PMHPN Care Across Life Span 2 Practicum
Practicum Site Information Form
STUDENT INFORMATION
Student name:
Student phone number (primary):
City/town: N
State:
Walden email address:
Alternative email address:
Time zone: MST
Student practicum site schedule: see below*
PRECEPTOR AND SITE INFORMATION
Preceptor name (first and last):
Preceptor credentials (MD, FNP, DO, etc.): FNPC, PMHNP
Site name:
Site address
City/town:
State: Arizona
Preceptor email address
Preceptor phone number:
Site phone number:
Field Site Clinic hours: Thursdays and Fridays from 10 am – 6 pm.
August: 30th
September: 5th, 6th, 12th, 13th, 19th, 20th, 26th, 27th
October: 3rd, 4th, 10th, 11th, 17th,18th, 24th, 25th, 31st
November: 1st, 7th, 8th
*You must have specific dates and times, please provide a calendar with your dates and times written in the days of the week. We must be able to verify the exact dates you are in practicum setting. We must be able to see you will meet your hour requirements including holidays off: Simply stating every Monday for 8 hours will not be acceptable.
Month#1: August
| Clinical Week | Time (Thursday) | Time (Friday) |
| CW-1(30th) | 10am-6pm |
Month#2: September
| Time (Friday) | ||
| CW-2 (5th-6th) | 10am-6pm | 10am-6pm |
| CW-3 (12th-13th) | 10am-6pm | 10am-6pm |
| CW-4 (19th-20th) | 10am-6pm | 10am-6pm |
| CW-5 (26th-27th) | 10am-6pm | 10am-6pm |
Month#3: October
| Time (Thursday) | Time (Friday) | |
| CW- 6 (3rd-4th) | 10am-6pm | 10am-6pm |
| CW-7 (10th-11th) | 10am-6pm | 10am-6pm |
| CW-8 (17th-18th) | 10am-6pm | 10am-6pm |
| CW-9 (24th-25th) | 10am-6pm | 10am-6pm |
| CW-10 (31st) | 10am-6pm |
Month#4: November
| Time (Thursday) | Time (Friday) | |
| CW-10 (First) | 10am-6pm | |
| CW-11 (7th-8th) | 10am-6pm | 10am-6pm |
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Question 
Hello, This is my first clinials for the PMHNP. Please can you do a well designed calenda for me. For the informations i dont provide and you do not know just live it blank. So my Clinical hours will be Thrusdays and Fridays 10Am-6Pm . My clinicals begin tomorrow and Classses ends November 10th.. Please make sure i can be able to edit the calenda if time changes
PMHPN Care Across Life Span 2 Practicum
Prior to starting the course, you should have applied for a practicum site following the guidelines for Psychiatric-Mental Health Nurse Practitioner (PMHNP) practice. Now it is time to make it official. For this Assignment, you provide your Clinical Faculty with information about your practicum site, your Preceptor, and your clinical calendar.Thank you I have also attched a rough sketch of the assignemnt.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCE
To prepare:
Verify that your practicum application has been approved by logging in to Meditrek.
Access the Practicum Site Information Form from the Learning Resources.
ASSIGNMENT
Complete the designated areas of the Practicum Site Information Form. Include your practicum site and contact information; your Preceptor and contact information; and a schedule of when you plan to engage in onsite practicum activities.
Students must provide their schedule in the form of a monthly calendar with the time written out on the appropriate date. For example, writing 8 hours on the 5th day of the monthly calendar slot is not acceptable. You must enter 8am-4pm or 10pm-6pm in the day slot of the monthly calendar. Students need to complete the calendar for the whole quarter to demonstrate to the faculty the total number of hours to be completed this quarter.
NOTE: Students have a responsibility to notify faculty of any schedule changes throughout the quarter.
BY DAY 7
Submit your completed Practicum Site Information Form.
SUBMISSION INFORMATION
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
To submit your completed assignment, save your Assignment as WK1Assgn1_LastName_Firstinitial
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.
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Complete the order payment after filling in the order form. We’ll receive your order and assign it to a writer.
The assigned writer will complete your paper and forward it to our Editing Team for review and approval.
Once approved by the editor, the completed paper will be uploaded to your account for you to download, review and approve.