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CNL study plan

CNL · Give each week a clear focus.

8 weeks · About 6 hours per week

Week 1

Care Coordination

  • Map the CNL's care-coordination accountabilities across a microsystem, including delegation, supervision, and advocacy boundaries.

  • Differentiate levels of care (primary, acute, critical, transitional, home-based, long-term) and match three levels of patient acuity to the correct setting with written rationale.

  • Apply a standardized handoff and care-planning format to two written vignettes, documenting each decision point.

  • Identify resource-allocation and advocacy actions for a patient with multiple chronic conditions and unmet social needs.

Your checkpoint

A two-page care-coordination decision matrix mapping six written vignettes to level of care, coordinator role, and two advocacy actions each, self-scored against a five-criterion rubric.

Week 2

Outcomes Measurement

  • Classify measures as structure, process, or outcome and justify each classification in one sentence.

  • Calculate rates, ratios, percentages, and percentile ranks from a supplied data set without error.

  • Select a balanced measure set for a named microsystem and justify each measure's inclusion and data source.

  • Explain benchmarking, risk adjustment, and the specific limits of each when comparing units or providers.

Your checkpoint

A completed 10-item calculation worksheet at 100% accuracy on rate and ratio items, plus a one-page measure-selection table listing measure, type, data source, benchmark, and risk-adjustment caveat.

Week 3

Transitions of Care

  • Sequence the phases of a transition (assessment, planning, sending, receiving, follow-up) and name the CNL accountability at each phase.

  • Design a discharge plan for a high-risk patient that specifies teach-back, medication reconciliation, follow-up interval, and a named handoff recipient.

  • Identify the top contributing causes of avoidable readmission for a described population and match two interventions to each cause.

  • Compare transitional-care models on target population, core components, and the outcome each is designed to move.

Your checkpoint

One complete written transition-of-care plan for a complex patient, plus a one-page comparison table of three transitional-care models.

Week 4

Risk Assessment & Transitions of Care

  • Conduct a structured risk screen across falls, pressure injury, thrombosis, readmission, and medication-related harm for three written vignettes.

  • Rank competing risks using likelihood and consequence reasoning and defend the ordering in writing.

  • Select and interpret a validated risk tool for a named population, stating its known sensitivity limits and when to override it.

  • Link each identified risk to a specific transition safeguard such as follow-up interval, teach-back, or home-health referral.

Your checkpoint

Three completed risk-prioritization worksheets plus a one-page risk-to-transition-safeguard crosswalk containing at least eight matched pairs.

Week 5

Interprofessional Communication & Team Leadership

  • Distinguish horizontal clinical leadership and delegation from traditional hierarchical charge-nurse functions with concrete examples.

  • Write three escalation scripts using a structured communication format, each naming the receiver, the ask, and the timeframe.

  • Analyze a written team-conflict scenario and draft a resolution plan that names the specific communication behaviors used.

  • Define scope-of-practice and accountability boundaries among RNs, licensed practical nurses, assistive personnel, and advanced practice roles.

Your checkpoint

A one-page set of three escalation scripts plus a written conflict-resolution plan, self-scored against a six-criterion communication rubric.

Week 6

Quality Improvement

  • Sequence the steps of two improvement frameworks and match each step to a concrete microsystem activity.

  • Interpret a supplied run chart, identifying shift, trend, and special-cause signals with the rule applied.

  • Distinguish quality improvement from research and from individual performance appraisal, giving one example of each.

  • Draft a specific, measurable, time-bound aim statement for a chosen microsystem problem.

Your checkpoint

A one-page improvement charter containing an aim statement, four measures, a single-cycle test plan, and a written run-chart interpretation.

Week 7

Implementation of Best Practices Based on Evidence

  • Formulate a searchable clinical question using a structured population-intervention-comparison-outcome format.

  • Appraise three supplied study summaries for design, level of evidence, and quality, and assign each a confidence grade.

  • Weigh evidence, clinical expertise, and patient preference in a documented practice decision.

  • Convert an appraised practice change into an implementation plan naming barriers, facilitators, and a sustainment measure.

Your checkpoint

A one-page evidence table for three study summaries plus a graded recommendation statement accompanied by a barrier-and-facilitator list.

Week 8

Care Coordination & Outcomes Measurement & Transitions of Care & Interprofessional Communication & Team Leadership & Risk Assessment & Implementation of Best Practices Based on Evidence & Quality Improvement

  • Integrate all seven domains across two full-length timed simulations and review the rationale for every item, right or wrong.

  • Condense the highest-frequency missed concepts from weeks 1 through 7 into a single synthesis sheet.

  • Hold a steady per-item pacing target across both simulations without a late-test time collapse.

  • Rehearse the exam-day routine, including break timing and a written plan for flagging and returning to uncertain items.

Your checkpoint

Two timed full-length simulations scored at or above 80%, with an error log showing no repeat of any error category identified earlier in the plan.

Milestones

Week 2: Complete a 40-item timed set on care coordination and outcomes measurement and score at least 80%; correctly classify 10 of 10 measures as structure, process, or outcome.

Week 4: Score at least 75% on a 50-item cumulative self-test covering care coordination, outcomes measurement, transitions of care, and risk assessment; log every missed item with a cause (knowledge gap, misread, or guess).

Week 6: Explain aloud, in under five minutes each, how the first five domains interlock across one patient's episode from admission through 30-day follow-up, citing the measure and risk tool used at each step.

Week 8: Two consecutive full-length timed simulations at or above 80%, with every missed item logged, re-taught, and retested; confirm zero recurrence of previously logged error categories.