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Practicum IV Reflection
Conclusions: My final clinical rotation at Bayhealth Primary care has been a transformative experience as a Family Nurse Practitioner student. Throughout my time at this facility, I have had the opportunity to integrate the skills and knowledge I have learned from my didactic and practicum courses over the length of my program. Working within a busy primary care setting pushed me to strenghten my ability to respond quickly to clinical changes, manage chronic diseases for patients acorss the lifespan, and effectively consult evidence-based resources to assist with my clinical reasoning and treatment plans.
I felt that my preceptor provided me consistent opportunities to practice my autonomy while offering critical feedback to aid in my success as a novice NP. I feel more confident in formulating differential diagnoses, selecting appropriate tests and using specailized exam techniques, and developing a comprehensive plan of care that incorporates evidence-based research and considers each unique patient siutation.
Beyond my clinical competency, this rotation has affirmed my love of primary care and my desire to continue to serve this organization. Therefore, I took an opportunity to interview for an APC position within the Bayhealth organization. As I conclude this final double practicum, I am so incredibly grateful and humbled by the mentorship, support, and trust extended to me by the providers and ancillary staff at Bayhealth Primary Care. I leave this rotation feeling more prepared, confident, and motivated to transition into clinical practice.
Recommendations: As I am completing practicum V concurrently, my reccomendation is to continue my educational journey by committing myself to being a lifelong learner. I want to focus on pediatric and gender health competencies in primary care. Therefore, I will continue to practice using evidence-based resources to ascertain key clinical information and reccomendations to develop a thorough treatment plan.
Focus Areas: Leadership, Interprofessional Collaboration, Diagnostic Proficiency
Focus Areas: Leadership, Interprofessional Collaboration, Diagnostic Proficiency
SMART Goals for Practicum IV
SMART Goals for Practicum IV
- Leadership
By the end of my semester on December 14th, I will present at least 10 complex patient cases (persons with multiple comorbidities and/or SDOH concerns) to my preceptor while highlighting the rationale for my diagnosis and evidence-based treatment plan. Outcome: Goal Met
Rationale: These types of patient cases will force me to think critically about not only my diagnosis, but my evidence-based treatment plan and apply it to a non-traditional patient case. This will show evidence of my ability to use my knowledge throughout the program to tailor my management so that my care is patient-centered.
Interprofessional Collaboration
By the end of my semester on December 14th, I will initiate at least five interdisciplinary collaborations during my patient management (e.g. social work, chronic care management nurse, mental health provider, registered dietician, PT/OT, or pharmacist) to coordinate comprehensive care for may patients. Outcome: Goal Met
Rationale: Collaboration amongst ancillary staff are essential to my practice as a future FNP. I will be responsible for directing the patient to specialists and other healthcare providers that can assist me in helping to achieve health goals that the patient and I have identified. This will represent my ability to communicate effectively and identify my limits and scope as an FNP when needing assistance with patient management.
Diagnostic Proficiency
By the end of my semester, I will independently perform and interpret at least ten point-of-care, laboratory, or outpatient diagnostic exams or procedures (e.g. COVID/FLU/RSV panel, strep PCR, urinalysis, STI test, chest radiograph, EKG) to then be confirmed by my preceptor. Outcome: Goal Met
Rationale: It is essential that I am a confident diagnostician to ensure I am developing a proper evidence-based treatment plan for my patient’s chief complaint. Therefore, by repeatedly interpreting labs and exams, I will reinforce my knowledge through practical application. While I am still a novice at diagnostic interpretation, I believe that I will only continue to improve each time that I challenge myself to review these results independently prior to seeking validation from my preceptor or supervising clinician.
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