PRAC 6645 WEEK 2 ASSIGN 2

Desired Clinical Skills for Students to Achieve

Confident (Can complete independently)

Mostly confident (Can complete with supervision)

Beginning (Have performed with supervision or need 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

Mostly confident

Differentiating between pathophysiological and psychopathological conditions 

Beginning

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

mostly confident

Performing and interpreting a mental status examination 

beginning

Performing and interpreting a psychosocial assessment and family psychiatric history 

beginning

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

Mostly confident

Diagnostic reasoning skill in:

Developing and prioritizing a differential diagnoses list

beginning

Formulating diagnoses according to DSM 5 based on assessment data 

beginning

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

Mostly confident

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) 

beginning

Evaluating patient response and modify plan as necessary 

beginning

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

beginning

Psychotherapeutic Treatment Planning:

Recognizes concepts of therapeutic modalities across the lifespan

beginning

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) 

beginning

Applies age appropriate psychotherapeutic counselling techniques with individuals, families, and groups

mostly confident

Develop an age appropriate individualized plan of care

beginning

Provide psychoeducation to individuals, family, and/or groups

beginning

Promote health and disease prevention techniques

mostly confident

Self-Assessment skills:

Develop SMART goals for practicum experiences 

mostly confident

Evaluating outcomes of practicum goals and modify plan as necessary 

mostly confident

Documenting and reflecting on learning experiences

mostly confident

Professional skills:

Maintains professional boundaries and therapeutic relationship with clients and staff

confident

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

confident

Identifies ethical and legal dilemmas with possible resolutions

mostly confident

Demonstrates non-judgmental practice approach and empathy

mostly confident

Practices within scope of practice

mostly confident

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 

beginning

Implements the screening instrument efficiently and effectively with the clients

beginning

Interprets results for screening instruments accurately

beginning

Develops an appropriate plan of care based upon screening instruments response

mostly confident

Identifies the need to refer to another specialty provider when applicable

Mostly confident

Accurately documents recommendations for psychiatric consultations when applicable

beginning

Reliability / patience

Trust and patience are essential tools for building and maintaining mutually respectful relationships, especially among patients, staff and management. I am very careful, honest, very open and friendly. I know that the people I work with can easily approach me, share both my work and my personal life, and always find a solution. I respect others and value their different perspectives.

As a nurse and nurse supervisor in my current job, one of the greatest strengths I have recognized is the ability to educate people, do things and show them the right way to provide care. I am around the nurse and enjoy learning good hearing and problem solving. I am a very good team player, always helping to reduce the workload, feeling that patients, family and staff are well cared for and that someone is always there to run and ask questions I will not confirm. I am happy to see that the patient is discharged with confidence that he has received the necessary care. This can be achieved by setting goals, organizing, and setting rules. I usually write down what I need to do on a piece of paper and prioritize the most important things weekly and sometimes daily. It helped me stay organized and get the job done on a critical deadline.

One of my weaknesses is an over-commitment to helping others, sometimes over-stretching myself, and when they need it or when I need my help. I am late for my job because I do not want to disappoint. I have found that I can stay and stay focused are to being more aware of my abilities, better managing my time, and being more positive on both sides. It also helps me understand that every choice I make has consequences, and learning about those consequences and weaknesses helps me improve and manage my time.

1. Goal: Accurate documentation of psychiatric consultations

a. Objective: To develop a systematic approach to collecting data and solutions.

b. Objective: To analyze the collected data and give them sufficient confidence in their presentations.

c. Objective: Demonstrate a systematic approach using evidence-based medicine

2. Goal: Opportunities to improve the use of medication skills

a. Objective: To be able to understand the patient's perception of treatment.

b. Objective: Knowledge of drug usage history, including prescription, over-the-counter, illegal, recreational, and allergic drugs.

c. Objective: To know appropriate evidence-based clinical practice guidelines for psychotherapy planning.

3. Goal: Confidence in the use of differential diagnosis.

a. Objective: To be familiar with the different diagnostic methods used in the different sections of the DSM rules.

b. Objective: To ask questions, talk to my mentor about why I believe the diagnosis I am using best represents my patient's problem.

c. Objective: This includes paying close attention to and listening to the patient during the initial nursing assessment and narrowing the patient's clinical vision to the appropriate diagnosis.

4. Goal: Learn how to communicate effectively with my patients

a. Objective: to ask questions and listen to patients and my mentors.

b. Objective: Get a diary and document your medical history

c. Objective: To contact caregivers and obtain patient information

d. Patients cannot provide information about their medical history.