nursing (health Transition nurse PLP)
PLP Weekly Progress Assessment
Part I. Reflection
Instructions: Complete all areas below, answering thoroughly and thoughtfully for each section.
1. List the disease processes of the types of patients you helped care for this week.
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Age |
Admitting Diagnosis |
Additional Disease Processes |
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Ex: 66 yo |
Shortness of breath |
pulmonary edema secondary to new onset AFib; hx uncontrolled DM II, HTN |
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2. List learning experiences and skills completed this week with your thoughts. Select one skill/experience and research the most current EBP on that skill; compare and contrast the literature to your experience and briefly discuss. Include a citation and a reference list at the end of this document; use APA format.)
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Skill/Experience
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Thoughts? Surprises? More difficult/less difficult than you thought? |
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Example: Hung a bag of TPN (other ex: communicating with a challenging patient/family member, initiated a Code Blue, observed bone marrow biopsy, assisted holding for a lumbar puncture, provided patient education re: care of JP tube, etc.) |
I had no idea so many medications and even IV fluids were incompatible with TPN! The IV compatibility chart is super helpful. We really had to think through how we could give the patient all their meds with only one access port from a double lumen PICC. I also realized that because of the TPN, we have to monitor for hyperglycemia even though the patient was not diabetic, so the patient was getting tested three times a day. However, I found some evidence from Rohrmann, et al. (2017) recommending BG checks twice a day after 36 hours of being on TPN. I will discuss this with my nurse during my next shift to get his thoughts! |
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3. List your strengths and areas of improvement identified this week:
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Strengths |
Areas of Improvement |
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4. How are you feeling about this past week? How are you doing… really?
5. Would you like to personally check in with me this week? Anything you need or any questions you have for me?
Part II. Goals
Instructions: Complete the table below using your objectives and goals from the PLP Goals assignment. Reference the “PLP Guidelines” document for more detailed information on the requirements of this assignment.
Learning objective: What are you trying to achieve? (This is what you are trying to learn- NOT what you are going to do.)
Plan: What will you do to achieve this? What actions will you take? Be specific. Also, consider which resources you might utilize.
SMART Goal: “I will...” Your goal should be specific, measurable, attainable, relevant, and time-specific.
Objectives and Goals:
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1. Patient Assessment Learning Objective: Identify a learning objective to develop or improve in this dimension of nursing practice. (Example) Learn how to complete an appropriate nursing assessment of a critically ill patient. |
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Plan: Identify at least four different strategies to meet your objective. (Example) · Observe and collaborate with my preceptor about how they perform their assessment. · Review ventilation settings and monitoring in the AACN Covid Module. · Begin assessing patients under my preceptor’s supervision. · Observe other nurses perform their patient assessments. |
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SMART Goal: Identify a specific goal to meet within the first half of preceptorship. (Example) I will demonstrate proper assessments of at least two critically ill patients by the end of my 5th shift (practicum midpoint.) |
Met In-progress Unmet |
Evaluation: If the goal was met, describe how and what your takeaways are. If the goal is in-progress, give an update on what you did this week to get closer to meeting your goal. If the goal was unmet by your intended timeframe, revise your goal as needed and discuss what your plan is for achieving it. |
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SMART Goal: Include as many goals as you want under each objective. Remember that if you met a goal, you will need to identify a new one for next week. |
Met In-progress Unmet |
Evaluation:
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2. Planning of Patient Care Learning Objective:
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Plan:
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SMART Goal: |
Met In-progress Unmet |
Evaluation: |
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SMART Goal: |
Met In-progress Unmet |
Evaluation:
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3. Medication Administration Learning Objective:
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Plan:
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SMART Goal: |
Met In-progress Unmet |
Evaluation:
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SMART Goal: |
Met In-progress Unmet |
Evaluation:
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4. Communication Learning Objective:
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Plan:
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SMART Goal: |
Met In-progress Unmet |
Evaluation:
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SMART Goal: |
Met In-progress Unmet |
Evaluation:
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5. Documentation Learning Objective:
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Plan:
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SMART Goal: |
Met In-progress Unmet |
Evaluation:
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SMART Goal: |
Met In-progress Unmet |
Evaluation:
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6. Personal Goal Learning Objective: (Think about the areas of improvement you listed above and identify something you want to learn.)
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Plan:
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SMART Goal: |
Met In-progress Unmet |
Evaluation:
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SMART Goal: |
Met In-progress Unmet |
Evaluation:
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References