NURS 253 STUDENT SELF-ASSESSMENT
EVALUATION OF PERFORMANCE OCCURS AT WEEK 13 (FINALS)
NOTE: Students who ae experiencing dfulis tat coud result an “unsaefactory in Week? or Week TS be expected to doa selfevahiation and receive
‘preceptor and facil evaluation mn Week 4 andlor week 11, and.as reauled.
jent: Charle Ryan Paguel
‘Student Number: 822-851-358
Preceptor: Date: April 16,2015,
PLEASE CIRCLE §=SATISFACTORY ND = NEEDS DEVELOPMENT —_U = UNSATISFACTORY
‘CONPETENT AND SAFE PRACTICE WITHIN/ALEGAL™~/ Week¢ SND U~— Cornments
[AND ETHICAL FRAMEWORK NA
1. Modelsae,compstnt and ethkal pectin n | Suse receptor signature and date
compliance with teal and rogultory ameworks
land the policies and procedures ofthe practice | N@®K7 SND U Comments
setting
‘Siodont signature and dae ‘Procopiar signature ana date
|. Comply with regulatory standards, relevant egitation 7 cere
and the practcesoting’s policies and procedures. Week 1 § DU Comments
ii -Aetina professional responsible, ehieal ang
‘sccountable manner. Student signature and date Precoptor signature and date
J, Use the thee factor and decision making tamewerks "Weeki YU
‘Comments
to detormne eengihs and imitations and when to
| collaborate and consult vith other professionals + As a student integrating into nursing profession! eared how to follow rules and
Iv. Inearate evidence formed practee anda heory _‘Fegulations within the workplace setting to deliver a safe, competent, and ethical
based approach ino nursing care Practice by knowing the workplace environment, ana being prepare for any possible
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in dealing with confit by being unbased and not being judgmental
‘x, Demonstrate understanding about the oe of he nurse ze oer Pe
wthn health ere | a Lj sunzpots
x 5 jatar and date Preceptar signature and dateACCURATE AND RELEVANT COMMUNICATION.
2. Communicate using strategies and technology to
sifect accurate and timely ifemation sharing
Including data, research, and other information.
CContibute team sharing and ascussons
Document cleat, accurately, concisely ately
‘manner using wiiten and electron methods
Use effective communication techniques when
‘reporting relevant information and proving feedback
to he appropriate members ofthe inter professional
heath cate tear,
Evaluate and ef techniques used to communicate
and share information wih ents and he intr
professional health car team.
Ensure privacy and confientalty
Use technology to retrieve informaton including
feaearch and ofr date ano obtain and forward
Ieformaton btn wihi and ouside the practice seting
Weeks 8 ND U Comments
| Shidentstnature and date Preceptor signature ac date
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Student signature and date
Weoktt 5 ND U
Student signature and date
Weeks BU
receptor signa and date
Comments
Procoptor signature and date
‘Comments
Working in SBSU I earned the importance of documenting residence behavior
hourly using Dementia Observation System, a documentation tools used by nurses
And oer healthcare provider to establish plan of care forthe residence. Thats why
itis very important to document clearly and concisely for accurate care plan
earned how to communicate with every healthcare provider within the unit their
‘observations when doing care when documenting on DOS for accuracy.
When doing post fall assessment itis very important to record and follow-up every
hhour using Glasgow coma scale, level of consciousness, vital signs, Range of,
‘motion, and any residence change in physical health after a fall must be address,
"ight away for further assessment.
“Taamed how to dociment on PCC all important information or behavior observed
In every shi forall heakhcare providers what to expect and when meeting withthe
residence family itis good soutes of information tobe shared asa basis of any
Interventions. For example, tthe residence need fo increase or decrease thelr drug
dosage.
“Twas able outlize the used of E-AIAR when giving medications treatments, pain
‘assessment and followup, skin assessments, and restrain procedures and
| protocols, in addition | also learned how to transcrbe physician medicalons order
Through EARaR.
a| CARING RELATIONAL PRACTICE
‘3. Engage in relational practice that i caring,
compassionate and tespectul.
Esabich tempeutc carn, compassionate, and
Cuurally safe elaorshipe with dents and healthcare
team members
Establah a caring envionment that supports clients
‘eating hei need snd outcomes, managing their
ess, or experiencing a peaceful death
[Demensrate herapest use of self to foster cont
wet bein,
Uz clatonal knowledge an skill, and ethical
pineples te support cents nd to interact with healt
care provers
Use set awareness to ently the ellects that belts,
values, and personal experiences have on relational
practice
Colaborate wth cents, members of he
Interprofessonal and health care teams; and, consult
appcopr ately.
Uphold practices and sysioms that support he diversity
of oients and ofthe iterproessional neath care tam
Provide efectve cient education,
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Stertsigatre and date Praceper sonst ne ce
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Shident sonet ad ate Proctor sat and date
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Stren sonar and ate receptor sant ae te
Week 14 § U Comments
Working in behavioral unitis very challenging because of the residence special
‘hoods, and one thing that! learned isto gain the residence trust, and care for them as
they are not diferent from others, ays giving them a clear direction when they are
boing confused, and always orentating them by caling their name. have given the
‘change to enhance my communications skils by using diferent approach wien
‘communicating oa confused residence; i requires alt of patience and repetitive
‘oealzations.
“Offering a helping hand to other health care team ke PSW, kitchon staff,
physiotherapist. Registered Nurse and activation therapist show Ym a team player.
“Working in SBSU I learned how to manage my time by alvays thinking abead, and
‘establishing a routine practice everyday for productive shift For example, taking
Vital signs before giving high alert medication for hypertension, capillary blood
‘gkicose before giving insuln and understanding siding scale for safe dosage.
‘Working with residence diagnosed with dementias very challenging; however, after |
‘spending some time caring Tor them {learned how to aiftuse their mood swing by
providing thelr basic needs with gentle persuasive approach. For example, food,
Water, juice and anything they Ike to eat or drink, explaining every step when )
Droviding care, and medication. |
Z |
bakit .
~Pracopior signature and dateLEADERSHIP AND Apvocacy
4. Act as alate andan advocate to empower
‘cents, sll, the inter-prefessional healthcare
team and to further the profession,
|. Evaluate and refine leadership kl to develop
solutons, resolve conf, create a posiive werk
‘envenment and organizational clr, and
sstengihen advocacy role
Provide feodback o peets and ecept feedback from
peers and members ofthe te-professional heath
care tea.
|i, Advocate for lent, self others, and quay practice
Suppot ion sgh for elt-leterminaion ana
ceheice,
¥. Respond appropriately to uneafe, unacceptable, and
unprofessional behaviors,
Demonstrate pubic protection and actngin he
Interest of the public through collaboration and
Consultation wih other members oft nor
profesional hein care teams.
CContrbute tthe creation of qualty practice strategies
‘and solutions.
‘Assign, superis, teach as appropiate, and provide
{ecaback 1 unregulated care providers (UCP) n
‘alleboraion wih te inter professional heath care
ten
| Beinga leader nursing profession as observe wit my preceptor, In
professional standard set by the acy, and college of nurses fro
Weeks SND U
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comments
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receptor signavsre and date
Comments
my pre-gtad experience by being postive thinker for
alllearning opportunites, being a rte model, and being alvays professional i
‘esolving confict within te work place. For example, when a staffs being asked
Abouta residence behavior
that tts not tre, confit with my own observation,
‘ot being judgmental, Asa leader I voice my own opinion in a professional manner
‘by explaining the rationale to the staff why itis very mpertantto provide a truthful
‘cbservation forthe wellbeing ofthe all residence.
“Being a leader lalways ma
hand when needed.
always visible in the lor, offering a helping
‘Being a leader Ian work independently with confidence, and | always accept
‘egative feedback that can further develop my knowledge, and ski
ineny fre
Working in a behavior unt requires repetitive action, and when the residence say no
{or any nursing care, re-approach strategies fs necessary in meeting thelr neods. For
‘example, giving medications explaining why they need acertam modication and IS
‘mechanism of ation.
practice. For example, medication administration by always checking new doctor
‘orders and abways following the 10 rights of medication administration.
(by
(PrbFe _uneas
_Probepfor apna and dato| PLANS OF CARE: MEET CLIEWTS’ NEEDS AND MUTUALLY
| AGREED EXPECTED OUTCOMES
5. Integrate the nursing process into allaspects of
| nursing care andacross dWverse practice settings.
iL Formulate cficl judgments that mest cents! unique and
changing health need and pitites, outcomes, and over
‘condition and incorporate these into evolving plans of eae
| Devise evidence-nformed plans of cae hatare hele snd
efent centered
li Use clinical judgmentto assets cllens, prize neods,
‘outcomes, and nursing interventions.
| plans ote
Safely and competenty perform teatrents and use
techniques, and tednology autonomously and in
colaboraton wih clets and members ofthe
interprofessional heats care team
CColaberate wih the allonts across tho fespan and with
‘members ofthe interprofesiona healthcare team to create
| ‘lent centered pla of care at arculated it
‘competence both in wring and orally
Use awarenets of ovm knowledge ands, the tee
factors ofnuree, cent and envronment andthe practice