FNP Clinical Procedures Self-Assessment Form

PRAC 6541: FNP Clinical Procedures Self-Assessment Form

Procedure Confident (Can complete independently) Mostly confident (Can complete with supervision) Beginning (Have performed with supervision or need supervision to feel confident) New (Have never performed or does not apply)

Cerumen Impaction Removal (irrigation and curette)

Fluorescein Staining

Corneal Foreign Body Removal

Wood’s Light Examination

Epistaxis management/nasal packing

Remove Foreign Body (ear, eye, nose, soft tissue, other)

EKG Lead Placement and Interpretation                                                     

Peak flow meter Measurements

Pulmonary Function Tests

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

Wound 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                                         

Summary of strengths:

Opportunities for growth:

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

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