To prepare:
- Refer to your FNP Clinical Skills and Procedures Self-Assessment Form from your previous assignment in this week and consider your strengths and opportunities for improvement.
Journal Entry (450–500 words):
- Explain what most excites and/or concerns you about pediatric clinical experiences. Include a description of your strengths and weaknesses in terms of working with children and how these strengths and weaknesses might impact your Practicum experience.
- Discuss your personal definition of family and family roles that might impact the assessment of a child and his or her family. Also expand your discussion on the challenges of working with families. Explain how you would handle parents that do not want to vaccinate children.
- Then, explain how culture (both the culture of the provider and that of the child and his or her family) may further influence the assessment.
- Select and explain a nursing theory to guide your practice with pediatric patients.
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 |
X |
|||
|
Splinting |
X |
|||
|
Basic microscopy (yeast, BV) |
X |
|||
|
Contraceptive Placement (Long term) |
X |
|||
|
IUD Placement and Removal |
X |
Summary of strengths:
|
I do not have many strengths for pediatrics since I rarely treated any patient in the ER. I did work for an ER that some pediatric were brought in and I had the pleasure of splinting a pediatric arm while we called rescue to transport to another facility, and I have used ECG on a pediatric patient as well. |
Opportunities for growth:
|
I have so much to learn and grow with this course, I do not feel confident so its like starting nursing school all over again. I am excited but very nervous at the same time. |
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.
|
1: Learn pediatric lab values, I will create a template and self-test myself, knowing labs value will allow me to quickly catch any remarkable labs, I will be proficient by the end of the term. 2: Learn pediatric vital signs, I will create a template and self-test myself, knowing labs value will allow me to quickly catch any remarkable labs, I will be proficient by the end of the term. 3: Learn proper communication skills with adolescents, I will review best practices for communication with adolescents, I will be comfortable by the end of the term. |
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