Carrol Community Coleg Division of STEM, Nursing and Allied He Department of Nursing NURS 193 ~ Nursing Concepts 1 'SUMMATIVE Student Cinical Performance Evaluation gases USED LOSS ony ol wene canny IN YINY K Noe seats Treat umaeseeh Tans ah frente Se ee mene e ueeaon eee cna Nee ee a ee Ce ee eerie ted er ovo raccey cue hoctal tate | th Sef | Evalof Outcome 4 Eval | Student Use the components of the nursing process when creating pian of cre (COt) su_| “SINU “Proriizes patient cae based on assessment with coach <= ‘Demonstales accurate patent assessment sks with coschi = Ss x © | Uses patient assessment data to develop individualized tian of care wih coacting Establishes appropiate nursing privy list based on collected evidence and patent _assesement wih coaching {_Establshes measurable patent outcomes based on nursing ponies wih coaching 7._Establshes eprromiale nursing interventions based on assessment wit coaching S ‘Evaluates pationt response to care and revises plan a8 needed wih coaching 4 2 ‘3. Gathers data from the patient's medical record Io provide patient care 4 6 “Student isirutor ‘Soft | “Evalof uteeme 2 Student Develop an awareness of opportunities that promote professional gowh (CO?) smiv_|SINU ‘8. Demonstrates rroessional behavior and appeerance 3 Ss + = s “6, Seek input rom pairs, nsvuctr, and heacare team in he delvery of palen- a “1, “Demonstraies accountability and acces responsibly for own acione and atitudes “2. “Adheres to attendance policy 15, Partcipats actvel inal cna experiences “4, Engages in selection and communcates earning needs to slveor 48. Complois assignments as reqled ang submis on tine utecme 3 Prone fare are wy consing (603) sn 16, ingens sport elon cna recaons 5 1. Pres euturalysnative cae wih coaching 18. Documents patient cere accurately with coaching s 19, Uses begnng Derpesie communtton sl 29. olor wi apie care wih coatng 3 g £ - $ S 21. Verbalzes knowledge of medications for assned patents 22. Demonstrates caring behaviors 25. Uses SBAR to communicate paiot slaus fe insrucor with coaching 24. Idanifies issues needing advocacy for asigned patents 25. "Demonstrates physical and mental competence. ide) pepo I Reve n020%4 O01; NeCarroll Community College Division of STEM, Nursing and Aled Health Department of Nursing NURS 183 — Nursing Concepts 1 ‘SUMMATIVE Student Ginical Performance Evaluation 28, “denies saelyconcaie and oifesnsivulor and appropiate healiear oar S members 5 -deniies ways to spend cial ne mor filet s 28. Identifies gatent and family heath edueaton needs se 29. "Updates instrucior and healthcare team regarding changes in the patient's condition — s = | 20, “Prowes nursing care based onthe plies ans procedures ofthe fact 3 ts] 31, “Provides nursing care in accordance wth he Mafand Nurse Practice Act < =| 32. "Adheres 0 HIPAA guideines 3 | 38, "Proves care according fo ANA Spe and Slandards of Nursna Pracice S Siudent aseusr | Safe | Evalot | Outcome 4. Eval | Student lr esc eence het suport te pets lan of care (204) smu | “suv | ker oes. i pan’ i cre s “Siadent Refecton heen seve ates How has this ton. to define your role as 2 nurse? Please explain. inemed me veaties Neurning trey, de and £0. (cok at Og picture Which objective did you accomplish during this rotation? How did you do it? { vndtistood the nurses ma role than tne tech ral What are your goals for your next clinical rotation? MU Jool 1S to we More Independent Faculty Comments! Student Learning Goals (Goals must be established oven i performance is saleTaclory, Ian tem was denttied as N or U, narrave comments are necessary to lay student pertormance along with goals to improve performance), shee, She was very ata cy 9 Meal ‘ Sona UR ened pe OF ULoreing [Stade Signature: Instructor Signature: | che iy une paw 12/0418 | - Aoprovnd (204. Rive 20R044: 106; 21698 nat. No ares of Hype Went a pe Oma faiths iDpek tee ri ia PPS Rc at