Clinical Experience and Available Opportunitites

Below is a listing of clinical experiences and practice settings available to APRN students.  

Questions? Email [email protected] or call 216-778-7447.

To contact a potential preceptor, please click Find A Doctor and put in the name of the preceptor. Their department phone number will be listed there. Call the department and ask to leave a message for the preceptor.

Adult Medical/Surgical Rehabilitation and Adult ICU (APRN CNS or CNP)

Preceptors: Shelly Amato, PhD., MSN, APRN-CNS, CRRN, CBIS; Victoria Bowden, DNP,  MSN, RN, APRN-CNS; Cheryl Bradas, PhD (c ),MSN, APRN -CNS, CHPN; Kathleen Kerber, MSN, RN, CCRN, APRN-CNS; Dawn Grimm, MSN, APRN-CNS, CCRN; ACNS-BC; Cristina Sanders, MSN, APRN-CNP; Mary Ann Woods, MSN APRN-CNP

The student will actively participate with:

  • Collaboration with interdisciplinary team to solve patient focus problems
  • Empowerment of nursing staff by designing and implementation of programs to meet staff educational need
  • Identify practice issues and utilize evidence-based practice as catalyst for change
  • Develop skills to lead performance improvement projects
  • Role modeling for nursing staff
  • Creating and advising nursing/system policy

Chronic Kidney Disease (APRN-CNP)

Preceptor: Eileen Fisher, MSN, APRN-CNP

The student will participate in the management of Chronic Kidney Disease Stage II though End Stage Renal Disease. The student will also participate in the management of outpatient dialysis access issues.

Correctional Medicine (APRN-CNP)

Preceptor: Debbie Gordon, APRN-CNP, ACNP-BC

Students in this clinical experience will provide direct medical care to the adult male and female inmate population at the Cuyahoga County Jail in Cleveland. Medical services to inmates aim to provide health care by assessing, diagnosing, and treating acute and chronic problems. In addition, routine physical exams, health maintenance, ordering and reviewing of laboratory studies, prescribing medications, performing minor procedures, obtaining and interpreting x-rays, and other diagnostic testing is completed at the jail.

Diabetic Foot Clinic (APRN-CNP)

Preceptor: Denise Forster Paulsen, MSN, APRN-CNP, CRRN

The student will conduct visits in an outpatient clinic serving primarily diabetics with foot issues as a result of their disease. The majority of these patients have complex, chronic foot ulcers. The goals of the clinic are to manage/heal wounds and to promote foot health in diabetics through education and prevention strategies. This is an APRN-managed clinic with Vascular Surgery collaboration. The student will:

  • Conduct wound evaluations and manage wounds using up to date topical therapies
  • Focus attention on the vascular, nervous, and musculoskeletal systems as these relate to foot ulcer development and progression
  • Evaluate for psychosocial issues and availability of resources that impact wound healing
  • Provide Diabetic foot education
  • Evaluate current disease management as it relates to wound healing
  • Work closely with Infectious Disease to manage infections that frequently arise as a complication of the foot ulcers
  • Evaluate for appropriate footwear, working closely with an on-site prosthetist for evaluation and ongoing monitoring/modification of shoe wear to promote healing and prevent deformities, pain, and further ulcerations
  • Assist patients in procuring appropriate adaptive/DME equipment to facilitate offloading to promote healing and optimize safe mobility
  • Triage patients for need for referrals to vascular or orthopedic surgery and/or podiatry

Emergency Department (APRN-CNP)

Preceptor: Susan Sundback, MSN, APRN-CNP, FNP-C; Jason Lu, MSN, APRN-CNP

The student will participate in and learn:

  • Level I Trauma Center with over 100,000 patient visits per year
  • Direct care and management of patients across the entire lifespan
  • Increased awareness of the special needs of the uninsured and under insured patient population
  • Member of multidisciplinary health care team to address total patient care--Mental Physical and social
  • Suturing, fracture care, abscess care and management, motor vehicle collisions, animal bites, and domestic violence
  • Routine ED patients such as musculoskeletal pain and injuries, viral illnesses, STDs, early OB intervention, sick child care, headaches, odontalgia, and rashes
  • Increase proficiency of abdominal pain exam across the lifespan and early detection of pathology to prevent later complications

Express Care (APRN-CNP)

Preceptor: Evangaline Garcia, MSN, APRN-CNP; Ellen Moran, MSN, APRN-CNP

Family Medicine Clinic (APRN-CNP) 

Preceptor: Kristen Palcisco, MSN, APRN-CNP

  • Students: Adult-Geriatric NP
  • Locations: MetroHealth Family Medicine Clinic, St. Malachi Center, Medical Home Visits

Clinical Experience
40 hours with NP over 4-5 weeks to achieve continuity of care. Clinical hours will include homeless/underserved patient care in different community locations.

Types of Experiences

  • Comprehensive histories, physical exams, management and treatment of chronic illnesses.
  • Decision making about pharmacotherapy and other treatment modalities
  • Health Maintenance
  • Urgent clinic visits for acute problems
  • Home visit medication reconciliation for complex patients discharged from the hospital
  • Acute and episodic House Calls
  • St. Malachi Center Shower Clinic – a “minute-clinic” for people experiencing homelessness

Geriatric Medicine (APRN-CNP)

Preceptor: Tiffany Leake, RN, MSN, CNP

The student will participate in the assessment of geriatric patients for primary care and chronic illness care.  Focused illness visits are part of the practice.  The student will also learn about office/practice management.

Inpatient Medicine (APRN-CNP)

Preceptors: Lori Mertz, MSN, APRN-CNP

Long-Term Care Services/Rehabilitation Services (APRN-CNP)

Preceptor: Barbara Haubrich, CNP, MSN ; Tiffany Leake, RN, MSN, CNP ; Donna Westfall, CNP, MSN; Kathryn Zabak, CNP, MSN; Jennifer Hudak, DNP, CNP

The student will gain experience in:

  • Acute care visits
  • Routine care visits
  • Admissions
  • Wound care rounds

The student may be assigned to a variety of settings including MetroHealth's Skilled Nursing units, assisted care living facilities or community sites including a continuing care retirement community that provides comprehensive care across the continuum including office visits, assisted living, and skilled and long term care.

Neonatal Intensive Care Unit (CNP and/or CNS)

Preceptors: Sheila Gesing, MSN-CNP; Julie Medas, MSN, APRN- CNS; Julie Zupancic, DNP (c), MSN, APRN-CNP; Marie McDonell, DNP (c), MSN, APRN-CNP; Vicki Lister, MSN, APRN-CNP

The student will participate in the care and management of critically ill neonates and premature infants in the 49-bed NICU, including:

The CNP role includes:

  • high risk delivery stabilization
  • NICU admission examination and procedures
  • ongoing medical management of patients
  • communication and education of parent/family
  • extensive discharge planning

The CNS role includes:

  • facilitation of learning through program development for staff
  • collaborate with staff/multidisciplinary team on performance improvement initiatives
  • mentoring professional development of staff and CARE program roles
  • change agent to ensure evidence-based practice integration into clinical practice
  • participation in research
  • consult on complex patients
  • ensure compliance with regulatory agency standards/TJC patient safety goals

Neurosurgery (Inpatient) (APRN-CNP)

Preceptor: Nicole Haney, MSN, APRN-CNP;  Halee Johnson, MSN, APRN-CNP; Diane McLaughlin, DNP, APRN-CNP

This clinical experience will take place across a broad range of inpatient settings including the emergency department, intensive care unit, and general medical/surgical floors.  The student will gain experience in the field of neurosurgery by seeing new patient consults, following up on inpatient consults, and management of both ICU patients as well as neurosurgery patients on the general medical/surgical floor.

Newborn Nursery (APRN-CNP)

Preceptors: Gloria Gordon-Ocejo, APRN-CNP

Students will participate in the:

  • Admission of newborns
  • Parental education
  • Newborn physical exams (normal and high-risk infants)
  • Daily assessment of newborns
  • Discharge exams and extensive discharge planning

Nurse Practitioners in the nursery deal with many types of infant medical care, including:

  • heroin/methadone exposure
  • teen mothers
  • cocaine exposure
  • social high risk
  • stabilization of infants including septic work-ups, antibiotic administration, IV placements, blood draws
  • management of premature infants at near term greater than 36 weeks

Outpatient Surgery/Wound Care (APRN-CNP)

Preceptor: Suzanne Miller-Spalding, MSN, APRN-CNP

This clinical experience focuses on care of patients in the outpatient surgery clinic and includes wound care.

Pediatrics: General Pediatrics in School Health (APRN-CNP)

Preceptor: John Yousef, MSN, APRN-CNP

 Students who are experienced RNs and have completed at least one clinical semester can apply for this experience.

Pediatrics: General Pediatrics and Pediatric Endocrinology (APRN-CNP)

Preceptor: Barbara Lightner, CNP

Well child care will take place one day per week. Pediatric endocrinology will include management of endocrine disorders in children two days per week. Experience includes conducting history and physical exams, creating assessment plans, and educating pediatric endocrine patients and their families.

Physical Medicine and Rehabilitation (APRN-CNP)

Preceptor: Tyecia Stevens, MSN, APRN-CNP

The student will participate in the assessment, diagnosis, and treatment of patients with primarily musculoskeletal complaints.

  • Spine conditions
  • Joint pain
  • Nerve conditions
  • Acute and Chronic pain
  • Decision making about pharmacotherapy and other treatment modalities
  • Examining laboratory values and diagnostics pertinent to patient’s illness and treatment plan

Primary Care (APRN-CNP)

Preceptor: Alishea Gay, DNP, APRN-CNP; Jean Nagy, MSN, APRN-CNP, FNP-BC; Maureen Gallagher, MSN, APRN-CNP; Tanja Barco, MSN, APRN-CNP, Angel Williams, MSN, APRN-CNP, Suzanne Telmanik, MSN, APRN-CNP                                                                                           

The student will participate in the assessment of patients of all ages for primary care and chronic illness care.  Focused illness visits are part of the practice.The experiences are held on main campus as well as satellite clinics. 

Pulmonary and Sleep Medicine (APRN-CNP)

Preceptor: Valerie Ross, MSN, APRN-CNP;  Jan Steinel, MSN, APRN-CNP

The student will participate in the diagnosis and management of chronic pulmonary disorders such as COPD and asthma. The student will also participate in the diagnosis and management of common sleep disorders such as OSAHA, insomnia, restless leg syndrome, and sleep hygiene disorders. Additional experience is available by participating in the in-hospital treatment of OSAHS.

The Psychiatric Advanced Practice Registered Nurse (PAPRN) for Outpatient Psychiatry (APRN-CNP or CNS)

Preceptors: Margaret Blasse, MSN, APRN-CNS ,PMHCNS-BC; Tina Oney, MSN, APRN-CNS, PMHCNS-BC; and Rebecca Snider-Fuller, MSN, APRN-CNS, PMHCNS-BC; Margaret Onyeukwu, MSN, APRN-CNP

Provides assessment, diagnosis, and treatment to individuals or families with psychiatric problems/disorders or the potential for such disorders. The PAPRN in Outpatient psychiatry provides a full range of primary mental health care services, functions as a psychotherapist, educator, advanced case manager, consultant to primary care physicians, and collaborator to achieve an optimum level of community support. The PAPRN prescribes and manages psychopharmacologic treatments.

The student will actively participate in:

  • Performing mental health assessments and diagnosis of patients with mental illness in the outpatient setting
  • Examining laboratory values pertinent to patient’s illness and treatment plan
  • Decision making about pharmacotherapy and other treatment modalities

Weight Management and/or Internal Medicine Clinic (APRN-CNP)

Preceptor: Jacalyn Iacoboni, MSN, APRN-CNP

Women's Health Care & OB/GYN Clinic (APRN-CNP)

Preceptors: Laura Doi, MSN, APRN-CNP, WHNP-BC; Kathryn Meyer, DNP, APRN-CNM, APRN-CNP, FPNP; and Sylvia Saikus, APRN-CNM           

Student will gain experience in:

  • Well woman care from adolescent age through menopause
  • Antepartum and postpartum care
  • Adolescent pregnancy care clinic
  • Diagnosis management, treatment of common gynecological conditions (STDs/STIs, vaginitis, UTIs, PMS)
  • Contraceptive management
  • Colposcopy services
  • Menopausal management
  • Counseling and education for patients on healthy relationships, sexuality, healthy lifestyles, parenting, domestic violence, and referrals to appropriate services
  • Specialty experiences available include colposcopy and urogynecology
  • Sexually Transmitted Infections

Wound Care Clinic (APRN-CNP)

Preceptor: Denise Forster Paulsen, MSN, APRN-CNP, CRRN

The student will conduct visits in an outpatient clinic serving primarily catastrophically injured patients such as spinal cord injured patients with pressure ulcers. In addition to evaluation and management of their wounds, the focus is on nutrition, care coordination in the community, procuring appropriate adaptive equipment to promote healing, and attention to psychosocial issues as they relate to wound healing. This is an APRN-managed clinic with Trauma Surgery oversight. 

 Application                            Student Guide