NRS-493 Individual Success Plan
REQUIRED PRACTICE HOURS: 100 Direct Clinical Experience (50 hours community/50 hours leadership) – 25 Indirect
Clinical Experience Hours.
P
R Complete Contact Information
A Student Information GCU
C
Name: Sara Emalee Pate
T
E-mail:
I
C Gra2d5e2d-2A2s7s-i1g5n2m4ent Indirect Clinical Assignments
PhonTeopNiucmbe
r:
T o pi c 1
E Cou r se F a culty IGndCiUvidual Success 1. List of potential topics for the change proposal
Information 1. Plan Reflection Journal
Entry 1. Search the literature for supporting journal articles
2.
NamTeo:pic 2 TBoaprbicarSaePlercidti
1. goennApproval
E
E-mail: 2. Summary of topic category; community or leadership
X 2. Reflection Journal Entry
PhonTeopNiuc m3 ber: 1. PICOT Question Paper 1. List of objectives
P 2. RPerfalcetcitcieonSeJo
Practicum Preceptor
ttuinrngal Entry
E
InfoTrompaictio4n 1. List of measurable outcomes
R 1. Literature Evaluation
I Name: Table
2. RLefelAecntnioMn
Jaolluarrndal Entry
E E-mTaiolp: 1. Rlmefallelacrtido@n cJaoruorlninalaeEansttrhyealth.1c.o Summary of the strategic plan
ic 5
N Topic 8 Topic 10
Topic 6
C Phone Number:
E Topic 7
, m 2. Midterm Evaluation Tool
1. Literature 1. List of resources
Review Table
2. Reflection
1. Summary of the
Journal Entry
evaluation plan
1. Reflection
2. Remediation-if required
Journal Entry
1. Benchmark
Written
Capstone
1. Professional Presentation
Project Change
1. Summary of presentation
Proposal
2. Reflection
2. Final Clinical Evaluation
Journal Entry Tool
3. Practice Clinical
1. Reflection
Evaluation Tool-Agency
Journal Entry
4. Practice Clinical
1. Finalized ISP
Evaluation Tool-
2. Scholarly
Preceptor
Activity
Summary
3. Benchmark-
Reflection
Journal
Summary