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Student Clinical Practice of Nursing and Advanced Practitioners at UW Health (8.11)

Student Clinical Practice of Nursing and Advanced Practitioners at UW Health (8.11) - Policies, Administrative, UWHC, Department Specific, Nursing Administrative, Student Clinical Experience

8.11

POLICY & PROCEDURE





Effective Date:
January 30, 2017

Administrative Manual
Nursing Manual
 Other _______________

Policy #:
8.11

Original
 Revision

Page 1
Of 5

Title: Student Clinical Practice of
Nursing and Advanced Practitioners at
UW Health



I. PURPOSE:
A. The purpose of this document is to describe the policies and procedures that guide the
approval process and working relationship for nursing students actively participating in clinical
and other learning experiences at UW Health.

II. POLICY:
A. UW Health licensed professionals have a responsibility to participate in the education of
nursing students.
B. UW Health clinical and administrative policies and procedures will be followed by nursing
faculty and students.
C. Agreements are developed between UW Health Department of Nursing and UW-Madison
School of Nursing, or other schools, for the purpose of providing a variety of learning
opportunities including clinical and classroom for students. No educational experience can take
place without a current contract. If the student is from a school not regularly affiliated with UW,
discussion should occur with the Director, Education and Development for Nursing and Patient
Care Services for contracting before plans are agreed upon.
D. UW Health nursing makes decisions about granting clinical placements based upon a number
of factors including but not limited to pre-existing collaborative relationships (such as with UW-
Madison School of Nursing), ability to meet demand, and organizational priorities.
E. The School is responsible for completion and record-keeping of each student's background
check, health screening, Health Insurance Portability and Accountability Act (HIPAA) review
and other required training.
F. The licensed professional maintains responsibility for all patients assigned to a student.

III. PROCEDURES:
A. Appropriate administrative personnel from a nursing school/college negotiate with the
Director, Education and Development for Nursing and Patient Care Services (or the
director’s designee) and the Director of Clinical Education (or the director’s designee),
for the selection of sites to be used for clinical learning. All initial communications
should take place with these individuals rather than directly with site managers or staff.
For Advanced Practice students, requests for site placement must go through the Office of
Advanced Practice.

POLICY & PROCEDURE





Effective Date:
January 30, 2017

Administrative Manual
Nursing Manual
 Other _______________

Policy #:
8.11

Original
 Revision

Page 2
Of 5

Title: Student Clinical Practice of
Nursing and Advanced Practitioners at
UW Health



1. Administrative personnel from the nursing school/college will request in writing the
clinical sites desired, dates and times of the clinical practicum, number of hours, names of
faculty members, and number of students; and will provide a course description with
objectives.
2. The Director, Education and Development for Nursing and Patient Care Services
and/or the Director of Clinical Education will confirm or deny requests after consultation
with the leader of the desired site.
3. Decisions will be communicated in writing to the originating School of Nursing
representative and to the manager(s) (or designee) involved.
4. One-time short observational opportunities in other areas by students already actively
participating in clinical learning experiences at UW Health can be arranged informally by
the faculty member and the manager, CNS, preceptor, and/or Clinical Department
Director.

B. Communication will occur between the representative of the school and clinical site prior to
the beginning of a new semester to discuss:
1. Course syllabus including learning objectives
2. Orientation procedures for students and faculty as needed
3. Level of supervision

C. Responsibilities of UW Health clinical sites:
1. Clinical site leadership supports the presence of nursing students and alerts faculty to
new procedures, policies, patient status, staff changes or concerns which might affect
student opportunities.
2. The clinical site licensed professional will:
a. Maintain primary responsibility for patient care.
b. Institute changes in patient assignments in collaboration with the clinical
faculty if the patient's condition changes and warrants greater involvement by the
nursing staff.
c. Alert clinical faculty to learning opportunities that may occur on a day-to-day
basis or in the long-term.

POLICY & PROCEDURE





Effective Date:
January 30, 2017

Administrative Manual
Nursing Manual
 Other _______________

Policy #:
8.11

Original
 Revision

Page 3
Of 5

Title: Student Clinical Practice of
Nursing and Advanced Practitioners at
UW Health



d. Participate in orienting students and/or faculty to the clinical site if requested by
the manager or clinical faculty.
d. A licensed professional is responsible for the flow sheet documentation and
narrative notes If a narrative note is generated, co-signature by a licensed
professional is required. Additionally, the licensed professional would include in
their narrative note that they agree with the student documentation within the flow
sheets. If a discrepancy is noted, the licensed professional will address it in the
patient record. The licensed professional precepting advanced practice students
must generate their own note independent of the student.
e. For all students supervised by clinical faculty, co-signature for all medications
is required. Supervision of administered medications will be required at the point
of administration. Clinical faculty are responsible for co-signature and
supervision; however, the nurse caring for the patient can supervise and co-sign
after discussion with clinical faculty.
f. For all students working with a designated UW Health preceptor, co-signature
for all medications is required.
g. Staff nurses responsible for patients assigned to students will:
i. Interact with the student in a manner appropriate to the student's learning
needs.
ii. Report to the student and faculty member pertinent information about a
patient that is not available in the chart.
iii. Be available to the student and clinical faculty for periodic patient
reports and a final report at completion of the student's time on the unit.
iv. Report to the clinical faculty unusual incidents occurring during the
student's clinical experience.
h. Advanced Practice students will:
i. Interact with the student in a manner appropriate to the student's learning
needs.
ii. Supervise the student during clinical exam and decision making in
accordance with privileging.
iii. Be available to the student and clinical faculty for periodic reports and
complete a final evaluation at the end of the student experience.

POLICY & PROCEDURE





Effective Date:
January 30, 2017

Administrative Manual
Nursing Manual
 Other _______________

Policy #:
8.11

Original
 Revision

Page 4
Of 5

Title: Student Clinical Practice of
Nursing and Advanced Practitioners at
UW Health



iv. Report to the clinical faculty unusual incidents occurring during the
student's clinical experience.
D. Responsibilities of the faculty and students:
1. The clinical faculty will:
a. Participate in an orientation program specific to the patient care setting. For
clinical faculty who are not UW Health employees, orientation will include
attending NEO, RNO, and Health Link training.
b. Complete required UW Health Safety and Infection Control training and other
organization and unit specific requirements related to their role..
c. Provide and implement an orientation program for students to their specific
patient care setting. The orientation program will include informing students of
their responsibilities while within UW Health.
d. Initiate discussion on student assignments and ensure that the assignments are
consistent with the student’s level of knowledge and ability.
e. Provide syllabus to preceptor and/or designated unit staff.
f. Ensure student supervision.
g. Summarize and discuss the students’ activities with the Preceptor and/or
designated unit staff.
2. The student is responsible and accountable for his/her behavior within UW Health.
Therefore, she/he will:
a. Conform to dress and behavior codes at UW Health.
b. Follow UW Health policies and procedures.
c. Perform and complete all activities assigned by clinical faculty.
d. Report to the licensed professional responsible for the patient and/or to clinical
faculty:
i. Inability to perform any patient care as soon as the situation is perceived.
ii. Any changes or incidents concerning the patient.
iii. Unscheduled medication and treatments administered.
e. If applicable, provide hand-off report to the licensed professional
responsible for the patient before leaving.
E. Problem resolution:

POLICY & PROCEDURE





Effective Date:
January 30, 2017

Administrative Manual
Nursing Manual
 Other _______________

Policy #:
8.11

Original
 Revision

Page 5
Of 5

Title: Student Clinical Practice of
Nursing and Advanced Practitioners at
UW Health



1. A problem arising between a student, nursing staff member, or a faculty member will
be discussed with involved persons at the time of occurrence.
2. If a problem is not resolved, assistance in problem solving will be sought from
area/unit leadership, the Office of Advanced Practice, the Director, Education and
Development for
Nursing and Patient Care Services and the course professor or faculty advisor.

IV. AUTHORED BY:
Director, Nursing Education & Development

V. REVIEWED BY:
A. Director, Nursing Education & Development, January 2017
B. Nursing Administrative Policy and Procedure Committee, January 2017

SIGNED BY:
Beth Houlahan, DNP, RN, CENP
Senior Vice President,
Chief Nurse Executive