Self Assessment

2015 - 2015 - Final 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 :

Ralph Pangan
Mercelies McHugh
Judy Martin
William Osler Health Centre/Etobicoke General
Hospital
Agency
L7W NM
06-Sep-2015 To 31-Dec-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.
R.P. : I am able to comply with regulatory standards, relevant legislation and the practice settings policies and procedures. Whenever I am
in the practice setting, I always refer to regulatory standards, relevant legislation and the practice settings policies and procedures to be
able practice safely without facing any complications.

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

Satisfactory

Satisfactory

R.P. : I always act in a responsible, ethical and accountable manner in the practice setting as it is my duty to carry out safe practice.

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

Satisfactory

Satisfactory

care.
R.P. : I am able to determine how the three factor and practice decision-making frameworks influence client care as these influences
determines the care that is needed to be provided for my patients.

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

Satisfactory

Satisfactory

R.P. : I often use evidence informed practice and a theory-based approach to care as a guide to be able to give the best care.

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

Satisfactory

Satisfactory

and a safe environment.

R.P. : I carry out safety-based practices and risk management principles to ensure client safety and a safe environment. I also check each
of my patient's kardex to see what they are capable of to further prevent unwanted occurrences.

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

Satisfactory

Satisfactory

uncertain.
R.P. : I always ask questions and clarify the plan of care, unclear orders or directions, and whenever uncertain so I can
set a plan for the day and address the needed care for each client.

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

Satisfactory

Satisfactory

unsafe,
unacceptable and/or unprofessional behavior.
R.P. : I also demonstrate professional behavior by seeking assistance in situations in which there is unsafe, unacceptable and/or
unprofessional behavior. In post-conference, there have been situations where my group discussed about possible situations that can
occur in the setting and determined the solutions that can be approached to help solve the problem.

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

Satisfactory

Satisfactory

R.P. : I am able to demonstrate understanding about the role of the nurse within health care. I do so by looking into my scope of practice
and the controlled acts that a nurse is only allowed to perform.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
Ralph has maintained a safe practice and has delivered care with developing competence. He has operated within the guidelines stipulated
by the placement facility. He is aware of the importance of safe medication administration, and has benefited from ongoing research.

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions.

Satisfactory

Satisfactory

R.P. : I often participate in team sharing and discussions, mostly in post-conference and I have gathered my data throughout the day and
ready to share valuable information.

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

Satisfactory

Satisfactory

methods.
R.P. : I document clearly, accurately, concisely in a timely manner using written and electronic methods. However, at times, I struggle to
document on time and arrive late to post-conference. Otherwise, I am able to document very clearly and concisely.

2. 3 Report relevant information to the appropriate personnel.

Satisfactory

Satisfactory

R.P. : I often report relevant information to the appropriate personnel so they are able to carry out their tasks more efficiently.

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

Satisfactory

Satisfactory

team.
R.P. : I also use communication techniques with the client and the inter-professional health care team by speaking slowly and in a
professional manner.

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

Protection Act (PHIPA).

Satisfactory

Satisfactory

R.P. : I make sure to ensure privacy and confidentiality according to the Personal Health Information Protection Act (PHIPA) as disclosing
certain information to others is not acceptable.

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

Satisfactory

Satisfactory

information.
R.P. : I often use technology to retrieve and share information including research, data and other information to broaden my knowledge
and become more aware of the different diagnoses and new medications I encounter so I can anticipate things that can be a possibility of
presenting itself.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

He is able to document accurately and in a timely manner. He is aware of the importance of reporting abnormal findings to the appropriate
personnel. His communication is satisfactory,both orally and written form

3. CARING RELATIONAL PRACTICE

3. 1 Use effective communication techniques.

Satisfactory

Satisfactory

R.P. : I often use effective communication techniques to all members of the health care team and clients to be able to communicate with
each other without any difficulty and be able to get messages across to one another more easier.

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

Satisfactory

Satisfactory

and health care team members.

R.P. : I always try to establish therapeutic caring, compassionate, and culturally safe relationships with clients and health care team
members. I keep an open mind while providing care and interacting with the clients and inter professional team as I want to start a
therapeutic relationship.

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

Satisfactory

Satisfactory

R.P. : I demonstrate therapeutic use of self to foster client well-being by trying to relate to the person in some way to show empathy and
possibly boost the well being of my client.

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

Satisfactory

Satisfactory

have on relational practice.

R.P. : I often use self-awareness to identify the effects that beliefs, values, and personal experiences have on relational practice. There
may be times in the future where I will not agree to doing certain acts as it can interfere with my beliefs, values and personal experiences,
and I will have to advocate for myself within those times without further compromising the health of my patients.

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

Satisfactory

Satisfactory

consult appropriately.
R.P. : I do collaborate with clients and members of the inter-professional health care team and consult appropriately to make ends meet
and rehabilitate my patient's health to the fullest.

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

Satisfactory

Satisfactory

R.P. : I support the diversity of clients and the inter-professional health care team by being culturally sensitive and mindful of their culture.

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

Satisfactory

Satisfactory

influencing their choices and decisions.

R.P. : I do display sensitivity and respect for clients cultural, religious, and other beliefs and values influencing their choices and
decisions since it is their beliefs and values and I do not want to intervene to tell them what is right and wrong.

3. 8 Provide effective client education.

Satisfactory

Satisfactory

R.P. : I usually provide effective client education whenever giving medication or what the patient is allowed to do and not do so the
patient's health will not be compromised and will make a full recovery.

Teacher comments for CARING RELATIONAL PRACTICE :

His interpersonal skills are acknowledged. He delivers care in a sensitive and compassionate manner. He is supportive of the team
approach as he himself has benefited from this.

4. LEADERSHIP AND ADVOCACY

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

Satisfactory

Satisfactory

R.P. : I am able to apply appropriate conflict resolution skills in therapeutic client and other interactions by carefully assessing the
situation and analyzing possible solutions to help resolve the problem.

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

Satisfactory

Satisfactory

environment.
R.P. : I evaluate and refine leadership skills to develop solutions and create a positive work environment to help everyone work more
efficiently and carry out tasks safely.

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

Satisfactory

Satisfactory

professional health care team.

R.P. : I do often provide feedback to peers and accept feedback from peers and members of the inter-professional health care team as it is
a learning experience to help us students gain more knowledge and better our practice in the field.

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

Satisfactory

Satisfactory

R.P. : I do advocate for clients, self, others, and quality practice environment as each person needs to be respected and receive the same
equal amount of respect.

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

Satisfactory

Satisfactory

R.P. : I support clients rights for self-determination and choice because each person should be entitled to make their own decisions for
themselves.

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

Satisfactory

Satisfactory

R.P. : I am able to respond appropriately to unsafe, unacceptable, and unprofessional behaviours. I behave in a professional way and
handle such unprofessional behavior this way because acting unprofessional would just add more problems to the situation.

4. 7 Collaborate and consult when implementing health care and nursing practices that are in

Satisfactory

Satisfactory

the best interests of the public and protect the public through collaboration and consultation.
R.P. : I often 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.

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

Satisfactory

Satisfactory

R.P. : I usually contribute to the creation of quality practice solutions and strategies by consulting with my teacher of ways where these
solutions and strategies can be implemented in the workplace.

Teacher comments for LEADERSHIP AND ADVOCACY :

He embraces leadership and professionalism and advocates for himself, peers and clients.

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.
R.P. : I often incorporate the clients unique needs and expected outcomes into holistic and client-centred plans of care because after all it
is their health, and they should have a say on what the plan of care is. I do this by advocating for my clients and ask them what they would
like to do first and what they would like to do throughout the day.

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

Satisfactory

Satisfactory

articulated competently in writing and orally.

R.P. : I develop theory-based plans of care that are holistic and client centered and are articulated competently in writing and orally. I often
write these plans of care down on paper on the care map plan that was just introduced to us students this semester, it has been really
helpful.

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

Satisfactory

Satisfactory

R.P. : I do use my knowledge, skill and judgment to assess clients, prioritize needs and outcomes. This area was lacking on my part earlier
on this semester, however, it has improved overtime and am able to make such judgments and carry out skills.

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

Satisfactory

Satisfactory

R.P. : I do collaborate in the evaluation and modification of plans of care. I did not get many opportunities when modifying plans of care,
but I did evaluate plans of care and thought out some modifications that can possibly benefit the client more.

5. 5 Safely and competently implement and evaluate nursing assessments and nursing

Satisfactory

Satisfactory

interventions in a manner that demonstrates knowledge and skill.

R.P. : I am able to safely and competently implement and evaluate nursing assessments and nursing interventions in a manner that
demonstrates knowledge and skill. At times, I help myself by researching online the rationales for such interventions to help broaden my
knowledge.

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

Satisfactory

Satisfactory

R.P. : I usually use the Three-Factor and practice decision-making frameworks to guide practice as these factors is what influences what
type of care is needed to be given to the patient to meet their needs.

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

Satisfactory

Satisfactory

physical
resources.
R.P. : I am able to prioritize nursing care and nursing interventions in order to manage workload, time, and physical resources. This area is
also an area that I lacked in, but I got used to it and was able to carry out these tasks more efficiently.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
He responds positively to feedback and has gained much strides in his level of competence. His care plans are well thought through,
reflecting appropriate nursing diagnoses, intervention and outcomes.

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.
R.P. : 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. I do so by asking the inter professional team first what is the plan of care of this patient for
the day and consulting with the patient if he/she is fine with the care that is needed to be provided.

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.

R.P. : I contribute as a member of the inter-professional health care team to respond to the changing needs and expected outcomes of
clients. I do so by checking my patient's chart, and if the doctor has a standing order for the patient, I act upon the order and carry out the
care.

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

Satisfactory

Satisfactory

R.P. : I often seek out assistance and consult with members of the inter-professional health care team. This is when I am unsure of certain
subjects or not allowed to do specific procedures and help me out with the situation.

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

Satisfactory

Satisfactory

outcomes.
R.P. : I use teamwork, consensus building, and conflict resolution skills to meet expected client outcomes. I also consult with my teacher
and my peers to see the best option for my patient to be able to meet such outcomes.

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

Satisfactory

Satisfactory

R.P. : I also use effective, collaborative, and consultative strategies to meet clients needs within a changing environment. I consult with
the inter professional team on what needs to be done for my patient to be able to adapt to changing environment without putting my
patient's health in danger.

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

Satisfactory

Satisfactory

competencies.
R.P. : I often interact with members of the health care team respecting their unique role and competencies. Everyone has their own roles in
the hospital but has the same goals, which is to provide the best care for the patients and I respect that.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

He has benefited from the value of team work and so is supportive of this approach. He is able to collaborate with the staff, is however
encouraged to broaden this scope to include other members of the inter professional team.

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.
R.P. : I usually act in the best interests of clients and protect clients from harm through collaboration and consultation with members of
the inter-professional health care team and through competent and safe practice. I always seek help whenever I feel as though I am not
doing something with 100% confidence, so I consult with the members of the inter professional team.

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

Satisfactory

Satisfactory

integrate feedback into practice.

R.P. : I do usually engage in ongoing reflective practice to identify strengths, areas for improvement; and, integrate feedback into practice.
I actually do this every time when it is clinical day as I reflect back on the day thinking what could I have done better today.

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

Satisfactory

Satisfactory

program (CNO).
R.P. : I have created, implemented, and evaluated a learning plan consistent with the Quality Assurance program (CNO). This is a
requirement from teachers and it is very beneficial to us students as we get to reflect on how can we improve our practice.

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

Satisfactory

Satisfactory

integrate these into practice.

R.P. : I often seek out learning opportunities and feedback that foster professional development; and, integrate these into practice. My unit
has a lot to offer and almost every week, there is something new to look at and am grateful to experience many different things.

7. 5 Use nursing research to foster professional development.

Satisfactory

Satisfactory

R.P. : I also use nursing research to foster professional development. I do my research before coming to clinical and this offers me a step
ahead into developing professional competencies.

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

Satisfactory

Satisfactory

R.P. : I always use a theory-based approach and evidence-informed practice to guide my practice and safely carry out my care.

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

Satisfactory

Satisfactory

these affect nursing practice.

R.P. : I apply knowledge of changes to the health care system, technology, and in society as these affect nursing practice. I am aware of
the ever changing society and its effects on the health care system and nursing practice.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

Has developed through ongoing research, seeking, learning and practicing new learning opportunities. He responds positively to feedback,
in a non defensive manner.

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.
R.P. : I do use critical thinking and problem-solving skills to inform decision-making in all aspects of nursing care. I do so by analyzing the
situation and think of ways of how to solve such problems.

8. 2 Use critical thinking, problem-solving and decision-making skills to assess clients and to

Satisfactory

Satisfactory

determine nursing diagnoses, expected outcomes, nursing interventions, and evaluative

criteria.
R.P. : I usually use critical thinking, problem-solving and decision-making skills to assess clients and to determine nursing diagnoses,
expected outcomes, nursing interventions, and evaluative criteria. I have done this multiple times with the care maps that we have the
opportunity to use and implement into our care.

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

Satisfactory

Satisfactory

to improve
these.
R.P. : I always evaluate critical thinking, problem-solving, and decision-making skills and design a plan to improve these. This is another
area which I have not been strong in and have been continually reflecting on ways to improve these and overtime it did.

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

Satisfactory

Satisfactory

practice to provide safe and competent care.

R.P. : Integrate knowledge from a variety of nursing, health, and other theory into nursing practice to provide safe and competent care.

8. 5 Prioritize effectively.

Satisfactory

Satisfactory

R.P. : I am able to prioritize effectively. This is still an ongoing process and I have been able to improve this skill since the beginning of the
semester.

8. 6 Demonstrate professionalism and accountability.

Satisfactory

Satisfactory

R.P. : I demonstrate professionalism and accountability within the placement by showing up on time and respecting every one in the
practice setting.

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

Satisfactory

Satisfactory

and guide practice.

R.P. : I often use the practice decision-making and the nurse-client-environment frameworks to inform and guide practice. By doing so,
I have been able to carry out my nursing practice safely.

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

His care plans reflect a satisfactory ability to collect data, analyse and create problem solving and decision making through critical
thinking. He is professional in his approach and is always prepared for practice. Time management and prioritizing are relevant and
appropriate learning needs.

Student Final Summary with Strategies for Continued Growth

I have learned so much from this past semester. I could not have asked for a better placement, teacher and peers as they have all been supportive
throughout the semester. I just want to continue with an open mind and not forget to keep my head up looking for more opportunities as this journey is
coming to and end. I want to make the best of anything and everything that comes my way.

Teacher Final Summary with Strategies for Continued Growth

Ralph has performed in a satisfactory manner in meeting his course objectives and outcomes. He is knowledgeable and possesses the ability to
problem solve and critically think through in making good nursing and professional judgement.
He has however come short of not setting high enough goals for himself. He is therefore encouraged to aim to achieve more than mediocrity. Do not
settle for less.
Create higher goals. Why mediocrity when you can achieve excellence!
Continue to seek out new learning opportunities
Practice better time management, planning and organization.
Continue ongoing self reflection in order to further enhance professional development and quality assurance.

Grade

Satisfactory

Unsatisfactory

Referred to Clinical Excellence Committee (CEC)

Grade

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