Running head: FINAL EVALUATION

NURS 1020 Clinical Course Evaluation

Final Evaluation
Student: Michaela McRae
Clinical Instructor: Sarah Towns
Missed Clinical Hours: 0

Missed Lab Hours: 0

NURS1020 Clinical Course Evaluation

Program Goals

FINAL EVALUATION

Students graduating from this program are prepared as generalists entering a self-regulating profession in situations
of health and illness.
Students graduating from this program are prepared to work with people of all ages and genders (individuals,
families, groups, communities and populations) in a variety of settings.
Students graduating from this program are prepared to work with people of all ages and genders (individuals,
families, groups, communities and populations) in a variety of settings.
Graduates will learn to continuously use critical and scientific inquiry and other ways of knowing to develop and apply
nursing knowledge in their practice.
Students graduating from this program will be prepared to demonstrate leadership in professional nursing practice in
diverse health care contexts.
Graduates will be prepared to contribute to a culture of safety by demonstrating safety in their own practice, and by
identifying, and mitigating risk for patients and other health care providers.
Students will demonstrate the ability to establish and maintain therapeutic, caring and culturally safe relationships
with clients and health care team members based upon relational boundaries and respect.
Graduates of this program will be able to enact advocacy in their work based on the philosophy of social justice.
Graduates will effectively utilize communications and informational technologies to improve client outcomes.
Graduates will be prepared to provide nursing care that includes comprehensive, collaborative assessment, evidenceinformed interventions and outcome measures.
Year One Goals
Define and describe the term 'self-regulating' and what it means to a part of a 'self-regulating' profession. Build a
sense of identity between building a sense of self and profession.
Demonstrate the ability to work with the aging populations in the residential settings.
Recognize the meaning and relevance of the five foci within the nursing program.
Define the ways of knowing and learning with a focus on critical and scientific inquiry.
Recognize the experience of leadership in nursing and undertake a leadership role in peer groups.
Articulate their role as individuals and professionals in providing safe nursing care.
Establish and maintain a professional relationship with peers and an engaged, caring, and culturally safe relationship
with older adults.
Understand the concepts of advocacy and social justice. Begin to develop self-advocacy skills.
Explain the relevance of information and technology skills that are essential to safe health care.
Explain the components of the nursing process. Perform a basic biopsychosocial assessment of an individual.
Identify evidence-informed interventions and outcome measures with guidance.

Progress

FINAL EVALUATION
Course
Objective
Established
therapeutic nurseresident relationships
in residential longterm care settings.

3
Evidence/Indicators: (The student has ...)

When I was bathing a resident while she was on the

toilet, I was talking and communicating with her. This
probably made her feel more comfortable with a
stranger bathing her.
When I met my assigned resident for the first time I
introduced myself by telling her my name and that I am
a nursing student.
When I talk to my assigned resident I develop a
relationship with her where she gives me information
and I give her information about myself.
After dinner one night, I helped a resident back to her
room and helped her into bed. Before I left her room I
made sure she was safe on her bed so that she wouldnt
fall off and asked her to make sure she was ok and
didnt want or need anything.
When talking to residents I made sure to listen to them
without interrupting them to show that I cared about
them.
When shaving a resident, I talked to him and told him
what I was doing so he could help me by changing his
facial expression and by moving his tongue to different
parts of his mouth, to make it easier for me to shave
without cutting him.
When helping a resident eat, they kept moving their
head away from the spoon and making noises, so I
respected the resident that they didnt want to eat and
did not force them.
One night during supper, one resident was so confused
and kept asking where she was supposed to be. Then

Progres
sing
well

Not
meeting
expectati
ons

FINAL EVALUATION

Performed skills
relevant to situating an
individual within
his/her personal,
familial and
community context

Developed and
demonstrated skills in
basic assessment
techniques relevant to
the long-term care
population

she kept wanting to go to the bathroom to wash her

hands so I went with her and kept telling her where to
go.
One night I told my resident about Bingo in the dinning
room because I know she loves to play bingo.
In the dining room during Bingo one lady was sitting by
her self so I asked if she wanted to move to another
table to be with other people.
One morning I sat with a group of residents and helped
them put together puzzles.
Talk to my assigned resident about her family. Which
shows me how close she was to them and how much she
loved them.
I saw my assigned resident sitting in a chair and went
over to her to talk to her and she said she was board so I
told her about a physiotherapy activity in the dinning
room she could go to and she was so happy and
thankful.
After creating a My Day poster for my assigned
resident I gave it to her and described all of the things I
put on it which were pictures of things she liked. She
was so happy and excited and enjoyed looking at all of
her favorite things on the poster.
When performing morning care on residents, if they are
able to communicate, I try to let them choose what
clothing to wear for the day.
When bathing a resident, I noticed that he had a rash on
his bottom. This rash could have been from pressure, or
from having a wet brief or dry skin.
When caring for a resident I noticed she had dry skin so I
put lotion on her back.
When performing a bed bath on a few residents I noticed

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Demonstrated skills in
providing (resident)

that they had a tattoo above their breasts and was

wondering what it was. I think it might be a tattoo to
show that they have a pace maker or something inside
of them, which is important to know that they have one
and where it is.
When caring for a few resident I noticed that they have
hunched backs, which is caused from their vertebral
discs because of old age.
When getting a resident dressed with my assigned PSW,
I noticed that there was a light rash on her stomach.
When showering a resident, I noticed that she had open
sores all over her body.
When caring for another resident I noticed that he had a
severe rash on his bottom and me and the PSW applied
Zinc to soothe it.
I went with another nursing student around the home
following a list of residents as well as my own resident to
take their vital signs. While taking vital signs I used my
knowledge from lab. I noticed that the residents blood
pressure was very high, compared to the blood
pressures of nursing students, which were obtained in
lab.
When providing a head to toe assessment on my
assigned resident I noticed that she had a really strong
pedal pulse, which is usually very hard to find on other
student nurses in lab.
When providing care for a resident, after she was
finished using the toilet I noticed there was a pink color
on the toilet paper in the toilet and thought it might be
blood so I told the PSW.
One of the patients I was looking after I put Vaseline on
his face because it was dry.

FINAL EVALUATION
client-centered
support for activities
of daily living

Developed knowledge
about the experience
of residents living in a
long-term care setting

I helped pass a T.V remote to a resident because they

couldnt reach it.
I gave a resident a blanket while they were in bed
because they couldnt reach it from the end of their bed.
I helped a resident who needed oxygen to be switched
to a longer oxygen cord by asking my clinical instructor
for help.
In the dinning room, I help feed residents who cannot
feed themselves. One day I helped convince a lady her
food tasted really good so she would eat it.
In the dinning room, while feeding a resident I noticed
that after feeding him he had a dirty mouth so I wiped it
clean.
When feeding someone I noticed his oxygen nose piece
was falling out so I put it back in and adjusted it for him.
Stayed with a resident who asked me to because she
was feeling upset and anxious.
During supper time one of the residents wanted a
napkin so I went and got her one.
When feeding a resident, I noticed many times that
other residents were having difficulty drinking their juice
or coffee so I went and got them a straw to make it
easier for them to drink.
During supper time, one of the residents was falling
asleep so I tried to wake him up by saying his name and
gently shaking his shoulder, then trying to give him the
spoon so he could eat.
I noticed that a lot of residents need help because they
can not take care of themselves. For example, one
resident I was caring for could not walk and did not talk.
When talking to my assigned resident, she always says

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Demonstrated safe and

ethical clinical
practice at the level
appropriate for a year
one nursing student

how happy she is and how much she enjoys being in the
long term care home. I also talk to other residents and
ask them if they enjoy living in the home, or if they take
part in any activities.
The home looks very clean and the residents are well
taken care of.
There are always fun activities for the residents to
participate in such as bowling, fitness, and singers that
come to sing.
There is a salon where they can go to get their hair done
or their nails painted. Ive seen so many lady residents
who are always so excited to have their nails painted.
Some of the residents look board, as when there are no
planned activities the residents just sit and do nothing or
watch T.V. everyday.
The meals arent always the most appetizing but the
PSWs try to make the food taste better by adding
sauces like ketchup and butter.
Being in a long term care home is much different from
their old home, as they can no longer cook and I noticed
that they dont get as much privacy as they would have
at their own home. For example, during baths the door
gets left open some times and sometimes people keep
walking in.
When I was performing a bed bath for one resident, I
made sure to follow the rules from the videos in class by
making sure she had a towel to cover herself up and
letting her clean her self for any amount she was able to
do.
When I was helping a resident stand out of her chair to
move onto the toilet I made sure she was wearing shoes
and that she was wearing shoes when ever she stood

FINAL EVALUATION

Participated in
professional
development based on
reflective practice and
clinical inquiry

up. This is so that she wouldnt slip and fall.

Before I go to provide care to a resident I make sure I
have extra gloves in my pocket. Before I provide care for
any resident I always make sure I wear gloves. For one
resident I was caring for, I put gloves on to perform a
bed bath and changed my gloves after cleaning a
bottom and brief so that I would not transfer germs.
When making a bed I remember tucked corners, just like
the way we were taught in lab.
When performing a head to toe assessment on my
assigned resident I make sure to perform one exactly
the way we practiced in lab.
Putting used razors in the sharps container.
Putting a yellow cone on a wet floor so other people
dont slip and fall.
When providing care to one resident, we had to use a
mechanical lift and me and the PSW worked together
using the mechanical lift to lift the resident up.
One of the residents told me her stomach was hurting so
I told a PSW who told a nurse.
After getting into trouble by leaving my table in the
dinning room while others were eating, I learned to
always stay at a table, if I am the only one there, when
the residents are eating and never leave them even
when the resident I was feeding has finished.
When shaving a resident my PSW I was assigned with
told me to shave quick, so it will be less painful and to
not to try to be too gentle because you want to make
sure you get all of the hair off.
When bed bathing a resident the resident told me to rub
harder and to not be afraid of hurting her. I was also told
this a few times by my assigned PSW, when caring for

FINAL EVALUATION

Examined personal
attitudes regarding the
elderly and other
residents of long-term
care homes

residents.
Had a practice fire drill and learned about how to act in a
fire. We went to each room trying to find the fire and
then talked about successes and issues afterwards.
After a few weeks in clinical I now feel more confident to
perform care by myself and have performed several
baths and morning and night care to some of the
residents.
After using the mechanical lift several times with a PSW I
feel more confident and know how to use them.
During supper time I had a hard time getting a resident
to eat their dinner and a PSW gave tips on how to get
them to eat such as being direct and saying their name
and telling them to eat, adding sauces to their food to
make it taste better, and to try to put the spoon in their
hand if they are some what able to feed themselves.
One resident I was with wanted us to shoot her and
wanted to die
Some residents Ive talked to want to go home and dont
like living in the long-term care home.
Some residents including my assigned resident love the
long-term care home and say how happy they are to be
there and how nice the people are.
My assigned resident always says how much she loves
life and that you should live each day to the fullest and
enjoy every moment. She also says that she has lived a
good life and is very happy.
One resident I was helping bath loved to be shaved
because she was a lady and still enjoyed lady things.
This shows that even though she cannot shave herself
she would still like to feel like a lady.
I see an old married couple, and after dinner the

FINAL EVALUATION

10

Developed a basic
knowledge of the
clinical manifestations
and relevant nursing
interventions of
chronic diseases

husband always pushes his wife in her wheel chair back

to her room even though he cant walk very well.
During one of the activities, there were two singers that
came in and played songs from the residents time era
and they were so happy and smiling and clapping to the
music.
One of the residents was very confused and wanted me
to walk with her to the front because she thought
someone was going to come and pick her up to take her
to an appointment.
When providing a bath for a resident, I noticed that she
was getting very anxious and wanted me to hurry and
get it done where as other residents I have bathed
prefer me to bath them slowly and to not rush.
I learned many diseases such as diabetes, Alzheimers,
hypertension and Atrial Fibrillation from researching
these diseases for my care cards each week.
One man I was bathing had really dry skin and we used
a special shampoo called Nizoral to help his dry scalp.
For residents with hearing impairments I try to speak
extra loud and close to their ears and face so they can
hear me.
For residents with Dementia I try to talk to them and get
them to share what ever information they can remember
and tell them its ok if they cant.
During briefing, the nurses talked about stage 2
pressure sores and I used my knowledge from class to
remember what the stages are.
Before performing care to a resident I watched a PSW
remove a catheter with a bag of urine from the resident.
When performing care on a resident using oxygen, I
became familiar with how some people have difficulty

FINAL EVALUATION

11

breathing and permanently has the need to be on

oxygen.
A PSW showed me compression socks and the different
types from different residents and told me that they
were used for many reasons but the main one was for
keeping blood flow.
When I heard the PSWs talking about a disease and I
didnt know what it was I would ask them to explain it to
me or I would look up the disease at home.
In the dinning room when feeding residents, I see the RN
come and give the residents at my table their
medications. It looks like the RN crushes the medication
and puts it either in apple sauce or pudding and then
feeds it to the residents.

Identify 3 personal strengths developed in this placement

development
1) Mechanical lifts, bathing, feeding etc.
2) Confidence with providing care alone
performing baths
3) professional communication with the residents
efficient when taking

Identify 3 areas requiring further

1) taking initiative
2) becoming more confident when
3) Being able to be more precise and
blood pressures

Clinical Instructor Comments (Any area marked unsatisfactory needs to be commented on).

Attendance

FINAL EVALUATION
Week
Week
Week
Week

1
4
7
10

12
Week
Week
Week
Week

2
5
8
11

Week
Week
Week
Week

3
6
9
12

Total number of clinical hours completed ___________________

Peer evaluation completed _____________________
Signature of instructor _______________________________________ Date ______________________
Signature of Student _________________________________________ Date _______________________