Assignment 2: Practicum Experience Plan (PEP)
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:
- Specific
- Measurable
- Attainable
- Results-focused
- Time-bound
- 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.
By Day 7 of Week 2
Submit your Experience Plan for assessment and Faculty approval.
When your Instructor has approved your plan, forward the signed PEP to your Preceptor, and retain a copy for your records.
Template
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.
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.
** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.
Objective 1: <write your objective here> (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: <write your objective here> (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: <write your objective here> (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 (hours you are in Practicum Setting at your Field Site) | Number of Weekly Hours for Professional Development (these are not practicum hour) | Number of Weekly Hours for Practicum Coursework (these are not practicum hours) | |
| Week 1 | 16 | 8 | 8 |
| Week 2 | 16 | 8 | 8 |
| Week 3 | 16 | 8 | 8 |
| Week 4 | 16 | 8 | 8 |
| Week 5 | 16 | 8 | 8 |
| Week 6 | 16 | 8 | 8 |
| Week 7 | 16 | 8 | 8 |
| Week 8 | 16 | 8 | 8 |
| Week 9 | 16 | 8 | 8 |
| Week 10 | 16 | 8 | 8 |
| Week 11 | |||
| Total Hours (must meet the following requirements) | 144 or 160 Hours | 80 | 80 |
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.
Course
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-TR 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:
|
Some of the strengths that I have learn and acquired over time and within this citadel of knowledge are : I. Psychiatric Mental health assessment skills II. Psychiatric mental health evaluation skills III. Psychiatric mental health evaluation skills IV. Psychiatric mental health DSM-V criteria V. Psychiatric mental health treatment plan VI. Assessing and diagnosing other medical conditions
The knowledge acquired throughout my nursing career is a great strength and the opportunities that I had working at mental health institutions and psychiatric units of hospital and long term care facilities has exposed me to different kinds of patient diagnosis, assessment and treatment plan. However this program has also thought me the abilities to perform the affore mentioned skills without supervision.
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Opportunities for growth:
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During my initial practicum experience ability to perform an assessment interview with patient and come out with a formulated diagnosis according to standard of practice using the DSM-5 criteria and with standardized treatment plan that really works without supervision is a big stepping stone for me and am open for more learning opportunities with so much energy and willingness.
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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: Recognizing clinical signs and symptoms of psychiatric illness across the lifespan
a. Objective: Assessing patients across lifespan to come up with formulated diagnosis that follows DSM-Criterion b. Objective: Making sure all my assessment are properly documented using the soap charting and following my practicum site protocol c. Objective: using all available resources from patient ,like family member, parents, teachers or caregiver to collect data that will be used for assessment purpose.
2. Goal: 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 a. Objective: Follow preceptor guidelines by discussing appropriate treatment plan b. Objective: Using learned and acquired skills to chose appropriate treatment plan c. Objective: Using references and evidences from previous similar cases
3. Goal: Identifies ethical and legal dilemmas with possible resolutions a. Objective: Learning legal and ethical dilemmas from course and learning resources and applying them on the practicum field practice b. Objective: using field or site cases to study the ethical stressors and ways to go around them c. Objective: Following the field preceptor and the psychiatrist for learning opportunities
4. Goal: Develops an appropriate plan of care based upon screening instruments response a. Objective: Identifying different types of assessment tools and proper way of utilizing them for diagnosis and treatment purpose b. Objective: Learning how to read the outcomes of the tools and what options of treatments c. Objective: Making sure I can identify different tools appropriate for different age groups across lifespan
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Signature: student
Date: June 04, 2021
Course/Section: NRNP Practicum 6665/6675 across Life Span
