Self Assessment

2015 - 2015 - Final NURS-151 Course Learning Outcomes

NURS 151 Practical Nursing Practice 2 (PN, 13-Jan-2015 - 30-Jun-2015)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Period :
Student hours :
Required Hours :
Validated hours :

Amanda Da Silva
Neemera Jamani
John Stone
Sunnybrook Veterans Centre
Agency
K3E
20-Apr-2015 To 02-May-2015
168
168
168

I declare that this is my original work and the sources used are acknowledged.

Abilities and Outcomes / Learning Outcomes

Student Rating

Teacher Rating

1. COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK

1. 1 Comply with regulatory standards, relevant legislation and the practice settings policies

Satisfactory

Satisfactory

and procedures.
A.D.S. : I was always in uniform and followed the facilities policies, such as not exiting a room with any PPE equipment on.

1. 2 Act in a responsible, ethical and accountable manner.

Satisfactory

Satisfactory

A.D.S. : I was always on time and checked on accountable. For example, I made sure I gave my patients the right meds at the right time,
with the right dosages and always documented afterwards.

1. 3 Determine strengths and limitations and when to consult and seek assistance from other

Satisfactory

Satisfactory

professionals.
A.D.S. : I know my strengths and limitations in the clinical setting and seemed assistance and guidance from my clinical instructor and
charge nurse when needed.

1. 4 Use evidence informed practice and a theory-based approach to care.

Satisfactory

Satisfactory

A.D.S. : I used what I learned in my theory class and applied it to the clinical setting. For example, I made sure to check my patients heart
rate before administering Digoxin and knew not to administer this medication if the heart rate was below 60 beats per minute because it will
slow their heart rate down more.

1. 5 Ensure client safety and a safe environment.

Satisfactory

Satisfactory

A.D.S. : I always ensured a safe environment for my patients by lowering the bed to the lowest position and keeping the bed side rails up
to reduce the risk of falls.

1. 6 Ask relevant questions to clarify understanding of the plan of care and whenever
uncertain.

Satisfactory

Satisfactory

A.D.S. : I always ask relevant information pertaining to what we are learning in theory and clinical.

1. 7 Identify ethical and unsafe situations and seek appropriate assistance to resolve these.

Satisfactory

Satisfactory

A.D.S. : I identify unsafe situations such as when I found a patient in her bed sleeping without any bed side rails up, so I raised the side
rails to promote a safe environment for the patient.

1. 8 Demonstrate understanding about the role of the student nurse.

Satisfactory

Satisfactory

A.D.S. : I understand my role at clinical and demonstrate this by taking care of my assigned patients and administering medications under
my instructors observations, as well as, assisting the nursing staff with anything they ask me to help with.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
Has met standards required by CNO and Humber College

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions.

Satisfactory

Satisfactory

A.D.S. : I participate in team discussions especially at the end of the day when we have post conference.

2. 2 Document clearly, accurately, concisely in a timely manner using written and electronic

Satisfactory

Satisfactory

methods.
A.D.S. : I have become very familiar with the documenting system at placement and always document on POC before breaks and have
even written a note that was read out during shift report relating to a patient expressing pain.

2. 3 Report relevant information to the appropriate personnel.

Satisfactory

Satisfactory

A.D.S. : I always report relevant information to the nursing staff about the patients including how much a patient ate, or their output, as
well as, any concerns my patients express.

2. 4 Utilize communication techniques with the client and inter-professional health care team.

Satisfactory

Satisfactory

A.D.S. : I have utilized communication techniques with the client and health care team by writing a shift note that was read to the staff
during the evening shift, as well as, called pharmacy related to patient medication.

2. 5 Maintain privacy and confidentiality according to the Personal Health Information

Satisfactory

Satisfactory

Protection Act (PHIPA)

A.D.S. : I always provide privacy by closing the blinds on the windows so no one can see in when my patient is being bathed, as well as
close the curtains to provide privacy from others in the room.

2. 6 Use technology to retrieve information including research, data and other information.

Satisfactory

Satisfactory

A.D.S. : I use information to retrieve information such as the delirium, dementia, depression modules on the RNAO website to learn the
difference between the three.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

Amanda has excellent communication skills and proficient with technology. Communicated with clients at their level

3. CARING RELATIONAL PRACTICE

3. 1 Utilize effective communication techniques.

Satisfactory

Satisfactory

A.D.S. : I use effective communication techniques by speaking to my patient in an appropriate and respectful tone.

3. 2 Demonstrate therapeutic caring, compassionate, and culturally safe relationships with

Satisfactory

Satisfactory

clients and health care team members.

A.D.S. : I demonstrate caring and compassionate relationships with the patients by for example, feeding them and sitting with them to talk
and hear their stories, as well as talk to their families and hear their stories of their loved ones.

3. 3 Apply knowledge of therapeutic use of self and identify its effect on client well-being.

Satisfactory

Satisfactory

A.D.S. : I know that how you feel with effect the patient because they respond to body language and your tone, so it is always important to
not allow personal things interfere with clinical so you present in a good, cheerful mood which will brighten up the patients.

3. 4 Use self-awareness to identify the effects that beliefs, values, and personal experiences

Satisfactory

Satisfactory

have on relational practice.

A.D.S. : I know many patients have their own beliefs and values and I do not for mine on any patient, I respect all their beliefs and values.

3. 5 Interact with clients and members of the inter-professional health care team; and, consult

Satisfactory

Satisfactory

appropriately.
A.D.S. : I interact with the clients by bathing them, feeding them, and sitting with them to talk. As well as, interacting with the health care
team by asking questions and learning from them.

3. 6 Apply knowledge of practices and systems that support the diversity of clients and the

Satisfactory

Satisfactory

inter-professional health care team.

A.D.S. : I take what I learned in theory form last semester about the diversity of patients and apply it to clinical by understand different
people have different beliefs and values and I respect them all.

3. 7 Apply knowledge of clients cultural, religious, and other beliefs and values as these

Satisfactory

Satisfactory

influence clients choices and decisions.

A.D.S. : I apply knowledge of different cultures and religions to placement by understanding why patents do certain things and make
certain choices such as refusing treatments.

3. 8 Provide effective client education.

Satisfactory

Satisfactory

A.D.S. : I educate clients during clinical, for example, when my patient asked what his prescribed cream was for I explained it was for the
pain in his hands due to his arthritis.

Teacher comments for CARING RELATIONAL PRACTICE :

Amanda met this outcome satisfactorily and to CNO standards. While initially hesitant, Amanda quickly became a favorite nurse of her
clients!

4. LEADERSHIP AND ADVOCACY

4. 1 Recognize conflicts and strategies for resolution.

Satisfactory

Satisfactory

A.D.S. : I recognize conflicts and find solutions, such as, my patient not being able to open her mouth to eat so I encouraged her to open
her mouth and found when you rubbed her back she was more willing to eat.

4. 2 Demonstrate leadership skills that foster group work and a positive learning environment.

Satisfactory

Satisfactory

A.D.S. : I demonstrate leadership by helping my peers with fleet enemas, as I have done many this semester, I guided many of my peers
through their first.

4. 3 Identify opportunities to improve health care service and nursing interventions by

Unsatisfactory

Satisfactory

advocating for client, self, others, and quality practice.

A.D.S. : I did not have an opportunity to improve health care service for my client as I was following a care plan made by the facility.

4. 4 Provide feedback to peers and accept feedback from peers and members of the inter-

Satisfactory

Satisfactory

professional health care team.

A.D.S. : I accepted feedback for example, she a nurse gave me feedback on my POC and taught me how to do it correctly I was extremely
appreciative of this.

4. 5 Support clients rights for self-determination and choice.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

A.D.S. : I support any patients autonomy and believe they have the right to refuse.

4. 6 Respond appropriately to unsafe, unacceptable, and unprofessional behaviours.

A.D.S. : I am able to notice unsafe behaviours in the clinical setting and know how to respond, for example, seeking assistance from my
clinical instructor or a nurse staff.

4. 7 Consult and collaborate when carrying out health care and nursing practices that are in

Satisfactory

Satisfactory

the best interests of the public and protect the public through collaboration and consultation.
A.D.S. : I consult with the primary nurse caring for my patients and we decide what is in our patients best interest. For example, when one
of my patients likes to sleep in past the time of his medication, we decided to let him sleep and administer the medications with breakfast.

Teacher comments for LEADERSHIP AND ADVOCACY :

Amanda has natural leadership qualities. In this setting she was not able to put this qualities into practice although she is not afraid to take
initiative when it comes to patient care

5. PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES

5. 1 Incorporate the unique needs and expected outcomes into individual clients plans of
care.

Satisfactory

Satisfactory

A.D.S. : I incorporated the needs of my patient in his care plan, for example, because he cannot stand I incorporated using a mechanical
lift.

5. 2 Develop theory-based plans of care that are holistic and client centered and are

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

articulated competently in writing and orally.

A.D.S. : In my care plan I included a holistic, client centred approach.

5. 3 Use knowledge, skill and judgment to assess clients, prioritize needs and outcomes.
A.D.S. : I used my knowledge gathered from class to assess the patients and their priorities.

5. 4 Provide information that contributes to the evaluation and refinement of plans of care.

A.D.S. : I provided information that contributed to the plan of care for example when I took a patients blood pressure that was too be
monitored for 7 days.

5. 5 Safely and competently carry out nursing assessments and nursing interventions that are

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

theory-based and within skill abilities.

A.D.S. : I safely carried out nursing assessments without hurting or putting any patient at risk

5. 6 Carry out nursing care that reflects the practice decision-making framework.
A.D.S. : I carried out nursing care that reflects the decision making framework

5. 7 Complete nursing care responsibilities and nursing interventions in an organized and

timely manner.

A.D.S. : I completed nursing care responsibilities such as bathing the patient and administering medications.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
Has provided care that has exceeded expectation

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

6. 1 Work with clients and members of the inter-professional health care team to assess

Satisfactory

Satisfactory

clients, determine health needs, and to achieve mutually agreed expected outcomes.
A.D.S. : I worked with the health care team to assess clients by for example, taking vital signs, and assessing the skin for any breakdown
or red marks when I bathed them.

6. 2 Contribute as a member of the inter-professional health care team to respond to the

Satisfactory

Satisfactory

changing needs and expected outcomes of clients.

A.D.S. : I worked with the health care team to respond to the patients changing needs such as when a patient was sick and needed an IV.

6. 3 Seek out assistance and consult with members of the inter-professional health care team.

Satisfactory

Satisfactory

A.D.S. : I always seek out assistance when I need help with something so I do not risk it and put the patient at risk.

6. 4 Use teamwork, consensus building, and conflict resolution skills.

Satisfactory

Satisfactory

A.D.S. : I use teamwork, for example, when I helped another student in my quad bathe her patients and dress her.

6. 5 Describe effective, collaborative, and consultative strategies to meet clients needs within

Unsatisfactory

Satisfactory

Satisfactory

Satisfactory

a changing environment.
A.D.S. : As this unit was a stable one, the environment was not changing

6. 6 Interact with members of the health care team respecting their unique role and
competencies.

A.D.S. : I interact with members on the health care team such as the physiotherapist, doctor, and nurses.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

Worked well with inter-professional team members and assisted colleagues as required. Well liked by team members

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

7. 1 Act in the best interests of clients and protect clients from harm through collaboration

Satisfactory

Satisfactory

and consultation with members of the inter-professional health care team and through
competent and safe practice.
A.D.S. : I acted in the best interest of the patient by talking with the health care team and deciding what the best treatment is for example
when I spoke to the doctor about a red area on my patients coccyx region and the doctor ordered medication for it.

7. 2 Participate in self-reflection to identify strengths, areas for improvement.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

A.D.S. : I participated in self-reflection by completing the learning plan for this semester.

7. 3 Create, implement, and evaluate a learning plan consistent with the Quality Assurance
program (CNO).

A.D.S. : I created a learning plan that is consistent with the quality assurance program on CNO as I refereed to CNO frequently

7. 4 Seek out learning opportunities and feedback that foster professional development; and,

Satisfactory

Satisfactory

integrate these into practice.

A.D.S. : I seemed out learning opportunities for example when I asked my instructor if I could administer a subcutaneous injection when I
saw a patient that needed a hydromorphone injection.

7. 5 Utilize nursing, health and other theory and literature to improve nursing practice.

Satisfactory

Satisfactory

A.D.S. : I used my theory knowledge gathered in the classroom setting and applied it to the clinical setting.

7. 6 Use a theory-based approach and evidence-informed practice.

Satisfactory

Satisfactory

A.D.S. : I used my theory knowledge gathered in the classroom setting and applied it to the clinical setting.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

Has met outcome and utilized theory in every aspect of care

8. USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY

8. 1 Utilize problem-solving skills to inform decision making in all aspects of nursing care.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

A.D.S. : I problem solve when trying to resolve an issue I come across in clinical.

8. 2 Use problem-solving and decision-making skills to assess clients and to determine

nursing diagnoses, expected outcomes, nursing interventions, and evaluative criteria.

A.D.S. : When creating our care plans I used problem solving and decision making skills to reduce the risks of pressure ulcers.

8. 3 Use self-reflection to design a plan to improve problem-solving and decision-making

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

skills.
A.D.S. : I have completed a self-reflection learning plan on what I would like to improve on.

8. 4 Utilize knowledge from variety of nursing, health, and other theory into nursing practice
to provide safe and competent care.
A.D.S. : I take what I learned in the classroom setting and apply it to the clinical setting.

8. 5 Use prioritization strategies for client care.

A.D.S. : I prioritized by giving AM care to the patient that enjoys to be up early first, then to the other patients who enjoyed to sleep in after.

8. 6 Demonstrate professionalism and accountability.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

A.D.S. : I am always on time and in uniform.

8. 6 Recognize strengths and limitations and seek appropriate assistance and support.
A.D.S. : I referred to CEC to work on my limitations and overcome them

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY :
Amanda has good problem-solving skills and is mindful of, and in, her practice. She is able to think "outside the box" and come up with
solutions

Student Final Summary with Strategies for Continued Growth

I would like improve on my time management so that I will be able to get more done quicker so that when I am caring for five patients at a time, I am
able to have them all up and AM care completed prior to breakfast. I will be able to attain this goal by making a chart for myself and prioritizing my
tasks, and at the end of each shift I will be able to look over this chart and see what I can change to be more efficient during my next shift. I would like
to accomplish this goal before midterm next semester; this gives me 6 months to improve my time management. Results would include all my patients
being up with completed AM care before breakfast and all documentation completed before I go for my breaks.

Teacher Final Summary with Strategies for Continued Growth

Amanda has made excellent progress this semester and has exceeded expectations. She sets high goals/standards for herself. With further clinical
placements, Amanda will be able to meet outcomes to her satisfaction.

Student's References
http://www.cno.org

Grade

Satisfactory

Submitted Date: 21-Apr-2015 00:18

Unsatisfactory