SOLUTION: PRAC 6531 Week 1 Clinical Skills and Procedures Self-Assessment

PRAC 6531 Week 1 Clinical Skills and Procedures Self-Assessment

PRAC 6531: AGPCNP Clinical Skills and Procedures Self-Assessment Form

Self-assessment is a crucial phase in the development of clinical skills, allowing nurse practitioner (NP) students to recognize their strengths and areas needing enhancement before commencing a practicum. The Adult Gerontology Primary Care Nurse Practitioner (AGPCNP) Clinical Skills and Procedures Self-Assessment Form is an effective instrument for evaluating confidence and readiness in fundamental clinical procedures. This paper evaluates my present capabilities, points out areas where I can improve professionally, and sets clear, measurable goals to help me learn new skills during the practicum.

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)
Biopsy (excision or punch)			X
Cerumen removal	X
Clinical breast examination		X
Digital rectal exam		X
EKG 12-lead placement and interpretation		X
Epistaxis management/nasal packing				X
Fluorescein stain of the eye			X
Gait and balance assessment	X
Herpes culture		X
I&D abscess		X
CXR interpretation		X
KOH skin slide for fungus			X
Laboratory/diagnostic testing-order and/or interpretation	X
Mini Mental Status Exam	X
Nail examination and removal/nail trephination/subungual hematoma			X
Nasal packing, removal of			X
Pap smear		X
Peak flow meter	X
Prostate examination		X
Remove foreign body (ear, eye, nose, soft tissue, other)		X
Skin tag removal, tick removal		X
Suturing			X
PFT interpretation		X
Vision/hearing	X
Wart destruction/removal			X
Wound care	X
Radiology reports: Interpret chest X-ray, constipation		X
Inject local anesthetics		X

Summary of strengths:

During my clinical training and educational experience, I have cultivated robust basic skills in several primary care procedures. I possess proficiency in doing vision and hearing exams, administering wound care, executing Mini Mental Status Exams, evaluating gait and balance, using peak flow meters, performing laboratory and diagnostic testing, and conducting cerumen removal (Fuller & McCauley, 2023). These qualities demonstrate my proficiency in routine evaluations and protocols, necessitating a thorough comprehension of physiological systems and patient-centered treatment. My proficiency in interpreting fundamental diagnostic data and conducting comprehensive physical exams has enabled me to significantly contribute to clinical decision-making. I am well equipped to do health tests and analyze results to identify patients at risk. These areas of expertise will provide a solid foundation for my practicum, enabling me to do more intricate treatments with greater independence as I advance in my role as an AGPCNP.

Growth opportunities:

Although I possess a robust foundation in fundamental assessments and prevalent primary care procedures, I acknowledge multiple critical areas for professional development during this practicum. I possess minimal experience with operations like punch or excision biopsies, suturing, fluorescein eye staining, wart excision, and nail trephination. I require additional experience in managing acute conditions such as epistaxis and in interpreting pulmonary function tests and radiological findings (Angelow, 2021). These gaps offer a significant opportunity for me to improve my technical skills and clinical judgment with preceptor supervision. Enhancing these competencies will bolster my confidence and preparedness to deliver comprehensive care to various adult and geriatric populations. I am enthusiastic about applying theoretical knowledge to practical situations and actively seek supervision and feedback as I refine advanced techniques and develop into a proficient clinician.

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.

1. Goal: Enhance procedural competencies in prevalent dermatological and minor surgical methods.

1. Objective: To see and help with a minimum of three punch or excision biopsies under supervision by the conclusion of the second month of the practicum.
2. Objective: Execute wart removal and tick/skin tag excisions autonomously under preceptor supervision by week 10.
3. Objective: Achieve the successful completion of a minimum of two suturing procedures on suitable patients during the practicum (Guido-Sanz et al., 2024).

2. Goal: Improve diagnostic interpretation skills to facilitate clinical decision-making.

1. Objective: Precisely interpret a minimum of five chest X-rays and five EKGs under the supervision of a preceptor by the midpoint of the practicum.
2. Objective: Partner with the preceptor to analyze and interpret laboratory and diagnostic tests during weekly case evaluations.
3. Objective: Finish a self-study module on radiology and pulmonary function test interpretation and implement this information in clinical situations by week 8 (Katz et al., 2020).

3. Goal: Acquire expertise in specialized primary care evaluations for geriatric patients.

1. Objective: Administer a minimum of five thorough Mini-Mental Status Exams and record cognitive patterns in older persons by week 6.
2. Objective: Conduct three digital rectal examinations and three prostate examinations under the observation of a preceptor before the conclusion of the practicum.
3. Objective: Conduct vision and hearing examinations regularly during adult wellness visits and accurately document findings in electronic medical records (Peacock et al., 2022).

4. Goal: Enhance proficiency in handling acute, episodic conditions within the primary care environment.

1. Objective: Execute nasal packing or foreign body extraction in a minimum of three patients under the supervision of a preceptor.
2. Objective: Successfully execute a minimum of one epistaxis management scenario or simulated skill laboratory session with teacher assessment.
3. Objective: Conduct weekly reviews of evidence-based guidelines on acute condition management and engage in discussions during clinical team meetings (Blodgett et al., 2025).

Conclusion:

This self-assessment has facilitated a critical reflection on my clinical competencies, allowing me to identify my strengths and areas for enhancement. I intend to utilize this information to cultivate fundamental procedural skills, enhance diagnostic confidence, and deliver safe, evidence-based care to adult and geriatric populations. With well-defined goals and objectives, I am optimally situated to enhance my learning experiences during my practicum and further develop into a proficient AGPCNP.

References

Angelow, A. M. (2021). Adult-Gerontology Acute Care Nurse Practitioner. F.A. Davis.

Blodgett, T. J., Padilla, B. I., Kaushinger, E., Koch, A., Teague, M., Trotter, K., Edie, A., Stout, P., & Blodgett, N. P. (2025). Advanced Clinical Activities in Primary Care Nurse Practitioner Majors. The Journal for Nurse Practitioners, 21(5), 105373. https://doi.org/10.1016/j.nurpra.2025.105373

Fuller, V. J., & McCauley, P. S. (2023). Textbook for the Adult-Gerontology Acute Care Nurse Practitioner. Springer Publishing Company.

Guido-Sanz, F., Blackwell, C. W., Anderson, M., Díaz, D. A., & Talbert, S. (2024). Scaffolding Adult-Gerontology Acute Care Nurse Practitioner program outcomes through simulation. The Journal for Nurse Practitioners, 20(8), 105083. https://doi.org/10.1016/j.nurpra.2024.105083

Katz, J., Powers, M., & Amusina, O. (2020). A review of procedural skills performed by advanced practice providers in emergency departments and critical care settings. Disease-a-Month, 67(1), 101013. https://doi.org/10.1016/j.disamonth.2020.101013

Peacock, A., Blakely, K., Maes, C., Henson, A., DiGiulio, M., & Henderson, M. (2022). Adult-Gerontology Nurse Practitioners: A Discussion of Scope and Expertise. The Journal for Nurse Practitioners, 18(10), 1037–1045. https://doi.org/10.1016/j.nurpra.2022.07.017

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Clinical Skills and Procedures Self-Assessment

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.

The Family Nurse Practitioner (FNP) Procedures List and Resource Review and FNP Clinical Skills and Procedures Self-Assessment Form or Adult Gerontology Primary Care Nurse Practitioner (AGPCNP) Clinical Skills Resource List and AGPCNP Clinical Skills and Procedures Self-Assessment Form provided in the Learning Resources can be used to celebrate your progress throughout your practicum and identify skills gaps. The lists cover all necessary skills you should demonstrate during your practicum course.

For this Assignment, you assess where you are now in your clinical skill development and make plans for your practicum. Specifically, you will identify strengths and opportunities for improvement regarding the required practicum skills and procedures.

In this practicum experience, when developing your goals and objectives, be sure to keep adult health guidelines and best practices in mind.

Resources

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To prepare:

Review the resources and clinical skills in the Family Nurse Practitioner (FNP) Procedures List and Resource Review and FNP Clinical Skills and Procedures Self-Assessment Form or Adult Gerontology Primary Care Nurse Practitioner (AGPCNP) Clinical Skills Resource List and AGPCNP Clinical Skills and Procedures Self-Assessment Form specific to your selected NP track .?It is recommended that you print out these documents to serve as guides throughout your practicum.?
Download the Clinical Skills and Procedures Self-Assessment Form that applies to your NP track to complete this Assignment.?

Assignment

Using the Clinical Skills and Procedures Self-Assessment Form specific to your NP track (i.e., FNP or AGPCNP):

Rate yourself according to your confidence level performing the procedures identified on the Clinical Skills and Procedures Self-Assessment Form.
Based on your ratings, summarize your strengths and opportunities for improvement.
Based on your self-assessment and theory of nursing practice, develop 3–4 goals and objectives for this practicum experience. Include them on the designated area of the form.

** YOU MUST HAVE 3 NEW OBJECTIVES EACH QUARTER. You may include previous practicum objectives; however, you still must have 3 new objectives for your current course.

By Day 7

Submit your completed FNP or AGPCNP Clinical Skills and Procedures Self-Assessment Form.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingLinks to an external site.). All papers submitted must use this formatting.

submission information

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

To submit your completed assignment, save your Assignment as WK1Assgn2_LastName_Firstinitial
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.

Rubric

PRAC_6531_Week1_Assignment2_Rubric

PRAC_6531_Week1_Assignment2_Rubric
Criteria	Ratings	Pts
This criterion is linked to a Learning OutcomeRate yourself according to your confidence level performing the procedures identified on the Clinical Skills and Procedures Self-Assessment Form.	25 to >22.0 ptsExcellentThe response provides ratings for all procedures on the form. 22 to >19.5 ptsGoodThe response provides ratings for most of the procedures on the form. 19.5 to >17.0 ptsFairThe response provides ratings for some of the procedures on the form. 17 to >0 ptsPoorThe response provides ratings for only a few procedures on the form, or ratings are missing.	25 pts
This criterion is linked to a Learning OutcomeBased on your ratings, summarize your strengths and opportunities for improvement.	30 to >26.0 ptsExcellentThe response provides an accurate, clear, and complete summary of both the strengths and opportunities for improvement. 26 to >23.0 ptsGoodThe response provides an accurate summary of both the strengths and opportunities for improvement. 23 to >20.0 ptsFairThe response provides a vague, inaccurate, or incomplete summary of both the strengths and opportunities for improvement. 20 to >0 ptsPoorThe response provides a vague, inaccurate, or incomplete summary of the strengths and/or opportunities for improvement, or the summaries are missing.	30 pts
This criterion is linked to a Learning OutcomeBased on your self-assessment and theory of nursing practice, develop 3-4 goals and objectives for this Practicum experience. Include them on the designated area of the form.	30 to >26.0 ptsExcellentThe response provides 3–4 clear and appropriate goals and objectives for the practicum experience. 26 to >23.0 ptsGoodThe response provides 3–4 appropriate goals and objectives for the practicum experience. 23 to >20.0 ptsFairThe response provides 3–4 unclear or inappropriate goals and objectives for the practicum experience. 20 to >0 ptsPoorThe response provides 3–4 unclear or inappropriate goals and objectives for the practicum experience, or goals and objectives are missing.	30 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.	5 to >4.0 ptsExcellentParagraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria. 4 to >3.5 ptsGoodParagraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive. 3.5 to >3.0 ptsFairParagraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment is vague or off topic. 3 to >0 ptsPoorParagraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion was provided.	5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation	5 to >4.0 ptsExcellentUses correct grammar, spelling, and punctuation with no errors. 4 to >3.5 ptsGoodContains a few (1 or 2) grammar, spelling, and punctuation errors. 3.5 to >3.0 ptsFairContains several (3 or 4) grammar, spelling, and punctuation errors. 3 to >0 ptsPoorContains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.	5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.	5 to >4.0 ptsExcellentUses correct APA format with no errors. 4 to >3.5 ptsGoodContains a few (1 or 2) APA format errors. 3.5 to >3.0 ptsFairContains several (3 or 4) APA format errors. 3 to >0 ptsPoorContains many (≥ 5) APA format errors.	5 pts

Total Points: 100

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