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NURSING 3020 Clinical Evaluation

NURS 3020H

Clinical Evaluation
Final Evaluation

Student Name: Erin Power

Clinical Instructor: Martina McDowell

Missed Clinical Hours: 32 Missed Lab Hours: 0

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NURSING 3020 Clinical Evaluation

Program Goals
Graduates are generalists entering a self-regulating profession in situations of health and illness.

Graduates are prepared to work with people of all ages and genders (individuals, families, groups, communities and populations) in a
variety of settings.
Graduates continuously use critical and scientific inquiry and other ways of knowing to develop and apply nursing knowledge in their
practice.
Graduates will demonstrate leadership in professional nursing practice in diverse health care contexts.

Graduates will contribute to a culture of safety by demonstrating safety in their own practice, and by identifying, and mitigating risk for
patients and other health care providers
Graduates will establish and maintain therapeutic, caring and culturally safe relationships with clients and health care team members based
upon relational boundaries and respect.
Graduates will be able to enact advocacy in their work based on the philosophy of social justice.

Graduates will effectively utilize communications and informational technologies to improve client outcomes.

Graduates will be prepared to provide nursing care that includes comprehensive, collaborative assessment, evidence-informed
interventions and outcome measures.

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NURSING 3020 Clinical Evaluation

Progress
Objectives Satisfactory Unsatisfactory
Indicators/Evidence
1 Prepared to provide - Comes to clinical prepared; tidy uniform, stethoscope, pen and
nursing care that includes paper.
comprehensive,
collaborative assessment, - Comes to clinical with an understanding of the potential
evidence-informed medications of my patient.
interventions and - Takes time at the beginning of the clinical day to thoroughly go
outcome measures. through the assigned patients chart in order to gain a
comprehensive understanding of the patient’s condition.
- Follows the care plan of patient accordingly, i.e. encourage
mobility as tolerated while education the patient about the
importance of early ambulation post-surgery.
- I look up medications that I am unfamiliar with in order to
understand their therapeutic effect, contraindications,
interactions, and adverse effects.
- Confidently approaches primary nurse for guidance/assistance
when needed.
- I am able to identify how well patients are healing based off
their procedure and their activity levels. (i.e. two day post op
knee replacement should be able to independtly stand and
transfer self to chair.)
- I feel confident titrating oxygen to patients based off their
SpO2 saturation. (Decreasing by 0.5-1 L every 15 minutes if
their saturation is above 95%)
2 Establishes and maintains - I introduce myself to patients as a third year nursing student.
therapeutic, caring and - I am open/honest about my clinical abilities/knowledge with
culturally safe
relationships through my patients. When I am ask questions that I do not know the
effective communication. answers to I seek guidance.
- I ask my patients if there is anything I can get them every time
I’m in their rooms.
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NURSING 3020 Clinical Evaluation

- I respect their privacy and respond to their cues (i.e. amount of


assistance needed with AM care, toileting).
- I ask my patients if they want pain control prior to activities
such as physio or dressing changes.
- I ensure privacy during procedures by closing curtains.
- I had the opportunity to talk with one of my patients about
death and suffering. I listened to him express his fears and
worries as he was palliative. He was open with me and I felt his
fear with him. We talked about how there is no need for him
to feel pain so that he would receive analgesics on a regular
basis.
- I involve the patient’s families when present. I explain what I
am doing and why. For example family members may think it is
odd that I take time and look at the patient’s feet after a hip
replacement. So I explain the importance of monitoring
circulation and blood flow to the extremities past the incision
site.
3 Applies the four ways of - I treat my patients in the way that they want to be treated.
knowing and - After having an orthopedic surgery myself, I know how painful
informational
technologies to the recovery process can be. While encouraging patients to
effectively care for ambulate I am sensitive to their pain and hesitation.
diverse, acutely ill - When patients are hesitant to ambulate, I explain them the
patients. importance of early ambulation after surgeries.
- While changing surgical wound dressings I explain to the
patient about the importance of keeping the incision clean, and
how to properly clean it.
- I advocate for my patients when they are complaining of
discomfort or pain. I help them reposition and check their MAR

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NURSING 3020 Clinical Evaluation

and speak to the primary nurse about what the options are for
pain control.
- Prior to interacting with my patients I read over their chart. I
look at what their surgery/diagnosis is, and then I make
predictions as to what medications they would be on. Then I
check their MAR and determine the rational for each
prescription.
- When helping one of my patients up to the commode he
became very light headed and pale. I had him sit down on the
bed, restarted his oxygen. I instructed him to take controlled
breaths. I then took his BP and SpO2. While in the moment I
did not know exactly what was wrong, I followed my gut
instinct
4 Adheres to professional - I perform head to toe/ vitals regularly according to the care
practice standards and plan of my patients.
organizational polices to
contribute to a culture of - I do not perform procedures/ task that are out of my scope.
safety. - When I am unsure of the correct way, or I am not confident in
my abilities I seek the guidance of my clinical instructor.
- I seek assistance when boosting a patient in bed, and seek
assistance when ambulating a patient for the first time.
- I dispose of used materials in the correct containers. (i.e. IV
tubing, biohazardous waste, sharps)
- I clean the equipment when I am done using it.
- I complete my charting in a timely manner.
- I perform hand hygiene before entering a patients room,
before performing any aseptic procedures (such as dressing
changes), after exposure to bodily fluids, and again when
leaving the patients room.

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NURSING 3020 Clinical Evaluation

- I inform the primary nurse of any abnormal/ concerning


findings during my assessments.
- I make sure the call bell is in reach of the patient.
- Follow hospital policy such as having an RN who has completed
the institution test so that they may initiate blood transfusions.
- I put on proper PPE when going into isolation rooms.
- I help prep rooms for new admits, get the bed ready, help the
patient settle in.
- I take used chairs, IV poles, and commodes to the dirty storage
area.
- During meal times I help patients open their meals and help
them eat as needed.
- I do bed side checks prior administer medications.
- I check the documentation information matches patient’s
hospital bracelets.
5 Exercises leadership to
enhance patient care, and - I advocate for my patients requests.
support professionalism
in practice. - When working with a peer partner I tend to take charge and
divide tasks so that we are working efficiently together.
- I take direction from the nurses and complete assigned tasks in
timely manners.
- I am always willing to jump in and assist my class mates with
tasks when they are unsure of a procedure.
- I ask the primary nurses if/when they want me to do
something, and make sure it’s done in a timely manner.
- I recognized one of my patients IV site was compromised. I
notified the primary nurse. I felt that the site would not be
feasible, but under her instruction I attempted to keep the site

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NURSING 3020 Clinical Evaluation

intact. When I made a mistake and lost the site, I owned up to


my mistake.
- When working with my peers I share tips that I find helpful in
order to help them.
- I tend to take on the primary role and delegate tasks to my
peers. I try not to come across ‘bossy’, however having a lead
person makes team work run smoother.
- When my peers and I have down time, I suggest that we clean
equipment or fill linen carts.
- I ask my primary nurse if she has any tasks that she would like
me to complete.
- I read through my patients care plan and gain an understanding
of what will need to be done through the day, so that I am
aware of tasks and do not have to consistently ask the primary
nurse what should I be doing.

Clinical Instructor Comments (All areas marked as unsatisfactory must have a comment)

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NURSING 3020 Clinical Evaluation

Signature of Instructor___________________________________________________ Date _____________________________

Signature of Student:______ ______________________________________________ Date: November 16, 2017

Attendance

Thurs Fri Thurs Fri


Week 1   Week 6 X X
Week 2   Week 7  SIM
Week 3   Week 8  
Week 4  SIM Week 9 Strike Strike
Week 5   Week 10 SIM

Total number of clinical hours completed: 112

Clinical Component Satisfactory Unsatisfactory


(Please circle the appropriate outcome)

Clinical Learning Center Completed Not completed

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NURSING 3020 Clinical Evaluation

Signature of Instructor____________________________________ Date_______________________________

Signature of Student ______________________________________ Date: November 16, 2017

Student Areas of Strength

1. One of my strengths that has developed over this semester is time management. I am able to prioritize tasks and get
them done and charted in a timely manner, while being flexible with unforeseen circumstances.

2. I am confident in my abilities to complete dressing changes. I am able to remove old dressings and assess the incision
site. Clean the incision and apply a new dressing, then document.

3. I am confident reading MARs and doing my checks, and the six rights of medication administration. I am confident
administering OP, SubCut, and transdermal medications to my patients. I am able to recognize when medications should
be withheld (if patient was hypotensive at AM assessment, I would consult with primary nurse about holding
medications such as Morphine).

Student Areas for Future Development

1. My narrative charting has developed very well over this semester, however I think that I still need more practice when it
comes to having a flow while communicating key findings.

2. I sometimes have a hard time giving report before going for break or leaving for the day. I tend to either give too much
detail or not enough. As the semester progressed I become better at share important detail rather then everything I had
done in the last two hours with my primary nurse.

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NURSING 3020 Clinical Evaluation

3. Another aspect I can improve in is accepting help from my peers. Some times when offered help I say “no it’s okay”,
because I feel confident in what I am doing. However, while I’m still learning and the help is available I should learn to
take it. One example is when one of my class mates asked me if I wanted helping changing bed sheets, I denied. Then ten
minutes later I was looking for someone to help me because I wasn’t able to roll the patient on my own.

Clinical Instructor Comments (All areas marked as unsatisfactory must have a comment)

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