Clinical Experience and Available Opportunitites
We are pleased to announce that we are now accepting APRN students from our affiliated schools for clinicals beginning in June.
- Students who previously were in the middle of the Spring semester may reach out to their MetroHealth preceptor to determine if the preceptor is still available and then email [email protected] to confirm that they will be returning for this experience.
- For students requesting the Summer semester, they must follow our APRN student guidelines for the process with a deadline change to submit their application no later than May 22, 2020 for hours requested between June 1 and September 1, 2020. We will not accept applications for the Summer semester after May 22, 2020.
- Please see our COVID 19 guidelines for students that must be adhered to while on any of our campuses.
Thank you for your patience with this process. 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 and Family NP
- Locations: MetroHealth Family Medicine Clinic, St. Malachi Center, Medical Home Visits
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: Megan Raffel, MSN, APRN-CNP
Internal Medicine Clinic (APRN-CNP)
Preceptor: Jacalyn Iacoboni, 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
- 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, 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.
Primary Care (APRN-CNP)
Preceptor: Alishea Gay, DNP, APRN-CNP; 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; Margaret Onyeukwu, MSN, APRN-CNP; Kimberly Sanders, 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
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
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.