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Practical Nursing Diploma Program

Mid-term/Final Clinical Evaluation Form


Student:

Bindu Sharma

Course:

219

Dates:

September 7, 2014

Student Number:
Section

Summary of Areas
of Practice
Competent and safe
practice in a
professional, legal
and ethical
framework

Communication

033
to

S: Satisfactory ND: Needs Development

800-720-708

Dec. 7, 2014
U: Unsatisfactory

Student Comments: Summary


of clinical experience
S:

ND:

U:

Faculty Comments:
Summary of clinical
Experience
S:
ND:
U:

I follow the policies and procedure


for client safety. I perform hand
washing/ hand hygiene before and
after the client care. I ensure client
safety and safe environment. I
always make sure the call bell is
near the patient .Bed rails are up
for the bed rest clients for their
safety to prevent fall.
Repositioning and peri-care is
performed using proper body
techniques to prevent my back
injuries.
I reach on the floor on time,
documenting is completed in
timely manner.

She demonstrated competence in


providing care to her assigned
patients.

S:
ND:
U:
During the shift change I take
report from the nurse. Taking the

S:

She consistently acted in a


responsible, professional, ethical
and accountable manner during
her clinical practice.

ND:

U:

She asked pertinent questions


relating to patient care and

Caring relational
practice

report and making notes is very


essential for client care. I ask
relevant questions about client
care from the primary nurse. I
introduce myself to the client and
communicate with client while
performing client care and
administering medication.
Communication is very important.
I pull the curtain before doing
personal care to maintain the
privacy and confidentiality.
I read clients chart and access to
MediTec through computer to see
clients data. Retrieving
information to determine clients
diagnosis so that appropriate care
could be given to the client. I give
report to the primary nurse at the
end of my shift.
S:
ND:
U:

medication administration as it
relates to patient safety.

It is important for nurse to have


therapeutic relationship with client.
I tell the client when I am doing
nursing care tasks. Effective
communication builds trust and
client feels comfortable to share
their stories. I treat the client with
respect as I would like to be
treated with respect. When client
refuses to eat the full meals, I
respect client choice. I educate
client in a very respectful manner
when there is need of intake of

Provided compassionate,
respectful and therapeutic care to
her diverse patient population.

She communicated relevant


information and documented
clearly, concisely and accurately
using Meditech.
She actively participated in post
conference, by presenting her
assigned patient to her clinical
group for teaching and learning
purpose.

S:

ND:

U:

She is compassionate and


respectful to all patients, staff and
peers despite their cultural and
religious beliefs.
She encouraged her patients to
participate in their care.

fluids and client is not drinking


enough water.
I make sure client rinses mouth
after inhaling puffers. Mouth is
rinsed to avoid getting oral
candida (thrush fungus).

Leadership and
advocacy

Plans of care:
Meeting Clients
Needs and Mutually
Agreed Expected
Outcomes

S:
ND:
U:
Client have right to refuse to take
medication and nurses do
documentation of this refusal. My
client refused to take
acetaminophen stating she has no
pain. I documented it and reported
to clinical instructor and primary
nurse.
Another Client saying she is not
feeling well and not able to
express the feelings. Client is
diabetic. I reported to primary
nurse. Primary nurse checked the
blood sugar. The blood sugar was
8.00. When client was informed
blood sugar level is not too low.
Client was feeling comfortable.

S:

S:
ND:
U:
Client is diabetic and is on the
sliding scale. After checking the
blood sugar level I will follow
doctors order to administer the
insulin.
After administering the pain
medication I will take vital signs

S:

ND:

U:

She took the initiative to care for


her assigned patient with great
interest.
She accepted and utilized
constructive feedbacks to
improve her patient care.
Good patient advocate.

ND:

U:

Use knowledge and skills learned


to assess patients needs and
outcome.
Exhibited knowledge of mixing
and administering medication via
IVMB. She administered

Collaborative
Practice

Quality Assurance

and assess the pain level.


Blood pressure should be
checked before administering the
blood pressure medication and if
blood pressure is low then
medication should be hold.
I learned after administering
Insulin, Lovenox or any SC
injection no rubbing should be
done. Rubbing will irritate the skin.

inhalation therapy, PO and SC


medications such Insulin and
Lovenox.

S:

S:

ND:

U:

She also demonstrated skills of


catheter care and wound care.
She primed IV tubing and
removed staples successfully.

ND:

U:

Client have colostomy bag or


catheter bag, I should empty it at
the end of shift and output should
be measured and documented. It
should be reported to the primary
nurse.
I help my peers and primary nurse
with their client. Teamwork is
important tool in nursing. The
nurses goal is client care and
comfort.
When my co student is taking
break I monitor her patient.

Interacts with members of the


health care team respecting their
unique role and competence.

S:

S:

ND:

U:

Helpful to her peers, staff nurses


and member of the interprofessional team as it relates to
patient care.
She actively participated in post
conference, by presenting her
assigned patient to her clinical
group for teaching and learning
purpose.

ND:

U:

I learned and practice when client


is bedfast all four rails should be
up and bed should be kept low.
Client with respiratory problem
should be in semi fowlers position
to prevent aspiration.
After documenting in Meditech I
should log off. If anyone else do
documentation then it will be with
my initials. It is unsafe and I have
to face consequences if error in
documenting done by other
student/ nurse.

She seeks out learning


opportunities and feedbacks to
improve her practice.
She engaged in ongoing
reflective practice to identify
strength.
She maintained patient privacy
and confidentiality throughout
her clinical experience.

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