Nursing Education Practicum Documentation Form (NEPD)

 Directions: Complete the documentation form. Click on the highlighted text field and type in your response. The form will expand for as long as you type. Student Name: Semester/Dates of Practicum Course: Overall Practicum Goals: Use the S.M.A.R.T. goal format to write goals you have for your overall practicum experience. What do you want to accomplish during this practicum course? Keep this statement broad enough to cover everything that you would like to do during your practicum course. You may choose to focus in on a specific aspect of nursing education or may choose to sample a variety of nursing education experiences within your selected practicum experience. Learning Goals: What do you want to accomplish during this practicum course? Be sure that your course goals are measurable. Some goals should reflect higher cognitive learning levels in Bloom’s Taxonomy This column is to be completed before you begin the week’s clinical. Resources and Strategies: What type of resources or strategies will you utilize to accomplish your learning goals? Include both human and material resources. This column is to be completed before you begin the week’s clinical. Measurement: How will you know that you have accomplished your learning objective? What criteria will you use to measure this? This column is to be completed before you begin the week’s clinical. Evaluation: What did you accomplish that you can use as evidence that you met your learning goals?