Saint Louis University

Clinical Requirements

Either a formal contract or letter of agreement must be completed prior to starting clinical experiences in an agency/office. In some instances, it may take up to 3 months to obtain approval of a formal contract, so plan accordingly. Contact Kari Elbe at ksaunde4@slu.edu or 314-977-8904 for assistance with this process.

Each preceptor also needs to be approved prior to beginning clinical experiences. Please click here for information on preceptor selection and approval.

All students must be compliant with University guidelines for immunizations, background check, HIPPA, Blood Borne Pathogens, and authorization to release forms (see forms here) prior to beginning clinical practicums.

Guidelines for Clinical Sites by Specialty
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Adult/Gerontological Acute Care Nurse Practitioner
NURS 5110 - Advanced Health Assessment & Clinical Decision Making: Any area in the hospital that will facilitate the student's ability to perform a comprehensive history and physical examination on acute and complex chronically ill patients (ages 13 and above). The site needs to have a diverse population such as emergency departments, internal medicine, or a hospitalist group.

NURS 5260 - Advanced Clinical Studies I: The student focus is addressing short term goals that include minimizing or preventing complications. The student develops critical reasoning coupled with advanced practice skills. Areas to focus on are surgical units, general medicine areas (Gastrointestinal, endocrine and renal), Geriatric internal medicine.

NURS 5270 - Advanced Clinical Studies II: The student focus is addressing patients with complex acute and unstable conditions. Areas of focus are Intensive Care units (medical or surgical), sub-specialties such as neurology, hemo-oncology, endocrine , renal, orthopedic trauma.

NURS 5810 - Advanced Practice Nursing Clinical Practicum: Advising from the core faculty will determine the additional sites needed for this course. The student assumes increasing independence and competencies in selected populations within the hospital environment. Areas to consider are: a hospitalist group and/or internal medicine. Any areas within the hospital (above courses) with which the student has not yet been provided will occur in this course.

*By the end of the NURS 581 the student will be able to demonstrate competencies in a majority of the specialties and sub-specialties within the hospital environment: (cardiology, pulmonology, gastrointestinal, orthopedics, emergency medicine, palliative care, geriatric care, surgical care, intensive care, hemoncology, renal, endocrine, neurology).

*All clinical hours need to be hospital based

*Students need to complete the process for obtaining a hospital contract prior to their first clinical course (see form)

Adult/Gerontological Primary Care Nurse Practitioner
NURS 5110 - Advanced Health Assessment & Clinical Decision Making: 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. Usually internal medicine or family medicine. The emergency room or take care clinics are also appropriate clinical sites. The preceptor may be an Adult, Gero or Family Nurse Practitioner or physician.

NURS 5240 & NURS 5250 - Advanced Clinical Studies I & II: Multiple outpatient settings including internal medicine and family practice. The emergency room and take care/urgent care clinics are not appropriate choices for these courses. The preceptor may be an Adult, Gero or Family Nurse Practitioner or physician.

NURS 5810 - Advanced Practice Nursing Clinical Practicum: Multiple outpatient settings including internal medicine and family practice in addition to limited clinical hours in sub-specialty practices (cardiology, pulmonary, neurology, endocrine, hematology, gastrointestinal, renal) that will allow 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 recommended. The preceptor may be an Adult, Gero 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. The emergency room and take care/urgent care clinics are not appropriate choices for this course.

*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 581 the student should be able to demonstrate competencies in all the clinical areas above.

Family Nurse Practitioner
NURS 5110 - Advanced Health Assessment & Clinical Decision Making: The clinical site may be community, outpatient, or inpatient but the student 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 (APN), physician assistant, or physician. Family Nurse Practitioners and Family Medicine Physicians are preferred.

NURS 5280 - Advanced Clinical Studies I: The students can seek rotations with internal medicine or family practice NP's or primary care physicians.

NURS 5290 - Advanced Clinical Studies II: Can use family practice (either NP or MD), OB-GYN physician or CNM or WHCNP, PNP or Pediatrician, as pertinent to the course content.

NURS 5810 - Advanced Practice Nursing Clinical Practicum: Continuation of the above areas. Convenient care clinicals are not a good choice for these courses. Sub-specialty practices on a rotational basis, i.e., dermatology, sports medicine, radiology, etc.

*Students acquire their own preceptor if out of town and with assistance, if living locally.

Pediatric Primary Care Nurse Practitioner
NURS 5110 - Advanced Health Assessment & Clinical Decision Making: The clinical site may be community-based, outpatient, or inpatient; but the student 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 (APN) 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 & NURS 5330 - Advanced Clinical Studies I & II: The student 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 plus limited clinical hours specialty practices will be allowed.

NURS 5810 - Advanced Practice Nursing Clinical Practicum: The student must be 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 (1 month of age or less) must be documented by the end of the program.

 

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