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  • 1. University of Miami School of Nursing and Health Studies

2. Welcome to pursuing acareer as an advancedpractice nurse! You shouldcongratulate yourself forunderstanding the need forcontinuing education andfor rising to this point inyour career. 3. There is currently a national shortage ofadvanced practitioners and one of the manyreasons is because of the intense amount ofrigor in the programs as well as the amountof discipline and sacrifice required from thestudent. 4. You already understand that nursing is aprofession, but now you are a leader in theprofession. You will be a role-model, anadvocate, and must exude excellence andprofessionalism to succeed. The health andwelfare of others depends on it. While youmay not be at this level yet, our goal is totransform you to reach a new stratosphere inyour practice and in yourself. Are you readyfor the journey? 5. Remember you represent the University ofMiami School of Nursing and Health Studies(UMSONHS)on campus and in the community. Your dress,communication and overall presentation are areflection of UMSONHS and the future of nursing. Be on time to class. Not only is it disruptive to otherclassmates and the faculty when students arrive late,valuable information may be missed. Turn cell phonesoff or to silence mode. Refrain from distractingbehavior such as talking and surfing the internet. 6. Be on time for your clinicalexperiences. This includesclass, lab and simulationactivities. Your peers, faculty,clinical partners, andpatients depend on you to bethere.Turn your assignments in ontime! You may be deductedpoints or given no credit forlate assignments. Also,turning in late assignmentsis a burden on yourinstructor. 7. Remember that the general expectations ofacademia differ from that of the generalpopulation. If you are asked to arrive to a clinical site orclass, you should plan extra time for traffic,parking, and arrive earlier than the time set.For example, if you are to arrive to a clinicalsite by 0700, aim for 0630. 8. Part of your professional growth will occurfrom your verbal and written communicationswith faculty and clinical partners. Make sure emails are formally addressed toan individual, starting with ones name. Avoidtexting lingo and use professional verbiageand sentences. Connote respect and a pleasant tone 9. Keep your instructors apprised of events,especially when changes arise. Notify viaphone and email to make sure faculty areaware if you have an emergency. Be aware ofthe processes in place and channels ahead oftime so you can communicate promptly. 10. The advanced practice nurse is expected to adhere to the same code of ethics as professional nurses. These principles should carry into your actions at the School as well as at your clinical sites. You may want to revisit The American Nurses Association (ANA) Code of Ethics for Nurses here. 11. A few specific considerations include:1. Maintaining appropriate boundaries with peers, faculty, clients and their significant others.2. Confidentiality must be maintained. Refrain from gossiping about clients, staff, otherstudents or faculty. This is non productive andunethical behavior . Concerns should becommunicated to the appropriate individual. 12. Maintain confidentiality for information regarding the client Do not remove any paperwork that could identify aclient from the clinical area. For example you maynot remove a laboratory report that has the clientsname on it from the clinical area. Do not discuss clinical information in a non securedareas such as the elevator, Metro rail, cafeteria, etc. 13. Nurses are ethically andlegally accountable tomaintain confidentiality .The Health InsurancePortability andAccountability Act of 1996(HIPAA) Privacy and SecurityRules protects the privacy ofindividually identifiablehealth information. Youlikely are familiar with HIPAAbut your actions now reflectupon the University as well. 14. If you choose to use social networking sites suchas Facebook or Twitter, be sure you separateyour professional endeavors from your personalendeavors and enact privacy settings. Any patient-care type of experiences mustremain private and never shared on any website.Sharing confidential information is breaking thelaw! The NCSBN developed a White Paper for nurses toGuide them on the use of Social Media. 15. Make sure you read through the honor code of the student handbookhttp://www.miami.edu/sonhs/index.php/sonhs/current_students/student_handbooks#Masters_Programs This code has been established to protect the academic integrityof the University of Miami, to encourage consistent ethicalbehavior among undergraduate students, and to foster a climateof fair competition. Examples of violations include: cheating, plagiarism, collusion,falsifying documents and other acts of academic dishonesty. 16. Advanced Practice Nurses are encouraged toparticipate in multiple professionalorganizations. Your membership demonstratesdevotion to the profession and supportsimportant educational and lobbying efforts.Employers will look at your CV formemberships. For an extensive list of nursingorganizations please visit the website listedbelow.http://www.nurse.org/orgs.shtml 17. Advanced Practice Nurses strive to provide the best nursingcare to clients to promote wellness. In order to maintainexcellence, a nurse must commit to life long learning andcompetency. Life long learning has been described as acontinuously supportive process which stimulates andempowers individuals...to acquire all the knowledge, values,skills and understanding they will require throughout theirlifetimes...and to apply them with confidence, creativity, andenjoymentCommission for a Nation of Lifelong Learners(1997). A NationLearning: Vision for the 21st Century Washington, DC: 18. Advanced Practice Nursesutilize a variety of methods toachieve their educational goalsincluding: attendance toseminars, involvement inprofessional organizations,obtaining advance degrees,research activities,subscriptions to journals, andspecialty certification,collaboration with otherdisciplines such as medicine,occupational and physicaltherapy. 19. Utilizing effective goal-oriented communicationis an essential competency for a nurse. Youwill communicate with your student peers, faculty,clients, clients families/significant others,advanced practice nurses, and other members ofthe health care team. Inadequate or poor communication among healthcare providers has been associated with increasederrors that jeopardize patient safety. 20. Utilizing the Chain of Command approachwhen communicating is recommended toprovide for an organized method ofcommunication. This also allows theopportunity for clarification and resolution ofconflict. 21. : Example : Flow of communicationStudentAssociate Faculty Dean forDeanConcernTeaching Graduate Regarding SONHS CourseCourse ProgramPlease refer to the Communication learningmodule for more detailed information. 22. While nurses are often part ofa multidisciplinary team ofhealth care providers,advanced practice nurseshave autonomy over theirpractice.You are in control of yourplanning, time management,attitude, actions, andsuccess! 23. The faculty and staff at the University of MiamiSchool of Nursing and Health Studies supportyour educational endeavor. We look forward tothe opportunity to facilitate the learningprocess and your professional growth.