Lawrence S. Bloomberg Faculty of Nursing

Navi Mental Health Wayfinder

Care of the Hospitalized Adult 2

Fall 2023

8 week online course

Course Code: NUR-CPD-NPAC2-2023

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Delivery Format: Online

OSAP Approved
Course Description
Course Outline
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  • Course Description

    This is the second course in a four-course Certificate in Hospital & Acute Care for Nurse Practitioners.

    The certificate builds upon the foundational knowledge acquired through entry-to-practice education and the acquisition of entry-to-practice competencies. The certificate will equip Nurse Practitioners with the knowledge and tools to confidently assess, diagnose and develop a treatment plan for the acutely ill adult patient, hospitalized with a broad range of conditions and facilitate a foundation for advanced nursing care of the ill or critically ill patient.

    This 8-week online course consists of 7 weeks of course material; and one week for final short answer exam. Participants will focus on developing diagnostic reasoning and therapeutic planning skills in the context of managing acute patient presentations in hospital settings in the following clinical areas: respirology, acid-base and electrolyte abnormalities, renal dysfunction (acute and chronic), gastrointestinal issues (GI bleeding, hepatic issues and severe nausea and vomiting), mental health and substance use.

    An interactive and case-based approach is utilized to review acute clinical problems with an emphasis on diagnostic reasoning and therapeutic planning skills. Clinical experts will discuss the differential diagnosis, relevant pathophysiology, identification of assessment findings, the relevant diagnostic approach, the therapeutic plan of care, and the red flags that require intervention or consultation.

    Learning Objectives

    At the completion of the 4-course certificate program, learners will be able to:

    A. Articulate the role and competencies of a Nurse Practitioner working with hospitalized adult patients.

    1. Discuss key role and scope issues relevant to the NP role in hospitals.
    2. Identify accountabilities and necessary skills of NPs in the most responsible provider role.
    3. Demonstrate confidence to practice independently and collaboratively.

    B. Display sound diagnostic reasoning skills by successfully developing a broad differential diagnosis and diagnostic and treatment plan for selected patient conditions.

    C. State the clinical care requirements and management for a wide variety of acute clinical conditions in adult hospitalized patients including the ability to: 

    1. Conduct the appropriate advanced health assessment strategy.
    2. Develop an appropriate differential diagnosis.
    3. Recognize red flags and how to triage patients who may require a higher level of care and/or patients that are rapidly deteriorating.
    4. Choose an appropriate diagnostic testing strategy.
    5. Identify a treatment strategy and an evaluation plan.
    6. Select appropriate technical interventions and treatments (if relevant).
    7. Describe indications for necessary consultations and referral.
    8. Identify accountabilities for communication at transitions in care and for safe discharge.
    9. Communicate relevant priorities for secondary prevention.
  • Course Outline

    Week Topic Faculty
    Week 1 Respirology 1 Thomas Piraino, Alex Cressman
    Week 2 Respirology 2 Alex Cressman, Katina Tzanetos, Vikram Prabudesai
    Week 3

    Electrolyte Abnormalities

    Elizabeth Hendron
    Week 4 Renal Issues Alison Thomas
    Week 5 Gastrointestinal Issues Elizabeth Hendron
    Week 6 Mental Health Cindy Pritchard
    Week 7 Substance Use Shahnawaz Ali
    Week 8



    Course Format

    This course is a fully online asynchronous course through the University of Toronto Learning Portal – QUERCUS. Each week, participants will view e-learning modules, review required readings and resources, and actively engage with learning activities that will focus on application of learning. Learning activities and assignments will provide opportunity to apply learnings and receive feedback.

    Participants can expect to allocate a minimum of 5-10 hours a week for completion of a weekly module and allocate additional time for assignments. The time spent on any one module will vary from student to student based on your learning needs and style of learning.

    Each week will consist of a recorded lecture by faculty who are expert clinicians in their field. Faculty will be available for questions through discussion board during the scheduled week for the module.

    Each module focuses on one or more health systems or clinical themes, discussion of the appropriate health assessment, relevant differential diagnoses, pathophysiology, red flags, diagnostics and diagnostic sensitivity/specificity, therapeutic plan of care, selection of appropriate technical interventions and treatments, and indications for referral and/or consultation, considerations in transitions in care/discharge, and relevant role and scope issues.

    Additional clinical resources will be provided such as clinical practice guidelines, relevant practice standards, and clinical tools for practice.

    Most weeks will include an application exercise such as a learning activity.

  • Course Directors

    Dawn Tymianski NP-Adult, MN, MA, PhD, CNN(C)
    Adjunct Lecturer, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto

    Marnee Wilson NP-Adult, MScN, CDE
    Professional Practice Leader for Nurse Practitioners and Nurse Practitioner, Cardiovascular Surgery, Unity Health/St. Michael’s, Assistant Professor, Teaching stream, Lawrence S. Bloomberg Faculty of Nursing, University of Toronto


    Shahnawaz Ali MN, NP-Adult
    Nurse Practitioner, Concurrent Disorders, RAAM Clinic, and General Psychiatry 
    St. Joseph’s Healthcare Hamilton
    Adjunct Lecturer, Lawrence S. Bloomberg Faculty of Nursing

    Alex Cressman MD, MSc FRCPC
    PGY6 General Internal Medicine Fellow
    Division of General Internal Medicine
    Temerty Faculty of Medicine, University of Toronto

    Elizabeth Hendron MD FRCPC 
    PGY6 Nephrology 
    Department of Medicine, University of Toronto 

    Thomas Piraino RRT
    Clinical Specialist – Mechanical Ventilation, St. Michael’s Hospital, Unity Health
    Adjunct Lecturer, Department of Anesthesia, Division of Critical Medicine, McMaster University 

    Cindy Pritchard, RN(EC), BScN, NP-PHC, CPMHN(C)
    Nurse Practitioner, Adult Anxiety and Mood Disorders (AMD)/Prompt Clinic
    Ontario Shores Centre for Mental Health Sciences

    Virkram Prabhudesai MD
    Department of Medical Imaging, Unity Health
    Assistant Professor, University of Toronto

    Alison Thomas RN(EC), MN, CNeph(C)
    Nurse Practitioner, Hemodialysis, St. Michael’s Hospital, Unity Health
    Adjunct Lecturer, Lawrence S. Bloomberg Faculty of Nursing 

    Katina Tzanetos
    Associate Professor, Department of Medicine, Temerty Faculty of Medicine, University of Toronto

  • Registration Information


    Early Bird price (ends August 25, 2022) $829 + HST
    Regular price (starting August 26, 2022) $920 + HST
    U of T Nursing Alumni save 15%* $780 + HST
    U of T Nursing Adjunct and Status Faculty save 15%*** $780 + HST
    NPAO Member save 15%**** $780 + HST

    Site Groups

    A group discount rate is available for site groups of three or more people. For details please contact

    Please Note

    • Refund Policy – To withdraw from a course, send a written request to by August 25, 2022.  No refunds will be given after this date. All refunds are subject to an administrative fee of $100 + tax. Alternatively, a colleague may attend in your place. Please send your substitution request at least 3 days prior to the course to
    • Advanced registration is required. You must register by September 16, 2022.
    • U of T Nursing Alumni discount is available to participants who hold a BScN, MN, PMNP Diploma, MScN or PhD from the Lawrence S. Bloomberg Faculty of Nursing, University of Toronto.
    • U of T Nursing Faculty discount is available to participants who hold a current faculty position, a clinical instructor position, an adjunct appointment or a status appointment to the Lawrence S. Bloomberg Faculty of Nursing, University of Toronto
    • NPAO (Nurse Practitioner Association of Ontario) members may register at the NPAO rate which is 15% off the regular rate. Please note, your name will be used to confirm that you are a member of the NPAO.
    • Applicable taxes (13% HST) will be added to the registration fees.
    • Course Cancellation Policy – The Centre for Professional Development reserves the right to cancel courses due to circumstances. The decision to cancel a course is normally made 15 days prior to the course. If you are enrolled in a course which is subsequently cancelled, you may apply your fee to another course, or receive a full refund. The Centre is not responsible for any travel or other expenses incurred by you.
  • Financial AssistanceOSAP Approved

    OSAP Funding

    The Ontario Student Assistance Program now offers funding for micro-credentials (short training programs offered by post-secondary institutions), including a number of courses offered by the Centre for Professional Development. This funding initiative is part of Ontario’s micro-credentials strategy, helping learners access more opportunities to train or upskill for in-demand jobs through loans and grants.

    How to Apply for OSAP Funding

    This course is OSAP approved (more approved courses are listed below, and you can also verify on the Micro-credentials Portal). To apply for financial assistance through OSAP you will need to establish an OSAP account. You must apply before the course completion date. Visit

    Once you have registered for an eligible OSAP Micro-credential program, the University Registrar’s Office requires a Micro-Credential Program information form to be completed to process your OSAP application. Please fill out the top section of the form and send it to to get assistance in completing the form.

    Download the Micro-credential Program Information Form (PDF)

    For questions regarding the OSAP Micro-Credential funding, eligibility or application process, please contact UofT’s Enrolment Services directly at, or by phone at 416-978-2190 for assistance.

    Eligible courses offered by the Centre for Professional Development

    • Advanced Health Assessment and Clinical Reasoning in Primary Health Care: A Review for Nurse Practitioners
    • Advanced Ostomy Care and Management
    • Complex Symptom Management in Palliative Care for Nurse Practitioners
    • Controlled Drugs and Substances: Essential Management and Prescribing Practices
    • End of Life Care Management for Nurse Practitioners
    • Integrating a Palliative Approach to Care and Essential Communication Skills for Nurse Practitioners
    • Leadership & Management in Health Care: Managing Business
    • Leadership & Management in Health Care: Managing People
    • Leadership & Management in Health Care: Managing Practice, Quality Care & Operational Performance
    • Leadership & Management in Health Care: Role, Competencies, and Context
    • Mental Health 1 for Nurse Practitioners
    • Mental Health 2 for Nurse Practitioners
    • Mental Health 3 for Nurse Practitioners
    • Mental Health 4 for Nurse Practitioners
    • Nursing Education for the Practice Setting: Assessment and Evaluation
    • Nursing Education for the Practice Setting: Design, Delivery and Facilitation
    • Nursing Education for the Practice Setting: Theoretical Perspectives and Context
    • Point-of-Care Clinical Leadership for Managing Quality Care & Operations in Long-Term Care
    • Point-of-Care Clinical Leadership for Working With & Leading Long-Term Care Teams
    • Point-of-Care Clinical Leadership in the Context of Long-Term Care
    • Pressure Injuries and Complex Surgical Wounds: An Advanced Practice Course
    • Review of Health Assessment Across the Lifespan
    • Role of the Nurse Practitioner and Care of the Hospitalized Adult 1
    • Role of the Nurse Practitioner and Care of the Hospitalized Adult 2
    • Role of the Nurse Practitioner and Care of the Hospitalized Adult 3
    • Role of the Nurse Practitioner and Care of the Hospitalized Adult 4
    • Wound Management for Nurse Practitioners and Advanced Practice Nurses: A Best Practice Boot Camp on Lower Extremity Ulcers
  • Contact Us

    Phone: (416) 978-1784
    Address: Centre for Professional Development
    Lawrence S. Bloomberg Faculty of Nursing
    University of Toronto
    155 College Street
    Suite 130
    Toronto, ON
    M5T 1P8

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