Psychiatric/Mental Health Nurse Practitioner Preceptor Manual

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VisionINSPIRE INNOVATE EXCELMissionTo improve the health of the community byinspiring change in health care throughinnovation and excellence in nursingeducation, scholarship, practice, andservice.PhilosophyCOLLEGE OF HEALTH PROFESSIONSSCHOOL OF NURSINGGraduate ProgramsPsychiatric/Mental HealthNurse Practitioner Preceptor ManualThe Graduate Program prepares students foradvanced roles in nursing and to beaccountable for clinical and organizationaldecision making based on scholarlyevidence, principles of ethics, relevanttheories and health care policy. Uponcompletion of the Graduate Program, theMSN and DNP graduates are prepared toprovide leadership in the analysis of factorsinfluencing health and the subsequentimplementation and evaluation of strategiesfor improving health in an interprofessional,globally aware, culturally sensitive manner.Notice of NondiscriminationWichita State University does not discriminate in its employment practices, educational programs oractivities on the basis of age, color, disability, gender, gender expression, gender identity, geneticinformation, marital status, national origin, political affiliation, pregnancy, race, religion, sex, sexualorientation, or status as a veteran. Retaliation against an individual filing or cooperating in acomplaint process is also prohibited. Sexual misconduct, relationship violence and stalking are formsof sex discrimination and are prohibited under Title IX of the Education Amendments Act of 1972. Complaints or concerns related to alleged discrimination may bedirected to the Director of Equal Opportunity or the Title IX Coordinator, Wichita State University, 1845 Fairmount, Wichita KS 67260-0138; telephone (316) 9783187. Offers of employment are contingent upon completion of a satisfactory criminal background check as required by Board of Regents policy. (July 2016)

Dear Preceptor:This site has been prepared to orient you to the Psychiatric-Mental Health Advanced Practice NursePractitioner program and to your role as a clinical preceptor. We greatly value your contribution to theknowledge base and experience of our students.All students participating in clinical placements in the Psychiatric Mental Health Nurse Practitioner programare Registered Nurses who are enrolled in graduate studies in the School of Nursing in a program leading tothe Master of Science in Nursing degree. Students complete a year of full time study or may attend part timeto complete basic requirements prior to enrolling in their clinical specialty option, which is typically done inthe 2nd year of full time graduate study.The Psychiatric Mental Health Nurse Practitioner program consists of three clinical placements, typicallybegun in the Fall, and carried through Spring and Summer semesters. The Fall and Spring clinical coursesare paired with a theory course in Psychiatric Mental Health Nursing and the summer course includes sometheory as well as clinical experience. You are being asked to precept a student who is out in the field to gainclinical experience toward their degree. Students will also receive ongoing supervision from faculty in theWSU School of Nursing while they are in their field placements.Please call, (316) 978-5756 or email, Victoria.Mosack@wichita.edu with any questions you have about ourprogram or your role as preceptor. Thank you again for taking the time from your busy practice to share yourexpertise with our students.Sincerely,Victoria Mosack, APRN, Ph.D.

PRACTICE PSYCHIATRIC MENTAL HEALTH NURSE PRACTITIONERPrerequisites for the program are statistics and an undergraduate nursing research course approved by theSchool of Nursing. The DNP track is 74 credit hours for the student.Courses reflect a philosophy that the Advanced Practice Psychiatric Mental Health Nurse is educated inskills necessary for provision of holistic care based on an understanding of biological, psychological, social,and spiritual dimensions of the individual seeking health care. As such, advanced practice psychiatricnursing at WSU is a blending of the best of the roles of the clinical specialist and the nurse practitioner.Core Courses Core Course Credit HoursN 701 Advanced Health AssessmentN 702 Advanced Health Assessment LabN 703 Theoretical Foundations of Advanced Nursing PracticeN 715 Advanced Nursing Practice RolesN 793 Advanced Pathophysiology IN 795A Applied Drug Therapy IN 795B Applied Drug Therapy IIN 801 Health Care Systems: Policy and PoliticsN 806 Evidence Based Nursing Practice/Outcomes of CareN 824 Advanced Pathophysiology IIN 826 Evidence Based Nursing Project IN 828 Evidence Based Nursing Project IIN 901 Organizational Systems and LeadershipN 902 Populations and Social Determinants of Health21314333322233Psychiatric-Mental HealthSPECIALIZATION COURSESN 728 Advanced Practice Technology and SkillsN 819 Foundations of Psychiatric Mental Health NursingN 822 Psychiatric Mental Health Nursing Practicum IN 854 Diagnosis & Management of Mental DisordersN 856 Transition to PMHNP Advanced Practice Role IN 921 Complex Issues in Psychiatric Mental Health NursingN 922 Psychiatric Mental Health Nursing Practicum IIN 923 Transition to PMHNP Advanced Practice Role IIN 952 Advanced Nursing Practice PreceptorshipComprehensive Examination (MSNs Only)3343134130DNP CoursesCAPSTONE COURSESN 956 Practice ManagementN 959 Evidence Based Nursing Project IIIN 960 Residency (includes clinical residency)236

Role of Psychiatric Mental Health Nurse Practitioner Program Clinical PreceptorsPreceptor OverviewThe philosophy of the WSU Advanced Practice Nurse in Psychiatric Mental Health Nursing program is toprepare students to function in a variety of psychiatric/mental health care settings. Students gain experienceworking as collaborative members of the health care team. The APRN-PMH student is prepared to practiceclinical skills, including health assessments, advanced psychiatric assessments, diagnosis of psychiatricconditions, mental status examinations, pharmacological assessments and management, psychiatricmanagement of patients with problems in living or psychiatric disorders utilizing various treatmentmodalities such as individual, family or group psychotherapy, psychoeducation, and consultation. Clinicalexperiences are supported by faculty and preceptor supervision and oversight.Preceptor StatementPreceptors assist course responsible faculty and are practitioners who provide direct teaching to studentsappropriate to the course and program objectives. Preceptors for clinical specializations may include bothadvanced practice nurses (APRNs) and non-nurse practitioners (usually physicians). Each preceptor must becredentialed and state licensed to practice in his/her specialization. National certification is highlyencouraged although not required in Kansas for APRN status. Preceptors must have educational preparationand/or extensive practice experience appropriate to his/her supervisory responsibility. Newly preparedpreceptors must have at least one year of practice experience in the specialization. Orientation to thepreceptor role, including program requirements, expectations for oversight and evaluation of students, areprovided for each specialization. Student evaluation is the responsibility of the faculty with input from thepreceptor. Experiences with preceptors are evaluated by students and faculty to enhance programdevelopment and student learning activities. Documentation of preceptor qualification is maintained in theSchool of Nursing.The WSU nursing department, students and preceptors each have a responsibility regarding the clinicalexperience of the student. The preceptor’s responsibilities include:1. Provide the student with an orientation to the practice setting and clear expectations.2. Assume primary responsibility for the actions and education of the student in the clinicalsetting, including assist the student in finding clinically relevant activities to meet requirements case assignment supervision or consultation when the student has questions regarding clinical cases communication with the student and WSU faculty about student progress towardeducational goals

3. Evaluation of the student with regard to: Reliability Information gathering ability Physical examination techniques Problem-solving Clinical judgment Patient rapport and education Professional relationships Knowledge base Recognition of limitations4. Complete and return the PMH Student Clinical Evaluation Form promptly at the end ofeach semester. Requirements of School of Nursing and Course Instructor in PMH NursingClinical courses in Psychiatric Mental Health Nursing at WSU are planned and overseen by the clinicalcourse instructor. Preceptors may contact the clinical instructor for questions, student problems, or tocollaborate on student requirements or student's clinical activities.Instructor responsibilities:oooooooOversee student learning contracts and goalsCoordinate terms of student placement, as needed, to meet learning requirements for thestudentOffsite back up Supervision of student's clinical experiencesProvide teaching regarding clinical skills and intervention toolsAssess student functioningCommunicate with preceptors about student progress or problemsHandle all administrative tasks related to student's progress in the program toward degreecompletionClinical Requirements for PMH StudentsRequired Rotations:During phase II of the APRN-PMH program, a series of clinical rotations provide the student with theopportunity to experience the practical application of the knowledge obtained in theory and lab classes. Thestudent's rotation is individually structured to provide a wide variety of clinical experiences to meeteducational goals. The following practicums are scheduled according to individual students needs.Nursing 822 Psychiatric/Mental Health Nursing Practicum IThis course 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 psychiatrictheories of psychotherapy and tools and techniques for individual counseling accompanies the practicum.

Nursing 922 Psychiatric Mental Health Nursing Practicum IIThis practicum is an intensive clinical experience in which the student analyzes group processes and initiatesand evaluates therapeutic strategies with groups. Emphasis placed on the performance of group therapy aswell as psychiatric assessment which includes interpretation of relevant data, differential diagnosis, anddevelopment and implementation of management plans. Appropriate interventions to promote the groupprocess are emphasized. Note: Practicum hours are 4:1 making a total of 240 clinical hours for thepracticum.Nursing 952 Advanced Nursing Practice PreceptorshipA concentrated clinical practicum in the student’s specialization health care setting that emphasizes themanagement of care for individuals. Students synthesize concepts and principles from previous classes andclinical experiences, applying theoretical and research content to acute, chronic, urgent and/or commonhealth problems. Preceptorship is in a clinical agency appropriate to the student’s clinical interests.Practicum hours are 4:1 making a total of 180 contact hours for the practicumAttendanceThe student must contact the preceptor and instructor prior to an absence or change in schedule. The studentis responsible for arranging make up of missed days of a practicum. If a student has greater then fiveabsences (40 hours or greater) due to illness or other circumstances they may be required to repeat theclinical rotation.Learning ObjectivesThe student will construct a contract with specific learning objectives to accomplish during each clinicalrotation. Learning plans will be reviewed and endorsed by the clinical instructor, preceptor and student. Thecontract serves as an outline of learning objectives during to clinical rotation.Guidelines for Clinical Activity for PMH studentsThe following guidelines will be applied during the clinical rotations for students. Students cannot providepatient care without adequate preceptor supervision. The APN-PMH students, like all students, have varyingdegrees of skill and experience and must be assigned accordingly. The following guidelines should beobserved:1. Treatment procedures should always be approved by the Preceptor prior toimplementation (life threatening emergencies are the exception).2. Students cannot admit or discharge patients without direct preceptor guidance.3. An Advanced Practice Registered Nurse or Physician should always review studentactivities and oversee management of cases.4. Students agree to perform nursing interventions in accordance with the standards forpractice set by the Kansas Board of Nursing Nurse Practice Act and the Scope andStandards of Practice for Psychiatric Mental Health Nursing Practice as delineated bythe American Nurses Association.5. Any unethical behavior is subject to dismissal of a student.

PMH Clinical Evaluation FormThe PMH Student Clinical Evaluation Form, located at the end of this preceptor manual, must becompleted at the conclusion of each clinical experience or semester rotation.For more information contact:Victoria Mosack, APRN, Ph.D.Associate ProfessorSchool of NursingWichita State University1845 Fairmount, Wichita Kansas, 67260-0041Office: (316) 978-5756Toll Free (800) 516-0290E-mail: victoria.mosack@wichita.edu

Wichita State University – Graduate School of NursingEvaluation Formfor Psychiatric Mental Health Nurse Practitioner (PMH-NP) Student Clinical ExperienceSTUDENT NAME:Course: Semester:Assessment of PMH NP Student Competencies:NeedsWorkAboveMinimal Average Average emonstrates Assessment Competencies includingcomprehensive psychiatric evaluations.Demonstrates Diagnostic Competencies includingappropriate differential psychiatric diagnoses,ordering & interpreting finding of relevant diagnostic& laboratory tests.Evaluates patient/client potential for abuse, neglect, &risk of danger to self & others, and assists patient andfamilies in securing the least restrictive environmentfor ensuring safety.Collaborates with client/patient in developing plan ofcare – Develops treatment plan for mental healthproblems based on biopsychosocial theories,evidence-based standards of care, and practiceguidelines.Plans care to minimize the development ofcomplications & promote function & quality of lifeusing treatment modalities such as, but not limited topsychotherapy & psychopharmacology.Identifies, measures, and monitors clinical and relatedbehavioral outcomes to determine the effectiveness ofthe plan of care.Articulates awareness of cultural and individualdifferences in assessment and treatment planning.Integrates theory into practice & uses relevantresearch and clinical literature in provision of care.Makes appropriate use of supervision of hours.Applies clinical principles of psychopharmacology.**mark N/A if does not apply or if no opportunity to observe this skill. You may also attach additionalpages for further comments.

Assessment of Student Competencies(cont’d)Needs WorkMinimalSkill LevelAverageSkillLevelAboveAverageSkill LevelExcellentSkillLevelDemonstrates effective communication skillswith client/patients, family, and other parties.Manages the phases of the nurse practitionerpatient relationship.Identifies and maintains professionalboundaries to preserve the integrity of thetherapeutic process.Upholds ethical & legal standards related to theprovision of mental health care.Refers appropriately for further assessment ortreatment as needed.Interprets & individualizes therapies throughcoaching activities such as advocacy, modeling,& tutoring.Effectively collaborates with members ofinterdisciplinary mental health & other healthcare teams.Documents work appropriately and thoroughlyin a timely manner.Effectively articulates & interprets theadvanced practice (PMHNP) role to patients &other health care professionals.Behaves in a professional manner (reliable,consistent, arrives on time, dependable, etc.).Identifies and carries out appropriate scope ofpractice.Other comments:PMH-NP StudentClinical PreceptorWSU InstructorDateDateDate06/2016

Nursing 922 Psychiatric Mental Health Nursing Practicum II This practicum is an intensive clinical experience in which the student analyzes group processes and initiates and evaluates therapeutic strategies with groups. Emphasis placed on the performance of group therapy as

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