6540 | Nursing homework help

 PRAC 6566: Clinical Skills and Procedures Self-Assessment Form

Procedure Confident
(Can complete
independently)

Most
Confident
(Can
complete
with
supervision)

Beginning
(Has performed
with supervision
or need
supervision to
feel confident)

New
(Has never
performed or does
not apply)

Alternative drug
administration
(inhalation, transdermal)

Presenting the history of
present illness

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

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

Non-invasive
CPAP/BIPAP

Vital sign measurements 

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

CPR 

Cardioversion 

Arterial and venous
sheath removal

Performs arterial
puncture for ABGs

Epicardial pacing,
assessment, and
management

Permanent pacemaker
(assessing function and
management

12 lead EKG
interpretation

Cervical spine trauma
assessment for possible

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neurologic injury
Burn assessment and
management

Immobilization devises
application/management
.

Organ donation
(identifying potential
donors)

Intracranial monitoring
(assessment and
management)

Dislocated joint
reduction

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

Radiology reports
(interpret CT, X-ray and
MRI)

Sedation (manages
procedural sedation)

Chest tube placement,
management, and
removal

Compartment pressure
measurement and
management

Wound management
(Stage 1–4 pressure
ulcer management,
incises/drains/debrides
wounds, suture/Steri-
Strip/DERMABOND
use)

Digital nerve block 

Thoracentesis 

Epistaxis
management/nasal
packing

Performs gastric lavage 

Nail bed closure 

Nail trephination 

Local anesthetics
injection

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Summary of strengths:

The following are some of the clinical abilities and processes that I recognize as

strengths:

I have high capabilities in administering alternative drugs for a client. In specific, my

drug administering strengths lie mostly in the inhalation and transdermal route. The

transdermal route involves administering drugs across the skin in patches. The inhalation route

entails administering drugs in small droplets through the mouth by inhaling. Therefore, I have

the skills to choose and commence the right fit drug for patients. It is a skill that helps to

ensure a reduction of errors and poor clinical outcomes.

I also have strengths in administering a non-invasive ventilator that helps patients

reduce their breathing rates, lessens diaphragmatic work and supports the respiratory muscle in

breathing. My specialties entail administering bi-level positive airway pressure and continuous

positive airway pressure. BPAP and CPAP are known to be efficient in congestive heart

problem therapy.

Likewise, I have skills in the field of Compartment pressure measurement and

management that involves the technical discovery of chronic exertional compartment

syndrome or problems related to exercises. The measurements are achieved by slipping a

needle into the patients’ muscles before and after exercising. Therefore, I can pinpoint muscle

exercise problems that are not identified through scans.

More so, I have skills in saving lives through CPR. It involves compressing the chest

fast and hard in case of drowning or heart attack emergencies.

I also have skills in assessing and evaluating vital signs. These measurements include

temperature, blood pressure, breathing rates and heartbeat rates. It is a vital skill in monitoring

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a patients’ progress in the health centre.

Furthermore, I can also assess the possibilities of cervical spine trauma with ease

through physical examination. My skills help in detecting midline tenderness in the vertebra. I

also use radiographic screening such as x-rays and scan that helps to detect any injuries in the

spine.

Growth opportunities:

The area that I need to develop and improve most include:

The most vital area to improve is through furthering my studies. Up-skilling will open

more doors for both career growth as a nurse and the addition of knowledge. The knowledge,

skills and experience gained will help me with my weak areas. Training is also essential in

ensuring that I am updated with the new trend in the nursing field.

The most important area with an opportunity for growth will be presenting the history

of a patient. It will be possible through developing skills such as improving my listening skills,

ability to engage the patient, improving my techniques of asking questions, establishing trust,

establishing professional boundaries and ability to notice verbal or non-verbal cues. I will also

be taking details as I talk to the client and give deep to get knowledge about past health

information of the patient.

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Likewise, there is enormous room for improvement in providing Radiology reports

(interpret CT, X-ray and MRI). I have noticed I can complement my abilities to assess cervical

spine trauma by interpreting CT, X-Rays and MRA. I can improve my ability to generate good

radiology reports by integrating different autonomic results into a simple, understandable

description. I will also dig deep to get more background health information about the patients.

My findings will also be satisfying because I will develop a well-structured report that is

predictable and directs physicians towards a course of action that is clear and easy to

understand.

Another opportunity for growth will be my ability to manage procedural sedation and

give local anesthetics injections. The process of performing Compartment pressure

measurement is very risky but golden. Therefore it will be vital to learn how to sedate my

patients. I will have to for training and learn by watching my workmates perform the process.

I have noted that my ventilator setting skills are not of standard. I have zero knowledge

of managing AC, SIMV, CPAP; analyzing ABGs to guide settings/Fi02 and PEEP. Therefore, I

am planning to improve on my abilities to manage ventilators as a way to complement the

abilities to administer non-invasive procedures efficiently. I will further my studies towards

gaining more skills to handle and setting ventilators. I will also pay attention to my core

workers who are proficient in setting them and ask for assistance where necessary.

Now, write 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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Goal One: Ensure that I further my study and training in the field and gain knowledge to

apply the primary standard procedures of a health center.

Objective One: To improve my weaknesses, gain more experience and skills than enable me

to handle procedure with ease. Training will also keep me updated to the contemporary ideas

and advancement in my field as a nurse, information about practical requirements and how to

comply with the laws.

Goal Two: Learn how to present history of patient effectively without forgetting details.

Objective Two: To learn more about the benefits of utilizing a standard form inpatient

recording, history presentation, including how it can help with clinical decision-making,

patient evaluation, support, intervention planning, and follow-up care.

Goal Three: Ensure I hand over all the patient’s detail, care instructions and evaluation notes

after the end of my shift on a daily basis.

Objective Three: To be able to promote patients’ safety, save more lives and ensure

satisfaction among the patients.

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