Using the Clinical Skills and Procedures Self-Assessment Form:Rate yourself?according to?your confidence level?performi
Using the Clinical Skills and Procedures Self-Assessment Form:
- Rate yourself according to your confidence level performing the procedures identified on the Clinical Skills and Procedures Self-Assessment Form.
- Based on your ratings, summarize your strengths and opportunities for improvement.
- Based on your self-assessment and theory of nursing practice, develop 3–4 goals and objectives for this practicum experience. Include them on the designated area of the form. Note: You will refer to these goals and objectives in your Practicum Experience Plan (PEP) in which you will refine and finalize them for submission.
- Review your FNP or AGPCNP Clinical Skills and Procedures Self-Assessment Form you submitted for your Week 1 Assignment 2 and think about areas for which you would like to gain application-level experience and/or continued growth as a nurse educator. How can your experiences in the practicum help you achieve these aims? This is your opportunity to refine and finalize your goals and objectives for your practicum experience.
- Review the information related to developing objectives provided in this week’s Learning Resources. Your practicum learning objectives that you want to achieve during your practicum experience must be:
- Specific
- Measurable
- Attainable
- Results focused
- Time bound
- Reflective of the higher order domains of Bloom’s taxonomy (i.e., Application level and above)
- Discuss your professional aims and your proposed practicum objectives with your Practicum Preceptor to ascertain if the necessary resources are available at your practicum site.
Note: Please make sure your objectives are outlined in your Professional Experience Plan (PEP).
Assignment:
Record the required information in each area of the Practicum Experience Plan, including 3-4 practicum learning objectives you will use to facilitate your learning during the Practicum experience.
PRAC 6552
CLINICAL SKILLS & PROCEDURES SELF-ASSESSMENT
For FNP Students
Note: Performing clinical skills requires experience. NP students should NOT perform any procedure on a patient if they have not read how to perform any invasive procedure, make observations, and received guidance and instructions on how to perform the skill by preceptor. Students must obtain proper approval to perform the procedure from faculty and preceptor. Also, a student should not perform any procedures they are uncomfortable with performing.
Once approved by preceptor and faculty, NP students should take advantage of the opportunity to perform as many procedures as possible before graduating.
As you consider performing skills, do not focus only on technical skills, but understand the rationale for why the procedure is being performed.
NAME:
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# |
Procedure |
SKILL LEVEL |
pRECEPTOR’ SIGNATURE & DATE (PROCEDURE AND SKILL LEVEL TO BE SIGNED OFF BY PRECEPTOR WHEN COMPLETED) |
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confident & INDEPENDENT |
FAIRLY CONFIDENT MINIMAL SUPERVISION NEEDED |
MODERATE SUPERVISION NEEDED |
pERFORMED ONCE & WITH SUPERVISION |
NEVER PERFORMED OR NOT APPLICABLE |
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OBSTETRICS |
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1. |
Auscultation Fetal Heart Tones Baby Beat Fetal Dopplers (2015). BabyBeat – fetal heart sounds using the doppler [Video]. https://www.youtube.com/watch?v=BWiLPGErVF0 (3 mins) |
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2. |
Fundal Height Assessment Newham University Hospital Maternity (2018). Measuring fundal height (SFH) [Video]. (1 min) |
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3. |
Pregnancy Testing OSCAR EMR Training (2015). Pregnancy testing [Video]. (3 mins) |
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4. |
EPPDS screening Focus Information Technology (2014). Edinburgh Postnatal Depression Scale (EPDS). http://perinatology.com/calculators/Edinburgh%20Depression%20Scale.htm |
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5. |
Pelvic exam Geeky Medics (2016). Vaginal examination (PV) – OSCE Guide [Video]. https://youtu.be/Z-O_JYtyQqE (4 mins) Schuiling, K. D., & Likis, F. E. (2017). Women’s gynecologic health (3rd ed.). Jones and Bartlett Publishers. Chapter 6: Gynecologic History and Physical Examination (pp. 109 – 125) |
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6. |
Pap Test Medical Procedures & Health Informations (2014). Pap test – Procedure [Video]. https://youtu.be/0zI58NJd1yE (1 min) Schuiling, K. D., & Likis, F. E. (2017). Women’s gynecologic health (3rd ed.). Jones and Bartlett Publishers. Appendix 6-A: Cervical Cytology Screening (pp. 128-129) |
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GYNECOLOGIC |
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7. |
Breast Examination Geeky Medics (2015). Breast examination – OSCE Guide [Video]. https://youtu.be/76g_tNWMhCE (6 mins) |
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8. |
Basic microscopy (yeast, BV) SeattlePTC (2015). Examination of Vaginal Wet Preps [Video]. https://youtu.be/8dgeOPGx6YI (15 mins) |
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9. |
Obtaining vaginal culture |
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10. |
Herpes Culture |
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11. |
STI Testing DTAP Clinic (2018). How to test for STD (Chlamydia & Gonorrhea) DNA rapidly? Stomp on Step 1 (2016). Vaginitis: Candida, BV, trichomoniasis – Wet mount Whiff test vaginal pH Trick Albicans Gardnerella. |
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12. |
HARK screening Agency for Healthcare Research and Quality (AHRQ). Intimate partner violence screening: Fact sheet and resources. https://www.ahrq.gov/ncepcr/tools/healthier-pregnancy/fact-sheets/partner-violence.html |
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13. |
Contraceptive options and Placement American Sexual Health Association (ASHA). (2013). Birth control method comparison chart. https://www.ashasexualhealth.org/pdfs/ContraceptiveOptions.pdf Reproductive Health Access Project (2020). Your birth control choices. https://www.reproductiveaccess.org/wp-content/uploads/2014/06/contra_choices.pdf |
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14. |
IUD Placement and Removal V’ Mariee (2017). IUD Removal – Training Video [Video]. https://youtu.be/LpCA4C37yr8 (1 min) |
Summary of strengths:
Opportunities for growth:
Now, write 3–4 possible goals and objectives for this practicum experience. Ensure that you follow the SMART Strategy, as described in the Learning Resources.
© 2020 Walden University 1
,
Practicum Experience Plan
Despite the diversity of the experiences, sufficient practicum experience focuses on goals and objectives that coincide with a nursing educator's professional aims and the needs of the specific populations served. In this case, the goals and objectives focus on sharpening my skills and promoting my knowledge of maintaining and promoting women's health. After this clinical rotation, I am looking forward to being able to conduct obstetric and gynecologic history. Also, I should be able to apply clinical findings in developing a diagnosis plan of care for women patients and apply the recommended prevention and health maintenance for the population.
The first objective that will facilitate learning during the practicum experience relates to performing obstetric and gynecologic history. Taking history acts as the initial step in the first encounter between a patient and a nurse. It involves subsequent physical examination that enables a health provider to narrow down the possible diagnoses to assess the patient's condition. Gynecology relates to problems associated with women's reproductive system, and in most cases, the patients may find it difficult to share such information with health providers. Therefore, a practicum experience is necessary to equip me with the essential skills and knowledge to obtain the patient's history in a relaxed, less threatening, less hurried, and private setting. The practicum experiences will enable me to achieve these goals by familiarizing myself with the usual daily routine of nursing care and developing teamwork skills (Kasch et al., 2015). The activity will also sharpen my interpersonal and communication skills that will ensure the extraction of pertinent clinical information from the patient and convey appropriate information to their families, professional associates, and members of the care team. At the end of the practicum experience, I will perform comprehensive gynecologic history, including menstrual patterns, menopause, cervical and vaginal cytology, fertility issues, and obstetric history.
The second practicum learning objective is to gather and document critical and valid information about the patients and use them in making informed decisions concerning diagnostic and therapeutic plans. The plans are not only based on the patients' data, values, and needs but also respectful and responsive to women's individual preferences (Ramlakhan et al., 2019). The goals foster a healing relationship by exchanging information that will address the patient's emotions and make decisions that enable patient management. After completing the rotation, I will be able to perform an appropriate physical examination, including breast examination and monitoring of heart rate. The practicum experience will help achieve these objectives by familiarizing with laboratory tests and interpreting them. For instance, performing a routine prenatal exam such as weight check and height measurement at appropriate times will provide the necessary experience for and knowledge for women's physical examination. The learning process involves observation and active assistance in normal vaginal delivery and C-section delivery.
The third objective that will facilitate learning during the practicum experience is applying the recommended prevention and health maintenance guidelines for women. It focuses on spending time with women patients to educate them on disease prevention and health promotion. The practicum experience will enable me to achieve this objective as it provides an opportunity to connect with the patients and build a medical and professional relationship. The rotation will allow me to conduct a patient history, including screening for substance misuse, depression, and domestic violence (Riley et al., 2013). The practicum experience provides the appropriate knowledge and skills to offer contraception and preconception counseling and drug abuse cessation.
References
Kasch, R., Baum, P., Dokter, M., Zygmunt, M., Wirkner, J., Lange, A., Fröhlich, S., Merk, H., & Kasch, J. (2015). Nursing practicum in gynecology and obstetrics – Early influence possibilities for a specialty. Geburtshilfe Und Frauenheilkunde, 75(12), 1270–1275.
https://doi.org/10.1055/s-0035-1558053
Ramlakhan, J. U., Foster, A. M., Grace, S. L., Green, C. R., Stewart, D. E., & Gagliardi, A. R.
(2019). What constitutes patient-centered care for women: a theoretical rapid review. International Journal for Equity in Health, 18(1). https://doi.org/10.1186/s12939-
019-1048-5
Riley, M., Dobson, M., Jones, E., & Kirst, N. (2013). Health maintenance in women. American
Family Physician, 87(1). https://www.aafp.org/afp/2013/0101/afp20130101p30.p
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