• 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 6565: Clinical Skills and Procedures Self-Assessment Form Procedure 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 Confident (Can complete independently) Mostly confident (Can complete with supervision) x Beginning (Have performed with supervision or need supervision to feel confident) x x x x x x x x x x x x x x x x x x x x New (Have never performed or does not apply) Suturing PFT Interpretation Vision/Hearing Wart destruction/removal Wound Care Radiology Reports: Interpret Chest X-ray, Constipation Inject Local Anesthetics x x x x x x x Summary of strengths: One of my finest talents is being responsible, NPs should be aware of their responsibilities to patients and ensure that those in their care are aware of the treatments, medications, and medical options available to them. This policy is especially important for NPs who work independently because they are not overseen by a physician who would otherwise catch a mistake. Positivity another of my strengths is that a patient’s attitude can have a significant impact on his or her overall health status. As a result, NPs must strive to maintain a positive attitude as well as emotional stability. It is critical to be attentive NPs should demonstrate it, especially when assessing a patient’s condition, and go out of their way to meet a patient’s needs. Hourly rounding requirements and “No Pass Zones” are two recent examples of facility-level attentiveness policies. According to the “No Pass” policy, any nurse passing by a room with a patient’s call. Opportunities for growth: Compassion in the workplace is not unique to nursing, but it is one of the characteristics of a successful nurse practitioner. When dealing with patients who are in physical or emotional pain, or both, NPs must first and foremost show compassion and empathy. Patients are more likely to be truthful if they believe their NPs genuinely care about their health. When their patients are more forthcoming, NPs can provide the best care. One of the most important characteristics of an excellent nurse practitioner is prioritized. Prioritization should come naturally to NPs. Some medical issues are more urgent than others, and NPs must be able to distinguish which are primary and which are secondary concerns. Strong analytical thinking skills are required for gathering relevant facts, analyzing complex issues, and making sound decisions. To improve the responsiveness of the patient, how well an NP’s patients fare is an important indicator of his or her effectiveness. Patients who maintain their health reflect favorably on the practitioner. NPs should also be aware of how the patients’ families are dealing with the situation. A patient’s quickest path to recovery often depends on both the patient and family maintaining a positive attitude, which an 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- Goal: By the end of this course, I will be able to decide and prioritize patients’ needs. a) Objective: Become an active listener. a) Objective: Being more involved in the patient’s health situation. b) Objective: Manage crises and medical emergencies in a fast and safe way. 2- Goal: By the end of this course, I will enhance patient responsiveness with me as an NP and provider. b) Objective: Analyze more deep facts and issues without being judgmental and reassurance treatments and follow-up care. c) Objective: Treat patient problems in a holistic way. d) Objective: Keeping patient autonomy. 3- Goal: By the end of this course, I will put empathy and compassion as a number one necessity. a) Objective: Being honest and respectful with patients and families. b) Objective: Educate and counsel patients about their illnesses and health problems. c) Objective: Honoring patient decision.

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