Preceptor Resources & Toolkits

PLU Resources for Preceptors and Precepting

Orientation to Precepting

Information that is specific for Pacific Lutheran University School of Nursing, such as Orientation and the Preceptor Handbook, is available from the clinical instructor or by request : heather.graves@plu.edu

Professional Resources for Preceptors and Precepting

AACN
The webpage titled APRN Clinical Preceptor Resources Guide of The American Association of Colleges of Nursing (AACN) has clear definitions and descriptions of important preceptor responsibilities, plus links to the preceptor information provided by each advanced practice specialty organization. AACN also provides a handy statement (2018): “Advanced practice registered nurses (APRNs), physicians, and physician assistants, and other health professionals are all partners in the clinical education of APRN students. As a practice discipline, experienced APRNs are an active and critical component of APRN clinical education in that they are able to afford APRN students with enculturation to their future role as APRNs.”
https://www.aacnnursing.org/Education-Resources/APRN-Education/APRN-Clinical-Preceptor-Resources-Guide

NONPF
The Preceptor website of the National Organization for Nurse Practitioner Faculties (NONPF) has many resources, including short videos of how to interact with and help students who seem to be having difficulties. There are also links to other presentations of basic information for nurse practitioner preceptors.
https://www.nonpf.org/page/PreceptorPortal_Main

AANP
Preceptor resources provided by the American Association of Nurse Practitioners (AANP) include a preceptor and a faculty checklist and systematic review of the “one-minute preceptor.”
https://www.aanp.org/search?addsearch=preceptors

ACNM
The American College of Nurse Midwives (ACNM) shares some overlap with NP preceptors and has interesting and convenient information including a self-study course Developing Preceptor Skills and Special Situations, available to the public at:
https://www.midwife.org/Preceptors

NACNS
The National Association of Clinical Nurse Specialists (NACNS) shares overlap with NP preceptors and has an on-line self-study course, Developing Your Skills as a Clinical Nurse Preceptor.
https://nacns.org/communique/developing-your-skills-as-a-clinical-nurse-preceptor/

AUWS
ARNPS United of Washington State (AUWS) has a webpage with specific listings of preceptors and non-PLU students looking for preceptors. www.auws.org
https://auws.enpnetwork.com/nurse-practitioner-jobs to search for local jobs

NCQAC

• The Washington State Nursing Care Quality Assurance Commission (NCQAC) has provided a definition of preceptor in regulatory law as the Washington Administrative Code (WAC), WAC 246-840-533
  https://apps.leg.wa.gov/wac/default.aspx?cite=246-840-533
• The NCQAC also has a Concise Explanatory Statement from 2019 in response to questions about the legal definition:
  https://content.govdelivery.com/attachments/WADOH/2019/04/05/file_attachments/1187485/Concise%20Explanatory%20Statement_PreceptorRules_NCQAC.pdf
• See also the NCQAC generic information for both undergraduate and graduate nursing education clinical practice experiences:
  https://apps.leg.wa.gov/wac/default.aspx?cite=246-840-531

• The NCQAC lists requirements for nurse practitioner students in https://apps.leg.wa.gov/WAC/default.aspx?cite=246-840-522 as an active RN license in Washington and receiving the information necessary for nurse practitioner certification.
• The requirements for initial licensure as an ARNP in Washington include among others: a WA RN license, a graduate degree from a nurse practitioner program, and national certification. https://apps.leg.wa.gov/WAC/default.aspx?cite=246-840-340.
• The DNP degree requirements for clinical hours retain at least 500 for patient care practice and a total of 1000 hours for the doctoral program; the additional 500 are for the DNP project: https://apps.leg.wa.gov/WAC/default.aspx?cite=246-840-531
• The NCQAC provides the requirements for clinical faculty also as requiring an active unencumbered ARNP license, graduate nursing education from an accredited program, at least 2 years of experience as an ARNP, and the knowledge and competence to be teaching as faculty:
  https://apps.leg.wa.gov/WAC/default.aspx?cite=246-840-527

The NCQAC Advanced Practice Subcommittee meetings minutes, hearings, notices, and newsletters generally are available to the public. For example, a recent rules hearing April 16, 2020 passed the amendment changing the ARNP licensing renewal requirement for clinical practice hours. “The proposed rule amendments to WAC 246-840-342 and 246-840-360 remove the advanced registered nurse practitioner (ARNP) clinical practice hour requirements for license renewal and licensure by interstate endorsement. The proposed amendments reduce barriers for qualified ARNPs to practice in Washington state.“ CR-102 [Code Reviser 102]
So long as the ARNP meets certification requirements by the national body, Washington State will accept that certification for license renewal or license by endorsement. The new rules are expected to be in effect by summer. “For a copy of the actual recording [of the Sub-Committee’s meeting], please contact the Public Disclosure Records Center (PDRC) at PDRC@doh.wa.gov.”
If you would like to get updates about a particular topic such as Advanced Practice, complete the following form:
https://public.govdelivery.com/accounts/WADOH/subscriber/new?qsp=WADOH_4

For ARNP practice questions, contact: ARNPPractice@doh.wa.gov
For Advanced Practice FAQs, click on the following link:
https://nursing.wa.gov/support-practicing-nurses/practice-information/advanced-registered-nurse-practitioner
For questions about the work of the Advanced Practice Sub-committee, contact:

Mary Sue Gorski, PhD, RN
Nurse Adviser, Research, Policy & Advanced Practice
Nursing Care Quality Assurance Commission
P.O. Box 4786
Olympia, WA 98504
360-915-3334
MarySue.Gorski@doh.wa.gov

CMS
Centers for Medicare and Medicaid Services has provided clarification about the requirements for documentation by the preceptor. See particularly the section titled “Background.” There are also explanations of what the preceptor is responsible for in the E/M (evaluation and management) aspects of care, including re-performing the physical examination as needed.

Toolkits and Other Information About Precepting

Please note that all resources listed here are available freely and are not copyright protected. If you would like a references list of research and other articles about nurse practitioner precepting and preceptors, contact Jenny Bolin, Graduate Clinical Placement Coordinator at bolinj@plu.edu.

Rush University’s Barker & Pittman have produced a free Powerpoint presentation for nurse practitioner preceptors titled, “Preceptor Toolkit:”
https://www.rushu.rush.edu/sites/default/files/College%20of%20Nursing/AANP%20PreceptorToolkit.pdf

The Office of Clinical Education at Indiana University Health provides another Toolkit specifically for nurse practitioner preceptors. It contains well-organized and thorough information:
https://www.iuhealthcpe.org/file_manager/1500896406-OCEToolKit_07242017.pdf

The Gerontological Advanced Practice Nurses Association (GAPNA) provides Resources and a Toolkit for Gerontology/Adult NP preceptors.  You must create an account for a login although the account is free.
https://www.gapna.org/resources/toolkits/toolkit-gerontology-resources-aprn-preceptors-and-students

While Burns’ work Mastering Precepting 2^nd ed. (2018) is generic for all nurse preceptors, the basics apply to nurse practitioner students. This chapter on “Core Precepting Concepts” is available free online:
https://www.sigmanursing.org/learn-grow/publications/book-downloads/masteringprecepting2-extras

Even though intended for physicians precepting medical students, there is much that applies to the NP precepting the student NP. “How to become an efficient and effective preceptor” is available at:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2879074/

Resources for Preceptor Career Development

PLU also has a post-master DNP program. For more information, check the following website:
https://www.plu.edu/nursing/graduate-programs/

Clinical Resources and Updates for NPs

COVID19
DOH general information about COVID19:
https://www.doh.wa.gov/Emergencies/Coronavirus

ORAL HEALTH IN PRIMARY CARE
The HRSA Health Center Program website has links to landmark information about oral health in primary care:
https://bphc.hrsa.gov/qualityimprovement/clinicalquality/oralhealth/index.html

The American Academy of Family Physicians has focused information, a list of questions to include in history and review of systems, and links to policy about clinical care:
https://www.aafp.org/family-physician/patient-care/prevention-wellness/lifestyle-medicine.html

EVALI (ECIGARETTES AND VAPING ASSOCIATED LUNG INJURY)
The CDC has basic information about EVALI:
https://www.cdc.gov/tobacco/basic_information/e-cigarettes/severe-lung-disease/healthcare-providers/

The Washington State Department of Health also has information about EVALI: https://www.doh.wa.gov/Emergencies/VapingAssociatedLungInjury

SEX AND HUMAN TRAFFICKING
Arizona State University is one of the top schools for research into sex trafficking and human trafficking. Their brochure is succinct and helpful:
https://socialwork.asu.edu/stir/resources

SOAR training helps providers identify clients who are victims of human trafficking.
https://www.acf.hhs.gov/otip/training/soar-to-health-and-wellness-training

American Association of Nurse Practitioners Certification Board

Access through this link the Preceptorship/Preceptor Form from the AANP Certification Board for re-certification.
https://www.aanpcert.org/resource/documents/Preceptor%20Form.pdf

Further Resources of Interest

ARNPS United of Washington State (AUWS) Preceptor webpage lists local NP job openings: https://auws.enpnetwork.com/nurse-practitioner-jobs