1. The Clinical Nurse Leader Preceptor Orientation 2013 Mary Frances D. Pate, DSN, CNS, RN Sharon Kimball MS, RN, CNL

2. What is a CNL? From AACN: “the CNL oversees the care coordination of a distinct group of patients and actively provides direct patient care in complex situations. This master's degree-prepared clinician puts evidence-based practice into action to ensure that patients benefit from the latest innovations in care delivery. The CNL evaluates patient outcomes, assesses cohort risk, and has the decision-making authority to change care plans when necessary. The CNL is a leader in the health care delivery system, and the implementation of this role will vary across settings.”

3. UP CNL Curriculum Overview  42 semester credits  6 semesters  Part-time (6-7 hrs/semester) until CNL Residency in last semester  Two entry points Post-BSN traditional Masters student AEM UP Alternate Entry Masters students for students with a degree in another field.

4. UP Curriculum  Semester I NRS 501 Theories and Ethical Foundations for Advance Roles in Nursing (2 cr) NRS 503 Scholarly Writing (1 cr) NRS 534 The Role of the CNL (3 cr)  Semester II NRS 567 Communication and Relationships (3 cr) NRS 570 Advanced Clinical Foundations (4 cr)  Integrated Health assessment/Patho/Pharm

5. UP Curriculum  Semester III NRS 569 Human Population Ecology (3 cr) NRS 568 Information Knowledge Systems (3 cr) NRS 500 Statistics (3 cr)  Semester IV NRS 589 Applied Research: Evaluation & EBP (3 cr) NRS 585 Foundations for Integrative Health (1 cr) NRS 593 CNL as Practice I (3 cr)  Didactic (1cr) + 100 clinical hours

6.  Semester V NRS 566 Resource Management in the Micro Environment (3 cr) NRS 587 Evidence for Integrative Health (2 cr) NRS 595 CNL as Practice II (3 cr)  Didactic (1cr) + 100 clinical hours  Semester VI  NRS 596 CNL Residency (6 cr)  300 clinical hours Students will have a portfolio review before they can advance to the residency

7. CNL Certification  All UP CNL graduates qualify for the CNL Certification exam  There are 2510 certified CNLs nationally as of April 2013  97% pass rate in the first three cohorts at UP

8. CNL Clinical Experience  AACN mandates “required clinical experiences”  Students are expected to get these experiences over the 3 semester, 500 hour clinical experience  Students are placed in a variety of settings Acute care, ambulatory care, hospice, large hospitals and critical access hospitals

9. Dates for Clinical  Summer 2013: May 20 th – Aug 1st  Fall 2013: Aug 27 th - December 7 th  Spring 2014: January 15 th – May 1 st

10. CNL clinical  Students will have an ongoing performance improvement project  Summer 2013: assess the microsystem and plan the intervention  Summer break: submit to IRB  Fall 2013: implement interventions for performance improvement  Spring 2014: 300 hour residency and evaluation of performance improvement project

11. Summer 2013  Students will systematically assess the microsystem using the 5Ps approach The purpose The patients The people The processes The patterns  Develop a performance improvement project based on their assessment and discussion with their preceptor and the nurse manager

12. Summer 2013 End Product  Paper discussing their assessment, plan for performance improvement and evaluation plan  Complete IRB application for project

13. Preceptor Role  Mentor Usually meet for ~ 1 hr per week Email updates to preceptor, faculty and nurse manager weekly  Assist with learning about the clinical site the 5Ps  Provide guidance in developing PI project

14. Clinical Evaluation  There will be a mid-term and final clinical evaluation to be completed by the preceptor along with the student.  Faculty will work in partnership with the student and preceptor and meet as a team during the term at times to be mutually determined

15. Questions?  Contact  Mary Frances D. Pate, DSN, CNS, RN pate@up.edu pate@up.edu 503-943-7350 503-943-7350  Sharon Kimball MS, RN, CNL kimball@up.edu kimball@up.edu kimball@up.edu 503-215-5030 503-215-5030