Benefits of Experience in Holistic Nursing

PRAC : 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:

I have a wide array of clinical skills and procedures that you can confidently perform independently. This includes Rapid Strep Test, Ophthalmic Examination, Otoscopic Examination, Inhalation Therapy, Peak flow meter, Pulmonary Function Tests, Wound Care, Interpret H/H, Mini Mental Status Exam, Breast Examination, STI Testing, Auscultation Fetal Heart Tones, Fundal Height Assessment, Pregnancy Test, Pelvic Exam, Testicular Exam, Aerosol/Inhalation Administration, Informed Consent, Normal Growth and Development evaluation, Peak flow meter Measurement and Interpretation, Pulmonary Function Test Performance and Interpretation, and Tick Removal. I have a great deal of experience providing a number of services and functions, so this is really just a short list and not comprehensive. Overall, my strengths are in skills, diagnostics, and reproductive health. I have a good ability to interpret Chest X-rays, H/H, and Laboratory/Diagnostic Testing, which indicates a strong diagnostic acumen. I also have a solid foundation in reproductive health procedures, including conducting STI Testing, Breast Examination, Fundal Height Assessment, Pregnancy Test, and Testicular Exam.

Opportunities for growth:

There are several procedures like Corneal Foreign Body Removal, Management of Epistaxis, Remove Foreign Body (ear, eye, nose, soft tissue, other), and more advanced surgical procedures like Suturing, Staple Placement, and Biopsies that I have not yet performed or am new to. Also, I could grow in the area of specialized examinations, and reproductive health enhancements

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.

One of the main goals for this practicum experience is to enhance proficiency in advanced surgical procedures. The skill and precision required in surgical tasks necessitate consistent practice and feedback (Abich et al., 2021). Specifically, the objective is to perform at least 10 suturing procedures under the monitoring of experienced supervisors. The benchmark for success in this area is to achieve a proficiency rating of \"Mostly Confident\" in at least 70% of these procedures. This would increase my confidence and make it more likely that patients receive the highest standard of care.

Another important goal is to improve competence in specialized examinations. Specialized examinations, such as the Prostate Exam/DRE and Urodynamic Studies, are crucial for accurate diagnosis and treatment (Murad et al., 2023). The objective here is to conduct a combined minimum of 15 of these examinations. The aim is to transition the skill level from \"Beginning\" to \"Mostly Confident.\" This progression would signify a deeper understanding and capability in these critical diagnostic procedures, ensuring that patients are assessed with the utmost accuracy.