PRAC 6531: AGPCNP Clinical Skills and Procedures Essay

PRAC 6531: AGPCNP Clinical Skills and Procedures Essay

PRAC 6531: AGPCNP Clinical Skills and Procedures Essay

PRAC 6531: AGPCNP Clinical Skills and Procedures

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The American Nurses Association (ANA) defines gerontological nursing as an evidence-based nursing specialty that focuses on the aging process, health protection, and promotion (ANA, 2010). Thus Adult-Gerontology Primary Care Nurse Practitioners (AGPCNPs) require patient- and family-centered care competencies (Bickford, 2018). AGPCNPs encounter older people in various care environments and must have versatile competencies to manage the situations they will face (Bahrami et al., 2019). The purpose of this assignment is to conduct a self-assessment of my clinical skills, discuss my strengths and areas of weakness, and outline my goals and objectives for this practicum.

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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 interpret 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:

 

Based on the Self-Assessment Form, I realized that my strengths include conducting clinical exams and assessments. For instance, I can confidently perform assessments like breast exams, digital rectal exams, gait and balance assessments, mental status exams, and integumentary system examinations. I attribute these strengths to working in a medical-surgical unit and ED department as an RN, where these assessments are the order of the day (Li et al., 2021). In addition, I can perform some procedures without supervision, like I&D abscess, pap smear, wound care, suturing, injecting local anesthetics, and removal of foreign bodies, warts, skin tags, and ticks.

 

 

Opportunities for growth:

 

I identified areas that need improvement, especially in collecting specimens for diagnostics and interpreting diagnostic results. Therefore, I will need to practice more in performing various diagnostic procedures like Biopsy, cerumen removal, Fluorescein stain of the eye, and Herpes culture. Furthermore, I need to practice more on interpreting diagnostic results, including EKG 12 lead, CXR, lab tests, PFT, and general radiology reports. One of the roles of an NP is to order, perform, and interpret diagnostic tests (NONPF, 2012; Tohmola et al., 2022). Thus, I will need to improve my competency in these skills by the end of this practicum.

 

 

 

Now, write 3–4 possible goals and objectives for this practicum experience. Ensure that they follow the SMARTStrategy, as described in the Learning Resources.

 

1.       By the end of this practicum, I will have ordered at least 20 appropriate diagnostic tests for adult and geriatric patients.

2.       By the end of this practicum, I will have interpreted at least 15 laboratory and radiology reports for adults and geriatric patients with various conditions.

3.       By the end of this practicum, I will have used a peak flow meter to assess and manage at least ten patients with airflow limitation disorders.

4.       By the end of this practicum, I will have performed a visual and eye exam for at least ten older adults. 

 Conclusion

The self-assessment exercise revealed my strengths and areas of improvement with regard to performing clinical skills and procedures. My major strengths are in performing clinical assessments used in patient physical exams. However, I identified areas for improvement in performing diagnostic procedures and interpreting lab and imaging results.

References

American Association of Colleges of Nursing. (2010). Adult-Gerontology primary care nurse practitioner competenciesLinks to an external site.. https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/adult-geropccomps2010.pdf?

Bahrami, M., Purfarzad, Z., Keshvari, M., & Rafiei, M. (2019). The Components of Nursing Competence in Caring for Older People in Iranian Hospitals: A Qualitative Study. Iranian Journal of Nursing and midwifery research, 24(2), 124–130. https://doi.org/10.4103/ijnmr.IJNMR_83_18

Bickford, C. J. (2018). A contemporary look at gerontological nursing. American Nurse Today, 13(6), 48–49.

Li, Y., Chen, M., Lin, R., & Li, H. (2021). Perceptions and Expectations of Advanced Geriatric Nursing Role Development in Primary Health Care: A Qualitative Study Exploring Staff’s Perspectives. Journal of multidisciplinary healthcare, 14, 3607–3619. https://doi.org/10.2147/JMDH.S343622

 The National Organization of Nurse Practitioner Faculties (NONPF). (2012). Nurse practitioner core competencies.Links to an external site. https://www.pncb.org/sites/default/files/2017-02/NONPF_Core_Competencies.

Tohmola, A., Saarnio, R., Mikkonen, K., Kyngäs, H., & Elo, S. (2022). Competencies relevant for gerontological nursing: Focus-group interviews with professionals in the nursing of older people. Nordic Journal of Nursing Research, 42(3), 123-132. https://doi.org/10.1177/20571585211030421

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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

LEARNING RESOURCES

Required Readings

Advanced Nursing Practice Competencies and Guidelines

American Association of Colleges of Nursing. (2010). Adult-Gerontology primary care nurse practitioner competenciesLinks to an external site.. https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/adult-geropccomps2010.pdf?hhSearchTerms=Adult-GeroPCComps2010+and+pdf

National Association of Clinical Nurse Specialists (NACNS). (2018). Family across the lifespan: The viability of taking pediatric and adult-gerontology certification examinations to attain CNS population certification in family across the lifespan.Links to an external site. http://www.nacns.org/wp-content/uploads/2018/04/Report-FINAL-4-3-18.pdf Links to an external site.

The National Organization of Nurse Practitioner Faculties (NONPF) (n.d.). National Organization of Nurse Practitioner FacultiesLinks to an external site.. https://www.nonpf.org/

The National Organization of Nurse Practitioner Faculties. (2012). Nurse practitioner core competencies.Links to an external site. https://www.pncb.org/sites/default/files/2017-02/NONPF_Core_Competencies.pdfLinks to an external site.

University of North Carolina Wilmington (n.d.) Writing SMART learning objectivesLinks to an external site.. https://uncw.edu/career/documents/writingsmartlearningobjectives.pdf

Practicum Resources

Document: Practicum Site Information Form (Word document)Download Practicum Site Information Form (Word document)

Document: FNP Clinical Skills List and Resource Review (Word document) Download FNP Clinical Skills List and Resource Review (Word document)

Document: FNP Procedures List and Resource Review (Word document)Download FNP Procedures List and Resource Review (Word document)

Document: FNP Clinical Skills and Procedures Self-Assessment Form (Word document)Download FNP Clinical Skills and Procedures Self-Assessment Form (Word document)

Document: AGPCNP Clinical Skills List and Resource Review (Word document)Download AGPCNP Clinical Skills List and Resource Review (Word document)

Document: AGPCNP Procedure List and Resource Review (Word document)Download AGPCNP Procedure List and Resource Review (Word document)

Document: AGPCNP Clinical Skills and Procedures Self-Assessment Form (Word document)Download AGPCNP Clinical Skills and Procedures Self-Assessment Form (Word document)

HSoft Corporation. (2019). Meditrek: Home.Links to an external site. https://edu.meditrek.com/Default.html

Note: Use this website to log into Meditrek to report your clinical hours and patient encounters.

Walden University Field Experience. (2019a). Field experience: College of NursingLinks to an external site.. https://academicguides.waldenu.edu/fieldexperience/son/home

Walden University Field Experience. (2019b). Student practicum resources: NP student orientation.Links to an external site. https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation

Walden University. (2019). MSN nurse practitioner practicum manual.Links to an external site. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments

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

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.

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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 pts

Excellent

The response provides ratings for all procedures on the form.

22 to >19.5 pts

Good

The response provides ratings for most of the procedures on the form.

19.5 to >17.0 pts

Fair

The response provides ratings for some of the procedures on the form.

17 to >0 pts

Poor

The 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 pts
Excellent

The response provides an accurate, clear, and complete summary of both the strengths and opportunities for improvement.

26 to >23.0 pts

Good

The response provides an accurate summary of both the strengths and opportunities for improvement.

23 to >20.0 pts
Fair

The response provides a vague, inaccurate, or incomplete summary of both the strengths and opportunities for improvement.

20 to >0 pts

Poor

The 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 pts

Excellent

The response provides 3–4 clear and appropriate goals and objectives for the practicum experience.

26 to >23.0 pts

Good

The response provides 3–4 appropriate goals and objectives for the practicum experience.

23 to >20.0 pts

Fair

The response provides 3–4 unclear or inappropriate goals and objectives for the practicum experience.

20 to >0 pts

Poor

The 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 pts

Excellent

Paragraphs 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 pts

Good

Paragraphs 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 pts

Fair

Paragraphs 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 pts

Poor

Paragraphs 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 pts

Excellent

Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.5 pts

Good

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

3.5 to >3.0 pts

Fair

Contains several (3 or 4) grammar, spelling, and punctuation errors.

3 to >0 pts

Poor

Contains 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 pts

Excellent

Uses correct APA format with no errors.

4 to >3.5 pts

Good

Contains a few (1 or 2) APA format errors.

3.5 to >3.0 pts

Fair

Contains several (3 or 4) APA format errors.

3 to >0 pts

Poor

Contains many (≥ 5) APA format errors.

5 pts

Total Points: 100

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