Self assessment
1. Summary of strengths
2. Opportunities for growth
3. 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.
PRAC 6565: Clinical Skills and Procedures Self-Assessment Form
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) |
Biopsy (excision or punch) | Have observed many during clinical rotation | |||
Cerumen Removal | x | |||
Clinical Breast Examination | x | |||
Digital Rectal Exam | x | |||
EKG 12 Lead Placement and Interpretation | x | |||
Epistaxis management/nasal packing | x | |||
Fluorescein stain of the eye | x | |||
Gait and Balance Assessment | x | |||
Herpes Culture | Observed during clinical rotation | |||
I &D abscess | x | |||
CXR Interpretation | x | |||
KOH skin slide for fungus | x | |||
Laboratory/Diagnostic Testing-Order and/or Interpret | x | |||
Mini Mental Status Exam | x | |||
Nail Examination and removal/Nail Trephination/ Subungual Hematoma | x | |||
Nasal Packing, removal of | x | |||
Pap Smear | x | |||
Peak flow meter | x | |||
Prostate examination | x | |||
Remove Foreign Body (ear, eye, nose, soft tissue, other) | x | |||
Skin Tag Removal
Tick Removal |
x | |||
Suturing | Observed during clinical rotation | |||
PFT Interpretation | x | |||
Vision/Hearing | x | |||
Wart destruction/removal | Have observed many during clinical rotation | |||
Wound Care | x | |||
Radiology Reports: Interpret Chest X-ray, Constipation | x | |||
Inject Local Anesthetics | Have observed many during clinical rotation |
- Summary of strengths:
Based on your ratings, summarize your strengths –Paragraphs should be between 5 to 7 sentences. |
- Opportunities for growth:
Response should be five to seven sentences.
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- 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.
Based on your self-assessment and theory of nursing practice, develop three to four (3–4) goals and objectives for this Practicum experience. Include them on the designated area of the form.
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