Graduate Clinical Requirements

Prior to starting a clinical experience in an agency or office, nursing students at SLU must complete a formal contract or letter of agreement. In some instances, it may take up to three months to obtain approval, so plan accordingly.

Each preceptor also needs to be approved prior to beginning a clinical experience.  Contact Kari Elbe at ksaunde4@slu.edu or 314-977-8904 for assistance. 

Preceptor Selection and Approval

All nursing students must be compliant with University guidelines for immunizations, background checks, HIPAA, bloodborne pathogens and authorization to release forms prior to beginning clinical practicums.

Guidelines for Clinical Sites by Specialty

Adult/Gerontological Acute Care Nurse Practitioner  

By the end of the NURS 5810, you will demonstrate competencies in a majority of the specialties and subspecialties within the hospital environment, including: cardiology, pulmonology, gastrointestinal, orthopedics, emergency medicine, palliative care, geriatric care, surgical care, intensive care, hemoncology, renal, endocrine and neurology.

Information on clinical hours for additional coursework is detailed below. Remember, all clinical hours need to be hospital based. You must complete the process for obtaining a hospital contract prior to your first clinical course.

  • NURS 5110: Advanced Health Assessment and Clinical Decision Making
    You may work in any area in the hospital that will facilitate your ability to perform a comprehensive history and physical examination on acute and complex chronically ill patients who are 13 or older. The site needs to have a diverse population, such as emergency departments, internal medicine or a hospitalist group.
  • NURS 5260: Advanced Clinical Studies I
    Your focus should be on addressing short-term goals that include minimizing or preventing complications in areas such as surgical units, general medicine areas (gastrointestinal, endocrine and renal) or geriatric internal medicine. You will develop critical reasoning coupled with advanced practice skills.
  • NURS 5270: Advanced Clinical Studies II
    You should address patients with complex acute and unstable conditions in intensive care units (medical or surgical) or in sub-specialties such as neurology, hemo-oncology, endocrine, renal and orthopedic trauma.
  • NURS 5810: Advanced Practice Nursing Clinical Practicum
    Sites needed for this course will be determined by core faculty. Students will assume increasing independence and competencies in selected populations within the hospital environment, such as a hospitalist group and/or internal medicine. Any areas within the hospital as listed above where you have not yet had clinical experience will occur in this course.
Adult/Gerontological Primary Care Nurse Practitioner  

Your clinical hours must be distributed in a way that represents the populations of multiple care settings served by the specialty. By the end of NUR 5810, you should be able to demonstrate competencies in all the clinical areas below.

  • NURS 5110: Advanced Health Assessment and Clinical Decision Making
    Clinical hours may be completed in any outpatient setting that will give you a diverse population and allow you to perform a complete history and physical examination for acute and chronically ill patients. This is usually in the areas of internal medicine or family medicine, though emergency rooms or take-care clinics are also appropriate clinical sites. The preceptor may be an adult,  gerontological or family nurse practitioner or physician.
  • NURS 5240 and NURS 5250: Advanced Clinical Studies I and II
    Clinical hours may be completed in multiple outpatient settings, including internal medicine and family practices. Emergency rooms and take-care/urgent-care clinics are not appropriate choices for these courses. The preceptor may be an adult, gerontological or family nurse practitioner or physician.
  • NURS 5810: Advanced Practice Nursing Clinical Practicum
    Clinical hours can be completed in multiple outpatient settings, including internal medicine and family practice. Limited clinical hours can also be completed in subspecialty practices such as cardiology, pulmonary, neurology, endocrine, hematology, gastrointestinal or renal. This allows you to develop clinical reasoning related to the above systems, coupled with advanced practice skills.

    Limited hours in a continuing care retirement community with independent living and long-term care is also recommended. The preceptor may be an adult, gerontological or family nurse practitioner, or physician/specialist. A preceptor who sees patients both in the outpatient setting and does rounds in nursing homes is ideal. Emergency rooms and take-care/urgent-care clinics are not appropriate choices for this course.
Family Nurse Practitioner  

You will  acquire your own preceptor if you complete your clinical hours out of town and with assistance if they are completed locally.

  • NURS 5110: Advanced Health Assessment and Clinical Decision Making
    The clinical site may be community, outpatient or inpatient, but you must have an opportunity to conduct histories and perform both complete and focused physical exams on a wide variety of ages. The preceptor may be an advanced practice nurse, physician assistant or physician. Family nurse practitioners and family medicine physicians are preferred.
  • NURS 5280: Advanced Clinical Studies I
    You can seek rotations with internal medicine or family practice nurse practitioners or primary care physicians.
  • NURS 5290: Advanced Clinical Studies II
    Hours can be completed at a family practice (either nurse practitioner or M.D.), or with an OB-GYN physician, certified nurse midwife, women's health care nurse practitioner, or pediatric nurse practitioner or pediatrician, as pertinent to the course content.
  • NURS 5810: Advanced Practice Nursing Clinical Practicum
    This experience will be a continuation of the above areas but should occur in subspecialty practices on a rotational basis, i.e., dermatology, sports medicine, radiology. Convenient care clinicals are not a good choice for these courses.
Pediatric Primary Care Nurse Practitioner
  • NURS 5110: Advanced Health Assessment and Clinical Decision Making
    The clinical site may be community-based, outpatient or inpatient, but you must have an opportunity to conduct histories and perform both complete and focused physical exams on a wide variety of ages of children. The preceptor may be a pediatric advanced practice nurse or a pediatrician. Family nurse practitioners and family medicine physicians may be used, if they have contact with several children on the clinical day.
  • NURS 5320 and NURS 5330: Advanced Clinical Studies I and II
    You must work with a pediatric nurse practitioner, family nurse practitioner or pediatrician and be involved in care of well children and children with acute and/or chronic health problems. The primary setting should be community and outpatient care. Limited clinical hours in specialty practices will be allowed.
  • NURS 5810: Advanced Practice Nursing Clinical Practicum
    You must complete these clinical hours with a pediatric nurse practitioner or pediatrician and be involved in care of well children and children with acute and chronic health problems in primary and outpatient sites. Limited clinical hours at in-patient sites that support clinical reasoning and advanced practice skills may be considered. A minimum of 10 neonatal contacts (one month of age or less) must be documented by the end of the program.