Psychiatric/Mental Health Nurse Practitioner Preceptor Manual

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1 Visin INSPIRE INNOVATE EXCEL Missin T imprve the health f the cmmunity by inspiring change in health care thrugh innvatin and excellence in nursing educatin, schlarship, practice, and service. COLLEGE OF HEALTH PROFESSIONS SCHOOL OF NURSING Graduate Prgrams Psychiatric/Mental Health Nurse Practitiner Preceptr Manual Philsphy The Graduate Prgram prepares students fr advanced rles in nursing and t be accuntable fr clinical and rganizatinal decisin making based n schlarly evidence, principles f ethics, relevant theries and health care plicy. Upn cmpletin f the Graduate Prgram, the MSN and DNP graduates are prepared t prvide leadership in the analysis f factrs influencing health and the subsequent implementatin and evaluatin f strategies fr imprving health in an interprfessinal, glbally aware, culturally sensitive manner. (revised 03/02/2009)

2 Dear Preceptr: This site has been prepared t rient yu t the Psychiatric-Mental Health Advanced Practice Nurse Practitiner prgram and t yur rle as a clinical preceptr. We greatly value yur cntributin t the knwledge base and experience f ur students. All students participating in clinical placements in the Psychiatric Mental Health Nurse Practitiner prgram are Registered Nurses wh are enrlled in graduate studies in the Schl f Nursing in a prgram leading t the Master f Science in Nursing degree. Students cmplete a year f full time study r may attend part time t cmplete basic requirements prir t enrlling in their clinical specialty ptin, which is typically dne in the 2 nd year f full time graduate study. The Psychiatric Mental Health Nurse Practitiner prgram cnsists f three clinical placements, typically begun in the Fall, and carried thrugh Spring and Summer semesters. The Fall and Spring clinical curses are paired with a thery curse in Psychiatric Mental Health Nursing and the summer curse includes sme thery as well as clinical experience. Yu are being asked t precept a student wh is ut in the field t gain clinical experience tward their degree. Students will als receive nging supervisin frm faculty in the WSU Schl f Nursing while they are in their field placements. Please call, (316) r , with any questins yu have abut ur prgram r yur rle as preceptr. Thank yu again fr taking the time frm yur busy practice t share yur expertise with ur students. Sincerely, Victria Msack, APRN, Ph.D.

3 PRACTICE PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONER Prerequisites fr the prgram are statistics and an undergraduate nursing research curse apprved by the Schl f Nursing. The APRN-PMH track is 49 credit hurs. Curses reflect a philsphy that the Advanced Practice Psychiatric Mental Health Nurse is educated in skills necessary fr prvisin f hlistic care based n an understanding f bilgical, psychlgical, scial, and spiritual dimensins f the individual seeking health care. As such, advanced practice psychiatric nursing at WSU is a blending f the best f the rles f the clinical specialist and the nurse practitiner. Cre Curses Cre Curse Credit Hurs N 701 Advanced Health Assessment 2 N 702 Advanced Health Assessment Lab 1 N 703 Theretical Fundatins f Advanced Nursing Practice 3 N 715 Advanced Nursing Practice Rles 1 N 793 Advanced Pathphysilgy I 4 N 795 Applied Drug Therapy 3 N 801 Health Care Systems: Plicy and Plitics 3 N 806 Evidence Based Nursing Practice/Outcmes f Care 3 N 826 Evidence Based Nursing Prject I 2 N 828 Evidence Based Nursing Prject II 2 Psychiatric-Mental Health SPECIALIZATION COURSES N 728 Advanced Practice Technlgy and s 3 N 819 Fundatins f Psychiatric Mental Health Nursing 3 N 822 Psychiatric Mental Health Nursing Practicum I 4 N 854 Diagnsis & Management f Mental Disrders 3 N 856 Transitin t PMHNP Advanced Practice Rle I 1 N 921 Cmplex Issues in Psychiatric Mental Health Nursing 3 N 922 Psychiatric Mental Health Nursing Practicum II 4 N 923 Transitin t PMHNP Advanced Practice Rle II 1 N 952 Advanced Nursing Practice Preceptrship 3 Cmprehensive Examinatin 0

4 Rle f Psychiatric Mental Health Nurse Practitiner Prgram Clinical Preceptrs Preceptr Overview The philsphy f the WSU Advanced Practice Nurse in Psychiatric Mental Health Nursing prgram is t prepare students t functin in a variety f psychiatric/mental health care settings. Students gain experience wrking as cllabrative members f the health care team. The APN-PMH student is prepared t practice clinical skills, including health assessments, advanced psychiatric assessments, diagnsis f psychiatric cnditins, mental status examinatins, pharmaclgical assessments and management, psychiatric management f patients with prblems in living r psychiatric disrders utilizing varius treatment mdalities such as individual, family r grup psychtherapy, psycheducatin, and cnsultatin. Clinical experiences are supprted by faculty and preceptr supervisin and versight. Preceptr Statement Preceptrs assist curse respnsible faculty and are practitiners wh prvide direct teaching t students apprpriate t the curse and prgram bjectives. Preceptrs fr clinical specializatins may include bth advanced practice nurses (APRNs) and nn-nurse practitiners (usually physicians). Each preceptr must be credentialed and state licensed t practice in his/her specializatin. Natinal certificatin is highly encuraged althugh nt required in Kansas fr APRN status. Preceptrs must have educatinal preparatin and/r extensive practice experience apprpriate t his/her supervisry respnsibility. Newly prepared preceptrs must have at least ne year f practice experience in the specializatin. Orientatin t the preceptr rle, including prgram requirements, expectatins fr versight and evaluatin f students, are prvided fr each specializatin. Student evaluatin is the respnsibility f the faculty with input frm the preceptr. Experiences with preceptrs are evaluated by students and faculty t enhance prgram develpment and student learning activities. Dcumentatin f preceptr qualificatin is maintained in the Schl f Nursing. The WSU nursing department, students and preceptrs each have a respnsibility regarding the clinical experience f the student. The preceptr s respnsibilities include: 1. Prvide the student with an rientatin t the practice setting and clear expectatins. 2. Assume primary respnsibility fr the actins and educatin f the student in the clinical setting, including assist the student in finding clinically relevant activities t meet requirements case assignment supervisin r cnsultatin when the student has questins regarding clinical cases cmmunicatin with the student and WSU faculty abut student prgress tward educatinal gals

5 3. Evaluatin f the student with regard t: Reliability Infrmatin gathering ability Physical examinatin techniques Prblem-slving Clinical judgment Patient rapprt and educatin Prfessinal relatinships Knwledge base Recgnitin f limitatins 4. Cmplete and return the PMH Student Clinical Evaluatin Frm prmptly at the end f each semester. Requirements f Schl f Nursing and Curse Instructr in PMH Nursing Clinical curses in Psychiatric Mental Health Nursing at WSU are planned and verseen by the clinical curse instructr. Preceptrs may cntact the clinical instructr fr questins, student prblems, r t cllabrate n student requirements r student's clinical activities. Instructr respnsibilities: Oversee student learning cntracts and gals Crdinate terms f student placement, as needed, t meet learning requirements fr the student Offsite back up Supervisin f student's clinical experiences Prvide teaching regarding clinical skills and interventin tls Assess student functining Cmmunicate with preceptrs abut student prgress r prblems Handle all administrative tasks related t student's prgress in the prgram tward degree cmpletin Clinical Requirements fr PMH Students Required Rtatins: During phase II f the APN-PMH prgram, a series f clinical rtatins prvide the student with the pprtunity t experience the practical applicatin f the knwledge btained in thery and lab classes. The student's rtatin is individually structured t prvide a wide variety f clinical experiences t meet educatinal gals. The fllwing practicums are scheduled accrding t individual students needs.

6 Nursing 822 Psychiatric/Mental Health Nursing Practicum I This curse is an intensive clinical experience in which the student assesses the individual client, and plans, implements and evaluates nurse-therapist strategies with individual clients. Learning regarding psychiatric theries f psychtherapy and tls and techniques fr individual cunseling accmpanies the practicum. Nursing 922 Psychiatric Mental Health Nursing Practicum II This practicum is an intensive clinical experience in which the student analyzes grup prcesses and initiates and evaluates therapeutic strategies with grups. Emphasis placed n the perfrmance f grup therapy as well as psychiatric assessment which includes interpretatin f relevant data, differential diagnsis, and develpment and implementatin f management plans. Apprpriate interventins t prmte the grup prcess are emphasized. Nte: Practicum hurs are 4:1 making a ttal f 240 clinical hurs fr the practicum. Nursing 952 Advanced Nursing Practice Preceptrship A cncentrated clinical practicum in the student s specializatin health care setting that emphasizes the management f care fr individuals. Students synthesize cncepts and principles frm previus classes and clinical experiences, applying theretical and research cntent t acute, chrnic, urgent and/r cmmn health prblems. Preceptrship is in a clinical agency apprpriate t the student s clinical interests. Practicum hurs are 4:1 making a ttal f 180 cntact hurs fr the practicum Attendance The student must cntact the preceptr and instructr prir t an absence r change in schedule. The student is respnsible fr arranging make up f missed days f a practicum. If a student has greater then five absences (40 hurs r greater) due t illness r ther circumstances they may be required t repeat the clinical rtatin. Learning Objectives The student will cnstruct a cntract with specific learning bjectives t accmplish during each clinical rtatin. Learning plans will be reviewed and endrsed by the clinical instructr, preceptr and student. The cntract serves as an utline f learning bjectives during t clinical rtatin. Guidelines fr Clinical Activity fr PMH students The fllwing guidelines will be applied during the clinical rtatins fr students. Students cannt prvide patient care withut adequate preceptr supervisin. The APN-PMH students, like all students, have varying degrees f skill and experience and must be assigned accrdingly. The fllwing guidelines shuld be bserved: 1. Treatment prcedures shuld always be apprved by the Preceptr prir t implementatin (life threatening emergencies are the exceptin). 2. Students cannt admit r discharge patients withut direct preceptr guidance. 3. An Advanced Practice Registered Nurse r Physician shuld always review student activities and versee management f cases. 4. Students agree t perfrm nursing interventins in accrdance with the standards fr practice set by the Kansas Bard f Nursing Nurse Practice Act and the Scpe and Standards f Practice fr Psychiatric Mental Health Nursing Practice as delineated by the American Nurses Assciatin. 5. Any unethical behavir is subject t dismissal f a student.

7 PMH Clinical Evaluatin Frm The PMH Student Clinical Evaluatin Frm, lcated at the end f this preceptr manual, must be cmpleted at the cnclusin f each clinical experience r semester rtatin. Fr mre infrmatin cntact: Victria Msack, APRN, Ph.D. Assistant Prfessr Schl f Nursing Wichita State University 1845 Fairmunt Wichita Kansas, Office: (316) Tll Free (800)

8 Wichita State University Graduate Schl f Nursing Evaluatin Frm fr Psychiatric Mental Health Nurse Practitiner (PMH-NP) Student Clinical Experience STUDENT NAME: Curse: Semester: Assessment f PMH_NP Student Cmpetencies: Needs Wrk Minimal Average Abve Average Excellent Demnstrates Assessment Cmpetencies including cmprehensive psychiatric evaluatins. Demnstrates Diagnstic Cmpetencies including apprpriate differential psychiatric diagnses, rdering & interpreting finding f relevant diagnstic & labratry tests. Evaluates patient/client ptential fr abuse, neglect, & risk f danger t self & thers, and assists patient and families in securing the least restrictive envirnment fr ensuring safety. Cllabrates with client/patient in develping plan f care Develps treatment plan fr mental health prblems based n bipsychscial theries, evidence-based standards f care, and practice guidelines. Plans care t minimize the develpment f cmplicatins & prmte functin & quality f life using treatment mdalities such as, but nt limited t psychtherapy & psychpharmaclgy. Identifies, measures, and mnitrs clinical and related behaviral utcmes t determine the effectiveness f the plan f care. Articulates awareness f cultural and individual differences in assessment and treatment planning. Integrates thery int practice & uses relevant research and clinical literature in prvisin f care. Makes apprpriate use f supervisin f hurs. Applies clinical principles f psychpharmaclgy. **mark N/A if des nt apply r if n pprtunity t bserve this skill. Yu may als attach additinal pages fr further cmments.

9 Assessment f Student Cmpetencies (cnt d) Needs Wrk Minimal Average Abve Average Excellent Demnstrates effective cmmunicatin skills with client/patients, family, and ther parties. Manages the phases f the nurse practitinerpatient relatinship. Identifies and maintains prfessinal bundaries t preserve the integrity f the therapeutic prcess. Uphlds ethical & legal standards related t the prvisin f mental health care. Refers apprpriately fr further assessment r treatment as needed. Interprets & individualizes therapies thrugh caching activities such as advcacy, mdeling, & tutring. Effectively cllabrates with members f interdisciplinary mental health & ther health care teams. Dcuments wrk apprpriately and thrughly in a timely manner. Effectively articulates & interprets the advanced practice (PMHNP) rle t patients & ther health care prfessinals. Behaves in a prfessinal manner (reliable, cnsistent, arrives n time, dependable, etc.). Identifies and carries ut apprpriate scpe f practice. Other cmments: PMH-NP Student Clinical Preceptr WSU Instructr Date Date Date

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