18 Nov Assignment 2: Practicum Experience Plan (PEP)

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Assignment 2: Practicum Experience Plan (PEP)

 

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As you establish your goals and objectives for this course, you are committing to an organized plan that will frame your practicum experience in a clinical setting, including planned activities, assessment, and achievement of defined outcomes. In particular, your plan must address the categories of clinical reasoning, quality in your clinical specialty, and interpersonal collaborative practice.

For this Assignment, you will consider the areas you aim to focus on to gain practical experience as an advanced practice nurse. Then, you will develop a Practicum Experience Plan (PEP) containing the objectives you will fulfill in order to achieve your aims. In this practicum experience, when developing your goals and objectives, be sure to keep PMHNP clinical skills in mind.

To Prepare

• Review your Clinical Skills Self-Assessment Form you submitted last week, and think about areas for which you would like to gain application-level experience and/or continued growth as an advanced practice nurse. How can your experiences in the practicum help you achieve these aims? There may be overlap between your skills goals and your PEP goals.

• Review the information related to developing objectives provided in this week’s Learning Resources. Your practicum learning objectives that you want to achieve during your practicum experience must be:

o Specific 

o Measurable 

o Attainable 

o Results-focused 

o Time-bound

o Reflective of the higher-order domains of Bloom’s taxonomy (i.e., application level and above) 

• Discuss your professional aims and your proposed practicum objectives with your Preceptor to ascertain if the necessary resources are available at your practicum site.

• Select one nursing theory and one counseling theory to best guide your clinical practice. Explain why you selected these theories. Support your approach with evidence-based literature.

• Create a timeline of practicum activities that demonstrates how you plan to meet these goals and objectives based on your practicum requirements.

The Assignment

Record the required information in each area of the Practicum Experience Plan template, including three to four (3–4) measurable practicum Learning Objectives you will use to facilitate your learning during the practicum experience.

 

 

Practicum Experience Plan

 

 

Overview:

 

Your Practicum experience includes working in a clinical setting that will help you gain the knowledge and skills needed as an advanced practice nurse. In your practicum experience, you will develop a practicum plan that sets forth objectives to frame and guide your practicum experience.

 

As part of your Practicum Experience Plan, you will not only plan for your learning in your practicum experience but also work through various patient visits with focused notes as well as one (1) journal entry.

 

Complete each section below.

 

Part 1: Quarter/Term/Year and Contact Information

 

Section A

 

Quarter/Term/Year:

 

Student Contact Information

Name:

Street Address:

City, State, Zip:

Home Phone:

Work Phone:

Cell Phone:

Fax:

E-mail:

 

Preceptor Contact Information

Name:

Organization:

Street Address:

City, State, Zip:

Work Phone:

Cell Phone:

Fax:

Professional/Work E-mail:

 

 

Part 2: Individualized Practicum Learning Objectives

 

 

Refer to the instructions in Week 2 to create individualized practicum learning objectives that meet the requirements for this course. These objectives should be aligned specifically to your Practicum experience. Your objectives should address your self-assessment of the skills found in the “PMHNP Clinical Skills Self-Assessment Form” you completed in Week 1.

 

As you develop your individualized practicum learning objective, be sure to write them using the SMART format. Use the resources found in Week 2 to guide your development. Once you review your resources, continue and complete the following. Note: Please make sure each of your objectives are connected to your self-assessment. Also, consider that you will need to demonstrate how you are advancing your knowledge in the clinical specialty.

 

Objective 1: (Note: this objective should relate to a specific skill you would like to improve from your self-assessment)

 

Planned Activities:

 

Mode of Assessment: (Note: Verification will be documented in Meditrek)

 

PRAC Course Outcome(s) Addressed:

 

• (for example) Develop professional plans in advanced nursing practice for the practicum experience

• (for example) Assess advanced practice nursing skills for strengths and opportunities

 

Objective 2: (Note: this objective should relate to a specific skill you would like to improve from your self-assessment)

 

Planned Activities:

 

Mode of Assessment: (Note: Verification will be documented in Meditrek)

 

PRAC Course Outcome(s) Addressed:

 

•

 

Objective 3: (Note: this objective should relate to a specific skill you would like to improve from your self-assessment)

 

 

Planned Activities:

 

Mode of Assessment: (Note: Verification will be documented in Meditrek)

 

PRAC Course Outcome(s) Addressed:

 

•

 

Part 3: Projected Timeline/Schedule

 

Estimate how many hours you expect to work on your Practicum each week. *Note: All of your hours and activities must be supervised by your Preceptor and completed onsite. Your Preceptor will approve all hours, but your activities will be approved by both your Preceptor and Instructor. Any changes to this plan must be approved.

 

This timeline is intended as a planning tool; your actual schedule may differ from the projections you are making now.

 

I intend to complete the 144 or 160 Practicum hours (as applicable) according to the following timeline/schedule. I also understand that I must see at least 80 patients during my practicum experience. I understand that I may not complete my practicum hours sooner than 8 weeks. I understand I may not be in the practicum setting longer than 8 hours per day unless pre-approved by my faculty.

 

 

Number of Clinical Hours Projected for Week Number of Weekly Hours for Professional Development Number of Weekly Hours for Practicum Coursework

Week 1

Week 2

Week 3

Week 4

Week 5

Week 6

Week 7

Week 8

Week 9

Week 10

Week 11

Total Hours (must meet the following requirements) 144 or 160 Hours

 

 

 

 

 

Part 4 – Signatures

 

Student Signature (electronic): Date:

 

 

Practicum Faculty Signature (electronic)**: Date:

 

 

** Faculty signature signifies approval of Practicum Experience Plan (PEP)

 

Submit your Practicum Experience Plan on or before Day 7 of Week 2 for faculty review and approval.

 

Once approved, you will receive a copy of the PEP for your records. You must share an approved copy with your Preceptor. The Preceptor is not required to sign this form.

 

 

 

 

 

 

NOTE…..This is last week assignment with my strength and weakness. And I have put a template the instructor wants to use as above. Below are my strength and. Weakness to work on.

 

The nursing Theories I will like to use are; PEPLAU and OREM as well as ROGERS nursing theries

 

 

 

 

 

WEEK; 1 CLINICAL SKILLS SELF ASSESSMENT FORM

VENELINE OLORIFE

COLLEGE OF NURSING-PMHNP, WALDEN UNIVERSITY

 

NRNP 6665-12, PMHNP ACROSS LIFESPAN

 

Dr. ROXANNE JEFFRIES-BAXTER (Instructor)

 

SEPTEMBER 8, 2021

 

 

 

 

 

 

 

 

PRAC 6665/6675 Clinical Skills

Self-Assessment Form

Desired Clinical Skills for Students to Achieve Confident (Can complete independently) Mostly confident (Can complete with supervision) Beginning (Have performed with supervision or needs supervision to feel confident) New (Have never performed or does not apply)

Comprehensive psychiatric evaluation skills in:

Recognizing clinical signs and symptoms of psychiatric illness across the lifespan

 

X

Differentiating between pathophysiological and psychopathological conditions

X

Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) X

Performing and interpreting a mental status examination X

Performing and interpreting a psychosocial assessment and family psychiatric history X

Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational). X

Diagnostic reasoning skill in:

Developing and prioritizing a differential diagnoses list x

Formulating diagnoses according to DSM 5 based on assessment data X

Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes X

Pharmacotherapeutic skills in:

Selecting appropriate evidence based clinical practice guidelines for medication plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management) X

Evaluating patient response and modify plan as necessary

 

x

Documenting (e.g., adverse reaction, the patient response, changes to the plan of care) X

Psychotherapeutic Treatment Planning:

Recognizes concepts of therapeutic modalities across the lifespan X

Selecting appropriate evidence based clinical practice guidelines for psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management, modality appropriate for situation) X

Applies age-appropriate psychotherapeutic counseling techniques with individuals and/or any caregivers X

Develop an age-appropriate individualized plan of care X

Provide psychoeducation to individuals and/or any caregivers X

Promote health and disease prevention techniques X

Self-assessment skill:

Develop SMART goals for practicum experiences X

Evaluating outcomes of practicum goals and modify plan as necessary X

Documenting and reflecting on learning experiences X

Professional skills:

Maintains professional boundaries and therapeutic relationship with clients and staff X

Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings X

Identifies ethical and legal dilemmas with possible resolutions X

Demonstrates non-judgmental practice approach and empathy X

Practices within scope of practice X

Selecting and implementing appropriate screening instrument(s), interpreting results, and making recommendations and referrals:

Demonstrates selecting the correct screening instrument appropriate for the clinical situation X

Implements the screening instrument efficiently and effectively with the clients X

Interprets results for screening instruments accurately X

Develops an appropriate plan of care based upon screening instruments response X

Identifies the need to refer to another specialty provider when applicable X

Accurately documents recommendations for psychiatric consultations when applicable X

 

Summary of strengths

My studies at Walden University have compelled me at work to challenge myself even though am not an NP yet. I collaborate with the residents, psychiatrist and other health care workers, including para-legal in the psychiatry Center I work. During a client’s intake/admission, I ask client questions, which helps me identify and recognize the symptoms the patient/client is having. Like Ryan Tanap (2017) claims, recognizing a mental patient’s symptoms become important to achieving the right diagnoses. This art I have mastered. Technology has made things easy, as am able to research quickly and select evidence based clinical guidelines that will help with each patient’s psychotherapeutic plan, Schutte-Rodin S, et al (2008)’s statement relating to individualizing In addition, performing and interpreting family history as it affects a patient is salient in developing a list of differential diagnosis leading to the formulation of a patient’s diagnosis, proficiency in this has come with experience motivated by the desire to excel. Moreover, at work I collaborate at all time with different experienced psychiatrist who has given confidence. They claim, my clinical practice in mental health settings has given me the knack to identify possible diagnosis for the signs and symptoms for individuals we take care as well as having non-judgmental practice approach and empathy while making sure I put into consideration ethical and legal problems at bay. And now at this practicum with one of the psychiatrists (Delaware Psychiatrist Center) and one of Maryland State Community Wellness Centers, I hope to demonstrate the application of age-appropriate therapeutic counselling and treatment of mental disorders across lifespan.

 

 

 

 

 

 

 

 

Opportunities for growth:

I would like to be proficient in selecting the correct screening instrument appropriate for any clinical situation. I took notice each facility makes do with a particular screening instrument they have chosen. It will be nice to broaden my knowledge with the implementation and interpretation of the screening instrument efficiently, as this will help in the appropriate diagnosis and care plan of the patients I see. Furthermore, increasing my knowledge in the area of knowing the right psychiatric recommendations and consultation when the need arises will improve my expertise as a PMHNP. Am told the continuous use of the DSM-5 will improve my diagnosis of the patients I will seeing on this practicum journey, by identifying each patient’s signs and symptoms.

 

 

 

 

 

 

 

 

 

Now, write three to four (3–4) possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.

1. Goal: To be opened for criticisms from resident doctors, psychologists, other allied workers, as well as the psychiatrists.

a. Objective: Giving myself more room for research and learning.

b. Objective: To become more proficient as a provider

c. Objective: Providers are constantly dealing with human beings; this will give me more room for self-reliance.

 

2. Goal: Effectively select correct screening instruments appropriate for diagnosing a clinical problem implement the screening instruments and interpret results.

a. Objective: Efficient interpretations of screening instruments are instrumental to correct diagnosis.

b. Objective: This will facilitate proper and appropriate plan of care.

c. Objective: This will also boost my confidence when relating with patients.

 

3. Goal: Sorting out the appropriate evidence based clinical practice guidelines for medication plan

a. Objective: This will prevent any adverse effects of any medications I will be prescribing.

b. Objective: It will prevent malpractice.

c. Objective: Planning will enable better monitoring of my clients

 

4. Goal: Selecting effective, safe and cost effective, individualized for the patient.

a. Objective: This will make me adhere to national guidelines and local formularies.

b. Objective: Treatment and Care for mental illness is so far trial-and-error, being cautious will be my uttermost in caring for my patient.

c. Objective: Promotion of my patient’s daily functionality in the community.

 

 

 

 

 

 

Signature: VENELINE OLORIFE

Date: 9/3/21

Course/Section: 6665-5 PRACTICUM

 

REFERENCES

Malla, A., Joober, R., & Garcia, A. (2015, May). “Mental illness is like any other medical illness”: A critical examination of the statement and its impact on patient care and society. Journal of psychiatry & neuroscience : JPN. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4409431/.

Schutte-Rodin, S., Broch, L., Buysse, D., Dorsey, C., & Sateia, M. (2008, October 15). Clinical guideline for the evaluation and management of chronic insomnia in adults. Retrieved March 05, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2576317/

Tanap, R. (2017, January 13). Mindful: Exploring Mental Health Through Art. NAMI. https://www.nami.org/Blogs/NAMI-Blog/January-2017/Mindful-Exploring-Mental-Health-Through-Art.

 

PDFs;

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2576317/

https://www.nami.org/Blogs/NAMI-Blog/January-2017/Mindful-Exploring-Mental-Health-Through-Art.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4409431/pdf/jpn-40-147.pdf