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Master of Science in Nursing  

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: Ryan Keller

Street Address: 1704 Bellemead Ave

City, State, Zip: Havertown, PA, 19083

Home Phone: n/a

Work Phone: n/a

Cell Phone: 610-513-7869

Fax: n/a

E-mail: [email protected]

Preceptor Contact Information

Name: Lisa Clark

Organization: Penn Psychiatric Center Street

Address: 601 Gay St

City, State, Zip: Phoenixville, PA 19460

Work Phone: 610-917-2200

Cell Phone: 215-237-3826

Fax: n/a

Professional/Work E-mail: [email protected]

Preceptor Contact Information

Name: Renee Lucci

Organization: Crozer Health – Community Campus

Street Address: 301 West 15th Street

City, State, Zip: Chester, PA, 19013

Work Phone: 610-609-8700

Cell Phone: 215-450-0718

Fax: n/a

Professional/Work E-mail: [email protected]

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: Assess patients across the lifespan in mental health settings

Planned Activities: Evaluate patients of any age

Mode of Assessment: Both assessment and documentation will be monitored by preceptor

PRAC Course Outcome(s) Addressed:

Assess advanced practice psychiatric-mental health nursing skills for strengths and opportunities

Apply advanced practice nursing assessment, diagnosis, and treatment skills in mental health settings

Objective 2: Demonstrate ability to differentiate psychiatric conditions

Planned Activities: Perform initial psychiatric evaluations and individual sessions

Mode of Assessment: Both evaluation and documentation will be monitored by preceptor

PRAC Course Outcome(s) Addressed:

Formulate differential diagnoses for patients across the lifespan in mental health settings

Analyze cases involving advanced care of patients across the lifespan in mental health settings

Objective 3: Develop plans of care for patients across the lifespan in mental health settings

Planned Activities: Discuss with preceptor, patient, and (if necessary) family to decide what is best plan of care for patient

Mode of Assessment: Joint-effort with preceptor

PRAC Course Outcome(s) Addressed:

Formulate appropriate treatment plans that include psychopharmacology and psychotherapeutic techniques

Apply advanced practice nursing assessment, diagnosis, and treatment skills in mental health settings

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

16

5

15

Week 2

16

5

15

Week 3

16

5

15

Week 4

16

5

15

Week 5

16

5

15

Week 6

16

5

15

Week 7

16

5

15

Week 8

16

5

15

Week 9

16

5

15

Week 10

16

5

15

Week 11

16

5

15

Total Hours (must meet the following requirements)

144 or 160 Hours

Part 4 - Signatures

Student Signature (electronic): Ryan Keller Date: 9/08/21

Practicum Faculty Signature (electronic)**: Elizabeth Clark Date: 9/08/21

Renee Lucci Date: 9/08/21

** 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.

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