Review your FNP or AGPCNP Clinical Skills and Procedures Self-Assessment Form you submitted for your Week 1 Assignment 2 and thi

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Procedure

SKILL LEVEL

pRECEPTOR’ SIGNATURE & DATE

(PROCEDURE AND SKILL LEVEL TO BE SIGNED OFF BY PRECEPTOR WHEN COMPLETED)

confident &

INDEPENDENT

FAIRLY CONFIDENT MINIMAL SUPERVISION NEEDED

MODERATE SUPERVISION

NEEDED

pERFORMED ONCE

& WITH SUPERVISION

NEVER PERFORMED OR NOT APPLICABLE

OBSTETRICS

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].

https://youtu.be/RguEXh2QlFo

(1 min)

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3.

Pregnancy Testing

OSCAR EMR Training (2015). Pregnancy testing [Video].

https://youtu.be/Ohl2gwM5DyA

(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

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?

https://youtu.be/6VM50u7XrrA

Stomp on Step 1 (2016). Vaginitis: Candida, BV, trichomoniasis – Wet mount Whiff test vaginal pH Trick Albicans Gardnerella.

https://youtu.be/StsaYBr2-Ac

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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)

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Clinical skills procedures on self-assessment form are an essential practice that nurses or even professional doctors should consider necessary. Unfortunately, most of the required individuals are frequently not interest in self-evaluation. This helps increase self-efficiency, motivation, and effectiveness at the section of specialization. Based on my self-assessment of clinical procedures, I can conclude .

Some of the strengths I have acquired at Walden university include strong leadership abilities which is an important skill to add to an nurse practitioner repertoire, this will help me improve patient outcomes and reduce costs. It has also made me improve on communication in a virtual environment, nurse practitioners are known for being compassionate and caring because it helps to make meaningful connections with patients, and communication also improves empathy and patience allowing patients to speak more freely and honestly about their symptoms. Being able to communicate helps me to ask clients questions during their admission and I can recognize the signs and symptoms the patient is having. My clinical practice in obstetrics has helped me identify and able to manage high-risk pregnancies and also take good care of mothers with empathy and have non-judgmental practice.Clinical breast examination is complete independence in that the other hand, mostly confident on supervision, this indicates specialization in the profession rating to be the better remarks.

I would like to broaden my knowledge on the fundal height assessment which is normally done to determine if a baby is small for its gestational age this will enable me to offer the reassurance of a baby’s growth to my client. Increasing my knowledge in obtaining vaginal culture and testing for STIs will help identify infections in the female genital tract, also knowing how to perform a pap test among others will help me improve the diagnosis of my patients on this practicum journey.

“In schools and colleges, the learning has always been more directed towards academic courses but what about aspects like self-improvement and personal development that play an equally important role in people’s lives.” I have several strengths that will assist me in effectively undertaking clinical procedures on the patients. On the same note, I have some weaknesses which I need to improve on to assist me in caring for patients properly. Some of the opportunities for my growth entail HARK screening, Contraceptive Placement (Long term), IUD Placement and Removal.

The first objective is to view and be able to properly perform pap and pelvic exams proficiently and independently by May,2022 as these are the examinations I have no exposure to. I view the pap exam as a cornerstone of every gynecological visit as it is an examination that tests for cervical cancer, which is insidious since the symptoms are rarely seen until the later stages, and the fact that every woman is at risk for it. The pelvic exam is more of a “as-needed exam” after the first one but is still important as it checks for an abnormalities.

The second objective is to be able to perform and interpret the results of basic microscopy, vaginal cultures, and at least one STI test independently. These examinations are to check for various infections that may be affecting a woman and the infections may lead to long term health ramifications for the woman. These exams also require a level of scientific knowledge that I have managed to acquire in passing which makes the interpretation process interesting. I plan to fulfill this objective at least every other week.

My third objective is to be able to recommend proper birth control options. The other goal is to improve my research habits, the objective is to be able to provide correct information all the time I have research assignments and dealing with patients.

Transitioning from a nurse student to a professional clinician is dependent on several factors such as physical, psychological, and sociocultural. Therefore, it is judicious to evaluate the student’s competence in nursing before they transition to professional nurses. Subsequently, in this case, some of the possible goals and objectives for this practicum experience are to:

To assess my ability to conduct clinical procedures independently

To allow me to develop my confidence in performing various clinical procedures within two months.

To offer myself an opportunity of incorporating the skills acquired from classroom in real life situations.

To create opportunities through which I can learn from experienced clinicians when performing clinical services on patients with various health conditions that require surgical procedures.

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