Self Assessment

2015 - 2015 - Midway NURS-208 Course Learning Outcomes (201509)

NUR 208 Practical Nursing Practice 4 (PN, 06-Sep-2015 - 31-Dec-2015)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Period :
Student hours :
Required Hours :
Validated hours :

Valentina Ramirez
Yeu Yin Hwang
Judy Martin
William Osler Health Centre/Etobicoke General
Hospital
Agency
L7W NM
06-Sep-2015 To 31-Dec-2015
98
84
84

Teacher comment for validated hours:

only including clinical time at Etobicoke up to week 7
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.
V.R. : I comply with regulatory standards, relevant legislation and the practice settings policies and procedures by being accountable for
my own actions. I document all my nursing care accordingly in meditech.

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

Satisfactory

Satisfactory

V.R. : I act in a responsible, ethical and accountable manner every time I answer my patients call bell. When I am doing a bed bath for a
client I provide privacy by drawing the curtain. I also inform the nurse

1. 3 Determine how the three factor and practice decision-making frameworks influence client
care.

Needs
Development

Needs
Development

V.R. : The three factor and decision making framework can influence client care if the clients condition or care requirements change. As a
nurse I need to be well prepared in identifying the predictability of the clients outcomes and future care requirements. If the clients
respiration status suddenly changes then I monitor their oxygen saturation levels to decide on whether they are in need of better
positioning, deep breathing excersices or administration of oxygen via nasal prongs.

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

Satisfactory

Satisfactory

V.R. : I use evidence informed practice and theory based approach to care everyime I use my evolve e books to help me determine certain
aspects of a clients diagnosis that I need to focus more on. Example, a patient with a previous stroke my be at risk for another stroke
occurrence so I would continuously monitor vital signs and neurological status, including level of consciousness, motor and sensory
function, pupil size and reactivity, SaO2, and cardiac rhythm.

1. 5 Carry out safety-based practices and risk management principles to ensure client safety

Satisfactory

Satisfactory

and a safe environment.

V.R. : I carry out safety-based practices and risk management principles to ensure client safety and safe environment everyime I raise the
head of the bed up during feeding time to prevent aspiration. For patients on a pure diet I make sure to crush the appropriate pills and mix
it into an apple sauce to prevent chocking on the whole pill.

1. 6 Ask questions and clarify the plan of care, unclear orders or directions, and whenever

Satisfactory

Satisfactory

uncertain.
V.R. : I am able to clarify the plan of care, unclear orders or directions, whenever uncertain. For example, I was uncertain about what time I
should empty my patients urine drainage bag so I asked the nurse and she informed me of the hospitals protocol on the set times for
emptying the bag.

1. 7 Demonstrate professional behavior by seeking assistance in situations in which there is

Satisfactory

Satisfactory

unsafe,
unacceptable and/or unprofessional behavior.
V.R. : I demonstrate proffesional behaviour by seeking assisstance in situations which there is unsafe, unacceptable and/or
unprofessional behaviour while I was caring for a patient who was suffering from acute pain in both their feet. The patient was very
particular in how they wanted their feet to be moved so I sought help from a nurse who already had experience moving this patient. We
both were able to position the patient according to their liking.

1. 8 Demonstrate understanding about the role of the nurse within health care.

Satisfactory

Satisfactory

V.R. : I demonstrate understanding about the role of the nurse within health care by checking up on my patient every hour and
administering clients medications on time. I make sure they are comfortable and that their position is changed often to reduce the risk for
bed sores. I also console my patients when they have concerns. I show that I play an active role in my patients health.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
You consistently comply with the Humber policies and procedures and ask relevant questions when seeking clarification and/or new
knowledge. You need to better apply the three factor (patient, nurse, environment) and practice framework into the clinical setting and get a
better understanding of patient's plan of care and decisions.

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions.

Satisfactory

Satisfactory

V.R. : I participate I team sharing and discussions during conference in clinicals. I am able to share my experiences and the type of care
that I gave my patient that day.

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

Satisfactory

Satisfactory

methods.
V.R. : I document clearly, accurately, concisely in a timely manner using written and electronic methods.I adhere to the hospitals policies
on documentation which requires me to document the first set of vital signs on meditech within the first hour of my shift.

2. 3 Report relevant information to the appropriate personnel.

Satisfactory

Satisfactory

V.R. : I report relevant information to the appropriate personnel. For example, when the doctor needed to know when the clients translator
would be coming back I went back to the same doctor to inform him when the patients daughter came back.

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

Satisfactory

Satisfactory

team.
V.R. : I use communication techniques with the client and the inter-professional health care team whenever I take vitals. I use a calm tone
to inform the patient that I am going to take their blood pressure. Before I inflate the cuff I per pare the patient by telling them that the cuff
will inflate now. This technique will help the patient stay calm until the assessment is done. I then inform my nurse of the results and give
time for them to write it down.

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

Satisfactory

Satisfactory

Protection Act (PHIPA).

V.R. : I ensure privacy and confidentiality according to the personal health information protection act whenever I write information about
my client then keep that information close to me at all times. I don't leave the information lying around.

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

Satisfactory

Satisfactory

information.
V.R. : The way I use technology to retrieve and share information including research, data and other information is by my e books to find
out the action and compatibility of my patients medications.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

You display good therapeutic communication techniques with clients however you need be more comfortable explaining to patients and
family members their plan of care and your assessment findings i.e. when your patient asked for oxygen when it was not required. You are
comfortable documenting and complete it in a timely manner.

3. CARING RELATIONAL PRACTICE

3. 1 Use effective communication techniques.

Satisfactory

Satisfactory

V.R. : I use effective communication techniques when my patient woke up confused and anxious. I came over to them and spoke to them
in a soft tone letting them know that they where in a safe environment.

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

Satisfactory

Satisfactory

and health care team members.

V.R. : I establish therapeutic caring, compassionate, and culturally safe relationships with clients and healthcare team members when I
pay attention to the persons tone of voice. For example, I had a patient who said they were cold and so I raised up the blankets to cover
them, but then they said no my head. So I repeated what the said just to clarify what the issue was. Their head was cold. So I asked if they
had a hat and then the patient said no and cussed their teeth so I tried to figure out what I could use quick. I noticed a scarf around their
neck and asked the patient if they wanted my to wrap the scarf around their head and then they became noticeably happy.

3. 3 Demonstrate therapeutic use of self to foster client well-being.

Satisfactory

Satisfactory

V.R. : I demonstrate therapeutic use of self to foster clients well-being by talking to my patients and offering a therapeutic touch. For
example, when I had a patient who was waking up every 5 minutes because they were anxious about falling to the floor I put my hand on
top of theirs to let them know I was there and that they were safe.

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

Needs
Development

Needs
Development

V.R. : At times I feel overwhelmed with tasks that are asked of me I pause a take a moment to re-organize the way I will handle each
scenerio so that I can continue providing care with a smile on my face.

3. 5 Collaborate with clients and members of the inter-professional health care team and

Satisfactory

consult appropriately.

Needs
Development

V.R. : I collaborate with clients and members of the inter-professional health care team and consult appropriately when I have a client who
verbalizes they have a 10 out of 10 pain and I want to find out which painkiller works best with that client.

3. 6 Support the diversity of clients and the inter-professional health care team.

Needs
Development

Needs
Development

V.R. : I support the diversity of clients and the inter-proffesional health care team by allowing myself to be flexible and willing to try
unfamiliar approaches. For example, working with patients who are confused and refuse to take their medications. Other nurses find ways
of talking to them in simple language to inform them that the medication is necessary. They are quick and don't allow time for the patient to
refuse.

3. 7 Display sensitivity and respect for clients cultural, religious, and other beliefs and values

Satisfactory

Satisfactory

influencing their choices and decisions.

V.R. : I display sensitivity and respect for clients cultural, religious, and other beliefs and values influencing their choices and decisions by
letting them express themselves. For example, I had a client like to talk about their religion. I did not make faces or make argumentative
statements during the conversation, instead I listened intently. I was learning so much from this persons point of view and I realized I could
benefit in my nursing practice from this knowledge.

3. 8 Provide effective client education.

Satisfactory

Satisfactory

V.R. : I provide effective client education when I had a patient who did not understand why they needed to take a medication that prevents
deep vein thrombosis when they didn't have that anyways. I explained that the lack of activity in bed can increase the risk for a clot to form
and travel to the heart and this medication will prevent those clots from forming and becoming a issue.

Teacher comments for CARING RELATIONAL PRACTICE :

You have interacted well with clients by asking their preferences and having patience with them. More development is needed with
interacting and consulting with the inter-professional healthcare team such as the social worker, physiotherapy, physician, dietician and
pharmacist. This will make you more involved in your patient's care and know available resources and experise available to you and your
patients.

4. LEADERSHIP AND ADVOCACY

4. 1 Apply appropriate conflict resolution skills in therapeutic client and other interactions.

Satisfactory

Satisfactory

V.R. : I apply appropriate conflict resolution skills in therapeutic client and other interactions when I am faced with agitated patients who
are on restraints. For example, I was asked to feed a patient who was on a thickened fluid diet and they were on wrist restraints. The patient
refused to eat and requested to have water. I was not able to give them water and I noticed that they did not look at me when I was talking
to them so I told them I will be back. Because of their body language I knew I wasn't going to get very far at that time so I waited five
minutes and went back and said I will open this vanilla flavored drink so that you can try some. At first they said no but when I put the
straw closer to their mouth they begin to drink.

4. 2 Evaluate and refine leadership skills to develop solutions and create a positive work

Satisfactory

environment.

Needs
Development

V.R. : I am dedicated to learning and being aware of my emotions and how they affect others. When I feel stressed I avoid expressing it in a
negative way or complain about it aloud. Instead I recognize my limits and get help from my colleagues.

4. 3 Provide feedback to peers and accept feedback from peers and members of the inter-

Satisfactory

Satisfactory

professional health care team.

V.R. : I provide feedback to peers and accept feedback from peers and members of the inter-professional healthcare team. For example, I
had a patient who requested me to warm up their heating bag and the nurse thought it would be best if I waited a couple minutes before
giving it to the patient because it was too warm for the skin. I agreed with the nurses perspective and we both thought it would be best if
the heating bag would be wrapped in a towel to decrease the chances for skin burn.

4. 4 Advocate for clients, self, others, and quality practice environment.

Satisfactory

Satisfactory

V.R. : I advocate for clients, self, others, and quality practice environment by protecting their privacy. For example, I was changing a
patient who had a bed by the window and even though the curtain was closed all the way there was still chance for someone to look
through if they were close to the window. There was a gentleman visiting another patient who decided to look out the window by my clients
bed. This made my client feel unconfortable and when I noticed the gentlemen I quickly covered my patient with the blankets and poked my
head out of the curtain to ask him to kindly move away from the area until I was finished. He didn't even realize what was going on until I
said it but he happily complied and apologized. My patient was more relaxed afterwards.

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

Satisfactory

Satisfactory

V.R. : I support clients rights for self-determination and choice whenever the food tray comes. The nurse usually informs me that the
patient needs everything opened on their food tray. Sometimes I have patient who like to try to open the utensil package on their own.
When I notice they are struggling I ask if they would like some help, when they say no then I respect their wishes and stay close by incase
they still need my assisstance.

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

Satisfactory

Satisfactory

V.R. : I respond appropriately to unsafe, unacceptable, and unprofessional behaviours when I help move a patient up in bed. For example, I
was helping a colleague move a patient up in bed however while we were sliding the patient up the patients head dragged and so I
requested to stop and lower the head of he bed some more so that we could avoid dragging the head.

4. 7 Collaborate and consult when implementing health care and nursing practices that are in
the best interests of the public and protect the public through collaboration and consultation.

Satisfactory

Satisfactory

V.R. : I make sure it is safe to move patients before doing so. For example, a porter was waiting for the nurse of a patient who came back
from their tests and they had asked if I could assist them in the transfer. I told them I will make sure with the nursing staff if they will allow
it. I went to look for the patients nurse, who was busy documenting, and asked if it was okay to move the patient using just two personnel.
She said it would be fine. So the porter talked me through transferring the patient from one bed to the other.

4. 8 Contribute to the creation of quality practice solutions and strategies.

Satisfactory

Satisfactory

V.R. : I contribute to the creation of quality practice solutions and strategies everytime I disinfect items used on patients. For example,
before and after helping my patient on and off the commode chair I wipe it down using a cavi wipe and I wait for it to dry. I also organize
and wipe around the patients sink area after using it.

Teacher comments for LEADERSHIP AND ADVOCACY :

You maintain a positive learning environment among your peers. Continue to develop your leadership and confidence which are skills that
develop with more time and experience in the clinical setting.

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

5. 1 Incorporate the clients unique needs and expected outcomes into holistic and client-

Satisfactory

Satisfactory

centred plans of
care.
V.R. : I incorporate the clients unique needs and expected outcomes into holistic and client centered plans of care when I have a patient
who has deteriorated vision. For example, when the meal tray comes out I make sure to provide the patient with some extra light and I read
them items of the menu list.

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

Satisfactory

Satisfactory

articulated competently in writing and orally.

V.R. : I develop theory based plans and care that are holistic and client centered and are articulated competently in writing and orally when
I prioritize patients activities for the day. For example, a patient who is ready to be discharged will want to be washed and changed before
leaving. I will make sure to provide those activities first before they continue with their other activities like eating or watching tv.

5. 3 Use knowledge, skill and judgment to assess clients, prioritize needs and outcomes.

Satisfactory

Needs
Development

V.R. : I use knowledge, skill and judgment to assess clients, prioritize needs and outcomes whenever a patient complains of pain. For
example, I had a patient who was experiencing pain and there pulse and respiration had gone up because of their anxiety caused by the
pain. I assessed their pain level and offered pain medication to reduce the pain. I also made sure to leave them in a comfortable position.

5. 4 Collaborate in the evaluation and modification of plans of care.

Satisfactory

Needs
Development

V.R. : I collaborate in the evaluation and modification of plans of care everyime I administer pain medication. For example, when my
patient has pain and I administer pain medication I wait for the medication to work before I start changing or moving the patient. This delay
will help the patient cooperate in their plans of care.

5. 5 Safely and competently implement and evaluate nursing assessments and nursing
interventions in a manner that demonstrates knowledge and skill.

Satisfactory

Needs
Development

V.R. : I safely and competently implement and evaluate nursing assessments and nursing interventions in a manner that demonstrates
knowledge and skill by carefully handling medications. For example, I had a patient who needed to take medication that was toxic to touch
and could cause cancer if it was in contact with skin. I put my gloves on and made sure to place the pill inside the patient's mouth using
gloves so that the patient had no contact with the toxic drug.

5. 6 Use the Three-Factor and practice decision-making frameworks to guide practice.

Satisfactory

Needs
Development

V.R. : I use the three factor and practice decision-making framework to guide practice during times when patients condition changes. For
example, I had a patient who seemed drowsy the entire morning. The patient had no interest in food but rather wanted to rest. I brought it to
the nurses attention. The nurse confirmed that this was not his patients every day status and that the drowsiness was linked to the type of
medication given. The nurse went to go talk to the physician about possibly decreasing the dose.

5. 7 Prioritize nursing care and nursing interventions in order to manage workload, time, and

Satisfactory

physical

Needs
Development

resources.
V.R. : I prioritize nursing care and nursing interventions in order to manage workload, time, and physical resources by assessing and
changing a patient who is in incontinent during a bed bath. By changing my patients brief at the same time as giving a bed bath I can
reduce the amount of turning and re-positioning that they would have to do. While the patient is exposed I can do my head to toe
assessment.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
You have shown improvement in understanding your patient medical history and diagnosis since the start of clinical. At this point,
completing nursing assessments, prioritizing care and completing interventions in the clinical setting in a timely fashion are skills still
developing and has been limited due to time and experience, continued evaluation will take place throughout the term. Especially with
having a 2 patient assignment.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

6. 1 Collaborate 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.
V.R. : I collaborate with clients and members of the inter-professional health care team to assess clients, determine health needs, and to
achieve mutually agreed expected outcomes whenever a patient needs to mobilize. For example, I was caring for a patient who was not
interested in eating. The nurse said that this patient needs to eat and that getting them up in the chair may motivate them to eat instead of
sleeping through mealtime. It took a lot of encouragement to get the patient up, but they were content after sitting in the chair. They ate
very little, but it was better than refusing it entirely.

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

Satisfactory

changing needs and expected outcomes of clients.

Needs
Development

V.R. : I contribute as a member of the inter-proffesional health care team to respond to the changing needs and expected outcomes of
clients when a patient no longer needs restraints. For example, I was caring for a patient who had a wrist restraint from the night before so
that they would not pull out their IV lock. When I assessed the patient in the morning they were not confused and the nurse told me it was
okay to remove the restraint. The patient became noticeably happy after the restraint was removed.

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

Satisfactory

Needs
Development

V.R. : I seek out assistance and consult with members of the inter-professional health care team whenever I need assistance with moving
my patient who is a two person assist.

6. 4 Use teamwork, consensus building, and conflict resolution skills to meet expected client

Satisfactory

Satisfactory

outcomes.
V.R. : I use teamwork, consensus building, and conflict resolution skills to meet expected client outcomes when I want to motivate the
patient to do some exercises. For example, after giving the patient pain medication I instruct them that I will come back in about 15 minutes
to assess their pain level, if they feel like the pain is mild than before than I ask them to move their feet in a plantar and dorsiflexion motion.
This helps reduce deep vein thrombosis in bed ridden patients. The client is more likely to comply to more exercise moments when they
are pain free.

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

Satisfactory

Satisfactory

changing
environment.
V.R. : I used effective, collaborative, and consultative strategies to meet clients needs within a changing environment whenever the client
feels cold. For example, when my patient feels cold I notice that all they prefer to do is to stay under the blanket and rest. So to encourage
them to move I offer a warm blanket and I tell them I will come back to give care (for example, changing their briefs or giving a bed bath).

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

Satisfactory

competencies.

Needs
Development

V.R. : I interact with members of the healthcare team respecting their unique role and competencies every time I greet my nurse at the
beginning of the shift.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

I know you collaborate well with your primary nurse and clinical instructor with respect to seeking clarification and assistance. You need to
grow in confidence and experience with collaborating and consultating with other members of the healthcare team i.e. pharmacist, social
worker, dietician and physiotherapy in order to understand available resources for you and your patient.. Try to be involved in giving report
at change of shift or at bullet rounds.

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.
V.R. : I had a patient who requested to be put on oxygen and so I got my clinical teacher to help assist me in telling the patient that they
did not need the oxygen at that moment in time. The patient's oxygen saturation was between normal ranges and if the patient were to
receive more oxygen via nasal prongs then that could harm the patient's health.

7. 2 Engage in ongoing reflective practice to identify strengths, areas for improvement; and,

Satisfactory

Satisfactory

integrate feedback into practice.

V.R. : I engage in ongoing reflective practice to identify strengths, areas for improvement; and, integrate feedback into practice every week
when I comment on my knowledge4you assessment given by my clinical teacher. We talk about my weaknesses and my strengths and I
discuss ways on how I can improve on my nursing care.

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

Satisfactory

Satisfactory

program (CNO).
V.R. : I create, implement, and evaluate a learning plan consistent with the quality assurance program for my patients using the concept
map and nursing data collection sheets provided on blackboard.

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

Satisfactory

Satisfactory

integrate these into practice.

V.R. : I seek out learning opportunities and feedback that foster professional development; and, integrate these into practice when a
colleague of mine performs a procedure on their client. For example, I had a colleague who was informed to do a catheterization on a
patient. We asked the patient if it was ok for other students to observe the procedure and the patient consented. I was able to learn from
watching my colleague demonstrate a catheterization.

7. 5 Use nursing research to foster professional development.

Satisfactory

Satisfactory

V.R. : I use nursing research to foster professional development every time I log into my evolve elsevier account and research my patients
diagnoses and medications.

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

Satisfactory

Needs
Development

V.R. : I use a theory-based approach and evidence informed practice when I take my patients heart rate before administering beta blockers
(medications that decrease the heart rate). I check the heart rate because if the heart rate is below 60bpm then I cannot give the medication.

7. 7 Apply knowledge of changes to the health care system, technology, and in society as
these affect nursing practice.

Needs
Development

Needs
Development

V.R. : I need to work on applying knowledge of changes to the healthcare system, technology, and in society as these affect nursing
practice. When there are system errors I need to recognize them or adress them to the right personnel so I can continue with documenting
on time.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

Continue to improve on your overall knowledge and understanding of how to apply learned theories and concepts into the clinical setting
with regards to patient assessments and plan of care. This will develop with more time and experience and requires ongoing evaluation.

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

8. 1 Use critical thinking and problem-solving skills to inform decision-making in all aspects

Satisfactory

Satisfactory

of nursing care.
V.R. : I use critical thinking and problem-solving skills to inform decision-making in all aspects of nursing care including during a bed
bath. For example when I notice my patients skin is reddened or dry I apply barrier cream to the area to prevent further skin breakdown.

8. 2 Use critical thinking, problem-solving and decision-making skills to assess clients and to
determine nursing diagnoses, expected outcomes, nursing interventions, and evaluative
criteria.

Satisfactory

Needs
Development

V.R. : To help assist me in assessing the client I use the concept map to organize my nursing diagnosis, expected outcomes, and nursing
interventions, and evaluative criteria. I start with the patients chief complaint and branch out from there to determine how it has linked to
secondary diagnosis.

8. 3 Evaluate critical thinking, problem-solving, and decision-making skills and design a plan

Satisfactory

to improve

Needs
Development

these.
V.R. : I evaluate critical thinking, problem solving, and decision making skills and design a plan to improve these when I have patients who
are able to get out of bed. For example, to encourage the patient to stay out of bed for longer I ask them if it's alright to have there bed bath
in the washroom. This way they will be in a seated position for longer or even assist in their care by standing up for short periods. This
increases their endurance each day.

8. 4 Integrate knowledge from a variety of nursing, health, and other theory into nursing

Satisfactory

Satisfactory

practice to provide safe and competent care.

V.R. : I use the CNO practical guidelines to help assist me through my nursing care. I read the examples given and learn from other
nursing mishaps. My legal and ethics class has shown me where to locate each CNO document.

8. 5 Prioritize effectively.

Needs
Development

Needs
Development

V.R. : I need to work on prioritizing effectively when working with two patients who have an extensive list of medications to be
administered. I will find ways to research diagnosis and medications that will allow me to take my breaks on time and give medications on
time.

8. 6 Demonstrate professionalism and accountability.

Satisfactory

Satisfactory

V.R. : I demonstrate professionalism and accountability whenever I tell the patient that I will be back and then I return at the stated time
that I said I would be back for.

8. 7 Use the practice decision-making and the nurse-client-environment frameworks to inform

Satisfactory

Satisfactory

and guide practice.

V.R. : I use the practice decision-making and the nurse client environment frameworks to inform guide practice by building a nurse client
relationship the moment I meet my patient. For example, when I approach my patient for the first time I introduce myself and my title, I let
them know who I am before touching them for any asessments.

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING :

You are professional and accountable as a student RPN. Skills in critical thinking, prioritization, problem solving and decision making are
still developing with more time and interactions with a variety of clients.

Student Midway Summary with Strategies for Continued Growth

I want to be able to recognize system errors in meditech so that I can quickly solve the problem. Recognizing system issues and fixing them can save
me time and I can focus on my clients care. I want to work on getting all my documenting organized and in meditech on time so that I can then make
time for my needed breaks in between. I would also like to work more on finding different ways of encouraging those confused patients to eat and take
their medications.

Teacher Midway Summary with Strategies for Continued Growth

You have shown improvement in your confidence and comfort in the clinical setting. You accept feedback well from staff, peers and clinical teacher in
order to improve your overall nursing skills and knowledge of patient diagnosis and medication. You consistently come prepared to clinical, arriving
early and collecting patient data. You are eager to learn and participate in new skills and learning oppportunties presented to you. You also show
interest in being able to apply clinical skills and theory together. Contine to develop your clinical nursing skills, critical thinking, time management and
priortizing skills in the clinical setting. I have no doubt you will achieve this by the end of the term.

Student's References
CNO practice guideline Conflict Prevention and Management
CNO practice guideline RN and RPN Practice: The Client, the Nurse and the Environment
CNO practice guideline Therapeutic Nurse-Client Relationship, Revised 2006

Grade

Satisfactory

Needs Development

Referred to Clinical Excellence Committee (CEC)

Grade

Needs Development

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

Unsatisfactory