University of Phoenix Material

Practicum Learning Agreement

Approved – AJP – 4-1-2014

Christine Lanthorn Anna Jean Pickus RN, MSN

Student’s Name Faculty Name

606-932-9131 lanthorn7@aol.com

University of Phoenix online

Student’s Phone E-mail UOPX Campus

122 Saint Christopher Drive Ashland, Kentucky 41101 (606-836-0202)

Ashland Bellefonte Cancer Center (ABCC) Michelle Brown contact person

Practicum Site Name Practicum Address, City, State, Zip

No practicum projects can be approved if they are based in Maryland, Tennessee, or Washington State, USA.

No RN MSN mentors can be approved if they live and/or work in Maryland, Tennessee, or Washington State, USA.

Stephanie Johnson EdD©, MSN,RN Morehead State University 150 University Boulevard Morehead, Ky 40351

Mentor’s Name and Educational Credentials Mentor’s Agency

(Minimum of RN MSN required)

Clinical Nursing Instructor

606-836-0202 sj.johnson@moreheadstate.edu

Mentor’s Job Title Mentor’s Phone E-mail

Maryland, Tennessee, and Washington, USA Students

Students cannot complete ground-based clinical hours within the states of Maryland, Tennessee, or Washington, USA. Residents of these states must contact their instructor for further direction.

|Practicum Goal: |
|To analyze, develop, implement, and evaluate an educational learning curriculum for staff that increases their knowledge and addresses the current evidence based practice standards of safe mixing,|
|and administration of chemotherapy in the outpatient setting.