PRAC 6541: FNP Clinical 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)
Cerumen Impaction Removal (irrigation and curette)
Fluorescein Staining
Corneal Foreign Body Removal
Wood’s Light Examination
Epistaxis management/nasal packing
Remove Foreign Body (ear, eye, nose, soft tissue, other)
EKG Lead Placement and Interpretation
Peak flow meter Measurements
Pulmonary Function Tests
Burn Treatment/dressing
Cryotherapy
Shave Biopsy
Punch Biopsy
Suturing
– Simple Interrupted Sutures and Suture Removal
Staple Placement
Skin Adhesive Placement
Toenail Avulsion
Incision and Drainage
Subungual Hematoma Evacuation
Skin Tag Removal
Wart destruction/removal
Wound Care
Wound Debridement
Steri Strip Application
Tick Removal
KOH skin slide for fungus
Hemorrhoid, excision of thrombus
Local/Field Block for Anesthesia
Digital Block for Anesthesia
Trigger Point Injection
Joint Injection
Splinting
Basic microscopy (yeast, BV)
Contraceptive Placement (Long term)
IUD Placement and Removal
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.
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