Clinicalskilllistfor75.docx

PRAC 6665/6675 Clinical Skills 

Self-Assessment Form

Desired Clinical Skills for Students to Achieve

Confident (Can complete independently)

Mostly confident (Can complete with supervision)

Beginning (Have performed with supervision or needs supervision to feel confident)

New (Have never performed or does not apply)

Comprehensive psychiatric evaluation skills in: 

Recognizing clinical signs and symptoms of psychiatric illness across the lifespan

Can complete independently

Differentiating between pathophysiological and psychopathological conditions 

Can complete with supervision

Performing and interpreting a comprehensive and/or interval history and physical examination (including laboratory and diagnostic studies) 

Can complete independently

Performing and interpreting a mental status examination 

Can complete with supervision

Performing and interpreting a psychosocial assessment and family psychiatric history 

Can complete independently

Performing and interpreting a functional assessment (activities of daily living, occupational, social, leisure, educational).

Can complete independently

Diagnostic reasoning skill in:

Developing and prioritizing a differential diagnoses list

Can complete independently

Formulating diagnoses according to DSM 5 based on assessment data 

Can complete independently

Differentiating between normal/abnormal age-related physiological and psychological symptoms/changes

Can complete with supervision

Pharmacotherapeutic skills in:

Selecting appropriate evidence based clinical practice guidelines for medication plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management) 

Can complete independently

Evaluating patient response and modify plan as necessary 

Can complete with supervision

Documenting (e.g., adverse reaction, the patient response, changes to the plan of care)

Can complete independently

Psychotherapeutic Treatment Planning:

Recognizes concepts of therapeutic modalitiesacross the lifespan

Can complete with supervision

Selecting appropriate evidence based clinical practice guidelines for psychotherapeutic plan (e.g., risk/benefit, patient preference, developmental considerations, financial, the process of informed consent, symptom management, modality appropriate for situation) 

Can complete independently

Applies age appropriate psychotherapeutic counseling techniques with individuals and/or any caregivers

Can complete with supervision

Develop an age appropriate individualized plan of care

Can complete independently

Provide psychoeducation to individuals and/or any caregivers

Can complete independently

Promote health and disease prevention techniques

Can complete independently

Self-assessment skill:

Develop SMART goals for practicum experiences 

Can complete independently

Evaluating outcomes of practicum goals and modify plan as necessary 

Can complete with supervision

Documenting and reflecting on learning experiences

Can complete independently

Professional skills:

Maintains professional boundaries and therapeutic relationship with clients and staff

Can complete independently

Collaborate with multi-disciplinary teams to improve clinical practice in mental health settings 

Can complete with supervision

Identifies ethical and legal dilemmas with possible resolutions

Can complete with supervision

Demonstrates non-judgmental practice approach and empathy

Can complete independently

Practices within scope of practice

Can complete with supervision

Selecting and implementing appropriate screening instrument(s), interpreting results, and making recommendations and referrals:

Demonstrates selecting the correct screening instrument appropriate for the clinical situation 

Can complete with supervision

Implements the screening instrument efficiently and effectively with the clients

Can complete independently

Interprets results for screening instruments accurately

Can complete with supervision

Develops an appropriate plan of care based upon screening instruments response

Can complete independently

Identifies the need to refer to another specialty provider when applicable

Can complete with supervision

Accurately documents recommendations for psychiatric consultations when applicable

Can complete independently

Summary of strengths:

During this course, I realized that one of my greatest strengths is working collaboratively and communicating with clients effectively. Collaboration helps in creating better documentation as there is a piece of more comprehensive and accurate information. This, in turn, helps in offering the best services to the patients because there is a good flow of information from one health professional to the other. Collaboration also increases the scope of ideas about what the patients want as there are more questions and suggestions from the various professionals. Developing therapeutic communication skills is one of the most critical aspects of this environment. I realized that one of the most important ways that a nurse can help a patient is through developing a relationship that is open and based on trust (Price, & Reichert, 2017). In many cases, health professionals forget that even small conversations can change the patient’s day and impact their overall recovery process. I had a chance to focus on essential skills in communication and developing significant relationships.
This was a meaningful experience that helped me interact with patients instead of theoretical descriptions in books.
Another sign that I am capable of effectively carrying out a comprehensive assessment. This is critical because it helps nurses in crucial mining information regarding the patient’s health by observing the patient’s self-reported symptoms and measuring the patient’s vital signs (Krautter,et al., 2017). I was also capable of coming up with SMART goals to help diagnose and treat the patient effectively. This involved coming up with a list of things that I have to accomplish and ensuring that I meet my set goals.

Opportunities for growth:

One of the major areas that I found I need to do more is diagnostic tests, mental status examinations, and physical examinations. These areas are very complex that require a lot of skills and expertise. When it comes to narrowing down to differential diagnosis, I need to learn how to settle to the best differential diagnosis and narrow it down to the correct diagnosis. This is primarily because psychological disorders are diagnosed using diagnostic tests, but they are dependent on the clinician’s assessment. I also have to work on my ability to perform and interpreting mental status examinations. This will be very important and will help me in improving my knowledge and skill mix.

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

1. Goal: by week four, to improve my skills in performing patient’s comprehensive assessment
a. Objective: conducting mental comprehensive assessment
b. Objective: identification of the correct psychological diagnosis
c. Objective: being able to efficiently interpret mental health information

2. Goal: by the end of the practicum, be conduct a comprehensive psychiatric assessment
a. Objective: be able to apply advanced techniques in carrying out a comprehensive patient assessment
b. Objective: being able to utilize advanced knowledge in understanding various psychiatric screening tools

c. Objective: being able to demonstrate advanced techniques in psychiatric screening

3. Goal: by week 4, be able to develop good diagnostic reasoning skills such as selecting appropriate differential diagnosis.

a. Objective: use of physical assessment and laboratory tests to narrow down to the right diagnosis
b. Objective: demonstrate advanced skills in making the priority of the best diagnosis
c. Objective: the use of lab tests and physical assessment efficiently

Signature:

Date:

Course/Section:

References

Price, S., & Reichert, C. (2017). The importance of continuing professional development to career satisfaction and patient care: meeting the needs of novice to mid-to late-career nurses throughout their career span. Administrative Sciences, 7(2), 17. retrieved from: Administrative Sciences | Free Full-Text | The Importance of Continuing Professional Development to Career Satisfaction and Patient Care: Meeting the Needs of Novice to Mid- to Late-Career Nurses throughout Their Career Span (mdpi.com)
Krautter, M., Diefenbacher, K., Schultz, J. H., Maatouk, I., Herrmann-Werner, A., Koehl-Hackert, N., … & Nikendei, C. (2017). Physical examination skills training: Faculty staff vs. patient instructor feedback—A controlled trial. PLoS One, 12(7), e0180308. retrieved from: Physical examination skills training: Faculty staff vs. patient instructor feedback—A controlled trial (plos.org)