PRAC 6568: Clinical Skills and Procedures Self-Assessment Form
FNP Students
Skill / Procedure Confident (Can complete independently) Mostly Confident (Can complete with supervision) Beginning
(Has performed with supervision or need supervision to feel confident) New
(Has never performed or does not apply)
Rapid Strep Test x
Ophthalmic Examination x
Otoscopic Examination x
Rapid Influenza testing
x
Inhalation Therapy x
Interpret Chest X-ray x
Peak flow meter x
Pulmonary Function Tests x
Asthma and allergy action care plan x
EKG Performance and Interpretation x
Wound Care x
PPD Reading x
KOH skin slide for fungus x
Digital Rectal Exam x
Fecal Occult Blood Testing x
Interpret H/H x
Mini Mental Status Exam x
Gait and Balance Assessment x
Breast Examination x
Obtaining vaginal culture x
HARK screening x
Contraceptive Planning x
Herpes Culture x
Pap Smear x
STI Testing x
Auscultation Fetal Heart Tones x
Fundal Height Assessment x
Pregnancy Test x
EPPDS Screening x
Pelvic Exam x
Testicular Exam x
Prostate Exam/DRE x
Urodynamic Study x
Aerosol/Inhalation Administration x
Interpret Laboratory/Diagnostic Testing x
Informed Consent x
Normal Growth and Development Assessment x
Cerumen Impaction Removal (irrigation) x
Cerumen Impaction Removal (curette) x
Fluorescein Staining x
Wood’s Light Examination x
Corneal Foreign Body Removal x
Management of Epistaxis (Packing and Removal) x
Remove Foreign Body (ear, eye, nose, soft tissue, other) x
Peak flow meter Measurement and Interpretation x
Pulmonary Function Test Performance and Interpretation 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 and 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
*Students are expected to achieve competency with the clinical skills list
**Procedures are skills that may be available for students but are not required.
Summary of strengths:
Over all feel extremely confident and competent in all general ares. I’m greatly appreciative that I had the opportunity to have such amazing preceptors in a very busy office that took the time to educate me and feel confident in every area.
