Professional Documents
Culture Documents
Selfassessmentprint 111
Selfassessmentprint 111
Period :
Student hours :
Required Hours :
Validated hours :
I declare that this is my original work and the sources used are acknowledged.
Student Rating
Teacher Rating
1. COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK
1. 1 Comply with regulatory standards, relevant legislation and the practice settings policies
Satisfactory
Satisfactory
and procedures.
S.A.B. : I complied with the Humber practical nursing mode of dressing, complied with the hand hygiene policy of the hospital setting and
followed all protocols of the practice setting for example monitoring vitals signs before and after blood transfusion taking into
documentation the temperature readings at every 5,10 and 15 mins of infusion time. I always wear P.P.E when going into an isolated room
in order to reduce the spread of nonsocomial infection.
E.W. : Sadiq also complied with the ward policies regarding medication administration, documentation one hour after vital signs, and
following all hip precautions.
Satisfactory
Satisfactory
S.A.B. : I always act in a responsible manner by addressing client in a polite way, maintain ethical standards by maintaining commitment
to client and the nursing profession and taking a holistic approach to the client assignment. For example I do my documentation of care
given to client before leaving the floor and give report to my peers and nurse staff before going on breaks.
1. 3 Determine how the three factor and practice decision-making frameworks influence client
Satisfactory
Satisfactory
care.
S.A.B. : The three factor frame work consist of the client, nurse and environment. Patient assignment is always based on degree of
complexity and stability of a client condition with nursing care shifting from practical nurses to registered nurses as client conditions
becomes unpredictable and unstable. For example, I collaborated with the nursing staff with a client who is on heparin IV and was placed
on an heparin monogram which required frequent aPtt and InR blood readings.
Satisfactory
Satisfactory
S.A.B. : I do my readings and watch videos about procedure on particular procedures to be done on client. Some of the videos I watched
include dressing change and catheterization. I do research on my medical diagnosis and drugs before administering any medication
especially antihypertensive medications which is required to be held when pulse in less than 60. I actually had to hold a beta blocker
medication because client blood pressure and pulse was low.
1. 5 Carry out safety-based practices and risk management principles to ensure client safety
Satisfactory
Satisfactory
1. 6 Ask questions and clarify the plan of care, unclear orders or directions, and whenever
Satisfactory
Satisfactory
uncertain.
S.A.B. : I always clarify and seek assistance from staff nurse when I encounter procedures have not done before and I require assistance
and guidance. For example I had to look up blood transfusion and how to initiates and prime the infusion line with normal saline solution
E.W. : Sadiq also collaborates with his nurse prior to giving care in the morning.
Satisfactory
Satisfactory
unsafe,
unacceptable and/or unprofessional behavior.
S.A.B. : I always seek attention of the staff nurse when I need to move client up in bed, also seek assistance from physiotherapist to get up
and walking first day after surgery.
1. 8 Demonstrate understanding about the role of the nurse within health care.
Satisfactory
Satisfactory
S.A.B. : I understand the role of a nurse as an health professional that works to provide ethical and holistic care to client taking in mind
safety of client without causing no harm. A nurse work collaboratively and consultative with different health professionals with the goal of
providing the best therapeutic care for client at all times. For example I provide reassurance to client and attend to their needs,
communicate with client and constantly watching out for changes in client condition.
E.W. : Sadiq also understands that the nurse does not get the orthopedic patients up for the first time. This is a physiotherapy
responsibility.
Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
Sadiq has met this outcome by giving examples from his clinical practice. He has developed competency over the course of this semester
and can safely provide nursing care for two patients, with support from the staff and clinical teacher when new situations and new learning
arises and he needs guidance.
Satisfactory
Satisfactory
S.A.B. : I always participate in team discussion, provide suggestions and answer question politely when asked. I am a team player and I
love working closely with my peers.
E.W. : Sadiq presented his experience with a blood transfusion plus his OR experience to his peers in post conference. It was done well.
2. 2 Document clearly, accurately, concisely in a timely manner using written and electronic
Satisfactory
Satisfactory
methods.
S.A.B. : I make use of Meditech to document assessments and care offered to client. For example I document vital sign assessment at
0800 every shift as required by hospital policy. I also document when I notice any significant changes in cardiovascular,GI, GU or give any
diabetic medications.
Satisfactory
Satisfactory
S.A.B. : I do give report to the staff nurse and my nurse instructor when I notice any significant changes in clients condition for example I
gave report on change in vital signs of a client with with increasing temperature noted and appropriate care was given to the client.
2. 4 Use communication techniques with the client and the inter-professional health care
Satisfactory
Satisfactory
team.
S.A.B. : I do facilitate communication with client, offer silence when needed and empathize with client in order to promote a good rapport
and effective communication with client. I communicate with my nursing instructor and staff nurse about changes in client conditions and
give report when going on breaks.
Satisfactory
Satisfactory
E.W. : Sadiq also logs off the computer when his documentation on Meditech is completed.
2. 6 Use technology to retrieve and share information including research, data and other
Satisfactory
Satisfactory
information.
S.A.B. : I always make use of the meditech and Lexicom to research drug, search up diagnosis of client and make use of the magic key on
meditech to quickly lookup lab data of clients.
Sadiq has met the Communication outcome and has given examples from his clinical practice. He has become proficient with Meditech,
and giving report to his nurse and clinical teacher at the appropriate times. Sadiq is a quiet student but when asked, he demonstrates much
knowledge and understanding of nursing theory. He communicates well with all his clients and makes every effort to collaborate with staff
regarding the care for his patients.
Satisfactory
Satisfactory
S.A.B. : I communicate with client effectively by taking time to understand client irrespective of language barrier faced sometimes. I
recently had a client who didn't speak English and had to solicit the help of my peer who understood the language she speaks.
3. 2 Establish therapeutic caring, compassionate, and culturally safe relationships with clients
Satisfactory
Satisfactory
Satisfactory
Satisfactory
S.A.B. : I always lay good example by offering help to my peers when they need to change briefs or move their client out of bed. I always
watch closely when any of my peers is doing a new procedure such as wound dressing change and give aid when needed.
3. 4 Use self-awareness to identify the effects that beliefs, values, and personal experiences
Satisfactory
Satisfactory
3. 5 Collaborate with clients and members of the inter-professional health care team and
Satisfactory
Satisfactory
consult appropriately.
S.A.B. : I always collaborate with physiotherapist, staff nurse and my peers when needed. I do consult the physiotherapist on occasion to
determine how to get client out of bed after surgery.
3. 6 Support the diversity of clients and the inter-professional health care team.
Satisfactory
Satisfactory
S.A.B. : I support and respect various diversity of client I get to care for and I work effectively with the inter-professional health care team
relating significant findings to the staff nurse and nursing instructor.
3. 7 Display sensitivity and respect for clients cultural, religious, and other beliefs and values
Satisfactory
Satisfactory
Satisfactory
Satisfactory
S.A.B. : I always educate client on deep breathing exercise, coughing, and leg exercise to prevent deep vein thrombosis. I witnessed a
health teaching for client who was placed on heparin subcutaneous injection and was going to be discharged. The health teaching involved
educating the client on how to safely administer the injection on a ball and safe disposal of the injection needle.
4. 1 Apply appropriate conflict resolution skills in therapeutic client and other interactions.
Satisfactory
Satisfactory
S.A.B. : I am always sensitive to manners and mode of communication with clients taking into consideration the preference of clients for a
procedure and I always seek consent before any procedure is done. For example, some of my client preferred to be bath right after they
have eaten their breakfast and some prefer to have their medications ready just before eating their meal.
4. 2 Evaluate and refine leadership skills to develop solutions and create a positive work
Satisfactory
Satisfactory
environment.
S.A.B. : I offer teachings about knowledge gained on the unit such as priming a blood tubing with reference to protocol of the blood bank. I
work with peers collaboratively to perform wound dressings and priming of a plum pump I provide constructive feedback to my peers. For
example, I gave a report on the operating room experience I attended and provided time to address questions being asked.
4. 3 Provide feedback to peers and accept feedback from peers and members of the inter-
Satisfactory
Satisfactory
Satisfactory
Satisfactory
S.A.B. : I do advocate for client and address their needs in a timely manner For example I take note of changes in client condition and
report to my staff, I sometimes call on the physiotherapist to ambulate client in case they forgot as a result of being engaged with another
client.
Satisfactory
Satisfactory
S.A.B. : I always promote client choice as it is important for developing therapeutic relationship for example I give client the choice for
either taking their bed bath early or after taking their breakfast, also give client the preference for taking their bath.
Satisfactory
Satisfactory
S.A.B. : I know how to respond to unsafe behavior by reporting such incidence to the nursing instructor and the charged nurse.
4. 7 Collaborate and consult when implementing health care and nursing practices that are in
the best interests of the public and protect the public through collaboration and consultation.
Satisfactory
Satisfactory
S.A.B. : I collaborate with my nurse, nursing instructor and physiotherapist to provide the best therapeutic care for my client. I consult with
the physiotherapist on how to move client out of bed after surgery. I report changes in client conditions to the nursing instructor and staff
nurse for example I consulted my nursing instructor on how to mix an vial of solute with an Iv bag.
Satisfactory
Satisfactory
S.A.B. : I try my best in creating quality services to the client by keeping the room of client clean, regular hand hygiene and making sure
client is in a safe position with the call bell in close proximity.
5. PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES
5. 1 Incorporate the clients unique needs and expected outcomes into holistic and client-
Satisfactory
Satisfactory
centred plans of
care.
S.A.B. : I give client the benefit of choice and preference to care. For example, I do not interfere when client is praying as this will
jeopardize the therapeutic relationship. I also give client the preference of how they want their bed bath done.
5. 2 Develop theory-based plans of care that are holistic and client centered and are
Satisfactory
Satisfactory
5. 3 Use knowledge, skill and judgment to assess clients, prioritize needs and outcomes.
Satisfactory
Satisfactory
S.A.B. : I use knowledge,skills and judgement in prioritizing care for my client for example, client I always give medication within the
required 30 mins boundary period in contrast to doing bed bath or changing of beds.
Satisfactory
Satisfactory
S.A.B. : I always look out for changes in client conditions such as taking vital signs every q4h as required to determine if a medication is
effective or not. For example I documented changes in temperature of a client who had a blood transfusion and reported the temperature
change to the staff nurse.
5. 5 Safely and competently implement and evaluate nursing assessments and nursing
Satisfactory
Satisfactory
Satisfactory
Satisfactory
S.A.B. : I use the three factor frame work with increase in complexity and instability a client is, the nursing responsibility of RPN shifts to
that RN.For example I gave the staff nurse the responsibility of doing the heparin monogram of a client as I had no experience with this
process which involved taking the aPTT reading and Inr of client.
5. 7 Prioritize nursing care and nursing interventions in order to manage workload, time, and
Satisfactory
Satisfactory
physical
resources.
S.A.B. : I do prioritize and assess which of my client is need of immediate attention. For example I managed two clients in which one client
required an IV medication and the other client needed a bath. I had to attend client with the medication as bed bath is not of priority for me
at that time.
Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
Sadiq has demonstrated understanding of this outcome through his clinical examples. He has been conscientious with his head- to toe
assessments in the morning and has carefully checked the kardex for the care plan for the day. Sadiq has been careful to collaborate with
his nurse regarding the care planned for his clients so that all care is done well and according to the plan. He completed three satisfactory
concept care maps in this clinical.
6. 1 Collaborate with clients and members of the inter-professional health care team to assess
Satisfactory
Satisfactory
clients, determine health needs, and to achieve mutually agreed expected outcomes.
S.A.B. : I always work with the physiotherapist and occupational therapist by giving the client the required dose of pain medication in time
before they start ambulating the client as not giving the pain medication will delay the physiotherapist in carrying out their duties. I also
work in close proximity with the staff nurse and my nursing instructor to determine and assess for changes that need to be implemented in
client care.
Satisfactory
Satisfactory
6. 3 Seek out assistance and consult with members of the inter-professional health care team.
Satisfactory
Satisfactory
S.A.B. : I do consult and seek assistance when in need for example I call on my peers to assist me in changing the briefs of client and
when I have to move client out of bed to the bed side chair. I also seek assistance from the physiotherapist sometimes to determine the
methods of safely moving client in and out of bed.
6. 4 Use teamwork, consensus building, and conflict resolution skills to meet expected client
Satisfactory
Satisfactory
outcomes.
S.A.B. : I am a team player and work in close terms with my peers and nursing staff in which duty are clearly assigned and report givens to
minimize the risk f conflict.
6. 5 Use effective, collaborative, and consultative strategies to meet clients needs within a
changing
environment.
Satisfactory
Satisfactory
S.A.B. : I do consult and seek assistance when in need for example . I also seek assistance from the physiotherapist sometimes to
determine the methods of safely moving client in and out of bed.
6. 6 Interact with members of the health care team respecting their unique role and
Satisfactory
Satisfactory
competencies.
S.A.B. : I interact with member of the healthcare team on the unit such as physiotherapist and occupational therapist. I give them the
chance to carry out their duty by performing all ADL and medication administration in time before ambulating the client.
7. 1 Act in the best interests of clients and protect clients from harm through collaboration
Satisfactory
Satisfactory
and consultation with members of the inter-professional health care team and through
competent and safe practice.
S.A.B. : I always act in best interest for client by addressing their needs in appropriate time by reporting changes in client condition to the
staff nurse and nursing instructor also, collaborating with physiotherapist to get client out of bed for ambulation.
7. 2 Engage in ongoing reflective practice to identify strengths, areas for improvement; and,
Satisfactory
Satisfactory
7. 3 Create, implement, and evaluate a learning plan consistent with the Quality Assurance
Satisfactory
Satisfactory
program (CNO).
S.A.B. : I created a learning plan based on the feedback I got from my peers and created some evaluation criteria for me to achieve my
learning goal. Some of the evaluation I put in place was completing required readings on wound dressing and parenteral medication. I also
put in check parameters for practicing my skills in the open access lab.
7. 4 Seek out learning opportunities and feedback that foster professional development; and,
Satisfactory
Satisfactory
Satisfactory
Satisfactory
S.A.B. : I always research on the diagnosis of client and make sure I do my research on medications before giving the medication.
Satisfactory
Satisfactory
S.A.B. : I use theory based approach such as reading the ethic documents, therapeutic nurse client relationship and standards developed
by the CNO to enhance my knowledge, skills and judgement in the clinical unit.
7. 7 Apply knowledge of changes to the health care system, technology, and in society as
Satisfactory
Satisfactory
8. 1 Use critical thinking and problem-solving skills to inform decision-making in all aspects
Satisfactory
Satisfactory
of nursing care.
S.A.B. : I do think critically before administering any medication such as looking up lab results of patient before giving a medication. I also
take the vital signs (blood pressure) of patient before giving the hypertensive medication. I had to hold an hypertensive medication for a
client because the client blood pressure was low and pulse was less than 60.
8. 2 Use critical thinking, problem-solving and decision-making skills to assess clients and to
Satisfactory
Satisfactory
8. 3 Evaluate critical thinking, problem-solving, and decision-making skills and design a plan
Unsatisfactory
Satisfactory
to improve
these.
S.A.B. : I still need improvement on critical thinking evaluation as this will be gained through experience and constant acquisition of skills,
knowledge and judgement.
E.W. : I agree with your comment regarding the acquisition of experience. Most of what you accomplished this clinical was new learning
almost every day. You demonstrated satisfactory critical thinking within the experience that you had.
8. 4 Integrate knowledge from a variety of nursing, health, and other theory into nursing
Satisfactory
Satisfactory
8. 5 Prioritize effectively.
Satisfactory
Satisfactory
S.A.B. : I always prioritize nursing intervention and have a daily organisational plan. For example I had to keep an eye on the nasal prongs
of a client because it kept on coming off the client nares each time he changes position. The nursing priority is to make sure that the client
receive the oxygen as ordered because it is one of the basic physiological needs according to Maslow hierarchy of needs.
Satisfactory
Satisfactory
S.A.B. : I demonstrated professionalism and accountability by coming early to the unit to get report from outgoing nurses. I also give
report to the nurse staff before going on breaks. I talk with my peers in a polite manner and give constructive feedback to my peers
without passing judgement.
Satisfactory
Satisfactory
Student's References
College of Nurses of Ontario. (CNO). (2011). Video: Abuse Prevention: One is One too Many.
Retrieved from www.cno.org
College of Nurses of Ontario. (2012). Entry to Practice Competencies for Ontario Registered
Practical Nurses (Updated 2011). Retrieved from www.cno.org
College of Nurses of Ontario. (CNO). (current edition). Practice Guidelines: Consent. Retrieved
from www.cno.org
College of Nurses of Ontario. (CNO). (2009). Practice Guidelines: Culturally sensitive care.
Retrieved from www.cno.org
College of Nurses of Ontario. (CNO). (2009). Confidentiality and Privacy Personal Health
Information. Retrieved from www.cno.org
College of Nurses of Ontario. (CNO). (2009). Practice Standard: Documentation, Revised 2008.
Retrieved from www.cno.org
College of Nurses of Ontario. (CNO). (2009). Practice Standard: Ethics. Retrieved from
www.cno.org
College of Nurses of Ontario. (CNO). (2009). Practice Standard: Infection prevention and control.
Retrieved from www.cno.org
College of Nurses of Ontario. (CNO). (2013). Practice Standard.
Grade
Satisfactory
Unsatisfactory
Grade
Satisfactory
Yes
No
Yes
No
Yes
No
Student Comment
I will continue to increase my knowledge and competency through self reflection and making use of every available resources to increase my nursing
skills and judgement