NURS 5644 Advanced Health Assessment/ Differential Diagnosis

SYLLABUS

In the event of a significant disruption of course activities because of an extraordinary environmental situation (e.g., COVID-19), this syllabus is subject to change. Any and all changes will be communicated with students in as timely a manner as the situation allows.

Semester: Fall	Year: 2021
Course Prefix: NURS	Course Number: 5644
Course Title: Advanced Health Assessment/Differential Diagnosis
Course Description and Overview: Examination of the systematic process involved in performing a holistic health assessment on individuals throughout the life span. Includes knowledge and skills necessary to gather data, interpret findings, make health diagnosis, communicate results, and empower clients. Emphasis in this advanced course will be to individualize the history and physical exam to the presenting health concerns of the client throughout the lifespan. A review of the systematic process involved in performing a comprehensive history, physical, and psychological health assessment on individuals includes knowledge and skills necessary to gather data, interpret findings, formulate differential diagnosis, and communicate findings/plans.NURS 5644 Advanced Health Assessment/ Differential Diagnosis

Meets Core Curriculum Requirements

Faculty Contact Information:

Name of Instructor: Rita Dellostritto, PhD, APRN, CNS, ENP, ACNP-BC, FAANP

Office Location: IHSI 6036

Phone Number: 713-794-2803; 713-826-6236 (c)

Office Hours: by appt

Email Address: rdellostritto@twu.edu

Name of Instructor: Rebecca Schultz, PhD, APRN, CPNP-PCOffice Location: IHSI 6026

Phone Number: 713-794-2154

Office Hours: by appt

Email Address: rschultz1@twu.edu

Name of Instructor: Patrick Laird, DNP, APRN, ACNP-BC, NEA-BC

Office Location: Off Campus

Phone Number: 281-222-0619

Office Hours: by appt

Email Address: plaird@twu.edu

Name of Instructor: Jodi Wright, DNP, APRN, AGACNP-BC, FNP-BC

Office Location: Off Campus

Phone Number: 312-933-6764

Office Hours: by appt

Email Address: jwright28@twu.edu

WE GUARANTEE A DCE SCORE OF ABOVE 95% AND HANDLE THE SOAP NOTE

Goals and Outcomes:

Upon successful completion of this course, the student will be expected to be able to:

Demonstrate sound critical thinking and clinical decision-making.
Develop a comprehensive database, including complete functional assessment, health history, physical examination, and appropriate diagnostic testing.
Perform a risk assessment of the client including assessment of lifestyle and other risk factors.
Identify signs and symptoms of common emotional/cognitive health problems and the impact on physical assessment.
Perform basic laboratory test and interpret other laboratory and diagnostic data.
Relate assessment findings to underlying pathology or physiologic changes.
Establish a differential diagnosis based on the assessment data.
Synthesize knowledge of health conditions in making differential diagnoses.
Develop an effective and appropriate plan of care for the client, which takes into consideration life circumstances and cultural, ethnic and developmental variations.
Recognize variations in health, including physiological variations, in a wide range of cultural, racial, ethnic, age and gender groups that influence the assessment and plan of care.
Incorporate evidence base research in decision-making.
NURS 5644 Advanced Health Assessment/ Differential Diagnosis

Clinically upon successful completion of this course, the student will be expected to be able to:

Demonstrate a complete and problem-focused health assessment for clients and families of all ages, ethnicities, and cultures. To include:

a. Formulating a complete and problem-focused health history and physical examination for individuals and families across the lifespan

b. Interpreting a problem-focused health history and physical examination for individuals across the Lifespan

c. Organizing data to determine a differential list of health problems

e. Prioritizing health problems

f. Presenting relevant health data and differential list of health problems to the preceptor

Demonstrate clinical screening skills in:

Female pelvic examination, client instructions in breast self-examination, male genital and prostate examination, client instructions in testicular self-examination, Denver II screening, scoliosis screening, and health maintenance screening across the lifespan.

Demonstrate clinical diagnostic skills in:

X-ray interpretation, EKG interpretation, and interpretation of laboratory tests.

Course Materials and Supplies:

Textbooks:

REQUIRED TEXTBOOKS:

Bickley, L.S., Szilagyi, P.G., & Hoffman, R.M. (2021). Bates’ guide to physical examination and history taking (13th ed.). Philadelphia. PA: Wolters Kluwer/Lippincott Williams and Wilkens. ISBN 9781469893419

Goolsby, M.J., & Grubbs, L. (2015). Advanced assessment: Interpreting findings and formulating differential diagnoses (4th ed.). Philadelphia, PA: F.A. Davis. ISBN-13: 978-0803668942

Fischbach, F., & Dunning, M. (2021). A manual of laboratory and diagnostic tests (10th ed.). Wolters Kluwer. ISBN-13: 978-1496377128; ISBN-10: 1496377125

The following are available online through TWU Library

Fortin, A.H., Dwamena, F.C., Frankle, R.M., & Smith, R. (2012). Smith’s patient-centered interviewing: An evidence-based model (10th ed.). Lange/McGraw Hill. Free Access TWU Library at https://accessmedicine-mhmedical-com.ezp.twu.edu/book.aspx?bookid=501

Bickley, L.S. (2017). Bates’ visual guide to physical examination [video series]: Wolters Kluwer. Online access [Free through TWU Library]. Location: https://batesvisualguide.com/multimedia.aspx?categoryID=21787#21768

Recommended Texts:

Bickley, L.S., Szilagyi, P.G., & Hoffman, R.M. (2021). Bates’ pocket guide to physical examination and history taking (9th ed.). Philadelphia: Walter Kluwer. ISBN-13: 978-1975109875

Required Supplies:

Diagnostic Kits: Ophthalmoscope and Otoscope, Tuning Fork, Reflex Hammer, monofilament, tape measure, Stethoscope, Pocket Snellen visual chart, Professional Lab Coat (3/4 or full length)

Computer with a functioning web camera for online quizzes/exams. NURS 5644 Advanced Health Assessment/ Differential Diagnosis

Internet Resources

American Academy of Family Practice: http://www.aafp.org

American College of Nurse-Midwives: http://www.acnm.org

American Academy of Pediatrics: http://www.aap.org

Centers for Disease Control and Prevention: http://www.cdc.gov

Healthy People 2030: http://www.health.gov/healthypeople

Pregnancy Web Sites: http://www.awhonn.org

Texas Board of Nursing: http://www.bne.state.tx.us

World Health Organization: http://www.who.int/en/

NOTE: Student access to the internet for current information is a course expectation. There is a computer lab with internet capability for the use of TWU students on the 4th floor.

Pre/Co-requisites Courses: BIOL 5333 Advanced Pathophysiology

Policy Statements

COVID-19 Precautions

Because we are a “Campus with a Heart,” you are encouraged to keep yourself and others safe through the following actions:

Get the COVID-19 vaccine if you haven’t done so; vaccines are available at Student Health Services (SHS).
Wear a mask indoors, consistent with CDC guidelines.
Sit in the same seat throughout the semester in face-to-face classes. TWU has requested that all faculty utilize seating charts to assist with any needed contact tracing.
Continue to follow all recommended health protocols for frequent hand washing and use of hand sanitizer and sanitation supplies found around campus.
Stay home if you are sick.
Complete the COVID-19 Reporting Form (https://veoci.com/veoci/p/form/y5v3xsy58vpb?c=119409#tab=entryForm) if you have tested positive for COVID-19, are exhibiting symptoms of COVID-19, or have been exposed to someone who tested positive for COVID-19. TWU is following CDC quarantine guidance, and your completing these forms will help us to minimize the spread of COVID-19 on our campuses.
Inform your professor if you are impacted by COVID-19 exposure/illness. If you need assistance from Student Life to communicate with professors regarding missed assignments due to COVID-19, complete the Health and Academic Support Request form (https://twu.edu/coronavirus/student-resources/). Upon submission, a staff member from SHS and/or Student Life will contact you.
Consult TWU’s COVID-19 website (https://twu.edu/coronavirus/) for up-to-date information about the pandemic and TWU’s response.
Be aware that TWU reserves the right to move to synchronous and/or asynchronous online modalities and to reduce class size and/or location should the need arise.

Disability Access Policy Statement

Texas Woman’s University strives to make all learning experiences as accessible as possible. If you anticipate or experience academic barriers based on your disability (including mental health, chronic, or temporary medical conditions), please contact me via email/phone or during office hours, so that we may privately discuss options. To establish reasonable accommodations, please register with Disability Services for Students (DSS). After registration, contact me as soon as possible to discuss your accommodations so that they may be implemented in a timely fashion. DSS contact information: DSS website (www.twu.edu/dss); dss@twu.edu; 940-898-3835; CFO Ste. 106 NURS 5644 Advanced Health Assessment/ Differential Diagnosis

Title IX: Sexual Violence Education

TWU is committed to providing a safe learning environment free of all forms of sexual misconduct, including sexual harassment sexual assault, domestic violence, dating violence, and stalking. Federal laws (Title IX and the Violence Against Women Act) and TWU policies prohibit discrimination on the basis of sex and therefore prohibit sexual misconduct. As students, if you or someone you know is experiencing sexual harassment, relationship violence, stalking, or sexual assault, there are campus resources available to provide support and assistance. Alleged sexual misconduct can be non-confidentially reported to the Title IX Coordinator at the Report an Incident website (https://twu.edu/civility/report-an-incident/) or at (940) 898-2968. Additionally, please be aware that under Title IX of the Education Amendments of 1972, all employees are required to disclose information about such misconduct to the Title IX Office. Students who wish to speak to a confidential employee who does not have this reporting responsibility, you can contact TWU Counseling and Psychological Services at (940) 898-3801 for the Denton Campus, (214) 689-6655 for the Dallas Campus, and (713) 794-2059 for the Houston Campus.

Title IX: Pregnant and Parenting Students

Title IX is a federal law which requires schools that receive federal funds to provide reasonable accommodations to students who are pregnant or have pregnancy related conditions. This includes pregnancy, pre-natal doctor appointments, childbirth, false pregnancy, miscarriage, termination of pregnancy, or recovery from any of these conditions. Students who may need academic accommodations due to pregnancy related conditions should complete the Pregnancy Accommodation form (https://twu.edu/pregnancy-accommodation-form/) to coordinate academic needs.

Academic Integrity

Honesty in completing assignments is essential to the mission of the University and to the development of the personal integrity of students. In submitting graded assignments, students affirm that they have neither given nor received unauthorized assistance, and that they have abided by all other provisions of the Academic Integrity Policy and the Student Code of Conduct as found on the TWU website and in the TWU Student Handbook. Cheating, plagiarism, collusion, dual submission of a paper, or other kinds of academic dishonesty will not be tolerated and will result in appropriate sanctions that may include failing an assignment, failing the class, removal from an academic program, or being suspended or expelled. Allegations of academic dishonesty in this course may be reported to the Office of Civility and Community Standards. The specific disciplinary process for academic dishonesty is in Section 5 as part of the TWU Student Code of Conduct (http://www.twu.edu/student-handbook). For details on avoiding plagiarism, review the Library Tutorial: Avoiding Plagiarism (http://libguides.twu.edu/c.php?g=270163&p=1803990).

TWU Attendance Policy

Consistent attendance is vital to academic success and is expected of all students. Grades are determined by academic performance, and instructors may give students written notice that attendance related to specific classroom activities is required. Absences do not exempt students from academic requirements. Excessive absences, even if documented, may result in a student’s failing the course. Excused absences are within the purview of the instructor. Students must consult with instructors regarding make-up work.

EVALUATION:Evaluation will be based on examination scores, assignments and satisfactory clinical performance.

Major Course Assignments and Examinations:

Activities, Assignments, and Grading Policy:

Grading Elements:	100 POINTS
Assignment: Subjective Health History Shadow Health: Tina Jones DCE minimum of 80% for pass	5
Assignment: Subjective Written Health History	5
SOAP #1 Assignment: Focused H&P Shadow health & Written SOAP	5
Microscopic Exam	5
SOAP #2 Assignment: Comprehensive Final Soap – (Shadow Health & Written SOAP)	5
Weekly Exams/Quizzes (8 Total worth 5pts each)	50
Midterm: Check off Male/Female GU examination (Must demonstrate mastery at Baylor College of Medicine– Pass/Fail)	Pass/Fail
Final OSCE Head-to Toe Check-off (Must score 80% or higher to pass)	25
Attendance (Must attend 3 in-class labs for Pass) Must Score PASS	Pass/Fail
Successful Completion 45-hour (Shadow Health & Lab) Must complete 45 hours for PASS	Pass/Fail
Submission of ALL required documents	Pass/Fail

Grading Standards

TWU College of Nursing Grading Scale:

A = 100-90, B = 89-80, C = 79-70, D = 69-60, F < 60

ADVANCED PRACTICE NURSING GRADING CRITERIA:

For successful completion of this course with progression to the advanced practice tract, the student must pass both the clinical component AND exam requirements.

Students making <80% on any exam/quiz are encouraged to do an individual test review with their assigned class faculty for the purpose of identifying content areas for improvement, as well as the development of test taking skills. All individual test reviews must be done within two weeks of taking the examination. The exam/quiz will no longer be available for review after that time.

**All unit exams/quizzes must be taken on the designated dates. Failure to do so will result in having to take a new version of the examination (i.e. short answer, fill in the blank, short essay, etc) or forfeiture of the missed examination. Make up exams will be given at the discretion of the instructor.

*The student must also pass the clinical requirements with >80% in order to successfully pass the clinical component of the course. Inability to successfully complete the physical assessment component and/or obtain the required number of clinical hours constitutes a clinical failure in the course and will receive a failing grade in the course regardless of the exam average or cumulative course grade. If a student receives a clinical grade of fail (< 80%), the student is considered to have failed the course and will receive that grade as the course grade. The clinical grade includes the completion of a MINUMUM of 45 clinical hours, a combination of Skills lab and Shadow Health Computerized clinical hours.

* Appropriate dress is required which includes a lab coat over street clothes in Baylor lab & clinical days. No jeans or open toed shoes will be allowed in Baylor simulation lab or in the TWU nursing lab

Scrubs may be worn during the skills lab held at TWU only.

Course/Assignments/Quizzes and Examinations:

Course Assignments – Every assignment in graduate program must:

1. Be uploaded to Canvas with an accompanying TWU approved professional cover sheet in the appropriate assignment dropbox.
  1. Assignments submitted without TWU cover page and grading criteria/rubric will be rejected and either score of zero or late penalty will ensue.

Assignments submitted by a method, other than requested method, will receive a grade of zero (0).
Emailed assignments are not accepted.
Unawareness of the course requirements is not considered a valid rationale for missing exams, quizzes, or due dates. Please check course schedule/calendar carefully.

ii) Be written in APA format;

iii) Include evidenced-based references if indicated (SOAP notes, presentations);

iv) Be uploaded to Canvas in Microsoft Word format with the attached grading rubric;

v) Saved as a document title Lastname_FirstInitial_Assignment name.doc

Example: SmithS_SubjHealthhx.doc

ORDER SHADOW HEALTH ASSESSMENT HELP HERE

Exams/Quizzes
1. Weekly exams and exam check-offs in this course serve to verify student learning, ensure retention of foundational knowledge for use in clinical practice, and to prepare students for clinical rotations and national board exams.
2. Plan to arrive on campus for Midterm/Final check off exams 30 min early- allowing enough time to safely account for traffic, weather, etc. You must be at Baylor College of Medicine 30 mins prior to your assigned time slot.
3. There are no makeup exams/quizzes. If a student is late for midterm/Final check-off, extra time will not be allotted to the student.

When a student is absent from an announced or prescheduled lab (if any), the following procedure shall be followed:
1. The student will contact the faculty/course manager prior to the starting time of the examination check-off via telephone and email. The student will leave his/her name, telephone number, and reason for absence. At the discretion of the instructor, a return call to the student may be made.
2. All valid excuses must fall under guidelines created by the University policy as stated in the Student Handbook. The only excused absences are documented student illness, serious illness or death in the student’s immediate family, official school activity, state-recognized religious holiday or other verified absences deemed appropriate by the instructor.
3. Upon returning to the University, the student shall present the appropriate faculty member with sufficient verbal or written documentation of the circumstances regarding the nature of the absence. Telephone contact as described in paragraph one (1) is required regardless of circumstances.
4. The student shall be prepared to either write an examination the first day upon return to the University (if indicated) and be prepared to demonstrate examination technique competencies on a date deemed by the faculty.
5. Failure to follow this procedure will result in the student forfeiting the grade on the midterm or final examination.
Retaking of exams/quizzes are not permitted. No exceptions.
Exams are administered via laptop/desktop in an online format. You are encouraged to bring laptops to lab for review of video content during your wait for lab skills check offs. For the weekly exam/quiz, you must have an internet camera/video capability.

Late Policy:

1. Exams/Quizzes: No late exams permitted. Non-negotiable. For students finding difficulties meeting the due date – please email the course faculty and course coordinator for arrangements to take the exam/quiz early. Note: This arrangement is case-by-case and at the faculty’s discretion.
2. All other assignments submitted after the due date and time will receive the following point deduction
  1. 10% deduction for assignments submitted 00:01- 24:00 hours late.
  2. 20% deduction for assignments submitted 24:01 – 48:00 hours late
  3. 30% deduction for assignments submitted 48:01 – 72:00 hours late
  4. Assignments submitted after 72 hours past due date will receive a score of zero (0).

Lab Hours –

General Requirements

Students will complete a minimum of 45 lab hours by end of NURS 5644 as required elements as set forth by the College of Nursing NP program practicum hour requirements.
All students must have updated/current requirements documented before entering clinic (clinical courses):
1. Current unencumbered RN License in Texas
2. Current CPR certification and Blood borne pathogen certificate
3. Current immunizations are mandatory and must be recorded prior to start of clinical
4. Clearance for drug screening and criminal background screening
Expectations during clinical hour completion
1. Each semester students submit a clinical summary demonstrating the type of clinical hours accumulated: For this course “lab practice hours” is the tag utilized.
2. Clinical Lab Mastery activities:
  1. Student activities for patient evaluation include, but are not limited to:
    1. Obtaining the history and physical exam
    2. Formulation of differential diagnoses
    3. Formulation of a basic treatment plan patient including education, follow-up and referral, if necessary, using appropriate evidence-based resources
  2. Completion of two SOAP notes during N5644 Course with a minimum of 80% score.

Clinical Calendar
1. Lab hours are accumulated weekly at 3.75 hrs per week.
  1. Students may not exceed 3.75 documented lab hours per week.
2. Lab Hours are documented in Clinical Calendar weekly starting in Week 1.
  1. The exception is when there are not assignments
  2. Students are expected to enter lab hours into clinical Calendar by Sunday at 11:59 every week.
    1. Missed documentation may require make up assignments at the faculty’s discretion and may include additional make-up Shadow Health Assignments.
    2. Failure to maintain timely Clinical Calendar entries may result in possible course participation point reduction.
  3. Lab practice activities include Shadow Health assignments, practice on family and friends, and on-campus lab check offs, but do not go into Clinical Calendar.
  4. Clinical Calendar Entries: Students are expected to enter factual data into Clinical Calendar.
    1. All entries must be factual, include a very brief description of activities practiced or performed.
    2. If a fallacy in data is noted, this will be considered a breach in academic integrity and the student will be reported for academic dishonesty.
    3. Faculty will randomly choose from the entries to verify to ensure accuracy and authenticity of data.

Optional Requirements:

Pagers & Cellular Classroom Policy

Pagers and cellular phones must be turned off or to the silent mode during class, seminar, laboratory, and conference times. This is disruptive to class flow and failure to comply may result in the student being asked to leave class.

Tape Recording and Photography Course Policy

Anyone desiring to tape record formal presentations or informal discussions must receive permission of the person presenting the information prior to the scheduled time of the presentation. DO NOT tape record or photograph in clinical settings without clear and written protocols and permissions received in conjunction with the clinical instructor and faculty.

Technology Communication

E-mail and Canvas are communication and teaching modalities used extensively in this course. All students are expected to access, navigate, and use these modalities on a regular basis. Failure of a student to receive messages, announcements, or assignments sent or posted via these modalities may jeopardize the student’s progress in the course and does not constitute a viable excuse for failing to meet course requirements and expectations. Teaching Modules will be placed on Canvas to enhance learning. If you have any questions about using Canvas, please contact the IT department helpline [(940) 898-3971]. Keyboard skills are necessary for clinical documentation.

Students should check the Canvas prior to each class and periodically during the week. E-mails will be sent to the University assigned e-mail account if the student plans to use another account, the student is required to up-date this information through their Portal account.

Preliminary grades are often posted on Canvas, as a convenience for students. However, these grades are not considered official; only those grades submitted to the registrar’s office at the end of the semester are official.

Disaster Course Policy

In the event of a disaster (i.e. hurricane, pandemic epidemic) affecting the Houston area and/or causing University closure, clinical practice associated with the course will be canceled and didactic content will be placed on the course Canvas site.

Helpful Information:

For assistance with Canvas and Pioneer Portal, you will find step-by-step instructions at the TWU website for distance learning. The website is: www.twu.edu/dl/orientation

Immunizations, Drug Testing, and Background Checks:

Drug testing and criminal background screening is required for all students in the TWU College of Nursing. (refer to TWU policy). Everyone should have an account in Castle Branch prior to registering for this class. Castle Branch maintains all of your information (current CPR card, RN license, proof of medical health insurance, current immunizations, HIPPA training, etc) during the time you are a student. Besides Castle Branch all immunizations must be up to date in the TWU Student Health Services in Denton.

***Students must be compliant in all areas prior to their first day of lab/clinical. Any student who attends clinical before being compliant will have to repeat those clinical hours.

You must complete the on line registration for urine drug screening (SurScan) prior to the second week of class. The agency TWU uses for drug screening is SurScan: http://www.surscan.com/nursing_students_twu.html. It is important to note that you are a graduate nursing student at TWU-Houston. All urine drug screens will be obtained as a group in this class, if contacted by SurScan to go to a particular site, inform them that your drug screen will be obtained on TWU campus. Upload a copy of your receipt for proof of registration into Canvas. All students are required to perform a urine drug screen during this semester regardless of whether you have taken this course in the past and submitted to a drug screen. NURS 5644 Advanced Health Assessment/ Differential Diagnosis

Other Course Information

Professionalism: Students are expected to maintain a respectful demeanor in the laboratory and classroom setting, and when communicating with faculty, peers, and ancillary services. Every action taken, both personally and professionally, reflects on the student’s ability to develop into a rational, critically thinking Advanced Practice Nurse. You are encouraged to review the student handbook regarding Professional Demeanor. Disrespectful demeanors are not tolerated and considered a breach in the Code of Conduct required at TWU.

Professionalism includes, but is not limited to, the following: Timely attendance to class or clinical activities, adherence to the academic honesty policies of the University and course syllabus, appropriate behavior in class and clinical activities (includes turning cell phones to silent), notifying faculty or preceptor as soon as possible with changes in preceptor agreements clinical schedules, promptness to the clinical site(s), documenting factual logs, adherence to the clinical dress policy. Any act that gives an unfair advantage to any student is considered unprofessional.

TWU Dress Code.

Professional dress is expected during final practicum examinations.

Professional Dress: Wear your name tag and lab coat with CON badge as appropriate
- Students may purchase names tags through the TWU Bookstore
- Students are required to wear clean, pressed white lab jackets during Final exam.
  - It is not acceptable to wear scrubs or jeans
  - Professional dress includes a clean white lab jacket, comfortable, low heeled dress shoes, dress slacks and shirt (tie optional for men).
Student should be well groomed with appropriate length nails with clear polish.
Reasonable and natural hair color, for example, purple or pink hair is inappropriate in a professional setting.
- It is preferred that long hair be up off the collar.
All visible tattoos must be covered. No exceptions.
No facial or nose piercings. No exceptions.
See Student Handbook for dress policy, can be found on TWU’s website.

Teaching Modalities

Modalities to deliver content in this course include internet sources, required textbooks, as well as health assessment videos and Shadow Health Digital Clinical Experiences (aka: virtual patient). All students are expected to access, navigate, and utilize these modalities on a frequent basis. Failure of a student to receive messages, announcements, or assignments sent or posted via these modalities may jeopardize the progress of the student in the course and does not constitute a viable excuse for failing to meet course requirements and expectations. Students are expected to check the course and course email at least once daily M-F.

Important Dates:

September 6 – Labor Day

Nov 5 – Last Day to Withdraw

Nov 25-27 – Thanksgiving Break

DON’T STRESS YOURSELF, JUST CHAT WITH US IN THE RIGHT CORNER BELOW

Assessment and Differential Diagnostics

Nurs 5644

Spring 2021

Date/Time	Subjects	Due Date
1/11/2021 4-7 PM	Introductions Syllabus Introduction to Shadow Health
1/11/2021	Module 1 Foundations for Evaluating Clients	1/17/2021 @ Midnight (MN)
1/18/2021	Module 2 HEENT Mental Health Skin	Exam Module 1&2 1/24-25/2021 1/24/2021 @ MN
1/25/2021	Module 3 Lungs/Cardiovascular/Thorax	Exam: 2/7-2/8/2021 2/7/2021 @ MN
2/8/2021	Module 4 Abdomen & Peripheral Vascular	Exam: 2/14-15/2021 2/14/2021 @ MN
2/15/2021	Module 5 Musculoskeletal	Exam: 2/21-22/2021 Due 2/21/2021 @ MN
2/22/2021 2-7 PM	Lab Practice all of the above skills	Pending
3/1/2021	Module 6 Neurologic Exam	Exam: 3/14-15/2021 3/14/2021 @ MN
3/15/2021	Module 7 Male/Female GU Breast and Rectal Exams	Exam 3/21-22/2021 3/21/2021 @ MN
03/22/2021 2-7 PM	Lab Practice all skills since last lab Radiology	Pending
3/29/2021	Module 8 Children – Infants to Adolescence	Exam: 4/4-5/2021 4/4/2021 @ MN
4/5/2021	Evaluating the older Adult	Exam: 4/11-12/2021 4/11/2021 @ MN
Pending	Female Exam	Baylor (you will sign up)
Pending	Male Exam	Baylor (you will sign up)
Due by 5/3/2021	Final Check-off	Via Zoom

This is a preliminary schedule. It is subject to change

ALL Exams are Online. They require LockDown Browser with Monitor

Exams will Open at 0001 on the first day and Close at 2359 on the 2nd day of the Exam. NURS 5644 Advanced Health Assessment/ Differential Diagnosis