6566

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)

Alternative drug administration (inhalation, transdermal)

X

Presenting history of present illness

X

Airway management (oral and nasal airway placement, intubation, extubation)

X

Ventilator settings (manages AC, SIMV, CPAP; analyzes ABGs to guide settings/Fi02, PEEP)

X

Non-invasive CPAP/BIPAP

X

Vital sign measurements

X

Advanced circulatory management (central line placement and removal, intraosseous lines, arterial lines)

X

CPR

X

Cardioversion

X

Arterial and venous sheath removal

X

Performs arterial puncture for ABGs

X

Epicardial pacing, assessment, and management

X

Permanent pacemaker (assessing function and management

X

12 lead EKG interpretation

X

Cervical spine trauma assessment for possible neurologic injury

X

Burn assessment and management.

X

Immobilization device application/management

X

Organ donation (identifying potential donors)

X

Intracranial monitoring (assessment and management)

X

Reduce dislocated joint

X

Remove foreign body (from ear, eye, nose, soft tissue, other)

X

Radiology reports (interpret CT, Xray, and MRI)

X

Sedation (manages procedural sedation)

X

Chest tube placement, management, and removal

X

Compartment pressure measurement and management

X

Wound management (Stage 1–4 pressure ulcer management, incises/drains/debrides wounds, suture/steri-strip/dermabond use)

X

Digital nerve block

X

Thoracentesis

X

Epistaxis management/nasal packing

X

Performs gastric lavage

X

Nail bed closure

X

Nail trephination

X

Injects local anesthetics

X

· I am competent in Non-invasive CPAP/BIPAP because I have undergone extensive training and experience providing respiratory therapy to patients. I understand the prominence of using a non-invasive method to treat respiratory conditions and have the skills to effectively administer CPAP and BIPAP therapy (Song et al., 2021). Knowledge of the equipment and techniques involved in non-invasive respiratory therapy allows me to accurately assess and monitor patients, making you a valuable asset in the healthcare field.

· I am also competent in immobilization device application and management in a clinical context because of my extensive training and experience in this area. I have gained extensive knowledge of anatomy and physiology and my understanding of patient care and safety, allowing me to apply immobilization devices effectively and efficiently.

· I am perfect and confident in presenting patient history based on medical records. I am skilled at selecting the appropriate device for each patient based on their needs and medical history. I can manage and adjust the device as needed to ensure optimal patient outcomes.

· I am also competent in conducting cervical spine trauma assessments to determine possible neurology injuries. I can conduct primary assessment to determine life-threatening conditions, conduct imaging to determine injuries and do physical examination (Song et al., 2021). I am competent in presenting patients' medical history based on their medical records. I have attained this capability because of my communication and listening skills.

· I can administer alternative medications, particularly inhaled or transdermally applied, without the need for supervision (Dağ et al., 2019). I am also capable of competently assessing vital signs, including heart rate, temperature, blood pressure, and respiratory rate, among others.

· There is an opportunity for progression in delivering Radiology reports such as interpreting CT, X-ray, and MRI. I have observed that I can enhance my competencies in evaluating cervical spine trauma by investigating CT, X-rays, and MRA. To enhance my expertise in producing effective radiology reports, I plan to incorporate various automatic outcomes into a clear and comprehensible summary (Fathoni et al., 2013). Additionally, I will conduct thorough research to acquire additional health-related details about the patients.

· Similarly, I can improve my compartment pressure measurement and management skills through continuing education courses in nursing. I can also explore online resources and do more research to understand the best compartment pressure management techniques. I can also seek opportunities to gain practical experience in compartment pressure measurement and management by working with experienced healthcare professionals or participating in clinical rotations or internships.

· I have realized that my skills in managing ventilator settings could be better. I do not have any experience with AC, SIMV, CPAP, or analyzing ABGs to guide settings for Fi02 and PEEP. To ensure that I can efficiently administer non-invasive procedures, I plan to improve my ability to manage ventilators. I will focus on furthering my studies to gain more skills in handling and setting ventilators (Fathoni et al., 2013). Additionally, I will seek guidance from my colleagues who are proficient in setting them up to ensure that I can provide the best possible care for my patients.

Goal One: To enhance my nursing skills, especially in emergency care, to provide quality and safe care.

Objective One: To enhance my academic and professional qualifications through higher education attainment. Adhere to patient safety standards when providing care.

Goal Two: To provide the highest level of care to patients experiencing respiratory distress.

Objective Two: To quickly assess each patient's condition, implement appropriate interventions, and closely monitor their progress to ensure they receive the necessary treatment and support they need to recover.

Goal Three: Provide effective and relevant patient medical history necessary to save the patient's life in emergency care.

Objective Three: Increase my EMR utilization skills to help me access medical records, increase my communication and listening skills and augment my research skills.