|
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) |
|
|
X |
|
|
Fluorescein Staining |
|
|
X |
|
|
Corneal Foreign Body Removal |
|
|
X |
|
|
Wood’s Light Examination |
|
|
X |
|
|
Epistaxis management/nasal packing |
|
X |
|
|
|
Remove Foreign Body (ear, eye, nose, soft tissue, other) |
|
X |
|
|
|
EKG Lead Placement and Interpretation |
X |
|
|
|
|
Peak flow meter Measurements |
|
|
X |
|
|
Pulmonary Function Tests |
|
|
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 Wound 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 |
|
|
|
|
|
Splinting |
|
|
|
X |
|
Basic microscopy (yeast, BV) |
|
X |
|
|
|
Contraceptive Placement (Long term) |
|
|
X |
|
|
IUD Placement and Removal |
|
|
X |
|
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.
PRAC 6541: FNP Clinical Procedures Self-Assessment Form
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