July 16, 2022

Review your completed Clinical Skills and Procedures Self-Assessment Form from Week 1, as well as the record of procedures you have performed throughout the prac

Review your completed Clinical Skills and Procedures Self-Assessment Form from Week 1, as well as the record of procedures you have performed throughout the practicum.

Assignment (1 page)

Perform a new self-assessment. Rate yourself on clinical skills, based on your experiences during this practicum. Summarize the results.
Explain which goals you accomplished and which you did not. If you did not achieve a particular goal, explain how you could continue to work on it after you complete your program, as you advance and grow in your career.

· Review your completed Clinical Skills and Procedures Self-Assessment Form from Week 1, as well as the record of procedures you have performed throughout the practicum.

Assignment (1 page)

· Perform a new self-assessment. Rate yourself on clinical skills, based on your experiences during this practicum. Summarize the results.

· Explain which goals you accomplished and which you did not. If you did not achieve a particular goal, explain how you could continue to work on it after you complete your program, as you advance and grow in your career.

PRAC 6568: Clinical Skills and Procedures Self-Assessment Form

FNP Students

Skill / Procedure	Confident (Can complete independently)	Mostly Confident (Can complete with supervision)	Beginning (Has performed with supervision or need supervision to feel confident)	New (Has never performed or does not apply)
Rapid Strep Test	X
Ophthalmic Examination	X
Otoscopic Examination	X
Rapid Influenza testing	X
Inhalation Therapy		X
Interpret Chest X-ray			X
Peak flow meter		X
Pulmonary Function Tests		X
Asthma and allergy action care plan	X
EKG Performance and Interpretation	X
Wound Care	X
PPD Reading	X
KOH skin slide for fungus				X
Digital Rectal Exam	X
Fecal Occult Blood Testing	X
Interpret H/H	X
Mini Mental Status Exam	X
Gait and Balance Assessment	X
Breast Examination	X
Obtaining vaginal culture	X
HARK screening	X
Contraceptive Planning	X
Herpes Culture	X
Pap Smear		X
STI Testing		X
Auscultation Fetal Heart Tones	X
Fundal Height Assessment	X
Pregnancy Test	X
EPPDS Screening	X
Pelvic Exam	X
Testicular Exam	X
Prostate Exam/DRE		X
Urodynamic Study				X
Aerosol/Inhalation Administration			X
Interpret Laboratory/Diagnostic Testing	X
Informed Consent	X
Normal Growth and Development evaluation	X
Cerumen Impaction Removal (irrigation)		X
Cerumen Impaction Removal (curette)		X
Fluorescein Staining			X
Wood’s Light Examination			X
Corneal Foreign Body Removal			X
Management of Epistaxis (Packing and Removal)	X
Remove Foreign Body (ear, eye, nose, soft tissue, other)	X
Peak flow meter Measurement and Interpretation		X
Pulmonary Function Test Performance and Interpretation		X
Burn Treatment/dressing	X
Cryotherapy			X
Shave Biopsy				X
Punch Biopsy				X
Suturing Simple Interrupted Sutures and Suture Removal			X
Staple Placement				X
Skin Adhesive Placement			X
Toenail Avulsion				X
Incision and Drainage			X
Subungual Hematoma Evacuation				X
Skin Tag Removal			X
Wart destruction/removal			X
Wound Care and Debridement	X
Steri Strip Application	X
Tick Removal	X
KOH skin slide for fungus		X
Hemorrhoid, excision of thrombus				X
Local/Field Block for Anesthesia				X
Digital Block for Anesthesia				X
Trigger Point Injection			X
Joint Injection			X
Splinting			X
Basic microscopy (yeast, BV)			X
Contraceptive Placement (Long term)				X
IUD Placement and Removal				X

*Students are expected to achieve competency with the clinical skills list

**Procedures are skills that may be available for students but are not required.

Summary of strengths:

Opportunities for growth:

Now, write 3–4 possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.

Review the resources and clinical skills in the FNP Clinical Skills List and Resource Review document and the FNP Procedures List and Resource Review document. It is recommended that you print out these documents to serve as a guide throughout your practicum.

• Download the Clinical Skills and Procedures Self-Assessment Form to complete this Assignment.

Assignment

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.

• PRAC 6568: Clinical Skills and Procedures Self-Assessment Form

• FNP Students

PRAC 6568: Clinical Skills and Procedures Self-Assessment Form

FNP Students

Skill / Procedure	Confident (Can complete independently)	Mostly Confident (Can complete with supervision)	Beginning (Has performed with supervision or need supervision to feel confident)	New (Has never performed or does not apply)
Rapid Strep Test	·
Ophthalmic Examination	·
Otoscopic Examination	·
Rapid Influenza testing		·
Inhalation Therapy			·
Interpret Chest X-ray			·
Peak flow meter		·
Pulmonary Function Tests		·
Asthma and allergy action care plan		·
EKG Performance and Interpretation		·
Wound Care	·
PPD Reading	·
KOH skin slide for fungus				·
Digital Rectal Exam	·
Fecal Occult Blood Testing	·
Interpret H/H	·
Mini Mental Status Exam	·
Gait and Balance Assessment	·
Breast Examination	·
Obtaining vaginal culture	·
HARK screening	·
Contraceptive Planning	·
Herpes Culture			·
Pap Smear		·
STI Testing			·
Auscultation Fetal Heart Tones	·
Fundal Height Assessment	·
Pregnancy Test	·
EPPDS Screening	·
Pelvic Exam	·
Testicular Exam		·
Prostate Exam/DRE		·
Urodynamic Study				·
Aerosol/Inhalation Administration			·
Interpret Laboratory/Diagnostic Testing	·
Informed Consent	·
Normal Growth and Development evaluation	·
Cerumen Impaction Removal (irrigation)			·
Cerumen Impaction Removal (curette)			·
Fluorescein Staining			·
Wood’s Light Examination			·
Corneal Foreign Body Removal			·
Management of Epistaxis (Packing and Removal)	·
Remove Foreign Body (ear, eye, nose, soft tissue, other)		·
Peak flow meter Measurement and Interpretation		·
Pulmonary Function Test Performance and Interpretation		·
Burn Treatment/dressing	·
Cryotherapy				·
Shave Biopsy				·
Punch Biopsy				·
Suturing Simple Interrupted Sutures and Suture Removal			·
Staple Placement				·
Skin Adhesive Placement			·
Toenail Avulsion				·
Incision and Drainage			·
Subungual Hematoma Evacuation				·
Skin Tag Removal			·
Wart destruction/removal			·
Wound Care and Debridement	·
Steri Strip Application	·
Tick Removal	·
KOH skin slide for fungus		·
Hemorrhoid, excision of thrombus				·
Local/Field Block for Anesthesia				·
Digital Block for Anesthesia				·
Trigger Point Injection			·
Joint Injection			·
Splinting			·
Basic microscopy (yeast, BV)			·
Contraceptive Placement (Long term)				·
IUD Placement and Removal				·

*Students are expected to achieve competency with the clinical skills list

**Procedures are skills that may be available for students but are not required.

Summary of strengths:

Based on this clinical skills assessment, my strengths manifest in three domains in clinical practice. These are:

a. Proficiency in conducting physical exams: given the spectrum of patients under my care, I am confident in my skills in conducting wide-ranging physical exams on male and female adult patients.

b. Treating and dressing wounds: My skills in wound dressing are sufficient to enable me to care for these patients. Burn wounds are particularly delicate when it comes to dressing since they are prone to infections that can lead to sepsis (Ladhani et al., 2021). I am proud that I can confidently apply my skills to assist burn victims.

c. Excellent bedside manners: I inspire feelings of trust in my patients by treating them with respect. My demeanor is friendly when I interact with patients in the clinical setting, enabling me to reciprocally inspire respect even though I introduce myself as a student. I can get most of my patients to give consent which facilitates other facets of nursing care, such as physical assessment.

Opportunities for growth:

Despite some of my strengths in certain areas of clinical practice, I still have a few shortcomings that accord me with the opportunity to improve myself as an FNP student. These include:

a. Increase my knowledge of some basics of laboratory testing and examination. Particular areas of interest include revisiting basic microscopy techniques and staining methods.

b. Improve my knowledge of radiology and anatomy to better interpret commonly used diagnostic tests such as chest x-rays.

c. Acquire basic surgical skills. This will necessitate me taking a short course on basic surgical skills to improve my suturing skills (McAnena et al., 2018).

Now, write 3–4 possible goals and objectives for this practicum experience. Ensure that they follow the SMART Strategy, as described in the Learning Resources.

1. Improve in applying professional knowledge based on current practice guided by evidence-based nursing before the end of this practicum.

2. Develop strong leadership skills to foster an environment that encourages open communication and teamwork among my colleagues before the end of this practicum. Effective communication among the nursing team is responsible for coordinated patient care (Warmling and de Souza, 2018).

3. Ensuring more patient-centered care in my approach to nursing care before completing this practicum.

Conclusion

Based on this self-assessment exercise, I have discovered that I am proficient in specific clinical skills as an FNP student. What remains now is to have greater confidence in my practical skills and knowledge. Initially, I used to be timid to avoid antagonizing my seniors in the nursing profession. This inadvertently got in the way of me asking questions or volunteering to perform certain procedures. However, I am now confident in my skills in most areas and will work on my shortcomings to ensure excellence in my practice. I am learning the importance of not selling myself short. Greater confidence in my skills will have a carry-over effect in my practice. It will go a long way in opening up more learning opportunities in my career as a family nurse practitioner.

References

Ladhani, H. A., Yowler, C. J., & Claridge, J. A. (2021). Burn wound colonization, infection, and sepsis. Surgical infections, 22(1), 44-48.

McAnena, P. F., O’Halloran, N., Moloney, B. M., Courtney, D., Waldron, R. M., Flaherty, G., & Kerin, M. J. (2018). Undergraduate basic surgical skills education: impact on attitudes to a career in surgery and surgical skills acquisition. Irish Journal of Medical Science (1971- ), 187(2), 479-484.

Warmling, L., & de Souza, P. A. (2018). The importance of communication among the members of the nursing team. Creative Education, 9(06), 993.

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Review your completed Clinical Skills and Procedures Self-Assessment Form from Week 1, as well as the record of procedures you have performed throughout the prac

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