CLINICAL SKILLS and PROCEDURES SELF-ASSESSMENT

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CLINICAL SKILLS and PROCEDURES SELF-ASSESSMENT

For FNP Students

 

 

Note: Performing clinical skills requires experience. NP students should NOT perform any procedure on a patient if they have not read how to perform any invasive procedure, make observations, and received guidance and instructions on how to perform the skill by preceptor. Students must obtain proper approval to perform the procedure from faculty and preceptor. Also, a student should not perform any procedures they are uncomfortable with performing.

 

Once approved by preceptor and faculty, NP students should take advantage of the opportunity to perform as many procedures as possible before graduating.

 

As you consider performing skills, do not focus only on technical skills, but understand the rationale for why the procedure is being performed.

 

 

 

NAME:

 

#

  

Procedure

 SKILL LEVEL  

pRECEPTOR’ SIGNATURE & DATE

 

(PROCEDURE AND SKILL LEVEL TO BE SIGNED OFF BY PRECEPTOR WHEN COMPLETED)
    confident &

INDEPENDENT

 FAIRLY CONFIDENT MINIMAL SUPERVISION NEEDED MODERATE SUPERVISION

NEEDED

 pERFORMED ONCE

& WITH SUPERVISION

 NEVER PERFORMED OR NOT APPLICABLE  
OBSTETRICS
1. Auscultation Fetal Heart Tones

 

Baby Beat Fetal Dopplers (2015). BabyBeat – fetal heart sounds using the doppler [Video].

https://www.youtube.com/watch?v=BWiLPGErVF0

(3 mins)

 

  

 

 

 

X

          
2.  

Fundal Height Assessment

 

Newham University Hospital Maternity (2018). Measuring fundal height (SFH) [Video].

https://youtu.be/RguEXh2QlFo

(1 min)

      

 

 

 

  

 

 

X

  

 

 

 

  
3.  

Pregnancy Testing

 

OSCAR EMR Training (2015). Pregnancy testing [Video].

https://youtu.be/Ohl2gwM5DyA

(3 mins)

  

 

 

X

          
4.  

EPPDS screening

 

Focus Information Technology (2014). Edinburgh Postnatal Depression Scale (EPDS). http://perinatology.com/calculators/Edinburgh%20Depression%20Scale.htm

 

        

 

 

X

  

 

 

 

  
5. Pelvic exam

 

Geeky Medics (2016). Vaginal examination (PV) – OSCE Guide [Video]. https://youtu.be/Z-O_JYtyQqE

(4 mins)

 

Schuiling, K. D., & Likis, F. E. (2017). Women’s gynecologic health (3rd ed.). Jones and Bartlett Publishers.

Chapter 6: Gynecologic History and Physical Examination (pp. 109 – 125)

          

 

 

X

  
6.  

Pap Test

 

Medical Procedures & Health Informations (2014). Pap test – Procedure [Video]. https://youtu.be/0zI58NJd1yE

(1 min)

 

Schuiling, K. D., & Likis, F. E. (2017). Women’s gynecologic health (3rd ed.). Jones and Bartlett Publishers.

Appendix 6-A: Cervical Cytology Screening (pp. 128-129)

          

 

 

 

 

X

  
GYNECOLOGIC
7.  

Breast Examination

 

Geeky Medics (2015). Breast examination – OSCE Guide [Video]. https://youtu.be/76g_tNWMhCE

(6 mins)

  

 

 

X

    

 

 

 

      
8.  

Basic microscopy (yeast, BV)

 

SeattlePTC (2015). Examination of Vaginal Wet Preps [Video]. https://youtu.be/8dgeOPGx6YI

(15 mins)

 

 

          

 

 

 

X

  
9. Obtaining vaginal culture

 

  

X

          
10. Herpes Culture         X  
11. STI Testing

 

DTAP Clinic (2018). How to test for STD (Chlamydia & Gonorrhea) DNA rapidly?

https://youtu.be/6VM50u7XrrA

 

Stomp on Step 1 (2016). Vaginitis: Candida, BV, trichomoniasis – Wet mount Whiff test vaginal pH Trick Albicans Gardnerella.

https://youtu.be/StsaYBr2-Ac

  

 

 

X

      

 

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

X

  
12.  

HARK screening

 

Agency for Healthcare Research and Quality (AHRQ). Intimate partner violence screening: Fact sheet and resources. https://www.ahrq.gov/ncepcr/tools/healthier-pregnancy/fact-sheets/partner-violence.html

 

        

 

 

 

 

X

    
13.  

Contraceptive options and Placement

 

American Sexual Health Association (ASHA). (2013). Birth control method comparison chart. https://www.ashasexualhealth.org/pdfs/ContraceptiveOptions.pdf

 

Reproductive Health Access Project (2020). Your birth control choices. https://www.reproductiveaccess.org/wp-content/uploads/2014/06/contra_choices.pdf

 

 

  

 

 

 

 

 

 

X

    

 

 

 

 

 

 

 

    

 

 

 

 

 

 

X- have never placed implants, IUDs, or Rings

 

  
14. IUD Placement and Removal

 

V’ Mariee (2017). IUD Removal – Training Video [Video]. https://youtu.be/LpCA4C37yr8

(1 min)

          

X

  

 

 

Summary of strengths:

According to the clinical skills and procedures assessment, I can confidently and independently perform the following skills:

1. Auscultation of fetal heart tones by using a Doppler

2. Performing a pregnancy test

3. Performing a breast examination

4. Obtaining a vaginal culture

5. Performing a rapid STI test

6. Know contraceptive options

 

 

 

Opportunities for growth:

There are several skills and procedure that I will have the opportunity to grow throughout this clinical experience. I have assisted with numerous pap tests, pelvic exams, and obtaining chlamydia and gonorrhea cultures while I work in the ER and the family medicine clinic, but I have never performed them myself. The following skills and procedures are areas that I will have an opportunity to grow:

1. Fundal height assessment

2. EPPDS screening

3. Pelvic exam

4. Pap test

5. Basic microscopy (yeast, BV)

6. Herpes Culture

7. Wet mount, whiff test, vaginal pH, Trick, and Albicans Gardnerella

8. Contraceptive Placements such as IUDs, rings, or implants

9. Placement or Removal of IUDs

 

 

Now, write 3–4 possible goals and objectives for this practicum experience. Ensure that you follow the SMART Strategy, as described in the Learning Resources.

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