I can say that I am totally confident at performing CPR and vital sign measurements, and I can do them without any supervision. However, I am mostly confident in carrying out procedures such as presenting the history of present illness, alternative drug administration, and advanced circulatory management like placement and removal of central line placement. Additionally, I can place and remove intraosseous and arterial lines, perform arterial puncture for ABDs and interpret 12 lead EKG. Lastly, I am now able to place, remove, and manage chest tubes under supervision.
Nevertheless, there are procedures in my list of objectives which will require more practice to improve my performance. I think I need supervision in ventilator settings, analyzing BDGs settings, and managing AC, SIMV, and CPAP. Additionally, I think I should be supervised when interpreting radiology reports like CT, X-Ray, and MRI. Moreover, I still need guidance when dealing with nasal packing, thoracentesis, and epistaxis management. I will allocate more time for practice and put more effort to perfect my skills in doing these procedures. I strongly believe that in the near future I will be competent enough to perform all these procedures on my own.
Considering the objectives of the practicum, my weaknesses, and strengths during my Clinical practicum, I can confidently say that I have gained much knowledge. The knowledge grants me the chance develop my vital nursing skills. Even though I have gained the skills for interpreting a 12-lead EKG results, performing CPR, and arterial puncturing for ABGS, I still have some areas of improvement before I can be fully confident in cardiology (Crawford, 2021). The areas of improvement include cardioversion, epicardial pacing and management, and permanent pace maker, among others (Bates, 2018). I will work hard to master the vital skills so that I can be confident in my next cardiology practicum.
References
Bates, J. (2018). Our focus on the task in hand should never obscure the person. Nursing Standard, 32(22), 32–33.
Chang, Y., Huang, S., Shun, S., & Lin, P. (2022). Core competence in fundamental nursing practicum scale: A validity and reliability analysis. Nurse Education in Practice, 62, 103352.
Crawford, D. (2021). Compassion and empathy in basic medical science teaching: A suggested model. Cureus, 13(12), e20205.
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