Self Assessment

2014 - 2014 - Final NURS-101 Practical Nursing Practice 1

NURS 101 Practical Nursing Practice 1 (PN, 09-Sep-2014 - 11-Dec-2014)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Period :
Student hours :
Required Hours :
Validated hours :

Hoa My Tang

NoSite Class
U1
20-Nov-2014 To 12-Dec-2014
75
75
75

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 Humber College Institute of Technology and Applied learning (ITAL) policies,

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the Practical Nursing Program Student Handbook, Clinical Simulation Lab Code of Behaviour
contract, and professional nursing standards and guidelines.
H.M.T. : It's very important and necessary to follow these professional standards and guidelines because it helps me understand and
perform my skills in a proper and safe manner.

1. 2 Accept responsibility for own actions and for self-directed learning.

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H.M.T. : I am independent and responsible for my actions and self learning.

1. 3 Demonstrate professionalism with attendance, punctuality, dress code, behavior,

language, and timely submission of assignments.

H.M.T. : I try best to dress properly and go to class about 20 minutes earlier because I know punctuality and proper dressing are very
importantly required for being a nurse.

1. 4 Use theory-based approach.

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H.M.T. : It really helps to read and review materials before performing the actions. Since i know the dyspnea (shortness of breath)
symptoms, I can observe the patient and ask questions like any restless? difficult speaking, cyanosis (pale skin) or tightening of chest?

1. 5 Ensure a safe environment.

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H.M.T. : I always remind myself about the important of safe environment.

1. 6 Ask relevant questions and answer questions based on thorough preparation.

H.M.T. : Because I prepared before class, so I know how to ask relevant questions based on PQRSTU. (P: provocative or palliative; Q:
quality and quantity; R: region or radiation; S: severity scale; T: timing; U: understanding patients perception of the problem)

1. 7 Apply knowledge of the role of the student nurse.

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H.M.T. : I think I did well because I watched videos, read materials and come prepared to practice in class.

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in group sharing and discussions.

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H.M.T. : I feel comfortable to share and discuss with group members.

2. 2 Document clearly, accurately, and concisely using written and electronic methods.

H.M.T. : I am trying to practice writing concisely and accurately by letting my friends read and give opinions about my writing.

2. 3 Demonstration reporting relevant information to the appropriate personnel.

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H.M.T. : It's important to report what patients tell about their health condition so that I can understand and provide my actions in a suitable
professional field. For example, If patient says he can't breath due to the lack of oxygen, I can provide him 2% of oxygen or asking for more
from the physician.

M.C. : Did you mean 2 Litres of Oxygen with nasal prongs?

2. 4 Use communication techniques with the health care team.

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H.M.T. : I try to communicate with my colleagues, ask for their opinions and discuss about the performance from the check lists.

2. 5 Maintain privacy and confidentiality.

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H.M.T. : I agree the importance of maintaining client's privacy and confidentiality by providing curtain while changing the linen or giving
bed bath for client.

2. 6 Use technology to retrieve information from texts and other resources.

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H.M.T. : I am confident by using eBook from the Jarvis (physical examination and health assessment).

3. CARING RELATIONAL PRACTICE

3. 1 Apply knowledge of the therapeutic nurse-client relationship and effective

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communication techniques furing the provision of nursing skills and assessments.

H.M.T. : Now I can learn how to observe the patient and ask relevant questions in my assessment process. For example, patients with
chest pain, I will observe their facial expression like grimace and ask questions like when it starts, where it locates or how the pain feel like.

3. 2 Establish respectful, polite, and honest relationships with peers, Professors/Clinical

Teachers, and the Lab Technologist.
H.M.T. : I am respectful and value my peer's opinions.

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3. 3 Exhibit cooperative, helpful, and collaborative relationships with team members.

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H.M.T. : I am active to play role in performing the check list with my peers.

3. 4 Apply knowledge of strategies for conflict resolution.

H.M.T. : I am fully alert if the conflict occurs and ready to apply my negotiation skills to resolve the conflict.

3. 5 Recognize how ones behavior affects peer relationships and practice.

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H.M.T. : One's behavior will surely affects the performance of the group, thus I have to find ways to make myself comfortable in doing with
group.

3. 6 Respect the diversity of peers in the learning environment.

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H.M.T. : Keeping respect to everyone is the most important in doing group work.

3. 7 Apply knowledge of health teaching and learning strategies.

H.M.T. : I am confident in apply from what I have been taught for example performing vitals signs.

4. LEADERSHIP AND ADVOCACY

4. 1 Recognize situations that could lead to conflict and apply knowledge of conflict
resolution.

H.M.T. : Everyone has their own idea, but I feel comfortable to work with them since everyone has interest to learn and is ready to resolve
the group conflict if it occurs.

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

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H.M.T. : Sometimes, I feel my group member go off the topic, I raised some questions to get them back to the topic.

4. 3 Provide feedback to peers and accept feedback from peers.

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H.M.T. : I am confident to give opinion to my peer and willing to learn from my mistakes.

4. 4 Advocate for self and peers for a quality learning environment.

H.M.T. : A quality learning environment is very important because we can obtain optimal knowledge and able to practice professionally.
Thus, I and my peers always try to practice in class and outside class.

4. 5 Ask relevant questions to clarify understanding.

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H.M.T. : I feel confident to ask my peers questions if I'm not sure about something. For example, I don't know how to percuss the
abdominal area, so I ask my peers for demonstration to help me understand more.

4. 6 Respond appropriately to unsafe and unacceptable behaviours.

H.M.T. : I am aware and try to seek appropriate and safe behaviors.

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

5. 1 Identify the importance of assessing clients unique needs.

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H.M.T. : Everyone is unique in the way of seeking help. Infant patients are different from adult patient.

5. 2 Plan holistic, client-centred assessments and interventions that are based on appropriate

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rationale.
H.M.T. : I know client should be treated as a whole, centered and closely paid attention.

5. 3 Complete health assessments, interviewing, and nursing skills in an organized and timely
manner.

H.M.T. : I understand the timely manner is very important as well as interviewing skills. However, to elder patients, who are easily to get
tired so I need to give them some breaks in between the examination.

5. 4 Perform health assessments, interviewing, and nursing techniques and skills accurately,

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safely, competently and in a timely manner.

H.M.T. : It's necessary to accurately, safely, competently perform the nursing techniques in a timely manner. Thus, I need to be active,
alert while interview the patient.

5. 5 Perform initial assessments of clients vital signs, neurological, cardiovascular,

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respiratory, and gastrointestinal systems.

H.M.T. : I'm on the progress to perform and memorize those check lists.

5. 6 Use the nursing process as a decision-making tool.

H.M.T. : I understand the nursing process which include 5 steps (assessment, diagnosis, planning, implementation, and evaluation), and
what we have been focused mostly now in this practical class is assessment which is to ask patients more questions to understand the
reason for their seeking care and to perform physical examination such as inspection, percussion, palpation and auscultation.

5. 7 Utilize the nursing process to meet clients healthcare needs related to hygiene, including

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integumentary care, nutrition, hydration, digestion, elimination, mobility, and safety.

H.M.T. : Utilizing the nursing process to meet client's healthcare needs is important.

5. 8 Discuss environmental strategies that promote health safety, and reduce risk including
infection control, emergency codes, and ethically appropriate and safe use of restraints.

H.M.T. : I'm trying to promote health safety by encouraging people to wash hand more often before and after doing the health assessment
testing for clients.

5. 9 Utilize infection prevention and control practice, including, but not limited to: hand
washing and basic personal protective equipment (PPE).

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H.M.T. : Satisfactory because I did online relevant quizzes, read book,attended lecture and performed for infection prevention and control
practice.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

6. 1 Participate knowledgably in discussions with peers and faculty.

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H.M.T. : It's very helpful to participate in peers and faculty discussion in order to enhance our knowledge for nursing practice.

6. 2 Acts as an effective and valuable member of the group.

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H.M.T. : I try to play role and ask more questions so that we can understand and perform the task more practically.

6. 3 Ask knowledgeable questions and answer questions knowledgeably.

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H.M.T. : This is what I'm trying to do while working in a group.

6. 4 Seek out assistance

H.M.T. : when we don't have answer, we often ask for help from our coordinator. For example, we don't know if we can landmark or
auscultate for vascular sounds of aorta, renal, iliac and femoral, so we call for assistance.

6. 5 Use group process and conflict resolution skills to build consensus and collaboration.

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H.M.T. : while working together, we sometimes have different assumptions, but since we have interest to find the answer, we finally come
up with the best answer. For example, when checking the blood pressure, i think the blood pressure is 120/ 80, but my peer thinks it is
130/80. Then, we use the stethoscope with the two hearing devices. Finally, I have to agree with my peer, it's 130/80.

6. 6 Demonstrate respect for peers and others.

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H.M.T. : I always have respect for my peers.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

7. 1 Identify strengths and areas for improvement using reflective practice.

H.M.T. : By using self reflective practice, I can know my strengths, for example, I know I am confident in working with my peers even
though some are men.

7. 2 Utilize self-reflection and feedback from Professors / Clinical Teachers and peers to

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identify strengths and areas for improvement.

H.M.T. : Feedback from my clinical teacher helps me understand my strengths such as my collaboration skills with group members and my
improvement such as my voice needs to be louder a little bit as well as my writing skills.

7. 3 Assume responsibility to seek out learning opportunities that foster professional

development.
H.M.T. : Always seek out for opportunities for improvement and development.

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7. 4 Create a learning plan to address areas for improvement.

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H.M.T. : In order to improve performance, it's very important to address weakness and to have a specific plan for the improvement.

7. 5 Come prepared to apply theory by reviewing all required preparatory learning materials

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and completing all activities.

H.M.T. : I often spend time before class to read material and watch videos.

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

8. 1 Utilize problem-solving and decision-making skills related to foundational aspects of

nursing interventions, skills, and practice.

H.M.T. : It's important to critically understand the situation in order to intervene with proper actions.

8. 2 Use a theory-based approach, problem-solving, and decision-making skills in a

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professional and accountable manner.

H.M.T. : I agree that applying theory learned into practice to solve problem and make effective decision is very important.

8. 3 Use relevant theory to explain the rational underlying the health assessment and

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interviewing strategies and techniques and the foundational nursing skills being used.
H.M.T. : It provides us a general framework to look for with certain diseases. For example, when patient complaints about the cough, and
basing on what we learned, we can question about if there is sputum, and what it's like, so that we can understand if that is infectious or
not.

8. 4 Apply knowledge from nursing, health, biological and social sciences.

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H.M.T. : Applying these knowledge in application is very helpful in nursing career development.

8. 5 Demonstrate professionalism and accountability.

H.M.T. : Demonstrated professional attitude and be accountable for my own actions.

8. 6 Recognize strengths and limitations and seek appropriate assistance and support.
H.M.T. : I know well my strength and my limitation.

Student Final Summary with Strategies for Continued Growth

For the final self-reflection, I believe I could obtain some competencies such as communication skills with group members. I feel confident in group
discussion and have respects to all of my peers. For example, I can show my collaborative skills while playing role with my peers to determine how to
develop skills in order to perform the checklists. Besides, I think Im good at math which is considered a benefit for my pharmacology course and my
nursing career later. On the other hand, I still have some improvement areas. First, I need to improve my terminology vocabulary which is very
important for being a nurse in documenting. For example, I need to know more words like dyspnea (shortness of breath), hemoptysis (cough up
blood), cyanosis (bluish color), orthopnea (difficult breathing in supine position) and still. I need to create a list of these words in a portable notebook,
so that I can carry with me and review anytime or anywhere. My goal is to enhance the terminology vocabulary about 40 words a month which is 10
words a week by retrieving words from the Jarvis as well as the Mosbys dictionary. Also, I need to have more practice to perform some steps from
physical examination. Specially, I need to learn how to percuss and auscultate in a right way. The reason is because the result from these methods
can tell if the patient are in a good condition or not. Specifically, I have to distinguish what is normal sounds for which location from what is
adventitious sounds (abnormal sound such as crackle or wheeze) from the lungs while auscultating. For example, one of the sound bronchial which is
a high pitch, harsh and hollow sound, is normally located at trachea and larynx. For this reason, I have to set a goal to practice more with peers as
well as using several websites to help me distinguish the difference of these sounds. My plan is to improve this skill within a month, every week I will
save time to practice with friends so that I have more experience in performing the skills professionally in a timely manner. In conclusion, I have to be
consistent with my goals so that I have more confidence and knowledge to become a skillful nurse in future.

Teacher Final Summary with Strategies for Continued Growth

Congratulations on your learning this semester. You have achieved basic skills in patient safety, using proper body mechanics when moving a patient
, giving a bed bath, and performing a set of vital signs and systems assessment. You will use all these skills in your next clinical setting and will be
glad that you feel confident in these areas before you start in January. Your strategy to practice with family and friends, attend the open access labs
and review your textbook will help you gain confidence and proficiency. Reviewing, reflecting and documenting on what you have done is also a good
strategy for learning and improving your confidence in these areas. Thank you for your contributions to group case studies and maintaining a quality
learning environment by making up interesting symptoms for your peers to assess. Continue to work on your documentation and communication skills
by understanding what are significant/abnormal findings, understanding subjective and objective findings, and using SBAR to communicate with
members of the health care team. As you learn more about developing care plans and case studies, look for specific health teaching strategies that
are related to your patient's conditions.
Skills Testing: Satisfactory
Assessment Testing: Satisfactory
Final Exam: pending
Overall final grade pending Final Exam.

Student's References
http://www.cno.org/en/learn-about-standards-guidelines/standards-and-guidelines/
https://www.youtube.com/watch?v=39n4XWv7flQ&list=PL234408AB2A0E1DD0
Jarvis, Carolyn, Annette Browne, June MacDonald-Jenkins, Marian Luctkar-Flude. Physical Examination and Health Assessment, Canadian Edition,
2nd Edition. Saunders Canada, 2014. VitalBook file.

Grade

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Unsatisfactory

Referred to Clinical Excellence Committee (CEC)

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Satisfactory

Program Coordinator Feedback

The Program Coordinator has reviewed the evaluation

Yes

No

Student Sign Off

I met with my Clinical Teacher/Preceptor and discussed my evaluation

Yes

No

In general this evaluation accurately reflects my performance

Yes

No

Student Comment

Thanks for the time you spending with us. Though it's not too long, I feel very happy to work within your group. You are very kind and always be with
us whenever we need help. I really appreciate your help and comments.