Discussion 3

1. start by reviewing the resources, attached in one file with links

2. Fill in the Clinical Skills and Procedures Self-Assessment Form

3. After filling it, respond to these in writing

Rate yourself according to your confidence level performing the procedures identified on the Clinical Skills and Procedures Self-Assessment Form.

Based on your ratings, summarize your strengths and opportunities for improvement.

Based on your self-assessment and theory of nursing practice, develop 3–4 goals and objectives for this practicum experience. Include them on the designated area of the form.

Walden AGPCNP Procedure List and Resource Review PROCEDURE Cerumen Impaction Removal (irrigation) Cerumen Impaction Removal (curette) Fluorescein Staining RESOURCE HEENT Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Ch. 62 Cerumen Impaction/Removal Patient Information/Procedure Description/Treatment Options How to Remove Earwax Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Ch. 200 Corneal Foreign Body Removal Corneal Abrasion Workup/Fluorescein Staining (Medscape) Wood’s Light Examination Corneal Abrasion info Management of Epistaxis (Packing and Removal) Video of Fluorescein Staining Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Ch. 205 Epistaxis: Nasal Packing Remove Foreign Body (ear, eye, nose, soft tissue, other) Epistaxis Cause and Management Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Ch. 191 Ear Foreign Body Nose Foreign Body Cardiopulmonary EKG Lead Placement and Interpretation Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Ch. 70 Peak flow meter Measurements 12 Lead EKG Interpretation Peak Expiratory Flow Meter (PEFR) Measurements Peak Flow Meter Pulmonary Function Tests Burn Treatment/dressing Using a Peak Flow Meter to Manage Asthma Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Ch. 81 Dermatological Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Ch. 189 Cryotherapy Shave Biopsy Punch Biopsy Suturing Simple Interrupted Sutures and Suture Removal Staple Placement Skin Adhesive Placement Toenail Avulsion Initial Burn Management Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Ch. 14 Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Chs. 13 and 26 Punch Biopsy of the Skin Video of Performing Punch Biopsy Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Chs. 18–22 Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Ch. 196 Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Ch. 198 Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Ch. 23 Nail Bed Closure Incision and Drainage Nail Bed Repair Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Chs. 31 and 192 Abscess Incision & Drainage I & D Procedure Information Subungual Hematoma Evacuation Skin Tag Removal Incision and Drainage of Cutaneous Abscesses Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Chs. 193 and 194 Nail Removal Skin Tag Removal 1 Wart destruction/removal Skin Tag Removal 2 Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Ch. 30 Wound Care Wart Removal Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Ch. 33 Wound Debridement Pressure Ulcer Staging Wound Debridement Steri Strip Application How to suture How to Remove Sutures and Apply Steri Strips Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Ch. 197 Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Ch. 17 Tick Removal KOH skin slide for fungus Performing In-Office KOH Prep Tests KOH Scraping Gastrointestinal Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Ch. 87 Neurological Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Chs. 2, 7 Hemorrhoid, excision of thrombus Local/Field Block for Anesthesia Local Anesthetics Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Chs. 2, 5 Digital Block for Anesthesia Digital nerve block Musculoskeletal Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Ch. 181 Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Ch. 180 Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Chs. 175–176 Trigger Point Injection Joint Injection Splinting Basic microscopy (yeast, BV) Leg Splinting Gynecology and Obstetrics Examination of Vaginal Wet Preps How to Prepare a Wet Mount Contraceptive Placement (Long term) Vaginal Wet Mount Interpretation Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Chs. 115–116 Birth Control Method Comparison Chart IUD Placement and Removal Birth Control Choices Pfenninger and Fowler’s Procedures for Primary Care (4th ed.) Ch. 135 Documentation of Completed Procedures PROCEDURE COMPLETED PRECEPTOR SIGNATURE DATE PRAC 6540: AGPCNP 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 Suturing PFT interpretation 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) x x x x x x x x x x x x x x x x x x x x x x Vision/hearing Wart destruction/removal Wound care Radiology reports: Interpret chest X-ray, constipation Inject local anesthetics x x x x x Summary of strengths: Opportunities for growth: 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. LEARNING RESOURCES Required Readings • Document: Practicum Site Information FormDownload Practicum Site Information Form • Document: AGACNP Clinical Skills List and Resource ReviewDownload AGACNP Clinical Skills List and Resource Review • Document: AGACNP Clinical Skills and Procedures Self-Assessment FormDownload AGACNP Clinical Skills and Procedures Self-Assessment Form • Document: AGPCNP Clinical Skills List and Resource ReviewDownload AGPCNP Clinical Skills List and Resource Review • Document: AGPCNP Procedure List and Resource ReviewDownload AGPCNP Procedure List and Resource Review • Document: AGPCNP Clinical Skills and Procedures Self-Assessment FormDownload AGPCNP Clinical Skills and Procedures Self-Assessment Form • Walden University. (2019a). Field experience: College of Nursing Links to an external site.. https://academicguides.waldenu.edu/fieldexperience/son/homeLinks to an external site. • Walden University. (2019b). MSN nurse practitioner practicum manual Links to an external site.. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocumentsLinks to an external site. • Walden University. (2019c). Student practicum resources: NP student orientation Links to an external site.. https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientationLinks to an external site. • MeditrekLinks to an external site. https://edu.meditrek.com/Default.html Note: Use this website to log into Meditrek to report your clinical hours and patient encounters.Links to an external site. • University of North Carolina Wilmington. (n.d.). Writing SMART learning objectives Links to an external site.. https://uncw.edu/career/documents/writingsmartlearningobjectives.pdf Recommended Readings • Reuben, D. B., Herr, K. A., Pacala, J. T., Pollock, B. G., Potter, J. F., & Semla, T. P. (2022). Assessment and approach. In Geriatrics at your fingertips 2022 (24th ed., pp. 1–16). American Geriatrics Society. You may also wish to access the following reference sites: • Merck. (2020). Merck manual professional version Links to an external site.. https://www.merckmanuals.com/professionalLinks to an external site. • MedscapeLinks to an external site. www.medscape.com PRAC_6540_Week1_Assignment2_Rubric PRAC_6540_Week1_Assignment2_Rubric Criteria This criterion is linked to a Learning OutcomeRate yourself according to your confidence level performing the procedures identified on the Clinical Skills and Procedures Self-Assessment Form. Ratings 25 to >22. 0 pts Exce llent The resp onse prov ides ratin gs for all proc edur es on the for m. 22 to >19. 0 pts Goo d The resp onse prov ides ratin gs for mos t of the proc edur es on the for m. 19 to >17. 0 pts Fair The resp onse prov ides ratin gs for som e of the proc edur es on the for m. Pts 17 to >0 pts Poo r The resp onse prov ides ratin gs for only a few proc edur es on the for m, or ratin gs are miss ing. 25 pts This criterion is linked to a Learning OutcomeBased on your ratings, summarize your strengths and opportunities for improvement. 30 to >26. 0 pts Exce llent The resp onse prov ides an accu rate, clea r, and com plet e sum mar y of both the stre ngth s and opp ortu nitie s for impr ove men t. 26 to >23. 0 pts Goo d The resp onse prov ides an accu rate sum mar y of both the stre ngth s and opp ortu nitie s for impr ove men t. 23 to >20. 0 pts Fair The resp onse prov ides a vagu e and/ or inac cura te sum mar y of both the stre ngth s and opp ortu nitie s for impr ove men t. 20 to >0 pts Poo r A sum mar y of both the stre ngth s and opp ortu nitie s for impr ove men t is inco mpl ete or miss ing. 30 pts This criterion is linked to a Learning OutcomeBased on your self-assessment and theory of nursing practice, develop 3–4 goals and objectives for this Practicum experience. Include them on the designated area of the form. 30 to >25. 0 pts Exce llent The resp onse prov ides 3–4 clea r and appr opri ate goal s and obje ctive s for the prac ticu m exp erie nce. 25 to >23. 0 pts Goo d The resp onse prov ides 3–4 appr opri ate goal s and obje ctive s for the prac ticu m exp erie nce. 23 to >20. 0 pts Fair The resp onse prov ides 3–4 uncl ear or inap prop riate goal s and obje ctive s for the prac ticu m exp erie nce. 20 to >0 pts Poo r The resp onse prov ides 3–4 uncl ear or inap prop riate goal s and obje ctive s for the prac ticu m exp erie nce, or goal s and obje ctive s are miss ing. 30 pts This criterion is linked to a Learning OutcomeWritten Expression and Formatting Paragraph Development and Organization: Paragraphs make clear points that support welldeveloped ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria. 5 to >4.0 pts Exce llent Para grap hs and sent ence s follo w writi ng stan dard s for flow , cont inuit y, and clari ty.... A clea r and com preh ensi ve purp ose stat eme nt, intr odu ctio n, and conc 4 to >3.5 pts Goo d Para grap hs and sent ence s follo w writi ng stan dard s for flow , cont inuit y, and clari ty 80% of the time . ... Purp ose, intr odu ctio n, and conc lusio n of the assi gnm ent 3.5 to >3.0 pts Fair Para grap hs and sent ence s follo w writi ng stan dard s for flow , cont inuit y, and clari ty 60% – 79% of the time . ... Purp ose, intr odu ctio n, and conc lusio n of the assi 3 to >0 pts Poo r Para grap hs and sent ence s follo w writi ng stan dard s for flow , cont inuit y, and clari ty < 60% of the time . ... No purp ose stat eme nt, intr odu ctio n, or conc lusio n was 5 pts This criterion is linked to a Learning OutcomeWritten Expression and Formatting English writing standards: Correct grammar, mechanics, and proper punctuation lusio n is prov ided whic h deli neat es all requ ired crite ria. is stat ed, yet is brief and not desc ripti ve. gnm ent is vagu e or off topi c. prov ided . 5 to >4.0 pts Exce llent Uses corr ect gra mm ar, spell ing, and pun ctua tion with no 4 to >3.5 pts Goo d Cont ains a few (1 or 2) gra mm ar, spell ing, and pun ctua 3.5 to >3.0 pts Fair Cont ains seve ral (3 or 4) gra mm ar, spell ing, and pun ctua 3 to >0 pts Poo r Cont ains man y (≥ 5) gra mm ar, spell ing, and pun ctua tion 5 pts This criterion is linked to a Learning OutcomeWritten Expression and Formatting The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. erro rs. tion erro rs. tion erro rs. erro rs that inter fere with the read er’s und erst andi ng. 5 to >4.0 pts Exce llent Uses corr ect APA for mat with no erro rs. 4 to >3.5 pts Goo d Cont ains a few (1 or 2) APA for mat erro rs. 3.5 to >3.0 pts Fair Cont ains seve ral (3 or 4) APA for mat erro rs. 3 to >0 pts Poo r Cont ains man y (≥ 5) APA for mat erro rs. Total Points: 100 PreviousNext 5 pts