Self Assessment

2015 - 2015 - Final NURS-151 Course Learning Outcomes

NURS 151 Practical Nursing Practice 2 (PN, 04-May-2015 - 05-Sep-2015)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Period :
Student hours :
Required Hours :
Validated hours :

Latchmi Udho
Martha Lalor
John Stone
William Osler Health Centre/Etobicoke General
Hospital
Agency
9CCC
04-May-2015 To 02-Aug-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 and

Satisfactory

Satisfactory

procedures.
L.U. : Clinical practice was done in accordance with the hospital's policies and procedures. Unsafe practice was reported to the inter-professional
team. In addition, patient care was provided within the stipulation of the College of Nurses of Ontario. Dress code and personal conduct set by
Humber College was adhered to.

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

Satisfactory

Satisfactory

L.U. : Patient care was provided within my scope of practice and with the patient's safety and wellbeing in mind. Care was provided according to the
hospital's policies and procedures and documented accurately in a timely manner. I took on the role of leadership and advocate for the patient I was
assign to.

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

Satisfactory

Satisfactory

professionals.
L.U. : Self-Assessment was conducted throughout the clinical day to determine my strengths and limitations. Patient care that I wasn't comfortable
with was referred for assistance from the inter-professional team accordingly. Return demonstration was also done to facilitate improvement in that
particular area. In addition, I referred to my textbook and the College's Online Videos for assistance and clarification.

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

Satisfactory

Satisfactory

L.U. : Evidence informed practice and theory -based approach was used consistently to provide optimal patient care.

1. 5 Ensure client safety and a safe environment.

Satisfactory

Satisfactory

L.U. : More emphasis was placed on client safety and safe environment partly because of the nature of some of the illnesses. Most of the patients
have Cerebrovascular Accidents or other neurological deficits that placed them at high risk for falls. Safety was improved by proper lighting, proper
foot wear when ambulating, assisted ambulation, use of wheel-chair and walker and clear pathways. In addition, call bell is placed when client is in
bed.

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

Satisfactory

Satisfactory

L.U. : Plan of care for the clinical day was clearly defined and understood before patient care is attempted. Clarification was sought as required.

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

Satisfactory

Satisfactory

L.U. : Patient care was provided according to the hospital's policies and procedures. Unsafe situation was reported to the nurse in-charge and
assistance was requested as appropriate. I advocate on behalf of the patient for safety and optimum quality of care.

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

Satisfactory

Satisfactory

L.U. : I understand and demonstrate understanding of my role as a student nurse and limitations associated with this role. In addition, I provided
patient care within my scope of practice and seek assistance as required.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
Latchmi demonstrated competence in providing safe and ethical care to her patient. She exhibits professionalism and practice within her
scope has a Practical nursing student. Latchmi consistently provide optimal care to her patients.

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions.

Satisfactory

Satisfactory

L.U. : I consistently participated in team sharing and discussions. I contributed nursing related knowledge and ideas which I think will be beneficial to
the group. For example, I presented the idea of having Diabetes Mellitus discussed during Conference because of its importance and impact on our
Health Care System. I also provided peer feedback, so my colleagues can improve on patient care and outcome.

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

Satisfactory

Satisfactory

L.U. : Electronic documentation was done in accurately, concisely and in a timely manner according to hospital policies and procedures using
MediTech. In addition, accurate and timely documentation as required was done on the Medication Administration Record.

2. 3 Report relevant information to the appropriate personnel.

Satisfactory

Satisfactory

L.U. : Information was passed on the appropriate personnel as necessary to maintain patient safety and comfort and improve the quality of care
provided. My teacher was first notified of any unsafe situations.

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

Satisfactory

Satisfactory

L.U. : A variety of communication techniques were used during my Clinical Rotation as clients have varying levels and types of impairment.
Commuincation techniques were changed as the situation warrants.

2. 5 Maintain privacy and confidentiality according to the Personal Health Information Protection Act
(PHIPA)

Satisfactory

Satisfactory

L.U. : Patient privacy and confidentiality was maintained to a high standard. Only relevant information as seen appropriate was disclosed to the interprofessional team in order to maintain or improve the quality of care provided to patients.

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

Satisfactory

Satisfactory

L.U. : Technology was used to retrieve information and data as needed to provide high quality of care.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

She individualized her communication based on the patient needs. She communicated relevant information about her assigned patient and
documented concisely and accurately using Meditech.

3. CARING RELATIONAL PRACTICE

3. 1 Utilize effective communication techniques.

Satisfactory

Satisfactory

L.U. : Various communication techniques were utilized to effectively communicate with patients in order to achieve expected outcome.

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

Satisfactory

Satisfactory

and health care team members.

L.U. : I demonstrated therapeutic caring, compassionate and culturally safe relationship with clients and health care team members by acting within
my scope of practice and being empathetic. In addition, I am cognizant of my cultural values and the values of others around me. I am also aware that
my culture should not depict the quality of care I provide and influence my professional relationships.

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

Satisfactory

Satisfactory

L.U. : Providing patient care not only involves administering medication or assisting with activities of daily living but also encompasses social
interaction. Some patient does not see family members for days and so the nurse needs to be that means of social interaction. I listen to my patients,
share their laughter and sorrows, read to them, apply nail polish and being empathic in general.

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

Satisfactory

Satisfactory

relational practice.
L.U. : I am aware that my beliefs, values and personal experiences can influence the quality of care I provide. I am also aware that it should not
influence my practice. Self-awareness is a valuable tool that highlights situations in which I might have revert back to my personal experiences.

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

Satisfactory

Satisfactory

appropriately.
L.U. : Interaction with clients and members of the inter-professional team was done on a professional manner. I acted within my role as a student and
consulted with the appropriate personnel as necessary.

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

Satisfactory

Satisfactory

professional health care team.

L.U. : I am aware that Canada has a multicultural society with peoples from many different countries. Practices and personal beliefs influence the
way people view health. So, knowledge of Culturally Sensitive Care is applied when caring for clients. Further, understanding the culture of others
makes communication and professional relationships more effective and productive.

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

Satisfactory

Satisfactory

clients choices and decisions.

L.U. : Having knowledge of client's cultural, religious and other beliefs and values help me understand the choices clients make and enable me to
provide client teaching accordingly.

3. 8 Provide effective client education.

Satisfactory

Satisfactory

L.U. : Clients require varying levels and types of health teaching. Proper assessment and the type of questions asked determine the type of teaching
required. Sometimes returned demonstration is used to enforce client education.

Teacher comments for CARING RELATIONAL PRACTICE :

Latchmi displayed sensitivity and respect for clients' culture, religious beliefs and choice. She continually provided respectful and
compassionate care to the hospital diverse patient population.

4. LEADERSHIP AND ADVOCACY

4. 1 Recognize conflicts and strategies for resolution.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

L.U. : Various strategies were implemented to resolve conflict effectively and efficiently within the team.

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

L.U. : I was able to demonstrate leadership skills that foster group work so that we can all achieve maximum benefit from this clinical rotation and
improve on our practice e.g. I presented the idea of having a discussion on Diabetes Mellitus during Conference time.

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

Satisfactory

Satisfactory

client, self, others, and quality practice.

L.U. : Unsafe situations were brought to the attention of my teacher. Advocating for my patients helped provide a better quality of care and improved
on safety and comfort.

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

Satisfactory

Satisfactory

professional health care team.

L.U. : Providing and receiving peer feedback was done several times per day to improve clinical practice. Feedback from members of the interprofessional team was of tremendous help and was taken with optimism.

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

Satisfactory

Satisfactory

L.U. : Clients's rights for self-determination and choice was respected and supported. However, in some cases client teaching is required for a
positive outcome. Knowledge of diversity helped provide a better quality of care and attainment of health goals.

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

Satisfactory

Satisfactory

L.U. : I am aware that unsafe, unaccepatable and unprofessional behaviours should be reported to the appropriate personnel. Fortunately, no such
incidence occurred during my clinical rotation.

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

Satisfactory

Satisfactory

interests of the public and protect the public through collaboration and consultation.
L.U. : Consultation and collaboration as needed when carrying out nursing care with the best interest of the public in mind, especially Infection
Control. Proper hand hygiene done and other precaution undertaken.

Teacher comments for LEADERSHIP AND ADVOCACY :

Latchmi consistently showed leadership qualities by taking the initiative to care for and advocate for her patients. She provided feedback
to her peers and has shown growth and improvement on feedback from her instructor.

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

L.U. : Every client needs are different with varying expected outcome. Individualized plans of care provided optimize client care and attainment of
goals. Furthermore, it increases client satisfaction and comfort.

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

Satisfactory

Satisfactory

competently in writing and orally.

L.U. : A client plan of care encompasses a holistic approach and is communicated to the client. It is highly individualized with the client being a
partner in the care.

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

Satisfactory

Satisfactory

L.U. : Client's needs and outcomes are prioritized using knowledge, skill and judgment to achieve a high quality of care and increase patient comfort.

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

Satisfactory

Satisfactory

L.U. : At the end of the clinical day change of shift report is given to the incoming nurse. In addition, patient assessment is done continually to
evaluate plans of care.

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

Satisfactory

Satisfactory

based and within skill abilities.

L.U. : I am able to safely and competently carry nursing assessments and interventions within my scope of practice. Consultation is done as
necessary to improve the quality of care and patient's safety.

5. 6 Carry out nursing care that reflects the practice decision-making framework.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

L.U. : ADPIE was utilized to carry out nursing care and evaluating goals outcome.

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

L.U. : Nursing care responsibilities and nursing interventions were done in an organized and timely manner. In addition, patient care was planned and
prioritized to improve health outcome.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :

She organized care for her patients based on data collected from patients' Kardex, MARS, patient charts and nursing report. She safely
and competently completed administering PO medication, subcutaneous injections, foley catheter care, providing ADL, dressings and
documentation. She managed her workload in a timely manner.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

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

Satisfactory

Satisfactory

determine health needs, and to achieve mutually agreed expected outcomes.

L.U. : I worked in collaboration with other members of the health team with the common goal of maintaining or improving the health of the clients,
providing safety and comfort.

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

Satisfactory

Satisfactory

needs and expected outcomes of clients.

L.U. : Implementing a comprehensive plan of care helped to achieve the expected outcome of care. Proper planning also allotted time to attend to
other changing needs in a timely manner and collaboratively as the situation warrants.

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

Satisfactory

Satisfactory

L.U. : I performed my clinical duties within my scope of practice and within my ability. Assistance was sought as required to maintain and improve
client safety and provide a better quality care.

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

Satisfactory

Satisfactory

L.U. : Teamwork and conflict resolution foster growth and development when taken postively. This has helped me developed on patient care and
increase my knowledge base.

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

Satisfactory

Satisfactory

changing environment.
L.U. : Advocating for clients helped to meet the needs in a changing environment. Collaborating and consulting also helped to optimize the quality of
care provided and met the needs of the clients.

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

Satisfactory

Satisfactory

L.U. : Every member of the health care team has their unique role in patient care and act within their scope of practice with the common goal of
maintaining or improving the health of the clients. Having knowledge of the duties and limitations helped to consult and seek assistance in a more
effective and efficient manner.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

She consulted and collaborated with peers, teacher and members of the inter-professional team when carrying out health care and nursing
practice that is in the best interest of the patients. She seeks out appropriate assistance to provide optimal care to her patients.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

7. 1 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.

Satisfactory

Satisfactory

L.U. : I always act in the best interest of the client, listening to their concerns and advocating to increase safety and comfort. Patient care was
provided in collaboration and in consultation with other members of the team to protect client.

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

L.U. : Self-reflection is continually done to identify my strengths and areas that needs improvement.

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

L.U. : A learning plan was done in accordance with the stipulation set by the College of Nurses of Ontario and consistent with the Quality Assurance
program.

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

Satisfactory

Satisfactory

integrate these into practice.

L.U. : I actively seek out learning opportunities and feedback to help me develop the knowledge and skills require to practice safely and efficiently.
These were incorporated into my clinical practice to improve client care.

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

Satisfactory

Satisfactory

L.U. : Various nursing, health and other theory and literature were utilized to improve my practice and promote high quality client care.

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

Satisfactory

Satisfactory

L.U. : Client care was done using a theory-based approach and evidence-informed practice. This approach provides a means of evaluating the
expected outcome of an intervention.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

She demonstrated knowledge of providing safe nursing care while acting in the interest of her patients. In addition, she seeks out learning
opportunities to improve her clinical skills.

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

L.U. : Problem-solving skills are used comprehensively to influence decision making in all aspects of nursing care. It provided a means of meeting
health care goals.

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

Satisfactory

Satisfactory

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

L.U. : Problem-solving and decision making skills were utilized to plan client care for the clinical day. It was used to prioritized interventions and
determining if goals were achieved.

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

Satisfactory

Satisfactory

L.U. : Self-reflection provided a means of highlighting areas that require improvement. Problem -solving and decision making skills are areas that
require improvement because it is crucial in order to provide safe and effective patient care.

8. 4 Utilize knowledge from variety of nursing, health, and other theory into nursing practice to

Satisfactory

Satisfactory

provide safe and competent care.

L.U. : A variety of nursing, health and educational tools were used to foster the growth of knowledge that is incorporated into my nursing practice to
provide safe and competent patient care.

8. 5 Use prioritization strategies for client care.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

L.U. : Client care for the clinical day was prioritized in order to provide comfort and achieve goals.

8. 6 Demonstrate professionalism and accountability.

L.U. : I performed my role as a student nurse in a professional manner. I adhere to the uniform policy set by the college and act within the guideline
of the hospital's policies and procedures. In addition, every care provided was documented accurately, concisely and timely.

Satisfactory

8. 6 Recognize strengths and limitations and seek appropriate assistance and support.

Satisfactory

L.U. : Regular self-assessment highlighted my strengths and limitations which I actively pursue. I seek assistance from the inter-professional team to
improve my skills and knowledge. In addition, I use the Open Access Lab to practice areas that need improvement or to retain my skills.

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY :
Her critical thinking, problem solving decision-making skills had developed throughout the clinical rotation. Each week of clinical practice
she demonstrated professionalism and accountability.

Student Final Summary with Strategies for Continued Growth

This clinical rotation has helped me to develop the skills and knowledge required to practice safely and competently. I am using the open access lab,
textbooks and the college's online videos to achieve the goals set in my learning plan in a timely manner. In addition, I use feedback from my peers to
help me improve my skills in order to provide safe and competent client care. I will continue to practice my assessment skills with famility members
and peers to maintain competency.

Teacher Final Summary with Strategies for Continued Growth

Latchmi demonstrated understanding of her student role in the clinical practice setting. She has competently met the standards, expectations and
goals. She has satisfactorily achieved her learning outcomes and objectives for this clinical rotation.

Grade

Satisfactory

Unsatisfactory

Referred to Clinical Excellence Committee (CEC)

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

At the end of this clinical rotation I developed the skills required at my level of studies to practice safely and competently. I checked vital signs,
administered oral medications, subcutaneous injections, wound dressings, bed baths and health teachings. In addition, electronic documentation was
done accurately and in a timely manner. I will continue to practice my skills in the Open Access Lab and seek assistance as needed.

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 :

Latchmi Udho
Martha Lalor
Judy Martin
William Osler Health Centre/Etobicoke General
Hospital
Agency
7W Neurology
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 and

Satisfactory

Satisfactory

procedures.
L.U. : Client care was done according to the hospital's policies and procedure. In addition, I performed care within the capacity as a student and seek
assistance as needed. In addition, I practiced according to the guideline set by Humber College and adhere to uniform policy and attendance policy.

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

Satisfactory

Satisfactory

L.U. : I performed client care in a safe and responsible manner and seek out assistance for care outside my scope of practice. I advocated for a safe
environment and safety of clients. In addition, every client care is carefully and accurately documented and referrals are made as required.

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

Satisfactory

Satisfactory

L.U. : I first assess the stability of my clients and referred and sought assistance from the inter-professional team as my client's condition changes. I
also recognized my own strengths and limitations and performed client care within my scope of practice.

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

Satisfactory

Satisfactory

L.U. : Client care is performed in accordance with evidence informed practice and theory based approach to ensure improved or maintain the health.
This involved knowledge acquired from the College and information derived from text book and academic journals.

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

Satisfactory

Satisfactory

safe environment.
L.U. : Necessary step was taken to ensure client's environment is safe and free from obstacles. Beds were kept down and side rails up for client at
risk for falls. In addition, call bells were answered promptly to prevent clients getting up without assistance.

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

Satisfactory

Satisfactory

L.U. : Plan of Care was done at the beginning of the shift and uncertain situations were questioned and referred as warranted. As client condition
changes, I recognized my limitation as a student and seek assistance from the inter-professional team and my teacher.

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

Satisfactory

Satisfactory

unacceptable and/or unprofessional behavior.

L.U. : I always carry myself in a professional manner and advocate for client safety. Unsafe situations were referred to the appropriate personnel and
situations were rectified. Unprofessional behaviour was reported to my teacher and necessary action was taken.

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

Satisfactory

Satisfactory

L.U. : I am aware that the nurses play an integral part in the care of the client and they have certain limitations. My ability to understand the role of the
nurses and that of the student enable me to more effectively perform client care and maximized health care outcome.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
Latchmi demonstrated competence in providing safe and ethical care to her patient. She exhibits professionalism and practice within her
scope has a Practical nursing student. She is always punctual and dressed according to Humber College policy.

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions.

Satisfactory

Satisfactory

L.U. : Team sharing is important in achieving outcome and ensure optimum client care and satisfaction. I participated in discussion and sharing with
team members. This has helped me acquired and perfected various skills and improved my knowledge base.

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

Satisfactory

Satisfactory

L.U. : Client care was documented accurately and in a timely manner to ensure accessibility by team members in order to optimized care. In addition,
retrieval of information was done for comparison to assess changes overtime.

2. 3 Report relevant information to the appropriate personnel.

Satisfactory

Satisfactory

L.U. : Relevant information was reported to the appropriate personnel mainly my teacher and necessary action was taken to ensure client safety.
This was absolutely necessary to achieve goals and provide optimal care.

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

Satisfactory

Satisfactory

L.U. : Various techniques were used to communicate with client and inter-professional team. This was priority so that plan of care is clearly
understood so that goals can be achieved.

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

Satisfactory

Satisfactory

(PHIPA).
L.U. : I am aware of the importance of client privacy and confidentiality according to PHIPA. Client's health information was never discussed with
families, friends or health care personnel not directly caring for the client. I am also aware of the consequences of diclosing information to unauthorize
persons.

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

Satisfactory

Satisfactory

L.U. : Meditech, which is a secure program is used to document and retrieve client information. In addition, the hospital's website was used for
research and retrieval of other information which was used to make client care more efficient and effective.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

She communicated relevant information about her assigned patient and documented concisely and accurately using hospital's Meditech
computer system.

3. CARING RELATIONAL PRACTICE

3. 1 Use effective communication techniques.

Satisfactory

Satisfactory

L.U. : I used various communication techniques to effectively communicate with my clients and members of the inter-professional team. This has
made client care easier for me and improved health care outcome. In addition, care plan was better understood and evaluated by team members.

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

Satisfactory

Satisfactory

health care team members.

L.U. : I am aware that nurses have power nurse-client relationship and this power should be used for the benefit of the client. Client should be given
choices to their care and received informed decisions. Every client is different in health practices and care should be individualized to increase care
satisfaction and maintain therapeutic relationship.

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

Satisfactory

Satisfactory

L.U. : Client care is not only providing medication and personal hygiene, but interaction such as talking and listening. By just having someone to
listen means a lot to clients. They are able to reminisced which is a very important aspect of aging.

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

Satisfactory

Satisfactory

relational practice.
L.U. : I am aware that my own values, beliefs and practices can influence the quality of care I provide to my clients. I use self-awareness to evaluate
the care I provide and improve my practice.Having knowledge of other cultures has enabled me to individualized client care.

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

Satisfactory

Satisfactory

appropriately.
L.U. : Client care was provided in a collaborative effort of client, family and members of the inter-professional team. Members were consulted
appropriately as required in order to achieve and evaluate goals outcome.

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

Satisfactory

Satisfactory

L.U. : I respect and support diversity of my clients and members of the inter-professional team. I also understand that this plays an important role in
the recovery of my clients and can affect working relationship with team members.

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

Satisfactory

Satisfactory

influencing their choices and decisions.

L.U. : The choices and decisions clients make are greatly influenced by their cultural, religious and other beliefs and values. However, proper health
teaching and education is needed to make proper decisions and achieve health outcome.

3. 8 Provide effective client education.

Satisfactory

Satisfactory

L.U. : Sometimes client require health teaching to better understand how to care care of themselves and improve their quality of life. Initial
assessment helped to highlight areas that more information is needed by client.

Teacher comments for CARING RELATIONAL PRACTICE :

Latchmi displayed sensitivity and respect for clients' culture, religious beliefs and choice. She provided respectful and compassionate care
to the hospitals' very diverse patient population.

4. LEADERSHIP AND ADVOCACY

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

Satisfactory

Satisfactory

L.U. : Conflict resolution skills were applied in therapeutic client and other interactions to achieve goals and evaluate outcomes.

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

Satisfactory

Satisfactory

environment.
L.U. : Leadership skills were evaluated and refine to develop solutions to situations and create a positive and productive work environment. I
assessed my ability to take control of a situation and seek delegate duties.

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

Satisfactory

Satisfactory

professional health care team.

L.U. : Feedback is very important to improve practice and delivered quality care. I provided and accept feedback from peers and members of the
health care team which I used to develop skills and make positive changes to improve my practice.

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

Satisfactory

Satisfactory

L.U. : I advocated for my clients, myself and others to provide a safe environment to administer care and provide optimum care.

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

Satisfactory

Satisfactory

L.U. : I supported clients' rights for self-determination and choice because I realize decisions are influence by cultural beliefs and practices. However,
health teaching can be very helpful to make more informed decisions about a plan of care. It also helps client to understand their diagnosis and be a
more active participant in their care.

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

Satisfactory

Satisfactory

L.U. : Clients are remove from unsafe situation and the necessary authorities are informed. More than often issues are brought up with my clinical
instructor who responds promptly with the appropriate action.

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

Satisfactory

Satisfactory

best interests of the public and protect the public through collaboration and consultation.
L.U. : Client care is provided in collaboration and consultation with the health care team and in the best interest of the public. Necessary steps such
as infection control is taken to protect the public and reduces the spread of infection and pathogenic organisms.

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

Satisfactory

Satisfactory

L.U. : As a team member I contributed to the development and improvement of the quality of care delivered to clients. Care was based on evidencebased practices.

Teacher comments for LEADERSHIP AND ADVOCACY :

She showed leadership qualities by taking the initiative to provide care and advocate for her patients.

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-centred

Satisfactory

Satisfactory

plans of
care.
L.U. : I am aware that every client has unique needs based on their diagnosis, cultural values and practices. Incorporating these needs into the plan
of care made client care more efficient. This helps to achieve expected outcome and improve care satisfaction.

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

Satisfactory

Satisfactory

competently in writing and orally.

L.U. : Plans of care was developed according to theory-based and holistic care. It was well documented and conveyed to health care team members.
This has helped to make client care more productive.

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

Satisfactory

Satisfactory

L.U. : Client care was provided on the basis of assessment. I utilized my knowlegde, skill and judgement to prioritized interventions so as to achieve
expected outcome and improve the well-being of the client.

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

Satisfactory

Satisfactory

L.U. : Plan of care is constantly evaluated and changes made as the client condition changes. These changes are documented and team members
are informed.

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

Satisfactory

Satisfactory

in a manner that demonstrates knowledge and skill.

L.U. : Nursing assessments and interventions are done safely and competently using knowledge and skill acquired over the years and from theory
based information and previous clinical experiences.

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

Satisfactory

Satisfactory

L.U. : Three factor and practice decision- making framework are utilized to guide my practice by assessing changes in my client's condition and
delegate responsibilties. This ensures that I am practicing within my role as a student.

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

Satisfactory

Satisfactory

resources.
L.U. : By prioritizing nursing care and interventions I am able to better manage my workload and time. I am able to deliver complete client care and
report to conference on time. Prioritizing care also enables me to provide better care and increase client comfort and safety.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :

She organized her nursing care based on data obtained from patient records and nursing report. She provided nursing care such as ADL
and administered PO medication, medication via G-feed; subcutaneous medication such as Heparin, Lovenox and insulin. She also
administed IM injection. She applied Nitro-patch, administered Ventolin inhalation; removed staples; applied steri strips, and instilled eye
drops. Additionally, she prepared, hung and administered IVPB medication. She inserted foley catheter and provided catheter care.

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.
L.U. : Care was provided to clients in collaboration with the inter-professional team and plan of care and goals outcome were mutually agreed upon.
As clients condition changes new goals are set and this is communicated with team members.

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

Satisfactory

Satisfactory

needs and expected outcomes of clients.

L.U. : As a member of the collaborative team, I responded the changing needs of the client and make necessary changes to the plan of care which is
constantly evaluated to determine if goals were met.

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

Satisfactory

Satisfactory

L.U. : As a student, I practiced within my scope of practice and seek assistance as needed. Through self-awareness I was abled to assess my skills
and knowledge and decide if I needed help to provide client care or if more skill development is required.

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

Satisfactory

Satisfactory

outcomes.
L.U. : Teamwork, concensus building and conflict resolution skills were utilized to meet client outcome and improve care provided. Conflict resolution
is particularly important in deciding the best possible solution.

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

Satisfactory

Satisfactory

environment.
L.U. : Effective, collaborative and consultative strategies were utilized to meet clients' need in a changing environment. Assistance were required for
complex care or when client's condition declined.

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

Satisfactory

Satisfactory

L.U. : I am aware that every member of the inter-professional team has their unique role in the care of clients and can only act within their scope of
practice. This has helped me direct my call for assistance to the right individual. This has also saved time and become more efficient.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

Latchmi is respectful to peers, instructor, nursing staff and members of the inter-professional team. She consulted and collaborated with
peers, teacher and members of the inter-professional team when carrying out health care and nursing practice that is in the best interest of
the patients.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

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

Satisfactory

Satisfactory

consultation with members of the inter-professional health care team and through competent and safe
practice.
L.U. : I advocated for and acted in the best interest of the clients. I ensure a safe and secure environment for clients. I also acted within my scope as
a student and seek assistance as the need arises.

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

Satisfactory

Satisfactory

feedback into practice.

L.U. : Client care is constantly evaluated through refective practice. My strengths and limitations are identified and areas for improvements are
hightligthed. I am abled to improve by practice and reading my textbook for further information.

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

Satisfactory

Satisfactory

(CNO).
L.U. : Learning Plan was created according to and consistent with CNO's Quality Assurance program and deadline highlighted to improve areas of
limitations. Improvement was done through Open Access Lab, research, and practice in the clinical setting. Peer feedback has also helped to highlight
areas for improvement.

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

Satisfactory

Satisfactory

integrate these into practice.

L.U. : At the clinical setting I am always seeking out learning opportunities and feedback which has helped me to improved my skills and correct
areas that needed improvement. At Conference time or at the movement of client care my teacher addresses areas that needs improvement and also
shows ways to master the skill.

7. 5 Use nursing research to foster professional development.

Satisfactory

Satisfactory

L.U. : Theory based approach and nursing research were used to foster development in my practice. Knowledge from the college, text books and
peer reviews are incorporated into Nursing to improve the quality of care provided to clients. However, documents are scrutinized for its authenticity.

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

Satisfactory

Satisfactory

L.U. : Theory -based approach and evidence informed practice plays an integral part in Nursing. Health researches are constantly carried out and
health care is evloving based on the outcome of these researches. As a nursing student I need to be intune with what changes and recommendation
is made in nursing, so that I can be able to better improve the quality of life of my clients.

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

Satisfactory

Satisfactory

affect nursing practice.

L.U. : The health care system is constantly evolving as more researches are done to improved client care and more efficient medications are
marketed. More efficient ways are projected to do diagnostic testing and treatment. As a nursing student I need to be intune with newer and more
effective interventions in providing client care.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

She manages her workload and provided patient care in a timely manner. She also demonstrated knowledge of providing safe patient care.
Additionally, she satisfactorily completed concept maps based on two of her assigned patients. Self-assessment and peer feedback was
also completed.

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

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

Satisfactory

Satisfactory

care.
L.U. : I used critical thinking and problem solving skills to inform decision making in proving client care as this can translate to safety and efficiency. It
also helps to organize client care and increase productivity.

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.
L.U. : Critical thinking is an importangt nursing skill which is necessary to assess a client changing condition and develop a plan of care based on
these changes. I determines when assistance is needed or a different level of nusring care is required.

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

Satisfactory

Satisfactory

improve
these.
L.U. : Critical thinking, problem solving and decision -making skills are constantly evaluated. Practicing of skills and nursing knowledge are necessary
to foster problem solving abilties and inproved health care outcome.

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

Satisfactory

Satisfactory

provide safe and competent care.

L.U. : Knowledge from a variety of sources such as peer review journals, texkbooks and information from the college is incorporated into client care
to provide safe and competent care.

8. 5 Prioritize effectively.

Satisfactory

Satisfactory

L.U. : Proper nursing assessment has helped me to effectively and efficiently prioritize client care and improve safety and comfort. Prioritizing helps
to better manage time and increase productivity.

8. 6 Demonstrate professionalism and accountability.

Satisfactory

Satisfactory

L.U. : I am always demonstrating professionalism and accountability for the care I provided. Professional behaviour is displayed by being in uniform,
having my badge at all times and respect members of the inter-professional time and their unique roles in providing care for the client.

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

Satisfactory

Satisfactory

guide practice.
L.U. : I utilized practice decision making and nurse-client environment to guide my practice. Nursing assessment is done and plan of care is designed
in collaboration with the inter-professional team. Client stability is assessed and assistance is sought as needed.

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

She demonstrated professionalism and accountability in her clinical practice. Problem solving and critical thinking skills have developed.

Student Final Summary with Strategies for Continued Growth

After two semesters in a clinical setting, I have developed and master some nursing skills to safely and competently provide client care. I had
opportunity to work on areas highlighted from my previous learning plan. I can now confidently and safely administer oral medication, subcutaenous
injections such as enoxaparin, mix and administer insulin routinely or according to sliding scale, mix IV medication and set it up on the IV pump,
perform accurate vital signs and respond appropriately to abnormal values, perform bed bath, insertion of male catheter, wound dressing and
assessment for infection, assess for and prevention of pressure ulcer, set up and administer ventolin treatment, empty and measure output via foley
bag.
Some areas that require improvement is removal of sutures and staples, insertion of female catheter and suctioning. These skills will be practiced in
Open Access Lab and the college's online nursing videos will be used as guidance.
My teacher has provided support and guidance to practice many skills and improve my nursing practice. Importance of prioritizing activities were
highlighted to increase efficiency and achieve health care goals.

Teacher Final Summary with Strategies for Continued Growth

Latchmi demonstrated understanding of her role as a Practical nursing student. She has progressed well in the clinical practice setting and she has
achieved her learning outcomes and learning objectives. Latchmi has acquired the skills needed to continue to grow as a successful Practical Nurse.

Grade

Satisfactory

Unsatisfactory

Referred to Clinical Excellence Committee (CEC)

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
My teacher accurately captured my performance as a Practical Nursing Student. After this clinical rotation, I have acquired new skills and improved
assisting skills to provide a safe and competent client care. However, some skills will be practiced in the Open Access Lab by April, 2016.