California State University, East Bay-BSN Ed Project

1. Demonstrate knowledge of the nursing code of ethics as applied to SRH.

1a. Incorporate knowledge of emerging and current SRH ethical issues into patient education, counseling and referrals.

1b. Differentiate between consent and assent, be able to obtain both when necessary and document appropriately.

2. Engage in ongoing self-reflective SRH values clarification to differentiate personal beliefs, including implicit and explicit biases, from professional values and responsibility.

3. Demonstrate the use of patient-centered care (PCC) and trauma-informed care (TIC) by using therapeutic communication to deliver evidenced-based holistic SRH care tailored to the patient's needs and social identities.

3a. Integrate patient preferences to describe anatomy and social identity.

3b. Communicate the risks, benefits and alternatives to SRH care with the patient and their support system and employ shared decision-making techniques that facilitate informed consent and informed refusal.

3c. Identify the patient’s community of support and engage them in the patient’s SRH care if and when appropriate.

3d. Differentiate between sex assignment at birth, gender identity, gender expression and sexual orientation.

3e. Describe the impact trauma informed care has on patient outcomes.

4. Integrate the principles of reproductive and social justice into SRH care.

4a. Differentiate between reproductive rights, reproductive health and reproductive justice.

5. Integrate patient preferences to offer referrals/linkage to medical health care and community resources to address the patient's social, physical, mental, spiritual and emotional needs.

6. Describe the RN scope of practice related to SRH outlined by the state board of registered nursing.

6a. Describe state and federal law related to RNs administering and dispensing SRH medications safely.

6b. Describe the role and scope of forensic nurse examiner (FNE)/sexual assault nurse examiner (SANE) nurses.

7. Demonstrate knowledge of all state and federal laws related to SRH diagnoses and treatment, including but not limited to HIV, disability, mandated reporting, HIPAA, confidentiality, STI diagnostic reporting.

8. Demonstrate knowledge of social and political determinants of health as it relates to SRH access.

9. Describe the barriers and protections that state and federal health law and policy has on patient access to care/services/insurance. (LGBTQIA discrimination laws, abortion laws, minor consents, infertility coverage mandates, medical care for victims of violence, American’s with Disabilities Act, etc.)

10. Identify the social, political, historic factors that drive patient-provider interactions, including medical mistrust, reproductive healthcare coercion, discrimination and exclusion of social groups that impact patient presentation, disclosure, and health outcomes.

10a. Integrate knowledge of social, political, structural, and historical determinants of health to tailor SRH care.

11. Describe the medications and protocols used for contraceptive methods including eligibility, routes of administration, mechanism of action, side effects, adverse effects, and contraindications.

11a. Demonstrates the ability to counsel patients on contraceptive options by including the recommended use and typical use, emphasizing informed choice, assessing individual risks and benefits, and ensuring decision-making is free from coercion.

11b. Describe non-contraceptive uses for hormonal and non-hormonal contraception, including PCOS, endometriosis, etc.

12. Describe the medications and protocols used for medication and procedural abortions including eligibility, routes of administration, mechanism of action, side effects, adverse effects, and contraindications.

13. Describe the medications and protocols used for hormone therapies including eligibility, routes of administration, mechanism of action, side effects, adverse effects, and contraindications across various diagnoses and patient populations, including but not limited to contraception, PCOS, menopause, fertility, and infertility treatments.

14. Describe the gender affirming medications and treatment options across the lifespan for transgender and gender expansive people including medication mechanism of action, drug interactions, risk, benefits and impact on SRH.

15. Describe infertility guidelines and recommendations to promote fertility for people of all genders.

16. Describe interpersonal violence (IPV), including its definition, types, dynamics, and risk factors, incidence and prevalence including the physical, mental and emotional health risks associated with IPV and incorporate this into patient teaching, health assessment and screening.

16a. Provide age-appropriate education on healthy/unhealthy intimate partner relationships.

17. Demonstrate effective trauma-informed care during IPV screening and assessment using a person-centered approach.

18. Demonstrate knowledge of guidelines for universal reproductive health screening including but not limited to genetic counseling, immunizations, breast, cervical and testicular health, STIs, drug use, and IPV.

18a. Apply knowledge of universal STI screening recommendations to complete an individualized risk assessment and plan of care.

19. Identify and differentiate bacterial, viral, and parasitic STIs and discuss disease process and progression including risk associated with undiagnosed/untreated infection, routes of transmission, presenting symptoms and asymptomatic presentation, available diagnostic assessments and treatment options and follow-up/monitoring needs.

19a. Demonstrate ability to conduct focused assessments to identify clinical manifestations of STIs.

19b. Provide accurate education on chronic STI infection process and management.

19c. Integrate knowledge on how chronic STIs impacts other sexual and reproductive health outcomes including sexual activity, sexual pleasure, pregnancy, breastfeeding/chest feeding, etc.

20. Counsel patient on harm reduction to limit and prevent transmission of STIs, including vaccinations, medication, barrier methods and behavior changes.

21. Recognize sexual health, function and pleasure as core tenets of human health and sexual wellness and incorporate this into standard nursing health assessments.

21a. Assess and discuss sexual readiness and onset of sexual activity.

21b. Assess and counsel patients on sexual health and wellness, function and pleasure including identifying and screening for sexual function disorders.

21c. Differentiate between normal and abnormal vaginal discharge, including clinical features of STIs, bacterial vaginosis (BV) and yeast infections.

22. Describe the anatomic, psychological and physiological changes to a pregnant person during prenatal, intranatal and postpartum periods.

22a. Demonstrate ability to assess and educate on perinatal mood and anxiety disorders and refer as needed.

23. Identify and select the appropriate pregnancy verification method and timing to confirm pregnancy location, completion of miscarriage or abortion.

24. Demonstrate and interpret appropriate fetal assessments through pregnancy including lab testing and physical assessment.

24a. Describe and differentiate between types of spontaneous pregnancy loss, including early, late, and stillbirth.

24b. Demonstrate use of various methods of gestational dating including LMP, ultrasound, and fundal height measurements.

24c. Describe the stages of embryonic and fetal development and incorporate correct terminology into patient education surrounding prenatal care and pregnancy loss.

24d. Describe recommended guidelines and timing for fetal screenings based on gestation including but not limited to genetic and anatomic screening ultrasound.

25. Describe the occurrence, common underlying causes, and medical management of spontaneous pregnancy loss including early pregnancy loss and intrauterine fetal demise.

25a. Describe and differentiate between types of pregnancy loss, including early, late, and stillbirth.

25b. Identify possible pregnancy loss using comprehensive assessment and determine the need for expectant, urgent, or emergent intervention.

26. Apply knowledge of breastfeeding/chest feeding physiology to provide lactation induction and cessation support for people producing human milk.

26a. Assess and treat common challenges with breastfeeding/chest feeding including but not limited to sore nipples, low milk supply, engorgement, mastitis, and suppressing milk supply.

26b. Provide education on appropriate storage of human milk.

26c. Provide referrals and education on acquiring safe human milk and donor milk resources.

27. Demonstrate knowledge of the anatomy and physiology of fertilization.

27a. Demonstrate knowledge of guidelines and recommendations to support pregnancy, including exercise, nutrition, and vaccination.

28. Demonstrate knowledge of the pathophysiology of male and female factor infertility.

28a. Conduct physical assessment for infertility and understand diagnostic and treatment options for common causes of male and female infertility, including scrotal/penile assessment, blood draw for hormone assessment, scrotal ultrasound, semen assessment, etc.

28b. Demonstrate knowledge of current and emerging definitions of infertility and understand how this definition dictates diagnostic and treatment options.

28c. Describe procedures used to address infertility including but not limited to IVF and IUI.

28d. Describe the risk profile, diagnostic methods, and treatment options for male and female factor infertility.

29. Describe hormonal and physical changes throughout the lifespan including but not limited to menstrual cycle, sperm production, puberty, and menopause.

30. Provide evidence-based, person-centered options counseling based on patients desire for continuing pregnancy or abortion, including parenting, adoption, and types of abortion.

31. Describe various methods of emptying uterine contents including but not limited to medications and procedural evacuation, electric and manual vacuum aspiration, dilation and evacuation, and dilation and curettage.

31a. Apply comprehensive understanding of abortion eligibility criteria, integrating clinical guidelines, legal requirements, and professional scope of practice, to abortion options counseling.

32. Educate patient on validated techniques of patient facilitated SRH interventions, including self-specimen collection, self-swabbing, speculum insertion, and IUD removal.

33. Provide comprehensive pre, intra and post-SRH procedural care including but not limited to lab tests, screenings, medication administration, patient assessments based on procedure, such as procedural abortion, egg retrieval, and male and female sterilization.

33a. Provide post-abortion recovery education including but not limited to monitoring for complications, return of fertility complication assessment and intervention, patient education, abortion discharge education, recuperative care, reproductive health prevention counseling, STI, contraception, and sexual wellness.

34. Counsel patients on options for parenthood regardless of family structure including but not limited to adoption, surrogacy, donor sperm/eggs, assisted reproductive technologies (ART), and non-medical assisted fertility.

34a. Describe non-healthcare assisted fertility options, including friend/family donor, home insemination, etc.

35. Differentiate between consensual sex, coercive sex, sexual assault, human trafficking and the commercial sexual exploitation of children (CSEC).

36. Differentiate between normal and abnormal uterine bleeding and understand pathophysiology of each, including fibroids, irregular menses, amenorrhea, PCOS, and endometriosis.

37. Demonstrate understanding of evidence-based guidelines for breast/chest self-awareness and the initiation and ongoing management of mammogram screening.

38. Advocate for improved public health access to evidence-based SRH services.

39. Utilize evidence-based guidelines and research to recognize and dispel myths related to SRH.