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