NP CLINICAL SKILLS-6550 .doc - NP CLINICAL SKILLS PROCEDURES CHECKLIST 6550 NAME SKILL LEVEL PROCEDURE(e.g suturing 1 Blood draw(finger\/heel\/venous 2

NP CLINICAL SKILLS-6550 .doc - NP CLINICAL SKILLS...

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NP CLINICAL SKILLS & PROCEDURES CHECKLIST*6550NAME:#PROCEDURE(e.g. suturing)SKILL LEVELPRECEPTOR’ SIGNATURE & DATE (PROCEDURE AND SKILL LEVEL TO BE SIGNED OFF BY PRECEPTOR WHEN COMPLETED)CONFIDENT & INDEPENDENTFAIRLYCONFIDENTMINIMALSUPERVISIONNEEDEDMODERATESUPERVISIONNEEDEDPERFORMEDONCE& WITHSUPERVISIONNEVERPERFORMED ORNOT APPLICABLE1.Blood draw (finger/heel/venous)2.Burn Treatment/dressing3.Cerumen Removal4.Clinical Breast Examination5.Culture, collection of6.Epistaxis management/nasal packing7.Gait and Balance Assessment8.Hemorrhoid, excision of thrombus9.I&D abscess10.Nail Care (toe, etc)11.Nasal Packing, removal of
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#PROCEDURE(e.g. suturing)SKILL LEVELPRECEPTOR’ SIGNATURE & DATE (PROCEDURE AND SKILL LEVEL TO BE SIGNED OFF BY PRECEPTOR WHEN COMPLETED)CONFIDENT & INDEPENDENTFAIRLYCONFIDENTMINIMALSUPERVISIONNEEDEDMODERATESUPERVISIONNEEDEDPERFORMEDONCE& WITHSUPERVISIONNEVERPERFORMED ORNOT APPLICABLE12.Rectal/prostate examination13.Remove Foreign Body (ear, eye, nose, soft tissue, other)14.Remove Nail15.Suture Removal16.Urine Pregnancy Test17.Vaccine Administration18.Wound Care19.Wound Debridement20.Steri Strip Application21. Tick Removal22.KOH skin slide for fungus23. Suture Insertion24.Dipstick U/A & Micro25.Pap Smear
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#PROCEDURE(e.g. suturing)SKILL LEVELPRECEPTOR’ SIGNATURE & DATE (PROCEDURE AND SKILL LEVEL TO BE SIGNED OFF BY PRECEPTOR WHEN COMPLETED)CONFIDENT & INDEPENDENTFAIRLYCONFIDENTMINIMALSUPERVISIONNEEDEDMODERATESUPERVISIONNEEDEDPERFORMED
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  • Winter '20
  • Fecal occult blood, Colonoscopy, Epistaxis, Rectal examination

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