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: <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.
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Number of Clinical Hours Projected for Week |
Number of Weekly Hours for Professional Development |
Number of Weekly Hours for Practicum Coursework |
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Week 1 |
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Week 2 |
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Week 3 |
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Week 4 |
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Week 5 |
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Week 6 |
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Week 7 |
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Week 8 |
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Week 9 |
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Week 10 |
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Week 11 |
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Total Hours (must meet the following requirements) |
144 or 160 Hours |
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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.