursing is accredited by the Commission on Collegiate Nursing
Education (CCNE) until 2021 and approved by the North Dakota Board of Nursing through 2015.

                            College of Nursing Mission Statement
The College of Nursing shares the mission of the University of North Dakota: serve the state, the
country, and the world community through teaching, research, creative activities and service; through
sponsorship and encouragement of basic and applied research, scholarship and creative endeavor, the
University contributes to the public well-being; encourages students to make informed choices, to
communicate effectively, to be intellectually curious and creative, to commit themselves to lifelong
learning and the service of others, and to share responsibility for both their own communities and for
the world.

The mission of the College of Nursing is to educate individuals for professional roles in nursing and
nutrition. The College of Nursing strives to enhance the health of people in the region by preparing
leaders in nursing and nutrition through innovative, accessible programs, and significant faculty and
student scholarship and service.

Disclaimer: UND FNP program reserves the right to make policy changes as the needs of its
administration, faculty, students and conducting or affiliating institution change. These changes may
occur without prior notification.

                      Family Nurse Practitioner Track Competencies
    1. Family Nurse Practitioners with expertise and advanced knowledge in the family primary care
       nursing who function collaboratively with clients and healthcare professionals who:
        Assess the health status of the family and its members using appropriate theory(s), tools,
           and investigative measures;
        Provide counseling, education, and other interventions for health promotion and disease
           prevention with families and communities;
        Manage the primary health care of clients with common acute and emergent conditions;
        Manage the primary health care of clients with stable chronic conditions;
        Collaborate and consult with clients and healthcare professionals and refer appropriately;
        Articulate the role and scope of practice of the family nurse practitioner; and
        Recognize and communicate limitations in practice.
    2. Seekers of new knowledge by means of critical thinking, creative reasoning, and scientific
       investigation in family primary care and theory who:
        Analyze and apply relevant research findings in primary health care practice;
        Develop, implement, and evaluate research-based protocols for clinical problem-solving;
        Participate in the research process; and
        Communicate and disseminate scientific investigative finds.
    3. Leaders capable of effecting change in nursing practice, the profession, and the health care
       delivery system who:
        Execute functions of leadership for promoting effective health care with clients and their
        Use strategic planning in collaboration with the community to implement healthcare
              University of North Dakota College of Nursing
     Use effective communication in the leadership role to facilitate needed change;
     Provide leadership in professional activities at the local, state, and national levels; and
     Participate in the legislative and policy-making activities which influence health
4. Managers of primary healthcare services and resources with rural, underserved, and aged
   populations who:
    Provide culturally-sensitive, community-oriented primary care to rural, underserved, and/or
      aged populations;
    Establish priorities and allocated available resources in the delivery of cost-effective quality
      primary health care; and
    Provide accessible, affordable, and acceptable primary health care.

                     Preceptor Qualifications & Responsibilities
   Qualifications
         o Primary preceptors may be masters prepared nurse practitioners or physicians.
         o They must meet the licensing and/or certification requirements in the state in which
             they are practicing.
         o Nurse practitioners in the primary preceptor role must be master’s prepared.
         o All primary preceptors must return a completed Memorandum of Agreement and copy
             of their certification to UND prior to the clinical start date.
   Clinical Practice
         o The preceptorship must be in a successful practice, highly respected by the health care
         o The preceptorship must provide the student with a variety of clients across the lifespan.
             If the clinical practice of the preceptor is limited in a particular area or the preceptor
             “needs a break” from the intense teacher-student role, the preceptor should
             recommend and/or assist the student in arranging specialty rotations.
         o Scheduling specialty rotations should be done as early as possible in the fall or spring
             semester by approval of the faculty.
   Personal/Professional
         o Professionally, the preceptor must exhibit interest and involvement in the advanced
             nurse practitioner role. The preceptor serves as host, sponsor, teacher, and role model
             for the student at the clinical site. Professional qualities that are needed to preceptor
             the FNP student are: interest in professional growth and continued learning;
             involvement in the agency and community; secure in role; confident, knowledgeable,
             and competent; has respect of peers; and is able to deal with conflict.
         o Helpfulness, caring, flexibility, and enthusiasm are personal qualities that students
             value. Enjoyment of teaching, commitment to students, and willingness to work with
             beginners are important characteristics in the development of a positive
             student/preceptor relationship.
         o The preceptor must be willing to review course objectives and determine feasibility of
             meeting them and assist the student and faculty in modifying objectives as needed.
             Additionally, time must be allowed to visit informally and formally with faculty for
             feedback. This is accomplished by telephone visits and at least two site visits per
             semester. Preceptors should contact FNP faculty if there are any problems with the
                   University of North Dakota College of Nursing

                                     Student Responsibilities
The students are responsible for being self-directed in identifying initial and ongoing learning needs, for
seeking learning opportunities to meet identified needs, and for being accountable for their
performance in the advanced practice nursing role. The student should:
     make the initial contact with a prospective preceptor and inform faculty supervisor of the
        necessary information they need for approval. Preceptors may be identified prior to application
        to the FNP Track. However, the final selection, approval, orientation, and evaluation of the
        preceptor are the responsibility of the UND College of Nursing faculty. The faculty will help in
        the location of an appropriate preceptor if the student is unable to find someone in or around
        their local community. If a suitable preceptor is not available in the student’s home community,
        the student will need to travel to an appropriate location for their clinical experiences;
     along with faculty supervisor, provide the preceptor with this Handbook;
     assist faculty in obtaining signatures on Preceptor Memorandum of Agreement and General
        Agency Contract as needed prior to starting clinical experiences;
     dress professionally including wearing a UND Photo ID Name Tag at all times in the clinical
     adhere to all UND and clinical agency regulations;
     discuss specific clinical objectives and negotiate a clinical schedule with the preceptor prior to
        the actual clinical experience;
     provide the clinical site with the necessary licensure, immunizations, background check,
        certifications, liability insurance, or other requirements needed;
     perform the advanced practice role under the supervision of the preceptor recognizing the
        limitations of educational preparation and complying with professional standards, clinical site
        policies, and advanced practice protocols;
     demonstrate professional role behaviors of an advanced practice nurse;
     maintain a clinical log according to course requirements using Medatrax 4-D Software;
     demonstrate progressive independence and competency in the advanced practice role in
        accordance with his/her academic progression;
     arrive at the clinical experience prepared to perform in accordance with assigned learning
        activities in accordance with course;
     actively seek input in the evaluation process and participate in self-evaluation of strengths and
        identified areas for professional growth with preceptor and designated faculty;
     contact faculty immediately if any conflict arises or when faculty assistance is needed;

In addition -
FNP Faculty expectations of students are carefully enumerated in course syllabi and clinical objectives;
however, in addition to these, Track faculty has additional expectations. Faculty expect that students
are intellectually curious and are sensitive of the need to study independently and in depth; to return to
basic physiology and pharmacology, nursing science and other basic courses; to make inferences, draw
upon past experience and integrate them with the present; develop concepts, think through processes
and to ask questions of oneself and others. The faculty also expects that students will learn to adapt to
new stresses and experiences and not give up. The volume of material is much greater than most
students may be accustomed to and it isn't possible to succeed utilizing poor study patterns.
Memorization of isolated facts is not recommended. It is expected that each student’s concern and
respect for their classmates will be as great as their concern and respect for themselves; if a student
                   University of North Dakota College of Nursing
comes unprepared for class or clinical assignments, they will require a disproportionate amount of the
instructor's time and deprive them and other students of their rightful share of time for learning.

                           Designated Faculty/Staff Responsibilities
Faculty identify clinical learning objectives specific to the program, course, and learning needs of the
students. They facilitate student achievement of these objectives through provision of didactic
instruction, identification of appropriate clinical facilities and preceptors, observation and evaluation of
students in the clinical setting, and establishment of close working relationships with preceptors.
Faculty will:
     will assign an appropriate preceptor for FNP student
     provide the preceptor with a description of the Family Nurse Practitioner program, overview of
         preceptorship expectations, the course syllabus, student performance expectations, and
         evaluation tools for the clinical experience;
     initiate and secure a General Agency Contract and the Preceptor Memorandum of Agreement
         for each preceptor;
     validate student health requirements, licensure, CPR certification and background check;
     elicit informal and formal feedback from the preceptor regarding each student’s performance
         and program performance through one per semester site visits and/or other types of media
     provide preceptor with the necessary evaluation tools and collect completed evaluations each
     offer professional support by encouraging the student/preceptor team to utilize educational
         references and resources available in the library;
     observe the role performance of the students through onsite visits or web camera visits each
         semester and evaluate students achievement of program objectives.
     FNP students will complete at least the minimum required hours with a primary preceptor
         which is approved by faculty. In the event the student is not able to have adequate exposure to
         a specific population of patients with their current preceptor, a clinical rotation will be arranged
         by faculty or staff. The determination of the need for clinical rotation may take place during
         conference calls, clinical site visits, communication with the student, or after evaluation of the
         students’ medatrax records. The following recommendations may be used as a guide:
              o Pediatrics: 60 hours, Geriatric: 60 hours, Adult Health 60 and Women’s Health OB: 60
                  hours per fall and spring semester.
                  University of North Dakota College of Nursing
Mission of the University
The following mission statement is on file with the State Board of Higher Education:

The University of North Dakota, as a member of the North Dakota University System, serves the state,
the country and the world community through teaching, research, creative activities, and service. State-
assisted, the University’s work depends also on federal, private, and corporate sources. With other
research universities, the University shares a distinctive responsibility for the discovery, development,
preservation and dissemination of knowledge. Through its sponsorship and encouragement of basic and
applied research, scholarship, and creative endeavor, the University contributes to the public well-being.

The University maintains its legislatively enacted missions in liberal arts, business, education, law,
medicine, engineering and mines; and has also developed special missions in nursing, fine arts,
aerospace, energy, human resources and international studies. It provides a wide range of challenging
academic programs for undergraduate, professional, and graduate students through the doctoral level.
The University encourages students to make informed choices, to communicate effectively, to be
intellectually curious and creative, to commit themselves to lifelong learning and the service of others,
and to share responsibility both for their own communities and for the world. The University promotes
cultural diversity among its students, staff, and faculty.

In addition to its on-campus instructional and research programs, the University of North Dakota
separately and cooperatively provides extensive continuing education and public service programs for
all areas of the state and region.

College of Nursing Mission Statement
The mission of the College of Nursing is to educate individuals for professional roles in nursing and
nutrition. The College strives to enhance the health of people in the region, nation, and across the globe
by preparing leaders in nursing and nutrition through innovative, accessible programs, and significant
faculty and student scholarship and service.

Nursing Graduate Program Objectives
The Master’s Program in Nursing prepares nurses who are able to:

1. Integrate theory, research, and experiential knowledge and evidence-based practice into
   advanced nursing practice.

2. Demonstrate competence in advanced nursing practice consistent with applicable professional

3. Practice in the development of nursing science through evidenced based practice, research, and

4. Integrate relationships between social, cultural, political, and economic issues and health care
                   University of North Dakota College of Nursing
Statement of Non-Discrimination
The University maintains a policy of non-discrimination that specifies there shall be no discrimination
against persons because of race, religion, age, color, sex, disability, sexual orientation, gender identity,
genetic information, national origin, marital status, veterans’ status, or political belief or affiliation, and
that equal opportunity and access to facilities shall be available to all. This policy is particularly
applicable in the admission of students in all colleges and in their academic pursuits. It also is applicable
in University-owned or University-approved housing, food services, extracurricular activities and all
other student services. It is the guiding policy in the employment of students either by the University or
by non-University employers through the University and in the employment of faculty and staff.

Records Retention
Academic records of currently enrolled students are retained in the office of the Associate Dean of
Graduate Studies. The Associate Dean of Graduate Studies is responsible for the final disposition of all
official records. The Track will maintain accurate cumulative records. All student records will be retained
for one year post-graduation or until the student passes their certification examination, whichever
occurs last, except for records that should be kept indefinitely.

Registered Nurse Licensure
Prior to acceptance into the program students are required to provide the College of Nursing with
evidence of current unencumbered licensure as a registered nurse in any state. Verification of this
licensure is the responsibility of the Office of the Associate Dean of Graduate Studies and may include
the use of a third party vendor. After entry into the program, students are required to provide evidence
of on-going current licensure. Students enrolled in an approved, nationally accredited educational
program within the state of North Dakota are exempt from the requirement for North Dakota licensure,
but must maintain a current RN licensure from any state. Students are responsible for obtaining
Minnesota licensure when appropriate and for maintaining current licensure within their state and will
not be allowed to attend clinical experiences without the appropriate current RN license. Expiration
dates for RN licensure are tracked through the Office of the Associate Dean of Graduate Studies and
may include the use of a third party vendor. Students are required to enter their expiration date into the
Medatrax Medical Tracking System.

Background Checks
According to UND College of Nursing policy, annual background checks are required for all graduate
nursing students. Admission to the FNP program is contingent upon the successful completion of the
background check(s) with results deemed favorable. Please see the UND Graduate Nursing Handbook
for more information.

Applicant Rights and Responsibilities
Applicants have a right to be treated in a respectful manner, be communicated with in a truthful and
timely fashion, have their application considered with the same degree of consideration as any other
applicant, be notified when their application is incomplete, and what items they need to submit for
application completion. Applicants have a responsibility to inform the program of changes in contact
information (address, email, and phone number), complete their application and send in all supporting
documentation before the deadline, be truthful and complete on the application and in all aspects of
their communication, provide the program the information necessary to make decisions about their
qualifications for admission into the program.
                  University of North Dakota College of Nursing
Student Rights and Responsibilities
Students have a right to expect that upon acceptance into an accredited program, they will be provided
the quality of education necessary to fulfill the objectives of the program to prepare competent nurse
anesthetists capable of:
• Integrating theory with the actual practice.
• Providing FNP management to all categories of patients for most or all varieties of diagnostic
    or therapeutic intervention utilizing consultation as required.
• Functioning with minimal supervision in all hospitals or agencies.
• Assuring patient comfort and safety within the confines of those aspects of care over which a
    student has control or can influence through consultation, advice or other actions.
• Incorporating sound ethical and moral practices into his/her own personal value system.

Students have a right to expect that they will not be exploited relative to time commitment for pay or
profit of the conducting institution. Enrollment in a program grants certain rights and responsibilities to
both the student and the program. These rights and responsibilities of each party should be fully
understood and complied with. A student's failure to achieve the goal within the time frame expected
should be based on valid, reliable data and information from evaluations, viewed objectively and fairly
and reviewed as may be required. Appeals mechanisms are available when decisions are contested. Fair
and accurate evaluations of their progress in the educational program will be made and they will be kept
informed of their progress.

Students will be held accountable for the quality of preparation, completion and performance of
assignments; for complying with the policies and procedures pertaining to the program and all affiliate
sites; and ethical and legal responsibilities for repayment of student loans from any source, public and

Conducting Institution Rights and Responsibilities
The UND FNP Program, the University of North Dakota, and the affiliated clinical sites are responsible to
provide the student with quality didactic and clinical instruction, to coordinate and carry out application
and admission procedures, provide classroom and laboratory space as needed for didactic courses, and
to provide for academic counseling of FNP students. Additionally, the FNP student is responsible to:

•   Provide didactic instruction
•   Coordinate advertising and public relation efforts
•   Provide professional liability coverage which applies to FNP students
•   Provide for the clinical instruction and evaluation of FNP students
•   Evaluate students in the clinical area
•   Provide support for clinical research and studies
•   Provide the resources needed for effective operation of an educational program of high quality
•   Continually evaluate the track to ensure that it meets student needs and that graduates attain the
    desired outcomes
•   Conduct the program in compliance with all legal and accreditation standards
                   University of North Dakota College of Nursing
FNP program expects that:
• Accurate and comprehensive records will be maintained, and these will be made available to on site
   accreditation reviewers
• The program will submit annual reports to the accrediting agency, and other submissions as may be
   required from time to time.
• The program represents itself with integrity and truthfulness in all communications.
• It will be kept informed of program changes, accrediting agency evaluations and standards, and
   trends affecting FNP education.
• Applicants will be selected after review of their health and academic records, interview, and
   personal references.
• Students will be aware of and follow department and institutional policies relative to patient care,
   personal health care habits, and in all other matters addressed in relevant policies.
• Students will communicate with clinical instructors relative to their ability to perform procedures,
   throughout the perioperative period, and apply knowledge in their clinical internships.
• Students will arrive prepared for classes, seminars, conferences, and clinical internship.

Attendance Policy
Attendance for lectures and exams is mandatory. Due to the large volume of classroom material, it is
very difficult for students to make up missed class lectures and labs. Due to the nature of the courses, it
is expected that professional courtesy be extended to each other as well as faculty. The instructor must
be notified by the student if the student is unable to attend class on a given day. The Program Director
must also be notified by the student of any absences. Special assignments may be used in place of
missed classes. This is at the discretion of the Program Director. During the first year of the program,
attendance at all clinical experiences is mandatory and any missed clinicals must be made up. In the
event that a student must miss a clinical day, both the clinical site and the Program Director must be
notified and a make-up date scheduled.

Fair and accurate measurement of students cognitive and critical thinking skills obtained through
didactic, assigned readings and lab experiences will include the administration of examinations. Test
questions are predominantly multiple choice. Short answer and essay questions may be included for
assessment of critical thinking ability. Computerized item analyses of questions are employed to ensure
that student responses accurately reflect assimilation of course content. Written course examinations
are utilized in concert with other evaluation tools such as written case scenarios, patient simulation
experiences, the completion of clinical care plans, daily instructor clinical evaluations as well as
formative and summative clinical evaluations. Student presentations of selected topics and
contributions to classroom and case study discussions also provide valuable feedback to program and
clinical faculty in assessing student acquisition of cognitive, integrative and critical thinking skills.

Challenging Test Questions
Challenges to test questions must be made within 3 working days after the date of the test. Challenges
received after 3 working days will not be considered. All challenges will be evaluated individually and
must be made on the “Challenge of Test Question” form.
                  University of North Dakota College of Nursing
Cheating and Plagiarism
A student who is determined to have plagiarized, fabricated documentation, submitted unoriginal work
or cheated on any assignment or examination is considered in violation of ethical standards deemed
essential to the integrity of the UND FNP. Such violations of ethical conduct are grounds for disciplinary
action, which can include dismissal from the program.

As members of an academic community engaged in the pursuit of truth and with a special concern for
values, students are expected to conform to a high standard of honesty and integrity in their academic
work. The fundamental assumption under which the University operates is that work submitted by a
student is a product of his/her own efforts.

Among the most serious academic offensives is plagiarism, submitting the style of another author or
source without acknowledgment or formal documentation. Plagiarism occurs when specific phrases or
entire passages, whether a sentence, paragraph or longer excerpt, are incorporated into one’s own
writing without quotation marks or documentation. One also plagiarizes by paraphrasing the work of
another, that is, retaining another writer’s ideas and structure without documentation.

Students are advised always to set off another writer’s exact words by quotation marks, with
appropriate references. Students avoid plagiarism by concentrating on their own words and ideas and
by fully crediting others’ words and ideas when they find their way into the writing. Whenever in doubt,
cite the source.

Students who purchase essays from other students or agencies or who copy from one another or from
prohibited sources, commit the most serious type of academic dishonesty. The consequences of
plagiarism, or any act of academic dishonesty, may range from failure in a course to dismissal from the

The University of North Dakota Code of Student Life outlines the rights and responsibilities enjoyed by
student, faculty, and staff who make up the University Community. You may access the Code of Student
Life online at Members of the University community are expected to be familiar
with the rules and regulations contained within the Code and to act in compliance with them at all

Late Coursework
Assignments turned in late may be decreased 5% for each day the assignment is late.

Personal or business relationships between faculty and students are discouraged. Faculty, clinical or
didactic, who have personal or business relationships with students beyond the normal faculty role will
not directly supervise these students in classroom or clinical. These faculty members will disclose
outside relationships to the program director, who will determine whether or not to excuse them from
deliberations on that student's academic progress. Faculty/student professional boundaries are
expected, respected and must be maintained.
                   University of North Dakota College of Nursing
Professionalism and Integrity
Patient rounds, case preparation, reading, meeting attendance and other types of inquiry often have to
be performed on the student's own time. Students shall also conduct themselves in a professional and
respectable manner during class time, clinical time and during professional meetings and seminars. All
students should be dressed neatly and appropriately when on hospital property (no shorts, sweat suits,
etc.) See the various clinical site dress code policies.

Professional Decorum
The Family Nurse Practitioner Student is a representative of the specialty, the profession, the University,
and the clinical affiliates. The maintenance of a professional appearance and demeanor facilitates the
acceptance of the profession and the individual by patients and other health professionals. It is expected
that students will assume responsibility for observing the following guidelines on professional attire and
demeanor. While attending classes or laboratory sessions on the University of North Dakota campus,
students may express their personal choice in dress. Choices should be tasteful and neat.

While participating in any Program activity outside of the University of North Dakota campus, such as
the clinical sites, students should present a professional appearance. Lab coats, program
identification/name tags MUST be worn while on the hospital grounds and at all clinical training sites.
The hospital or university issued identification badge must also be worn at all times while on those sites.
All students must be clearly and continuously identified as students during clinical experiences. No other
credentials will be displayed on the student I.D. badge.

Professional attire should be observed whenever students are on hospital or institutional sites. This
includes visits to study in the hospital library, didactic examinations administered in the hospital facility,
major group meetings etc. Jeans, sweat pants and shirts, sandals and casual accessories are not
considered appropriate in these settings. During clinical experiences, students are expected to follow
policies and procedures put forth by each clinical site. Students may not wear artificial nails or dangly
jewelry in the operating room or while caring for patients.
Guidelines for Clinical Conduct
As the program offers new clinical challenges, the developing professional bears the responsibility of
representing the profession to patients, the public, and other members of the health care team. The
following guidelines should be observed in representing the profession:

•   Consistently demonstrate your concern for the welfare of the patient.
•   Be thoughtful and professional when obtaining the history and performing the physical exam.
•   Treat patients with respect and dignity, both in your interactions with them, and in your patient
    related discussions with other professionals.
•   Demonstrate your concern not only for the medical problem but also for the total patient.
•   Conscientiously respect the rights of your colleagues.
•   Characterize all of your professional encounters with cooperation and consideration.
•   Strive to assume an appropriate and equitable share of patient care duties.
•   Approach your responsibilities with dedication.
•   Be truthful in all professional communications.
•   When meeting multiple demands, establish patient-centered priorities to guide you in completion of
    such work.
                  University of North Dakota College of Nursing
Medical Record & Health History Confidentiality (HIPAA)
The Health Insurance Portability and Accountability Act (HIPAA) of 1996 mandates Federal privacy
protection for individually identifiable health information. All data gathered about a patient and his/her
illness, including all items within a patient's medical history, is privileged information. Students should
not discuss or present a patient's records in a manner or situation which would violate the confidential
nature of that record. Charts or contents, e.g., lab reports, etc., are not to be removed from the hospital
or clinical setting.

Standards have been set for health care providers who transmit health care transactions electronically.
While in clinical practice, most of the health care providers you will come in contact with will be under
the HIPAA guidelines and requirements. In your studies, and during your clinical practice, you need to be
aware of these requirements, and additionally, the health care provider will often train you on their
HIPAA policies and practices. HIPAA Training must also be completed at the College of Nursing. The
required training can be found on the School of Medicine website at:

Verification of completion must be submitted to the Program Director.

Some of the pertinent requirements of HIPAA are:

•   Notifying patients about their privacy rights and how their information is used.
•   Adopting and implementing privacy procedures for the practice or hospital.
•   Training employees so that they understand the policies.
•   Designating an individual as a Privacy Officer who is responsible for seeing that the privacy
    procedures are followed.
•   Securing patient records containing individually identifiable health information so that they are not
    readily available to those that do not need them.

While participating in clinical practice, you will be expected to comply with HIPAA requirements, and
you need to conduct yourself in the following manner during any clinical experience:

•   Use safeguards to prevent the use or disclosure of PHI (Protected Health Information) other than for
    your direct performance of services.
•   Notify your supervisor or faculty member of any use or disclosure of PHI that is contrary to your
    service and its purposes.
•   Ensure that fellow students do the same.
•   Cooperate and abide by with the training, policies and procedures of the health care provider.

Title and Identification
Role and title confusion are common problems encountered in dealing with patients, e.g., some patients
identify all those wearing white coats as physicians. Students should be aware of this problem and avoid
misrepresentation by politely explaining their role and position. In professional interactions with
patients and others, a student should introduce himself or herself as a Family Nurse Practitioner
Student. Students should use the designation, following all notations in charts, records, and other
medical forms. In all professional communications, including paging or beepers, a student should
introduce him or herself as a Family Nurse Practitioner Student. No student should casually accept the
"page" of doctor. Students may be subject to sanctions within the Program for failure to observe any of
                   University of North Dakota College of Nursing
these ethical guidelines. Photo identification badges must be worn by students at all times while in the
clinical setting.

Practice and Professional Ethics
The program expects students to adopt and observe the AANA Code of Ethics. Violations of this ethical
conduct standard will be regarded as professional and academic misconduct and failure to meeting term
objectives, and be subject to review as such.

Clinical Tardiness
Students are expected to report promptly for all clinical assignments. If unavoidably detained, the
student must notify the clinical coordinator or the clinical instructor that he or she is assigned with for
that day. Three instances of tardiness subject the student to clinical removal.

Clinical Non-Progression
Clinical faculty may suggest/request that a student receives a clinical performance evaluation at any
time, if they feel it is indicated. If a student is experiencing difficulty, he/she should be observed by
several faculty members.

Early identification of concerns (deficiencies) is important, as is immediate attention to developing
strategies to confront such matters. Corrective processes, including appropriate documentation, are
initiated whenever necessary and students are afforded adequate time to correct identified deficiencies.
If such processes are initiated prior to the student receiving his/her mid-term formative evaluation, and
if the student has not satisfactorily met criteria established to overcome the clinical deficiencies by mid-
term, then a grade of Unsatisfactory is reported at mid-term. The student then has the remainder of the
semester to meet established objectives and perform in a satisfactory manner. In the event that the
student does not correct the deficiencies by the end of the semester, then he/she will fail the clinical
rotation and will not be allowed to progress in FNP course work.

The student is then placed on clinical probation but is allowed to repeat the clinical rotation. If a repeat
of the clinical rotation is unsuccessful, the student is dismissed from the program. If the student is
successful in his/her repeat of a clinical rotation, then a grade of Pass is awarded and the student is
counseled by the Director regarding a necessary extension of the program. All aspects of this process
are documented, with all documentation becoming part of the student’s file. While on probation, a
student’s clinical performance will be formally evaluated at agreed upon intervals, usually weekly or
every two weeks, so that the student is afforded regular opportunities to review documentation and
discuss his/her progress or lack thereof.

Clinical faculty should complete daily formative evaluations, including specific notes regarding
performance on each case. Specific areas of concern, as established at the onset of the process, should
be indicated in these records. Daily records will be thorough, accurate, and concise so that counseling of
the student is clear. The clinical coordinator and track faculty will meet with the student at the
predetermined intervals providing feedback and counsel. During the probationary period, the student is
also responsible for self-evaluation.
                   University of North Dakota College of Nursing
Monthly Student Clinical Case Records
Each student is required to track their daily cases using the Medatrax tracking system. Students are
encouraged to input cases on a daily basis for accuracy. Case types and clinical information will be
reviewed frequently by track faculty.

Students will be oriented to this tracking system at the beginning of their program and will be afforded
ongoing technical support from Medatrax. There is a small monthly cost associated with this tracking
system that the student will be responsible for. More information will be provided to the students
regarding Medatrax.

Absence from Clinical
Excused Absence: Students are required to be in attendance at their assigned clinical site at all times,
Monday-Friday, except during determined breaks and holidays.

Unexcused Absence: - One unexcused or unapproved absence will result in a formal warning and will be
counted as one of the students clinical release days. If the student’s clinical release days have already
been used, a program extension may be necessary. Two unexcused absences will result in failure of the
course and subject the student to dismissal from the program. This may result in a program extension.

Leave of Absence: A leave of absence is designed to cover a short and unexpected illness or emergency.
Due to the cumulative nature of the curriculum, in the case of longer illnesses or elective procedures it
may be necessary for the student to resign and reapply to the program. Criteria for returning to the
program after a leave of absence will be determined by the program director and the student's treating
physician. However, the leave of absence shall extend no longer than a single calendar year. A student
will normally be readmitted to the Program at the end of his/her leave of absence if the faculty believes
the purpose of the leave of absence has been achieved. The student may be required to do preparatory
work before reentry after a prolonged leave, or demonstrate current knowledge through examination or
through other means upon re-entry. A leave of absence will require additional class and clinical days to
meet graduation requirements. Therefore, the student does not graduate on time or participate in the
Program graduation ceremony.

Clinical Removal Policy
See College of Nursing Policy #234. The primary responsibility of nursing students in clinical settings is
the welfare of clients. For the purposes of this policy “removal from the clinical” shall mean the
immediate removal of a student from direct client contact for that clinical day only.

A student exhibiting behaviors in the clinical setting which are deemed by the responsible clinical faculty
member to be unprofessional or unsafe to the mental, emotional, or physical welfare of clients, staff,
self, or others shall be subject to immediate removal from the clinical for that day. After one removal
from the clinical setting, the clinical faculty member, together with the clinical coordinator and track
administration must make a professional decision whether the behavior of the student is such that the
student should be permanently removed from patient contact.

If a second removal from the clinical setting occurs, the student shall be permanently removed from
patient contact in that course. Such removal shall result in immediate failure of the clinical course.
                  University of North Dakota College of Nursing
Within three class days after the second removal, a meeting with the supervising clinical faculty
member, together with the clinical coordinator and track administration, and a person of the student’s
choosing shall be held to review the removal decision. Following the meeting, a track faculty member
shall place all appropriate documentation in the student’s academic file (under clinical evaluations) and
the department chair shall inform the Associate Dean for Graduate Studies, and the Dean of the

An agency shall have the right to request of the faculty that a student be removed from the clinical
agency because of performance, which is deemed unprofessional or unsafe to the mental, emotional, or
physical welfare of clients, staff, self, or others. The agency may remove the student from client contact
and notify the track administration.

Clinical Site Injuries/Exposures
Any industrial accident or accident on hospital grounds must be reported immediately to the proper
manager or supervisor, as well as track administration, including completion of a Variance Report in
accordance with CON Policy #128. If required, the student should seek immediate medical attention
from the hospital in which the event occurred. Students must report any exposure to tuberculosis,
meningitis, hepatitis, or other infectious/communicable diseases to the Assistant Program Administrator
and clinical affiliate, as follow-up may be required. It is mandatory that students report all needle stick
injuries to both affiliate and track administration immediately, and follow through with appropriate
medical treatment. A Variance Report, and other reports as may be required by the affiliate or
university must be completed promptly. All required paperwork will be placed in the students file.
                  University of North Dakota College of Nursing

Educational Resources
The university offers a wide range of support for both undergraduate and graduate students. Within the
College of Nursing, the Director of Graduate Studies is available to students for assistance with
registration, progression, and student programs. In addition to computer labs located at various sites
across campus, state-of-the-art computers are housed in the College of Nursing. Student Health and
Counseling Services, the School of Medicine Harley French Library of the Health Sciences, and the
university’s Chester Fritz Library are accessible to students. The Harley French Library has branches at
the VA Hospital in Fargo, ND and the Q&R Clinic in Bismarck, ND, both cities in which the program has
primary clinical sites. The Clinical Resource and Simulation Center (CRSC) houses a wide variety of
models, audio-visual resource materials, and reserve texts, which are available for student use. All FNP-
related equipment, models, resource texts, and audio-visual learning resources are indexed and
cataloged, with a copy of the information provided to FNP students. The CRSC Manager and staff are
readily available to assist faculty and students.

Student Employment Policy for Work Outside the Program
Students are highly discouraged from working while enrolled in the Program

Associate Membership in the AANP
Students are required to become associate members in the American Academy of Nurse Practitioners
and to maintain membership throughout their educational program. Associate membership in the
AANP entitles a student to receive the AANP Journal, the AANP Bulletin, and to attend national meetings
at discounted costs.

Professional Activities
Students are encouraged to attend national meetings of the American Association of Nurse Practitioner
(AANP) and North Dakota Nurse Practitioner Association.

Professional Liability Insurance
The University of North Dakota College of Nursing provides liability insurance for all students, on or off
campus, each semester they are attending the College of Nursing and involved in the clinical setting.
Each student is covered up to $1,000,000 for any one incident, and up to $3,000,000 as a total of all
claims within one calendar year period. Students are not covered by this liability insurance during
personal volunteer work, working for pay or during self-employment. Students may, at their discretion,
purchase individual liability insurance coverage.

Substance Abuse/Pharmaceutical Use
(See also Code of Student Life).
CHEMICAL IMPAIRMENT POLICY (CON Policy #238): The University of North Dakota College of Nursing
recognizes that chemical impairment is an illness and should be treated as such. This policy regarding
chemical impairment is based on the American Association of Colleges of Nursing task force
assumptions and principles.

The general assumptions and principles used in developing this policy are as follows:

1. Chemical impairment compromises both the educational process and safe patient care.
                   University of North Dakota College of Nursing
2. Chemically impaired persons need help to recognize the consequences of their substance use.
3. Addiction is a treatable illness and rehabilitative and therapeutic approaches are effective in
   facilitating recovery.
4. Individuals with chemical impairment should receive an opportunity for treatment in lieu of, or
   before, disciplinary action.

Identification - Identification of impairment possibly due to substance abuse should be based on a
pattern of quantifiable behaviors such as:

1. Poor grades
2. Significant decline in GPA
3. Slurred speech, motor incapacities
4. Absenteeism or any pattern of impairment in an individual’s ability to meet standards of
5. Competency and safety in the classroom or clinical area

Reporting - When a faculty member or preceptor becomes aware of suspected chemical impairment
she/he will:

1. Remove student from the clinical site or classroom (refer to Clinical Removal Policy if indicated).
2. Confront the student immediately with observation of behavior.
3. Document the discussion, place in student medical file, and report it to the appropriate line of
4. If chemical impairment is suspected, intervention is indicated.

Intervention - To insure privacy of the suspected impaired student, any intervention will be conducted
in a strictly confidential manner.

1. The student will be referred to the University of North Dakota Counseling Center for an evaluation
   by a licensed addiction counselor at no cost to the student.
2. If chemical abuse is identified, the student will be referred to the University of North Dakota
   Counseling Center for their chemical abuse education program.
3. Documentation of intervention will be placed in student’s medical file.

Outcome(s) - Students unable to make appropriate professional judgments meet clinical/course
objectives or who demonstrate unsafe behaviors will be dismissed from the College of Nursing.

Continued progression within the curriculum is dependent upon the student meeting course objectives,
and academic standards as is expected of all students. A student must notify the Program Director if
he/she is taking prescription drugs that have the potential to affect performance in the clinical setting.
The Program Director must be notified when the drug therapy is initiated.

In addition to the above policy, students admitted to the FNP are also subject to mandatory drug
screening if impairment is suspected by track faculty. Students are also subject to all drug and alcohol
use policies set forth by our affiliate hospitals and clinical sites in addition to the UND policy. Students
should review these policies prior to their attendance at an affiliate hospital.

Student Policy for Bloodborne Pathogens (OSHA)
                  University of North Dakota College of Nursing
College of Nursing (CON), University of North Dakota (UND) faculty, staff and students, to conform to
the Exposure Control Plans for UND and those of affiliated agencies and clinical sites, as well as to the
requirements of local, state and federal laws and the Centers for Disease Control and Prevention (CDC)
guidelines relating to minimizing the possibility of exposure to bloodborne pathogens.

Specifically, the standards of the Occupational Safety and Health Administration (OSHA) will be adhered
to by faculty, staff and students of the CON. Students may not refuse to care for those infected with
bloodborne pathogens without sound medical reason to do so. Students who themselves are or may
become infected by one or more of the BBPs, will be reasonably accommodated by the school to allow
continuation of their education/career. Determinations relating to provisions in this paragraph will be
made on an individual basis.

Students and university faculty and staff are required to attend an annual in-service training/
informational session related to the OSHA standards. Students receive their initial in-service as a part of
the curriculum during their first year in the program. Subsequent in-services may be obtained through
the university, clinical affiliates offering training sessions, or other recognized and accepted venues,
which may be identified. Documentation of attendance or participation in an accepted program is
maintained in the student files.

BLS/ACLS/PALS Certification
Throughout the duration of their program, students must hold (and maintain) active certification in
American Heart Association (AHA) Basic Life Support (or the American Red Cross equivalent), AHA
Advanced Cardiac Life Support, and AHA Pediatric Advanced Life Support . While enrolled in the
program, students will be given time off to attend classes in order to maintain these certifications.
Verification of current certifications must be submitted according to the most current guidelines
outlined by the Graduate Nursing Office and available in the College of Nursing Graduate Student
Handbook and available at

Health Insurance
Students are required to provide their own health insurance coverage and are responsible for any
medical expenses incurred while enrolled in the College. Proof of individual insurance is required prior
to participating in clinical experience. Verification must be submitted according to the most current
guidelines outlined by the Graduate Nursing Office and available in the College of Nursing Graduate
Student Handbook and available at Students are
responsible for updating this information with the College of Nursing should changes in coverage occur.

Tuberculin Testing
Students must provide documentation of a negative TB test on an annual basis. Students who are
positive reactors must have a report of one negative chest x-ray on file and a statement signed by self
and a health care provider, assuring absence of symptoms. Verification of current TB status must be
submitted according to the most current guidelines outlined by the Graduate Nursing Office and
available in the College of Nursing Graduate Student Handbook and available at
                     University of North Dakota College of Nursing
Hepatitis B Immunization
All nursing students are required to have the Hepatitis B vaccine series and titre or a completed waiver.
Verification of current status must be submitted according to the most current guidelines outlined by
the Graduate Nursing Office and available in the College of Nursing Graduate Student Handbook and
available at

Academic Probation
See the UND Academic Catalog and College of Nursing Graduate Student Handbook.

Grievance Procedure
Refer to Code For Student Life, UND Academic Catalog, and the College of Nursing Graduate Student

Tracking Student Committed Time
The Medatrax clinical tracking system will be used to monitor case information and student committed
time while enrolled in the FNP program. Using these data, adjustments may be made to student
workload to ensure that patient safety is never compromised and that student learning is optimized.

Information contained in this handbook undergoes periodic review and revision. Track faculty and students will be
                           informed in a timely fashion of any amendments or changes.

                            VIII. Student-Faculty Handbook Acknowledgement

                              University of North Dakota - College of Nursing
                                         Family Nurse Practitioner
                                          Reviewed March 2012

 I have read the 2011-2012 UND Family Nurse Practitioner Student & Preceptor Handbook and agree to abide by
                               the Policies and Procedures contained therein.

I understand that policies and procedures may change throughout the duration of my program of study and that I
   will be made aware of these changes by Program Faculty and held accountable to these policy and procedural

____________________________________________________________________ Date_____________________

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