Assignment 2: Clinical Skills and Procedures Self-Assessment
The Family Nurse Practitioner Clinical Skills Lists and Resource Review document provided can be used to celebrate your progress throughout your practicum and identify skills gaps. The list covers all necessary skills you should demonstrate during your practicum course.
For this Assignment, you assess where you are now in your clinical skill development and make plans for your practicum. Specifically, you will identify strengths and opportunities for improvement regarding the required practicum skills and procedures. (THIS IS ON THE ATTACHED DOCUMENT)
Based on your self-assessment (ATTACHED) and course learning outcomes (ATTACHED), choose a theory of nursing to guide your practicum experience. Then, develop 3–4 goals and objectives for this practicum experience. Include them on the designated area of the form. Ensure that you follow the SMART Strategy to set goals and objectives
NEED A INTRODUCTION AND CONCLUSION, MUST INCLUDE 3 SCHOLARLY REFERENCES TO COMPLETE THE ASSIGNMENT BASED ON THE ATTACHED DOCUMENTS.
Course learning objectives link:
SMART Strategy Link:
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.
|#||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 SUPERVISIONNEEDED||pERFORMED ONCE& WITH SUPERVISION||NEVER PERFORMED OR NOT APPLICABLE|
|1.||Auscultation Fetal Heart TonesBaby Beat Fetal Dopplers (2015). BabyBeat – fetal heart sounds using the doppler [Video].https://www.youtube.com/watch?v=BWiLPGErVF0(3 mins)||X|
|2.||Fundal Height AssessmentNewham University Hospital Maternity (2018). Measuring fundal height (SFH) [Video].https://youtu.be/RguEXh2QlFo(1 min)||X|
|3.||Pregnancy TestingOSCAR EMR Training (2015). Pregnancy testing [Video].https://youtu.be/Ohl2gwM5DyA(3 mins)||X|
|4.||EPPDS screeningFocus Information Technology (2014). Edinburgh Postnatal Depression Scale (EPDS). http://perinatology.com/calculators/Edinburgh%20Depression%20Scale.htm||X|
|5.||Pelvic examGeeky 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)||X|
|6.||Pap TestMedical 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)||X|
|7.||Breast ExaminationGeeky Medics (2015). Breast examination – OSCE Guide [Video]. https://youtu.be/76g_tNWMhCE(6 mins)||X|
|8.||Basic microscopy (yeast, BV)SeattlePTC (2015). Examination of Vaginal Wet Preps [Video]. https://youtu.be/8dgeOPGx6YI(15 mins)||X|
|9.||Obtaining vaginal culture||X|
|11.||STI TestingDTAP Clinic (2018). How to test for STD (Chlamydia & Gonorrhea) DNA rapidly?https://youtu.be/6VM50u7XrrAStomp on Step 1 (2016). Vaginitis: Candida, BV, trichomoniasis – Wet mount Whiff test vaginal pH Trick Albicans Gardnerella.https://youtu.be/StsaYBr2-Ac||X||X|
|12.||HARK screeningAgency 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||X|
|13.||Contraceptive options and PlacementAmerican Sexual Health Association (ASHA). (2013). Birth control method comparison chart. https://www.ashasexualhealth.org/pdfs/ContraceptiveOptions.pdfReproductive Health Access Project (2020). Your birth control choices. https://www.reproductiveaccess.org/wp-content/uploads/2014/06/contra_choices.pdf||X||X- have never placed implants, IUDs, or Rings|
|14.||IUD Placement and RemovalV’ Mariee (2017). IUD Removal – Training Video [Video]. https://youtu.be/LpCA4C37yr8(1 min)||X|
Summary of strengths:
|According to the clinical skills and procedures assessment, I can confidently and independently perform the following skills:1. Auscultation of fetal heart tones by using a Doppler2. Performing a pregnancy test3. Performing a breast examination4. Obtaining a vaginal culture5. Performing a rapid STI test6. Know contraceptive options|
Opportunities for growth:
|There are several skills and procedure that I will have the opportunity to grow throughout this clinical experience. I have assisted with numerous pap tests, pelvic exams, and obtaining chlamydia and gonorrhea cultures while I work in the ER and the family medicine clinic, but I have never performed them myself. The following skills and procedures are areas that I will have an opportunity to grow:1. Fundal height assessment2. EPPDS screening3. Pelvic exam4. Pap test5. Basic microscopy (yeast, BV)6. Herpes Culture7. Wet mount, whiff test, vaginal pH, Trick, and Albicans Gardnerella8. Contraceptive Placements such as IUDs, rings, or implants9. Placement or Removal of IUDs|
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