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Clinical Experience and Available Opportunitites

Please see our COVID 19 guidelines for students that must be adhered to while on any of our campuses.

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. They are all seeing patients and will not be able to answer immediately.

Preceptors volunteer their time and decide their availability to precept. They receive many student requests and may have already committed to taking other students. Start your search early.

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


 

Adult Medical/Surgical Rehabilitation and Adult ICU

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, ACNS-BC

  • 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 

Comprehensive Care Department (pediatric and adult outpatient)

Preceptor: Jillian Viancourt, MSN, APRN-CNP Provides primary care to both pediatric and adult   patients with neurodevelopmental disorders

Correctional Medicine

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

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

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)

Preceptors: Evangeline Garcia, MSN, APRN-CNP; Ellen Moran, MSN, APRN-CNP; Erica Scott, MSN, APRN-CNP; Brooke DeRoia, MSN, APRN-CNP; Ludy Caballero, MSN, APRN-CNP; Lisa Parsons, MSN, APRN-CNP

Family Medicine Clinic

Preceptors: Kristen Cornes-Ribadas, MSN, APRN-CNP;  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 outpatient clinics. 

Clinical Experience
Family practice outpatient setting

Types of Experiences (varies by site and APRN preceptor)

  • 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 

Geriatrics

Preceptors: Jessica Rompala, MSN, APRN-CNP, FNP; Kaitlyn Newbrough, MSN, APRN-CNP

Clinical hours include acute and chronic illness in geriatrics

Hemodialysis/Nephrology, outpatient chronic hemodialysis settings

 Preceptor: Doreen Dever Papajcik, MSN, APRN-CNP

5 main areas of focus:

  • Anemia
  • Fluid/BP/Cardiac
  • Dialysis Access (Tunnel Cath vs AVG vs AVG)
  • Mineral Bone Disease
  • Coping 

All adult patients.  Most have been on hemodialysis for a few weeks, up to 20+ years. Working with multidisciplinary teams at multiple sites.  Challenging.  Fulfilling. 

Inpatient Hospital Medicine

Preceptors: Megan Raffel, MSN, APRN-CNP; Wayne Snyder, MSN, APRN-CNP

Types of Experiences

  • Comprehensive histories, physical exams, management and treatment of acute illnesses and chronic medical conditions.
  • Hospital admissions and plans of care; Working with interdisciplinary teams; Decision making about pharmacotherapy and other treatment modalities
  • Health Maintenance and Discharge planning; Discharge medication reconciliation and follow up referrals/li>
  • Hospital Medicine Service
  • General internal medicine patients admitted for usually acute exacerbations of chronic conditions. Some general acute conditions such as pyelonephritis, pancreatitis, and some post-operative patients from ENT, Ortho, and general surgery.

Internal Medicine Clinic

Preceptors: Jacalyn Iacoboni, DNP(c),  APRN-CNP; Cristina Sanders, MSN, APRN-CNP; Lisa Parsons, MSN, APRN-CNP

Population: adult and geriatric patients

Complete comprehensive histories and physical exams

Share in management/treatment of acute and chronic health conditions. Primary Care and Chronic Disease Management for 18yo and older, Same Day visits for urgent concerns, and Diabetes Group Clinic

Long-Term Care Services/Rehabilitation Services

Preceptor: Barbara Haubrich, MSN, APRN-CNP ; Tiffany Leake, MSN, APRN-CNP;  Donna Westfall, MSN, APRN-CNP; Jennifer Hudak, DNP, APRN-CNP; Christen Gunder, MSN APRN-CNP

Clinical hours include acute and chronic illness in geriatrics.

  • 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: Julie Medas, MSN, APRN- CNS; Julie Zupancic, DNP, APRN-CNP; Marie McDonell, DNP, 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/ Neurocritical Care (Inpatient-acute care)

Preceptors: Nicole Medve, MSN, APRN-CNP; Halee Johnson, MSN, APRN-CNP; April Dusky, MSN, APRN-CNP;  Jennifer Wells, MSN, APRN-CNP

Rotation includes providing care of Neurosurgical patients and Neurocritical care patients inpatient setting.

Clinicals geared toward the Adult/Gero acute care program and student would experience a variety including care of the neurosurgical patient, neuro trauma, and critically ill patients with neurological disease states (seizure, encephalopathy, meningitis, stroke, etc)

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.

Outpatient Surgery/Surgical Oncology/Wound Care

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

Outpatient practice addressing routine post-operative care, non-surgical patients including thyroid nodule follow up, adrenal mass follow up, breast cancer follow up, abnormal and high-risk screenings, soft tissue infections, wounds, anal pain including hemorrhoid consultations

Pediatrics

Comprehensive Care Department

Preceptor: Jillian Viancourt, MSN, APRN-CNP

Newborn Nursery

Preceptor: Gloria Gordon-Ocejo, DNP(c), 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

School Health, General Pediatrics

Preceptor: John Yousef, MSN, APRN-CNP

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

Pediatric Endocrinology/Diabetes

Preceptor: Barbara Lightner, MSN, APRN- CNP

Provides primary care to both pediatric and adult patients with neurodevelopmental disorders

Foster Care

Preceptor: Jecika White, MSN,  APRN-CNP

Students will participate in:

  • Triage exams for children newborn-21 years of age entering foster care
  • 30 day Well Child Post Placement Follow up appointments
  • Working in outpatient setting and inpatient unit
  • Dealing with high social risk populations
  • Performing screens, questionnaires, drug screens, STI screens
  • Working with county case workers, relatives caring for kids, foster parents
  • Multi-tasking, scheduling, taking triage calls

This clinical experience is 10-hour days/evening shifts

Pediatric Gastroenterology and Rheumatology

Preceptor: Suzanne M Fortuna DNP APRN CNS FNP

Physical Medicine and Rehabilitation

Preceptor: Stefan Papp, MSN, APRN-CNP

Specialized experience in an outpatient setting in musculoskeletal issues and chronic pain management.

Pulmonary and Sleep Medicine (APRN-CNP)

Preceptor: Valerie Ross, 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; Lori-Anne Schulte-Laird, 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

Urology

Preceptor: Erin Buckley, MSN, APRN-CNP

Focused adult urology issues in an outpatient setting.

Weight Management Department

Preceptor: Meredith Pressnell, MSN, APRN-CNP

The student will participate in and learn:

  • Direct care and management of patients who suffer from the chronic disease of obesity
  • Learn to manage Co-morbidities of Obesity
  • Bring a Holistic approach to patient care ( Mental, Physical, Social support)
  • Learn about Bariatric Surgery and prepare patients for surgery as well as treat patients post-surgery

Women's Health Care,  OB/GYN Clinic, Infectious Disease Clinic

Preceptors: Laura Doi, MSN, APRN-CNP, WHNP-BC; Kathryn Meyer, DNP, APRN-CNP, FPNP; LaVada Tillie, MSN, APRN-CNP & APRN-CNM; Shauna Pagel, MSN, APRN-CNP

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
  • Various settings depending upon APRN provider

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