Carroll Community College Division of STEM, Nursing and Allied Health Department of Nursing NURS 233 — Nursing Concepts 3 ‘Student Clinical Performance Evaluation ~ WEEKLY Spe ZOrs Location: |) MVhe Faculty: Kelemen S = Satisfactory | N= Needs Improvement | U Insatisfactory | NA jot applicable | (*) Critical behavior Failure to progress in these areas may result in failure of the course. ‘Students who meet any of the following criteria will be given a remediation plan and may be placed on probation. -One unsatisfactory grade in a citcal behavior Two needs improvements in a crtical behavior “Two unsatisfactory grades in a non-critical Behavior __-Four needs improvernents | ‘Student Instructor Outcome 4 Selt- | Evalof Analyze the effectiveness of the plan of care using the nursing process (SLO 1, GE 3) Eval | Student sINu_| SIN Collecis evidence related to clinical practice from appropriate resources: S s “Demonstrates accurate patient assessment skils. s s Establishes appropriate nursing diagnoses based on patient assessment s s “Priortizes patient care based on assessment s s identifies measurable patient outcome based on nursing diagnosis. S 5 “inlets setring i easisteg sr does oT a Uses therapeutic communication techniques during nurse/patient interactions to Taciitate 2 a the nursing process. Identify appropriate interventions based on assessment. 3 3 ‘Demonstrates knowledge of medications for assigned patients. $ s *Administers medication safely using six rights of medication administration $ s “implements appropriate infection contol precautions s s Follows through with all patient care $ s Evaluates patient response to care and revises plan as needed. $ s ‘Outcome 2 pun ec ck Incorporate learning opportunites that promote personal and professional growth and a eer ae commitment to lifelong learning, (SLO 2, GE 5) ae ean Parlcipates acively in al aspects of the cinical experience. s s Discusses patient's plan of care with instructor. s s ‘Demonstrates professional behavior and appearance. s s Engages in self-reflection and communicates learning needs to nstructorpreceptor. s s ‘Completes assignments as required and submits on time. $ s Organizes time efficiently s s Outcome 3 Sota ceaarl Implement nursing care that considers the uniqueness of various cultures, backgrounds, and | Set | Evalof belief systems (SLO 3, GE 6) ae ead Demonstrates caring Behaviors withthe ably o develop and maintain therapeutic relationships wih people from diverse backgrounds. s s Considers patient values, cultural characteristics and religious diferences when planning care. |S $ ‘Student | instructor Outcome 4 Selt- | Evalof Contribute to healthcare teams to provide patient-centered care (SLO 4, GE 1) Eval | Student sinu_|_SINU Identifies patient and family health education needs. s s Implements patient and family education. S s ['Seeks input from patient, instructor, peers, and healtheare team in the delivery of patient care.| s “Updates instructor and healthcare team regarding changes in the patient's condition $ s “Identifies safety concems and notifies instructor and appropriate healthcare team members. Ss Ss [Demonstrates initiative in assisting peers and healthcare team members in the clinical seting. |S s [Demonstrates communication skils using SBAR. s Ss [Acts as an advocate for patients and families s Ss Approved 12/4/14. Revised 12/9/2014: Carroll Community College Division of STEM, Nursing and Allied Health Department of Nursing NURS 233 - Nursing Concepts 3 Student Ciinical Performance Evaluation — WEEKLY ‘Student | Instructor | Outcome § Self. | Evalof Provide nursing care based on scientific evidence. (SLO 5, GE 2) Eval | Student sinu_|_SiNU Identifies evidenced-based rationale that suppors the patient plan of care. s s Integrates knowiedge from nursing and other disciplines fo plan care. s Ss cae Skadant | etucor Implement nursing care based on legal and ethical principles that reflect current standards of mei | Sto practice. (SLO 6, GE 7) Sealant : siu_| SiN ‘Adheres to attendance policy Ss Ss “Demonstrates safe clinical practice. s s_] Provides nursing care based on the policies and procedures of the facility s s *Maintains legal accountability for nursing practice in accordance with the Maryland Nurse s Practice Act. 8 *Adheres to HIPAA guidelines regarding patient confidentially. s s “Provides care according to the ANA Nursing Scope and Standards of Practice. s s “Demonstrates accountability and responsibilty for own actions and attitudes. s s ‘Outcome 7 Student | Instructor Incorporate informatics skills using technology and electronic sources of health care Self | Evalof 'nformation to support clinical decisions, promote communication, and monitor care outcomes. | Eval | Student (SLO 7, GE 4) snvu_|_siwu ‘Gathers data from the electronic medical record to provide patient care. s s Uses electronic medical record to document patient care accurately andin a timely manner. . s ‘Student Learning Goals (List desired learning goals, and your plans to meet them, for experience. Goals should be based on identified performance issues and the desire for new knowledge and | experiences, | ! was unable to find the summative evaluation for this clinical, however, I'd just ike to say that I leamed so much from this telemetry rotation. | really enjoyed learning all about the different procedures and care that occurs on the cardiac floor. | was much more pleased with my organization this week and felt | used my time very wisely and efficiently ‘Thank you for all that you've taught me over the past three weeks! Faculty Comments! Student Learning Goals (“if an item was identified as N or U, narrative comments are necessary to clarify student performance") Shannon demonstrated great compassion for her patients and worked with challenging week. Her third week, she cared for 2 very young patients and was able to overcome her for each patient. Each week, organizational skills improved and assessments became more in-depth and precise. Paperwork demonstrates great attention to details. Shannon is a very conscientious student and ‘seeks to get everything she can from her clinical experiences. It was a pleasure working with her. Student Signature: Ya vse say Ne Shannon Haven Date: _5/4/15 Preceptor/instructor Signature: Aw — Lisa Kelemen Date: _5/13/15 Approved 12/4/14. Revised 12192014