Clinical Skills and Procedures

PRAC 6540: AGPCNP Clinical Skills and Procedures Self-Assessment Form Procedure

Confident

Mostly

Beginning

New

(Can

confident

(Have performed

(Have never

complete

(Can

with supervision

performed or does

independently

complete with

or need

not apply)

)

supervision)

supervision to feel confident)

Biopsy (excision or

*

punch) Cerumen removal

*

Clinical breast

*

examination Digital rectal exam EKG 12 lead placement

* *

and interpretation Epistaxis

*

management/nasal packing Fluorescein stain of the

*

eye Gait and balance assessment

*

Herpes culture I &D abscess

* *

CXR interpretation

*

KOH skin slide for

*

fungus Laboratory/diagnostic

*

testing-order and/or interpret Mini Mental Status Exam Nail examination and

*

removal/nail trephination/subungual hematoma Nasal packing, removal

*

of Pap smear Peak flow meter

* *

Prostate examination Remove foreign body

* *

(ear, eye, nose, soft tissue, other) Skin tag removal,

*

tick removal Suturing

*

PFT interpretation

*

Vision/hearing

*

Wart

*

destruction/removal Wound care Radiology reports:

* *

Interpret chest X-ray, constipation Inject local anesthetics

*

Summary of strengths: Completing the self-assessment based on the AGPCNP Clinical Skills and Procedures Self-Assessment Form has been an eye opener on the growth I have accomplished since I started off as an AGPCNP. I have been able to notice the skills I can comfortably perform and those that need more practice and learning. I can comfortably say that I am a fast learner, with the ability to learn and perform new skills with ease. This has enabled me to master various procedures to the point that I can comfortably handle them on my own. This includes carrying out cerumen removal, gait and balance assessment, wound care and EKG 12 lead placement and interpretation. I am also curious to learn new skills and procedures, a strength that made me observe and learn several procedures being done by my superiors.

Another greatest strength that I realized is being a team player. I have been able to work

smoothly with my colleagues, supervisor and other care providers. Within the team, I have contributed to ensuring the team’s goals have been met and also coordinating care to ensure quality and safety. On the same, good communication skills came out as a strength I own. I learnt to communicate effectively with others in order to learn, coordinate care and achieve successful work collaborations.

Opportunities for growth: From the assessment I was able to know which competencies needed to be learnt or improved.

It is evident that I have not yet mastered all the skills required of an AGPCNP. I still require supervision to feel comfortable whole completing most tasks. I am certain that with continual practice and learning, I will be able to complete these tasks confidently and without or with minimal supervision. Other than building on my skills and competencies, there is also room for growth in nurse leadership management. I realized that I possess great leadership skills and I am planning to explore it by growing my leadership abilities.

There is also room for growth in understanding the dynamics of the healthcare environment.

Healthcare delivery is ever changing with new and more effective approaches being introduced continually. As a AGPCNP, I am expected to continually grow and keep up with the ever changing trends of the healthcare environment. Additionally, there is need to understand the laws and policies affecting our practice and how they influence the services we provide.

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.

Goals To adapt to the constantly changing healthcare environment all through my years of practice as an AGPCNP. To apply theory and evidence into care delivery to ensure better, quality outcomes when working with individuals and populations.

To work within my scope of practice and competency in providing effective and safe healthcare services.

Objectives To work collaboratively with my colleagues and members of the interdisciplinary care team in providing patient care.

To demonstrate confidence in health assessment, diagnosis and management of patients.

To learn and new skills and competencies in care delivery to a point that I can comfortably execute them with no or minimal supervision.