University of Maryland CNL Accepted Students Fall 2010

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I thought this would be a great place to move registration/orientation questions for newly admitted CNL students at University of Maryland.

Did you all get the registration email today?

I wanted to say congrats to all accepted! I was informed yesturday that I am at the top of the waitlist for Fall 2010! So hopefully something happens and I will see you in August!

Sorry for the typos in my last email. The easy button for editing disappeared after an hour. But I wanted to follow up, for anyone interested, on some more resources pertaining to the CNL path:

American Association of Colleges of Nursing

White Paper on the Education and Role of the Clinical Nurse Leader TM

February 2007: http://www.aacn.nche.edu/Publications/WhitePapers/ClinicalNurseLeader07.pdf

Here's the American Association of Colleges of Nursing web resource on all things CNL: AACN - Clinical Nurse Leader

YouTube vid from Seton Hall: http://www.youtube.com/watch?v=CdOWsAijAEU

Here's the story of how the CNL initative came into being

Schools with CNL programs (over 80 Nursing Schools): AACN - CNL - Program List

:nmbrn: :hpygrp: :nmbrn: :hpygrp: :nmbrn:

Specializes in Emergency Department.

Shelly- thank you once agin for posting such great information! I really wish I had come across your posts before I applied. It would have saved me months of agonizing over the decision to apply for the CNL program. After watching that short Seton Hall piece, I feel so proud to be pursuing the CNL option (and at UMB no less). :)

Thanks for your incredible information and unwavering optimism! I hope you will be able to bring that enthusiasm and commitment into all of your (correction: OUR) classes. :yelclap:

Shelly- thank you once agin for posting such great information! I really wish I had come across your posts before I applied. It would have saved me months of agonizing over the decision to apply for the CNL program. After watching that short Seton Hall piece, I feel so proud to be pursuing the CNL option (and at UMB no less). :)

Thanks for your incredible information and unwavering optimism! I hope you will be able to bring that enthusiasm and commitment into all of your (correction: OUR) classes. :yelclap:

:hug: Haha, thanks! I can't WAIT to get started! I know what you mean about needing the info during the decision process. Hopefully this will help future CNLs become engaged. Interestingly, the WHITE PAPER states that this program is still so new that they were still figuring out how to implement it completely in 2007! I was under the impression that it had been around for 10 or so years! No wonder my high school girlfriend, a nurse of 13 years, hadn't heard of it. But this seems to be not just a test platform for a handful of schools, but rather an industry-led change supported already by more than 80 schools of nursing. I liked the WHITE PAPER's list of "assumptions" on how it sees the curriculum changing. I find this interesting. I will be keeping these in mind as we go through our own classes. If I'm aware of the end-goal, I think I'll be better able to incorporate why I'm learning some of the things they are trying to teach us.....Not just because "everyone has to do this," but because it meets the recommendation of certain "evidenced based / best" practices that will improve patient outcome and "fiscal stewardship." What a mouth-ful! No? Hahahahahah! Anyway, time to get some sleep (while I still can.....) Cheers!

Hey let me know when you guys are going to do the A and P reviews and where because even if I have to wait to spring to do the program I would like to review with you guys. I was looking over my notes and I don't remember the kidney at all LOL besides basic function.

Hey let me know when you guys are going to do the A and P reviews and where because even if I have to wait to spring to do the program I would like to review with you guys. I was looking over my notes and I don't remember the kidney at all LOL besides basic function.

Absolutely! No prob! :D

Does anyone know exactly what uniform is required for CNL students? I've started my hunt for my supplies but they were not specific of color, brand ect.

Also I've spoken to many nurses who say that the best shoe to wear are nike shox. I'm wondering is something as small as the swoosh being another color would cause a problem with their requirements.

Any suggestions?

White top and khaki pant will be our uniform color. Shoes....will be any brand as long as it's white.

Thanks! Do you know if they are very specific of the khaki shade?

NOt at all as long as it Khaki, we have so many different shade in my lab group. I remember how excited I was when I got accepted and went through all these...:) ...I just finished my last exam today and I felt so great that's it's over. PM me if you want sepecific questions :)

error.....sorry

:p Howdy, ya'll! Here's some more background on the CNL program. This is a press release pertaining to the American Association of Nurses joining the implementation of the CNL education "Task Forces".....

ANA Joins the AACN Clinical Nurse Leader Implementation And Evaluation Task Forces (10/13)

Also, I am more thrilled about the CNL program since reading the White Paper for CNL education Link (click here): AACN - Publications - White Papers.

Some major parts which jump out at me include:

[begin quoting in sections]

(Under EDUCATING THE CNL): "The CNL role is not one of administration or management. The CNL functions within a microsystem adn assumes accountability for healthcare and outcomes for a specific group of clinets within a unit or setting through the assimilation and application of research-based information to design, implement, and evaluate client plans of care.....The CNL designs, implements, and evaluates client care by COORDINATING [all caps mine], delegating and supervising the care provided by the health care team, including licensed nurses, technicians, and other health professionals."

(Under TEN ASSUMPTIONS FOR PREPARING CLINICAL NURSE LEADERS):

Assumption 1: ...direct care providers, the CNL is accountable for the care outcomes of clinical populations or a specified group of clients in a health care system. ...coordinates the direct care activities of other nursing staff and health professionals. The CNL provides lateral integration of care services within a microsystem of care to effect quality, client care outcomes.

Assumption 2: ...performance of the CNL will be measured by the extent to which he or she succeeds in improving CLINICAL AND COST [all caps mine] outcomes in individuals and groups of clients within a unit or setting, e.g. diminishing recidivism in schizophrenic clients; elimination of pressure ulcers in nursing home residents; reducing hospital length of stays for clients admitted with pneumonia; increasing participation in prenatal care and classes in a community.... Students must learn how to compare desired outcomes with national and state standards and with those of other institutions. CNL education can make a significant contribution to the health of the public by emphasizing common clinical conditions that comprise the bulk of health care activity and cost and where professional nursing is likely to have the greatest impact on the healthcare system and outcomes. For example, in the past, nursing education has been dogged about assuring that every student has the opportunity to attend a birth but has never insisted that every student have the opportunity to manage a death, even though the vast majority of nurses are more likely to practice with clients who are at the end of life. Similarly, gerontology has not been a universal curriculum requirement even though persons over 65 use the lion's share of health resources nationally.

Assumption 3: Many graduates do not routinely read professional journals and incorporate new evidence into practice. ...the CNL student should have the opportunity, within his or her course of study, to SEEK AND APPLY [all caps mine] evidence that challenges current policies and procedures in a practice environment and to incorporate evidence into practice..Practical experience in the dissemination of clinical knowledge such as grand rounds, case presentations and journal clubs should be intrinsic to CNL education to ensure that the implementation of new evidence becomes embedded in practice.

Assumption 4: ...the CNL will be responsible for coordinating the variety of team members participation in the plan of care. Currently, many students complete their course of study in nursing without having had the opportunity to work closely with physicians, physical therapists, social workers, pharmacists and others who are caring for the same client. Likewise, communication with other nurses who provide care to the same client(s) in other settings is seldom stressed. This lack of communication results in discontinuous and frequently unsafe, uncoordinated, inappropriate care. Learning to advocate for clients by communicating effectively with other interdisciplinary team members, including nurses in other settings, must start in CNL education programs with real experiences.

Assumption 5: ...stunning advances in science and technology--specifically informatics and genetics--have taken it to a new level. As participants in their own care, clients require in-depth, up-to-date knowledge about themselves, their specific health problems, and their treatment options. ....Clinical practice must include educating clients and families-- not just on how to perform a procedure at home but also the nature of the problem, and how they can acquire additional knowledge about the condition and support from others with similar problems.

-----------[end of quoting, but more to read, lots more, on the actual white paper]-------

You get the picture. Again, forgive the lengthy post, but for those who have the stomach, hope this info was useful! I really like this, myself. :D

Cheers to all for a wonderful week!

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