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: Street Address: City, State, Zip: Home Phone: Work Phone: Cell Phone: Fax: E-mail: Preceptor Contact Information Name: Organization: Street Address: City, State, Zip: Work Phone: Cell Phone: Fax: Professional/Work E-mail: 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:
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