6550 Final 02-1

PRAC 6550

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

Clinical Skills Development and Practicum Goals

As a result of passing through three practicum courses, I gained important skills that will help me improve where necessary. Some of these accomplishments include competency in the management of ventilators, skilfulness at requesting radiological images, and involvement in advanced wound care (Kolivand et al., 2020).

Course practicums gave me confidence and experience in various clinical skills. Successful ventilator setting management is a major accomplishment. Arterial Blood Gases (ABGs) and patient status affect ventilator settings, so I must understand and adjust them (Baigorri et al., 2020). I also have experience issuing radiology orders for accurate diagnosis and treatment. I enjoy complex wound care, which has taught me about pressure ulcer stages 1–4, incisions, drainage, and wound closure.

In spite of these strengths, I desire more growth. To this end, improving competency in secondary-stage pressure ulcer management and testing novel wound closure approaches continue to be major goals (Melrose, 2018). Further, I intend to explore some of the imaging techniques, including how they are applied to diverse medical concerns.

For my final practicum, I have outlined focused goals:

a) Advanced Wound Care Mastery: Improve on the management of stage 3–4 pressure ulcers and investigate modern methods of wound closure.

b) Deeper Imaging Modality Understanding: Have an in-depth understanding of CT, X-ray, and MRI interpretation in order to properly diagnose (ten Cate et al., 2021).

c) Ventilator Management Advancement: Adjust ventilator settings with improved ABG test results and patient responses.

d) Enhanced Collaboration Skills: Build interdisciplinary collaboration for improved internal communication in healthcare teams (Nasrollah et al., 2019).

In summary, in my last practicum, I aim at widening my scope of practice coupled with improvement in identified problematic areas. By being reflective and focusing on specific aims, I plan to make every minute count, which will contribute greatly to both my professional development and quality patient care.

References

Baigorri, M., Crowley, C. J., Sommer, C. L., Baquero, J., & Moya-Galé, G. (2020). Graduate students’ clinical self-efficacy: Impact of an intensive cleft lip and palate clinical practicum. Communication Disorders Quarterly, 152574012094246. https://doi.org/10.1177/1525740120942463

Kolivand, M., Esfandyari, M., & Heydarpour, S. (2020). Examining validity and reliability of objective structured clinical examination for evaluation of clinical skills of midwifery undergraduate students: A descriptive study. BMC Medical Education, 20(1). https://doi.org/10.1186/s12909-020-02017-4

Melrose, S. (2018). Mentoring non-traditional students in clinical practicums: Building on strengths. Clinical Nursing Studies, 6(3), 39. https://doi.org/10.5430/cns.v6n3p39

Nasrollah, S., Rafii, F., & Ghezeljeh, T. (2019). Design and implementation of clinical competency evaluation system for nursing students in medical-surgical wards. Journal of Family Medicine and Primary Care, 8(4), 1408. https://doi.org/10.4103/jfmpc.jfmpc_47_19

ten Cate, O., Schultz, K., Frank, J. R., Hennus, M. P., Ross, S., Schumacher, D. J., Snell, L. S., Whelan, A. J., & Young, J. Q. (2021). Questioning Medical Competence: Should the COVID-19 crisis affect the goals of medical education? Medical Teacher, 43(7), 817–823. https://doi.org/10.1080/0142159x.2021.1928619