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Corrol! Community College Division of STEM, Nursing and Allod Heaith Department of Nursing NURS 133 Nursing Concepts 1 'SUMMATIVE Studont Clinical Performance Evaluation ‘Gre = Sata Ne Ness inpioverent = Susi N= Nees eet rosa nodton ln and may be aces on ODSION olure progress these areas may resut i fasure cf the cour, “One unsastactory grade na cilleal behav: Two ees improvements na cel Pave ee al ehevior Four needs improvement — ra noncrigal behavior _-Fourneeds improve ant Tae Suu ‘Self Saiot Outcome Eval a eate a ccnants othe nursing process when cretng 2 pan of care (CSLON) say | ss ee tte es ote i a 4 Benue merge ea ee Scales us fon ests nate eats Bo hcaea | >| >| [Spe meas oe eeemeoeenscrmm te |S ee F | SS SS eae cence Se nen sncaea | ee ae Ee — se | bea to eas tte pater sole. ae |e ingore deen fees ee ee wecavovanme —| = |S on a a Ua LA eee [ee ce : Se Ea 8 15. Completes essignments as required and subrits on tne Ss Sar pasa aa |e — eel eae. SA oncmtete wm sin 808 3e | Sa ie, cmsemens aporopiate fection con] recone Sts ig. eo st 1 3 is ret Se Se ee ae 2 ee eee 5 2 ee a pea : "24, Identifies issues needing advocacy for assigned patients L : 25, “Demonstrates physical and mental competence, ‘epee 1214, Revand 12002014; 012018, Carrot Community College Division of STEM, Nursing and Alles Health Department of Nursing NURS 183 — Nursing Concepts 1 'SUMMATIVE Student Clnien Performance Eveluation Reais eae members 27. identities ways io apond Sinial ie mare cin = 28, dentiies patent and amiy heath eden sowie | —22.Usdetes instucter and heatncare loam garding changes nth palanta OngUCe — 30. Provides nursing eae based on ts polles and procedures of ha fy 31. Provides nurtng care in ccordance withthe Maryand Nute Pace Aet $2. “Adheres to HIPAA guidelines 33. ‘Provides care aecorting to ANA Scope end Sanda 0 Nursing PGISO cis id URES TaCor ana ape ROITCAT eaTR Sar ame San |"Baret Outcome 4 Evel | Sturt Explore the scientite evidence that supports the patients pian of care (CSLO4) {sini St dei stesso tasastsmeres | licen eaten hecas ome ofa | How nas the nen rotation lpea‘o dn ou fe ae nuae? Pass expan [THY Crmat REcaEN AGS Taide eehame may here Go CMUNSE. HI ALS mee Me Der eFC ree 46 iawn move ager aursing GS kaos, MyGde AM Were exCitect 4 LUN HHI SE GE KY Luce Kilng dy Winch eectve ea you accomplish Gung tne vtabon How ld you 9 OS Vtut De SL Gob shed HX GhyeCVE Ct Previding D-CeMnved Cave eit Coathivig, F LOGS Ute HC UCHve a rdiviclualhy ASSISE GUL my PES St ANT Cave 4 ADCS. Tuts cHSG GbIe tO iat re Sur gone E38 A Linde) Sec hc Cawe. WN gocas fer THe eek COIMCEL WETOHOM CHE £0 pe a NHN Work noed havids-cn el Pt Bees dev es Nite CF enY DHS ths vetakion Weed My Preucdleves Ur 1 Luc d ke fo Ae fe Ee Rie ne oroadeec3 cays ne cine Yoram Faculty Commental Student Learning Goals (Goals must be astabished oven f performance le satetaciow {Wan item was dented as N or U, narrative comments are necessary to cay student porformance sing, with goals to improve performance), Oar tor Ths Cn dwt SS hy fe in) IO You were Very involve (ed r h ocr erkS PE Reus ee Mates cep Up COYIMUNICOION ANC assess ane oumMoeiy Or, i Pat ~ ou IL]S if | Student Signature: _| BS spond 124/44, Reve 12004 On

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