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Before embarking on any professional or academic activity, it is important to understand the background, knowledge, and experience you bring to it. You might ask yourself “What do I already know? What do I need to know? And what do I want to know?” This critical self-reflection is especially important for developing clinical skills, such as those for advanced practice nursing.

For this Assignment, you assess where you are now in your clinical skill development and make plans for your practicum. Identify all the strengths you have gathered throughout your last 3 practicums. Also identify opportunities for improvement

Using the Clinical Skills and Procedures Self-Assessment Form:

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

· Write a 1–2-page paper that summarizes the strengths you have gained throughout your last 3 practicum courses. Write about how these strengths will help you in your last practicum course. Identify opportunities for growth and improvement. Write about how you will be able to address these opportunities for growth and improvement in your last practicum. Include what you hope to get out of this last practicum and what you will do differently from previous experiences to achieve your new goals. Based on your self-assessment and theory of nursing practice, develop 3–4 new goals and objectives for this practicum experience. 

Add 5 APA style citation no older than 5 years

Areas of growing – learned about ventilators – would like to keep growing.

Learned about ordering appropriate imagen test – would like to continue growing

Engaged in comples wound care would like to continue ---- add as you like

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PRAC 6550: Clinical Skills and 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)
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, intra-osseus 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			Removal yes / placement no
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
Injects local anesthetics

Write paper below using APA format.