The following information is a compilation of answers to the most frequently asked questions about clinical experience for the graduate nursing student. Additional information can be found on the Web site at http://www.usi.edu/health/nursing/degrees-and-programs/master-of-science-in-nursing or by contacting the Program Office at 812-465-1154.
All preceptors must have an unencumbered license in the state they practice and have a signed and approved agreement with the University of Southern Indiana Nursing Programs to function in the teaching role with graduate nursing students. Preceptors should be certified in their specialty area.
Alternate or Additional Preceptors
If other licensed practitioners have an opportunity to precept the student in the office or facility of the primary preceptor an additional Preceptor Agreement form must be completed and approved by USI prior to the experience. Students may participate as observers without a preceptor agreement. An observer may not assess a patient or implement a plan of care.
Orientation to the routine of the agency and introduction to staff will benefit both the student and preceptor. Students are encouraged to request 8 hours of observation experience with the preceptor prior to seeing patients on a progressively independent basis.
Student evaluation occurs formally twice during the fall and spring semesters (once at midterm and again at the end of each semester) and at least once during the summer semester. A written evaluation is completed by each preceptor at each evaluation using the Clinical Evaluation form and is essential for the educational and evaluation process. Preceptors are encouraged to discuss the evaluation with the student prior to mailing or emailing the completed form. Faculty, students and preceptors may request telephone and/or email communication in addition to the written formal evaluations.
Preceptors are expected to intervene directly and immediately should the student provide unsafe or inappropriate behavior in the clinical agency. Faculty are to be notified by phone of any such occurrence through the Graduate Nursing Office at 812-465-1154.
Number of Hours the Student Will Require Supervision
The total number of hours required in any one office or clinical site varies according to the individual preceptor agreement and the type of experience required. The student will inform the preceptor about the expected number of hours required for the program in which he or she is enrolled.
The student is expected to progressively develop competence in taking histories, performing physicals and determining a plan of care. The preceptor is to encourage the development of an independent practice and must be physically in the office or clinic facility while the student is practicing in the student role. At the beginning of the experience the preceptor should be with the student as he or she interacts with the patient. As the student develops competence the preceptor should allow the student to assess the patient independently and verbally report the assessment results, the need for additional data and a plan of care. The preceptor should then verify findings and concur or revise the plan of care. The student is expected to develop competence and skill over time.
Students need to know the policy for recording on patient records. If students are not allowed to record or dictate on the patient record, they will be keeping their own notes for faculty review. Students will be instructed to avoid patient identification on all unofficial records.
Documentation of Care
The method of documentation of care will typically vary from setting to setting. Regardless of the documentation format used in the clinical agency, the student must thoroughly and accurately document each client encounter. The clinical preceptor will review all entries made by the student on the client's record. The student's entry will be co-signed by the preceptor as appropriate for the clinical site. It is recommended that the preceptor's co-signature document agreement with the history and physical and the plan of care. Notation of only the preceptor's signature after the student's entry implies that the entire client visit was observed and the associated documentation has been approved without amendments. The following examples are methods to document the client encounter:
Providing the Memorandum of Understanding and Preceptor Agreements are completed, students are covered in the student role of advanced practice nurse by University malpractice insurance. The University of Southern Indiana's malpractice insurance does not cover the preceptor.
Any percutaneous or mucous membrane exposure must be reported to the nursing faculty immediately following emergency procedures. The faculty will assume responsibility to complete the required USI documentation as required by policy.