2022-2023 Child Health Training Program Information Page

• The course includes a supervised clinical practicum with local agency physician(s) or advanced practice provider(s).
• The course requires an application. (Must be completed with clinical preceptor information and applicant's signature.)

• Document the nursing assessment of the physical, developmental, and psychosocial status of children and adolescents based on AAP Bright Futures recommendations and the Health Check Program Guide requirements.
• Develop an appropriate plan of care and provide appropriate consultation and/or referral for clients with identified or suspected abnormalities.
• Demonstrate and follow agency appropriate nursing standing orders and clinical policies while following RN scope of practice.
• Provide client-focused, age-appropriate anticipatory guidance to children, adolescents, and families.

• 171.75 NCPD Contact Hours and CPH Recertification Credits may be earned upon successful completion. 
• For successful completion, participants must attend 100% of the educational activity, make at least 80% passing grade on the final exam and complete the online course evaluations.
• There will be no partial credit awarded.
• No one with the ability to control the content of this activity has a relevant financial relationship with an ineligible company to disclose.  
• No commercial support has been received for this activity.  
• This educational activity is being jointly provided by the Public Health Nursing Institute for Continuing Excellence (PHNICE) and the North Carolina Public Health Association.    

Audience

• Division of Child and Family Well-Being/Whole Child Health Section, North Carolina Department of Health and Human Services
• NC Office of the Chief Public Health Nurse and the Public Health Nursing and Professional Development Unit, Division of Public Health, North Carolina Department of Health and Human Services
• North Carolina Public Health Association (NCPHA)

• Bates’ Guide to Physical Examination and History Taking, Lynn S. Bickley, 13th edition
• Mosby's Pediatric Assessment Pocket Guide, Joyce K. Engel
• Bright Futures: Guidelines for the Health Supervision of Infants, Children and Adolescents, 4th edition, American Academy of Pediatrics, Edited by Joseph F. Hagan, Jr, MD, FAAP; Judith S. Shaw, EdD, MPH, RN, FAAP; Paula M. Duncan, MD, FAAP
• Bright Futures Nutrition, 3rd Edition, Katrina Holt, MPH, MS, RD; Nancy H Wooldridge, MS, RD, LD; Mary Story, PhD, RD; Denise Sofka, MPH, RD

Required Pre-course Planning

Minimum Technical Requirements

• Hardware Requirements:
  To view hardware requirements for using Microsoft Teams, please see the Microsoft Teams Technical Requirements Page.  It covers Apple, Android, and PC devices:
  • Microsoft Teams Hardware Requirements, these hardware requirements are relatively standard across teleconferencing options, (including a USB 2.0 video camera, USB headset microphone, speakers, and sound card) but please review the list to confirm.
  • Please note that computers, laptops, and tablets with larger screens typically work better when using MS Teams than smaller tablets and phones.
• Software Requirement:
  Microsoft Teams will also require a software download to your computer or device:
  • Apple App Store Download for Microsoft Teams
  • Android Google Play Devices Download for Microsoft Teams
  • PC Download for Microsoft Teams

• A sound card (most new computers have a sound card already installed)
• Reliable, high-speed internet access (minimum of 1.8 Mbps upload speed per person & 10 Mbps download speed per person or higher; DSL/cable option is recommended, may use Wi-Fi if you have a stable and secure connection).  You can test your internet speed using this link: Internet speed test
• An email account that can handle attachments and email encryption.
• An up-to-date web browser such as: 
  • Mozilla Firefox (v 65.0 or above)
  • Google Chrome (v 70.0 or above)
  • Note: Mozilla Firefox or Google Chrome is the preferred browser

• The free plug-in: 
  • Adobe Acrobat DC or later (do not need Pro version)
• To test your Adobe Connect Capabilities, you can complete a quick diagnostic test (should take 2 minutes or less) by visiting:
  • Adobe Connect Meeting Support Diagnostic Test
  • The diagnostic test will check:
    • Your operating system
    • Your browser
    • Connectivity (network connection)
    • Speed (upload and download speeds)
    • You will also have the option to set you your speaker & microphone settings.
    • Please note and complete any recommendations.  Also note that your connectivity and speed may vary throughout the day, based on your provider and specific demands of your internet connection at the time of the test.
• A copier/scanner or a desktop scanner for scanning non-electronic homework assignments that you will upload to the Child Health Training Program page.
• For the Orientation and Practicum Check-Ins, participants will need to have access to both the internet (visual) and the telephone (audio). For the archived Clinical Topic Webinars, you will need either speakers or a headset.  If you do not have the latest versions of the plug-ins (Adobe Reader) or web browsers listed above, please download them before starting the course. If you have questions or need assistance in verifying that you have the necessary equipment, or MS Teams access, please contact your agency’s computer support person. This is especially true if your employer utilizes firewalls for security. 

Role of the Participant

• Complete all Pre-training requirements, including reading and video assignments and eight archived webinars and obtain a minimum score of 80% on all post-tests.
• Participate in the face-to-face training sessions in Raleigh for Weeks One and Two.
• Complete all assignments with a score of “satisfactory” on all visit write-ups during the clinical practicum.  The participant will submit four Documentation by Exception (DBE) writeups that are developed by the participant and reviewed by the preceptor prior to submission.  The Director of Nursing/Nurse Supervisor/or designee is asked to review and sign-off on each write-up prior to submission to prevent an inadvertent HIPAA breech.
• Complete eight clinical practicum archived webinars and two live webinars and obtain a minimum score of 80% on all post-tests.
• Complete three Clinical Practice Scenarios with the primary preceptor during the practicum.
• Participate in all Faculty Office Hours.
• Participate in Child Health Training Program Check-in webinars.  The participant, preceptor(s), and nurse supervisor are expected to participate in the check-in webinars.
• Complete at least 60 hours during the clinical practicum providing comprehensive histories and physicals (includes seeing 30 children/youth with a minimum of five from each required age group: 0-2; 3-5; 6-10; and 11-20).
• Maintain and submit Clinical Logs to demonstrate progress towards meeting practicum requirements.
• Receive a rating of “satisfactory” on the final clinical evaluation by the participant’s primary preceptor.
• Receive a rating of “satisfactory” on the final clinical check-off by faculty.
• Obtain a minimum score of 80% on the final examination which includes two Clinical Practice Scenarios and 60 multiple choice questions.

Expectations of Agency

• Assure time to complete course assignments and provide experienced preceptor with designated time to spend with the student. 
  • 50% of the FTE should be focused on the CHTP beginning two weeks prior to Virtual Classroom Series One (prep requirements) through the end of Virtual Classroom Series Two.
  • The primary preceptor is responsible for ongoing mentoring and review of the participants assignments; it is estimated that this time commitment would average 1.5 hours per day, or 7.5 hours per week.

Role of the Agency Supervisor

• Agree to facilitate learning experience during training period (time for assignments and preceptor accessibility); see time commitment estimation on page one of this document.  RECOMMENDATION: See CHTP Course Outline and CHTP Participant Key Dates Calendar for suggestions on assuring time available for Primary Preceptor participation and review of assignments prior to Participant submission.
• Agree to assess participant learning requirements and make appropriate accommodations to support successful completion of course requirements, for example, providing a quiet environment in the agency to complete assignments or allowing participant to work from home.
• Facilitate application of skills during practicum, including arranging for 60 hours of clinical practicum time during which Participant is relieved of other duties, and assuring Primary Preceptor is available to support the learning process (see time recommendations above).  
• Facilitate regular check-ins with the Preceptor(s) and Participant to assure successful completion of practicum requirements.
• Review and sign-off on each write-up prior to submission to prevent an inadvertent HIPAA breech.
• Schedule initial planning session by September 8, 2022, with the Participant and Preceptor(s) to schedule time for completion of course assignments by the Participant and review by the Preceptor(s), and ongoing mentoring to support clinical practice skill building.  Please utilize the CHTP Participant Key Dates Calendar to assist with the planning efforts.
• Schedule periodic check-ins with the Participant, and Preceptor (s) to assess the Participant’s progress toward meeting the CHTP Course requirements.  Please utilize the CHTP Participant Key Dates Calendar to assist with the planning efforts.
• If applicable, schedule periodic check-in conference calls with the partnering agency that has agreed to provide a Preceptor and serve as the clinical practicum experience to assess the progress of the Participant’s course requirements and to address any identified questions or concerns.
• Clarify agency CHERRN role expectations for Participant prior to and once course is completed.  Assure appropriate consultative support, and policy and procedures are in place to support the RN after completion of the course.

• Serve as clinical faculty during the clinical practicum, provide oversight and mentorship for the Participant including consistent accessibility for consultation and re-assessment of the client.  Must have face to face consultation with the patient to bill under Primary Preceptor’s name prior to rostering as an CHERRN.
• Complete a Self-Assessment prior to August 15, 2022, to assist faculty in identifying areas for improved support to preceptors during the practicum.  Preceptors will be sent an email with the link to the Preceptor Assignment page immediately after course registration.
• Complete the CHERRN Role and Clinical Assessment Process archived webinar prior to Orientation on August 18, 2022, submit the Attestation of Completion form (located on the Preceptor Assignment page).  
• Observe and evaluate a minimum of two complete pediatric assessments at the beginning of the clinical practicum and complete an evaluation form on the Participant’s performance of one assessment using the Clinical Performance Review document.  Participants must submit the signed evaluation form by October 21, 2022.
• Review each of the four Participant write-ups before the participant sends to the training program for comprehensiveness and assure it meets agency policy and procedure and regulatory (HCPG) and licensure (NCBON) requirements.  NOTE: A detailed plan of care is required for all parental concerns, risk factors or clinical findings.  
• Participate in the Faculty Office Hours review of the first two documentation assignments:  November 8 and November 29, 2022.

• Review faculty feedback for each assignment and work with the Participant to assure understanding of the feedback and application in the next assignment.
• Complete with the Participant three Clinical Practice Scenarios (CPS) to support critical thinking process.  CPS #1 to be submitted by November 4, 2022, CPS #2 by December 2, 2022, and CPS #3 on January 20, 2023. 
• Complete the Clinical Practice Scenario Archived webinar prior to September 9, 2022, submit the Attestation of Completion form.
• Participate in the Faculty Office Hours review of the first CPS assignment:  November 15, 2022.
• Observe and evaluate a pediatric assessment at the end of the clinical practicum and complete an evaluation form on the Participant’s performance using the Clinical Performance Review document.  Participants must submit the Clinical Performance Review document (signed by Participant and Preceptor) by February 3, 2023. Participants submit the signed Clinical Practicum Hours and Patient Log form by February 17, 2023.
• Participate in Practicum Check-in meetings with Participants and Supervisors.