Carroll Community College

NURS 233 – Nursing Concepts 3

SUMMATIVE Student Clinical Performance Evaluation

Student Heather Winkler Date 10/25/2019 Week # Faculty Professor Taylor

S = Satisfactory N = Needs Improvement U = Unsatisfactory NA = Not applicable (*) Critical behavior
Students who meet any of the following criteria will be given a remediation plan and may be placed on probation.
Failure to progress in these areas may result in failure of the course.
-One unsatisfactory grade in a critical behavior -Two needs improvements in a critical behavior
-Two unsatisfactory grades in a non-critical behavior -Four needs improvements
Student Instructor
Self- Eval of
Outcome 1 Eval Student
Analyze the effectiveness of the plan of care (CO1) S/N/U S/N/U
1. *Prioritizes patient care based on assessment with faculty as a resource S S
2. *Demonstrates accurate patient assessment skills S S
3. Analyzes and incorporates data from the patient’s medical record in the provision of care S S
4. Uses patient assessment data to implement individualized plan of care with faculty as a S
resource S
5. Establishes appropriate nursing priorities list based on collected evidence and patient S
assessment with faculty as a resource S
6. Establishes measurable patient outcomes based on nursing priorities with faculty as a S
resource S
7. Establishes appropriate nursing interventions based on assessment with faculty as a S
resource S
8. Evaluates patient response to care and revises plan as needed with faculty as a resource S s
Student Instructor
Self- Eval of
Outcome 2 Eval Student
Seek opportunities that promote professional growth (CO2) S/N/U S/N/U
9. Demonstrates professional behavior and appearance S S
10. Seeks input from patient, instructor, and healthcare team in the delivery of patient- S
centered care S
11. *Demonstrates accountability and accepts responsibility for own actions and attitudes S S
12. *Adheres to attendance policy S S
13. Participates actively in all clinical experiences S S
14. Engages in self-reflection and communicates learning needs to instructor S S
15. Completes assignments as required and submits on time S S
16. Demonstrates initiative in assisting peers and healthcare team members in the clinical setting S s
Student Instructor
Self- Eval of
Outcome 3 Eval Student
Provide patient-centered care with faculty as a resource (CO3) S/N/U S/N/U
17. *Implements appropriate infection control precautions S S
18. Provides culturally sensitive care S S
19. Documents patient care accurately S S
20. Uses therapeutic communication skills S S
21. Follows through with all patient care S S
22. Demonstrates knowledge of medications for assigned patients S S
23. *Administers medication safely using six rights of medication administration S S
24. Demonstrates caring behaviors S S
25. Uses SBAR effectively S s
26. Acts as an advocate for patients and families S S
Approved 12/4/14. Revised 12/10/2014; 01/2015; 3/16/18
 Carroll Community College
NURS 233 – Nursing Concepts 3
SUMMATIVE Student Clinical Performance Evaluation

27. *Demonstrates physical and mental competence S S

28. *Identifies safety concerns and notifies instructor and appropriate healthcare team S
members S
29. Demonstrates time management techniques S S
30. Implements patient and family education and evaluates effectiveness of teaching S S
31. *Updates instructor and healthcare team regarding changes in the patient’s condition S S
32. *Provides nursing care based on the policies and procedures of the facility S S
33. *Provides nursing care in accordance with the Maryland Nurse Practice Act S S
34. *Adheres to HIPAA guidelines S S
35. *Provides care according to ANA Scope and Standards of Nursing Practice S s
Student Instructor
Self- Eval of
Outcome 4 Eval Student
Implement nursing care based on scientific evidence (CO4) S/N/U S/N/U
36. Incorporates evidence-based rationale that supports the patient’s plan of care S S
Student Reflection (Thoroughly answer all questions)
How has this clinical rotation helped to define your role as a nurse? Please explain.
The OB clinical was a unique experience. I was able to learn that nurses who work on the unit have different
roles. Some nurses operate as labor and delivery nurses caring for the mother during the labor process. Other
nurses work as postpartum nurses caring for mother and baby once baby is delivered. The labor and delivery
nurse passes her care to the postpartum nurse who follows the patient until discharge. I was able to see the
coordination of care within the OB setting. Yes, I think the LDRP setting is a fantastic example of the
importance of communication, continuity of care from one level of care to another and the importance of
keeping it all coordinated. The charge nurses on the CHC/FBP unit are exceptional.
Which objective did you accomplish during this rotation? How did you do it?
One objective I was able to accomplish was learning to recognize an alteration in client condition and intervene
as needed. I worked with the nurses who were assigned to my patient to monitor the client and her unborn
baby. When fetal monitoring indicated distress, we were able to intervene and reposition the patient to find a
position that was good for the baby and helped alleviate the distress. Ultimately, the client was c-sectioned due
to ongoing issues that could not be resolved by nursing interventions. This was a great experience for learning
about the importance of on-going assessment, intervention and re-evaluation as well as patient advocacy.
What are your goals for your next clinical rotation?
My next clinical rotation is in the acute care setting on a medical-surgical unit of the hospital. My goal is to
continue to utilize the information I’m learning in class and be able to apply them to skills when working with
patients. Good. I hope that even though OB is super specific some of the observations of the two days on
FBP will be applicable to your acute care experiences.
Faculty Comments/ Student Learning Goals (Goals must be established even if performance is satisfactory.
If an item was identified as N or U, narrative comments are necessary to clarify student performance along
with goals to improve performance).
My goal is to continue to participate in the clinical environment to the best of my ability, using the knowledge
gain in the classroom and applying it to real world patient care.
I would suggest looking at Outcome number one and how your experience in OB demonstrated the importance
of intervening based on assessment and apply that to your on-going experiences. It is the core of what we do
in nursing and will help you keep your patients safe and optimize their care. It will also help you develop your
own confidence as an RN.
Student Signature: Heather Winkler Date: 10/25/2019
Henrietta Taylor, MS
Instructor Signature: RN Date: 11/13/2019

Approved 12/4/14. Revised 12/10/2014; 01/2015; 3/16/18

 Carroll Community College
NURS 233 – Nursing Concepts 3
SUMMATIVE Student Clinical Performance Evaluation

Approved 12/4/14. Revised 12/10/2014; 01/2015; 3/16/18