Practical Nursing Diploma Program

Final Clinical Evaluation Form

Student: Gurpreet Pabla

Student Number: 822331047

Course: Practical Nursing

Section 01

Dates:

Sept 2, 2014

S: Satisfactory

to

Dec. 2014

U: Unsatisfactory

Summary of Areas of
Practice

Competent and safe practice

in a professional, legal and
ethical framework

Student Comments:
Summary of clinical
experience
S:

U:

i. Comply with regulatory standards,

relevant legislation and the practice
settings policies and procedures.
I comply with regulatory standards by
performing universal precautions such as
hand washing before, after, and between
seeing patients. I also protect myself with
wearing gloves when giving direct care
and assuring I follow all PPE.

Faculty Comments:
Summary of clinical
Experience
S:

U:

Gurpreet, you have satisfactorily

understood the learning outcome
objectives and demonstrated this
with the provision of actual clinical
examples. You have practiced
safely and competently.

iv. Utilize evidence informed practice

and a theory-based approach to care.
I use informed practice when
administering medication to patients by
ensuring I follow the eight rights of
medication. This is considered best
nursing practice to ensure client safety. I
also used evidence based practice by
holding a blood pressure medication if it
is not in parameters and if no parameters,
hold if BP too low.
vii. Demonstrate understanding about
the role of the nurse within a health
care.
I demonstrate this when I ask a PSW to
assist me with a hoyer because if I wanted
to help my patient with another student
that would be considered unsafe due to
lack of training in hoyer transferring.

Communication

S:

U:

v. Maintain privacy and confidentiality

according to the Personal Health
Information Protection Act.
When providing personal care and
hygiene I ensure I pull the curtain to
maintain privacy for the patient. I also

S:

U:

Gurpreet, you have satisfactorily

understood the learning outcome
objectives and demonstrated this
through the provision of actual
clinical examples. You have
practiced good communication

ensure I do not discuss patient information

outside my shift or with visitors. Lastly I
ensure shred all patient information I have
printed for that day.

skills

iv. Utilize communication techniques

with the client and interprofessional
health care team.
I ensure I notify PSWs of the condition
and affected areas of my patients to ensure
the most safe and comfortable care is
provided. Example: patient had dislocated
shoulder so I told the PSW to be careful
when handling or touching left shoulder.
iii. Report relevant information to the
appropriate personnel.
I reported to the primary nurse of the
patients low blood pressure when holding
an anti-hypertensive.

Caring relational practice

S:

U:

v. Collaborate with clients and

members of the interprofessional health
care team and consult appropriately.
I collaborate with the PSW and
physiotherapists, when providing morning
care. Some of my patients have ADLs
with the OT assistants so I would start
morning care for the patients who do not
have ADLs. The PSWs provide help when
assistance is need to use the hoyer lift.

S:

U:

Gurpreet, you have satisfactorily

understood the learning outcome
objectives and have
demonstrated this through the
provision of actual clinical
examples. You have provided
caring and relational practice.

iii. Demonstrate therapeutic use of self

to foster client well-being.
I provide care to my patients in the same
manner I would like to receive care. When
my patient was getting a catheter inserted,
I held her hand to provide comfort which
is what I would like as it helps me feel
safe.
vii. Display sensitivity and respect for
clients cultural, religious, and other
beliefs and values as these influence
clients choices and decisions.
I respect my patients culture by not
combing her hair because as an elder it is
not respectful to touch an older persons
head.

Leadership and advocacy

S:

U:

vii. Contribute to the creation of quality

practice solutions and strategies
I ensure safe practice when entering the
IV pump library to access the name of
primary line and the name of the
secondary medication.

S:

U:

Gurpreet, you have satisfactorily

understood the learning outcome
objectives and have
demonstrated this through the
provision of actual clinical
examples. You have practiced
leadership and advocacy while on

iv. Advocate for clients, self, others

and quality practice environment

the floor.

I advocate for clients by trying to find a

patient a tea bag when she received a
coffee bag. This allows patient to feel a
sense of pride and self-worth.
vi. Respond appropriately to unsafe,
unacceptable, and unprofessional
behaviours.
I witnessed a patient who was 2 assist
trying to ambulate by themselves to the
bathroom which is considered unsafe and
I responded by going into the room and
telling her that I will help her go to the
bathroom with the assistance of a PSW.

Plans of care: Meeting

Clients Needs and Mutually
Agreed Expected Outcomes

S:

U:

vii.Prioritize nursing care and nursing

interventions in order to manage
workload, time, and physical resources.
I managed to prioritize my nursing care
when I was taking care of two patients.
One had an early physio appointment and
one had a later appointment. So the
patient that had the early appointment I
bathed and dressed first and my second
patient I helped afterwards.

S:

U:

Gurpreet, you have satisfactorily

understood the learning outcome
objectives and have
demonstrated this through the
provision of actual clinical
examples. You have provided
plans of care that meet your
patients expected outcomes.

i. Incorporate the clients unique needs

and expected outcomes into holistic and
client-centered plans of care.
My patient prefers to have mouth hygiene
before breakfast and also after breakfast
so I incorporated that into her care by
assuring that I brushed her teeth after
breakfast so my patient feels ready and
clean for daily appointments.
ii. Develop theory-based plans of care
that are holistic and client centered and
are articulated competently in writing
and orally.
My patient was a 2 person assist and after
seeing much improvement the nurses
changed the patients ambulatory status to
1 person assist which was immediately
recorded in the kardex.

Collaborative Practice

S:

U:

i.Collaborate with clients and members

of the interprofessional health care
team to assess clients, determine health
needs, and to achieve mutually agreed
expected outcomes.
A diabetic patient asked to get their toe
nails cut but nurses did not want to risk
potential bleeding from the fingers or toes
due to poor healing if skin accidently cut

S:

U:

Gurpreet, you have satisfactorily

understood the learning outcome
objectives and have
demonstrated this through the
provision of actual clinical
examples. You have practiced
collaborative nursing care.

so they called the professional nail care

provider to get the patients nails cut.
ii. Contribute as a member of the
interprofessional health care team to
respond to the changing needs and
expected outcomes of clients.
As member I contributed to the team
when a new medication needed to be
ordered for a client. I helped a nurses
translate instructions to the patient and
spouse.
iv. Use teamwork, consensus building,
and conflict resolution skills to meet
expected client outcomes.
I team up with a partner when changing
briefs for a patient so that my partner and
I can assist the client in rotating to the
sides the bed when I am providing
pericare. It speeds client outcomes.

Quality Assurance

S:

U:

iv. Seek out learning opportunities and

feedback that foster professional
development; and, integrate these into
practice.
My clinical teacher taught me how to
provide wound care within an aseptic
manner and how to bandage a wound care
on a client. Also I learned how to
document it within electronic nursing
notes

S:

U:

Gurpreet, you have satisfactorily

understood the learning outcome
objectives and have
demonstrated this through the
provision of actual clinical
examples. You have met quality
assurance practice.

v. Utilize nursing research to foster

professional development.
I use Potter and Perry (2010) to collect
information for the development of NCP
Step 1 and 2. I also use my pharmacology
text to get information on the drug cards I
make and lastly I google peer reviewed
sites to obtain information on medical
terminology
vi. Apply knowledge of changes to the
health care system, technology, and in
society as these affect nursing practice.
I wear appropriate footwear that requires
full leather coverage instead of some
running shoes that have a net coverage.
This provides a barrier to protect from
contaminated fluids. This has been
monitored at this hospital in light of the
new Ebola guidelines.

Critical Thinking, Problem

Solving and Decision Making

S:

U:

i. Utilize critical thinking and problemsolving skills to inform decision making

in all aspects of nursing care.

S:

U:

Gurpreet, you have satisfactorily

understood the learning outcome
objectives and have
demonstrated this with the

I use critical thinking when coordinating

the care of my patients when deciding
whose AM care is done first, deciding
when to withhold medications as a result
of abnormal physical assessments, I also
determine the need for stool softeners
based on the patients BM history
iii. Evaluate critical thinking, problemsolving, and decision-making skills and
design a plan to improve these.
I evaluate my decision to hold a
medication as a result of a low BP and
retake the BP after breakfast and when the
BP has risen after breakfast, to an
acceptable level, you give the antihypertensive.

provision of actual clinical

examples. You have practiced
critical decision making in your
clinical rotation.

Gurpreet, it has been a pleasure

to get to know you. You have
demonstrated an empathetic and
caring attitude towards your
patients and they have responded
well to you. You have practiced
safely on the floor.

All the best in your pregrad

rotation

vii. Use the practice decision-making

and the nurse-client environment
frameworks to inform and guide
practice.
I adher to isolation precautions when
entering a room of a patient with C-diff. I
keep the doors closed to the patients
room and anteroom, which happen to be
propped up at the beginning of shift, and
all PPE that maintains precautions for
protection against stool I wash hands
after removing gloves and apply PPE
according to policy protocol.

I have read and understand this form and its contents

Student Signature:

Date:

Faculty Signature:

Date: