DHAKELEN HEATH HUuMBek coLLEG PNAL EVALURTYS NURS 253 PRECEPTOR FEEDBACK Ape o4,2015 WRITTEN PERFORMANCE FEEDBACK OCCURS AT WEEK 7 AND WEEK 15 NOTE: Preceptors complete this written feedback form in Week 7 (Mid-term Evaluation) and Week 15 (Final Evaluation). In Week 4 a discussion of student learning to date occurs; students who 'Need Development’ or are ‘Unsatisfactory’ in Week 4, 11 or as required, receive written feedback using this form which is submitted to the Professor/Clinical Teacher. | LEARNING INDICATORS THAT LEARNING HAS OCCURRED: |= SATISFACTORY ourcoMe NO= NEEDS DEVELOPMENT ‘Students willbe able Us UNSATISFACTORY | to: [COMPETENT AND SAFE PRACTICE WITHIN A LEGAL AND ETHICAL WEEK | WEEK | WEEK | WEEK |__ FRAMEWORK aan ae 7 Comply with regulatory standards, relevant ] 1, Model safe, legislation end the practice seting’s policies and | —_Sampetort, srocedures | andatheal | ine prolssonal eporie ecal and | pesebh, accountable manner | Githegaland | ii: Use the three factor and decision making | regulatory frameworks to determine strengths and limtations | frameworks land when to collaborate and consult wth other | | | and the professionals, | | | co eerurce | %- Integrate evidence: informed practice and a theory | | [a oeanes based approach no nursing care ee Assess practices and risk management principles | Setting ‘and take action to ensure safety of clients, se, and | others. | vi. Question and clarify unclear orders or directions. | | ‘and when uncertain. | vii, Question, clan or challenge questionable orders, | | decisions or actions by others. | | vil, Respond in @ professional manner to situations in | wich there is unsafe, unacceptable or | “unprofessional behavior. V ix. Demonstrate understanding about the role ofthe ‘nurse within health care. CommentLEARNING ‘OUTCOME INDICATORS THAT LEARNING HAS OCCURRED: $= SATISFACTORY ‘Students will be able NO= NEEDS DEVELOPMENT to: Us _ UNSATISFACTORY WEEK | WEEK | WEEK | WEEK ACCURATE AND RELEVANT COMMUNICATION aol ite aaa i, Contribute to team sharing and discussions, 2. Communicate ji. Document clesly, accurately, concisely ina timely using strategies and technology to effect accurate ‘manner using written and electronic methods. Wi, Use effective communication techniques when wets Scere at era ens information to the appropriate members of the interprofessional | Sheng trading | teah cae tea | ut, reoverch, "|v. Evaluae and rete ecriqus used to communica and other and share information with clients and the. oe ‘nterprofessional health care team. | \. Ensure privacy and confidently Use technology to retrieve information including W research and other date and to obiain and forward information bath within and outside the practice S sotting, | Commentsfational practice that is caring, compassionate and respectful ‘care team members, li Establish a caring environment that supports clients in meeting their needs and outcomes, managing their illness, or experiencing a peaceful death li Demonstrate therapeutic use of self to foster client well-being, Iv, Utlize relational knowledge and skils, and ethical principles to support clients and to interact with healthcare providers V. Use self-awareness to identify the effects that bolies, values, and personal experiences have on Felational practice. i, Collaborate with clients, members of the Interprofessional and health care teams; and, consult appropriately vil. Uphold practices and systems that support the diversity of clients and of the interprofessional health care team. Vill Provide effective cient education, LEARNING ‘OUTCOME INDICATORS THAT LEARNING HAS OCCURRED: ]S= SATISFACTORY. Students will bo able ND= NEEDS DEVELOPMENT to: U= _ UNSATISFACTORY WEEK | WEEK | WEEK | WEEK CARING RELATIONAL PRACTICE 4 7 | | 7, Establish therapeutt caring, compassionate, and 3. Engage in culturally safe relationships with cients and health ‘Commentsee — GENOME | NDIATOnS THATLEARWING HAS OccURRm: [NO= “MeEbe bEVE OPMENT suc eitta bie Heater hme WEEK | WEEK ] WEEK] WEEK eros ae ove ene ess t Cesena ire setennearncerer 4 etseateader | Souter soko cont eat a poste wk | wee an advocate environment and organizational culture, and to | —— strengthen advocacy role. Glens eal he, |, Prone coda poten ozcen eedback iter toetral cs server nctoan on ruemnnna oo oa |e peas eas ro | ak ances etwas a Gey | practice environment. | Iv. Support clients’ rights for selt-determination and choice. v. Respond appropriately to unsafe, unacceptable, ‘and unprofessional behaviors Vi. Demonstrate public protection and acting in the interests ofthe public through collaboration and ‘consultation with other members of the Interprofessional healthcare teams. vi, Contribute to the creation of quality practice | strategies and solutions vil. Assign. superse, teach as appropiate, and I ANZ provide feedback o unregulated care providers 4 (UCPs) in colaboration with te interprofessional health cave team. ‘Comments