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PRAC 6541: FNP Clinical Procedures Self-Assessment FormProcedure

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)

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.

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