Clinical Evaluation Jp-Rachel

Survey: CLINICAL EVALUATION-NURS4000-FINAL-524-FA23
Reviewer: Preceptors (Denham, JP)

Reviewee: Students (Miller, Rachel)
Survey Period: 12/10/2023
Completed: 12/11/2023 12:33:27 PM MT
2. Dates of Clinical Experience:
9/20, 10/4, 10/11, 10/18, 10/25, 11/1, 11/15 2023
3. Total Number of Days Absent:
4. Specify Clinical Experience Site(s) Completed:
Acute Care/Inpatient
Additional Comments: NMC
5. Professional Practice
SAFETY
∇ Practices in a safe manner that minimizes the risk to patient, self and others.
Provide comments based on the performance dimensions including supervision/guidance, quality, complexity,
consistency, and efficiency. May select from the Indicators of Performance listed below for this competency. Please
provide a description of how the student demonstrated selected Indicators of Performance (may direct to a specific
anecdotal note entry).
Establishes and maintains safe working environment.

Recognizes physiological and psychological changes in patients and adjusts patient interventions.
Demonstrates awareness of contraindications and precautions of patient intervention.
Ensures the safety of self, patient and others throughout the clinical interaction
Requests assistance when necessary.
Uses acceptable techniques for safe handling of patients.
Demonstrates knowledge of facility safety policies and procedures.
Comments: Reviewed NURS2030 skills labs injection competency after sustaining a needle stick injury.
SAFETY
∇ Practices in a safe manner that minimizes the risk to patient, self and others.
Rate this student's clinical performance based on the Indicator's of Performance and comments above:
This rating is for the students performance for this evaluation period only. For midterm and final evaluations- this
rating is from start of semester until present. Do not consider previous or concurrent clinical performance.
Advanced Interm. Performance [4 pts]
Mean: 4.00 of 6 Points: 4 Score: 66.7%

PROFESSIONALISM
∇ Demonstrates professional responsibility and accountability for nursing judgments and actions.
Demonstrates initiative (e.g., arrives prepared, offers assistance, seeks learning opportunities)
Is punctual and dependable.
Wears attire consistent with expectations of the practice setting.
Demonstrates integrity in all interactions.
Exhibits caring, compassion, and empathy in providing services to patients.
Maintains productive working relationships with patients, families, CI, and the interdisc. team)
Establishes realistic short and long-term goals in a plan for clinical experience.
Seeks out additional learning experiences to enhance clinical and professional performance.
Accepts feedback without defensiveness.
Manages conflict in constructive ways.
Seeks feedback from clinical instructor related to clinical performance.
Identifies strengths and limitations in clinical performance.
Provides effective feedback to CI related to clinical/teaching mentoring.
Participates in self-assessment to improve clinical and professional performance.
Uses self-evaluation, ongoing feedback from others, and reflection to conduct regular ongoing...
Provides to and receives feedback from peers regarding performance, behaviors, and goals.
Acknowledges and accepts responsibility for and consequences of his or her actions.
Accepts responsibility for continuous professional learning.
Discusses professional issues related to nursing practice.
Participates in professional activities beyond the practice environment.
PROFESSIONALISM
∇ Demonstrates professional responsibility and accountability for nursing judgments and actions.
ETHICS
∇ Practices in a manner consistent with established legal and professional standards, ethical guidelines, and Christ-
like behavior.
Places patient's needs above self-interests.

Identifies, acknowledges, and accepts responsibility for actions and reports errors.
Takes steps to remedy errors in a timely manner.
Abides by policies and procedures of the practice setting (e.g., OSHA, HIPAA, etc.)
Maintains patient confidentiality.
Adheres to legal practice standards including all federal, state/province, and institutional regulat
Displays generosity as evidenced in the use of time and effort to meet patient needs.
Strive to provide patient/client services that go beyond expected standards of practice.
ETHICS
∇ Practices in a manner consistent with established legal and professional standards, ethical guidelines, and Christ-
like behavior.

COMMUNICATION
∇ Communicates verbally, nonverbally and electronically in a professional and timely manner.
Communicates, verbally and nonverbally, in a professional and timely manner.

Initiates communication in difficult situations.
Communicates respect for the roles and contributions of all participants in patient care.
Listens actively and attentively to understand what is being communicated by others.
Demonstrates professionally and technically correct written and verbal communication without
jargon.
Communicates using nonverbal messages that are consistent with intended message.
Engages in ongoing dialogue with professional peers or interdisciplinary team members.
Evaluates effectiveness of his/her communication and modifies communication accordingly.
Seeks and responds to feedback from multiple sources in providing patient care.
Adjust style of communication based on target audience.
Communicates with the patient using language the patient can understand (translator, level of educ.)
Comments: Per supervising RN: "Communicates respectfully with all patients, family, and staff"

COMMUNICATION
∇ Communicates verbally, nonverbally and electronically in a professional and timely manner.

13. Patient Management
CLINICAL JUDGMENT
∇ Applies current knowledge, theory, clinical reasoning and the patients’ values and perspectives in patient
management.
Presents a logical rationale (cogent and concise arguments) for clinical decisions.
Makes clinical decisions within the context of ethical practice.
Utilizes information from multiple data sources to make clinical decisions.
Recognizes when POC and interventions are ineffective, identifies areas for change, and implements.
Critically evaluates published articles relevant to nursing and applies them to clinical practice.
Demonstrates an ability to make decisions in ambiguous situations or where values are in conflict.
Selects interventions based on the best available evidence, clinical expertise, and patient preferen
Assesses patient response to interventions using credible measures.
Integrates patient needs and values in making decisions in developing the plan of care.
Clinical decisions focus on the whole person rather than the disease.
Recognizes limits (learner and profession) of current knowledge, theory, and judgment in pt mgmt.
Comments: Per supervising RN: "Great critical thinking! Making connections between diagnosis, Hx,
presentation, meds, and labs"

CLINICAL JUDGMENT
∇ Applies current knowledge, theory, clinical reasoning and the patients’ values and perspectives in patient
management.

CULTURAL COMPETENCE
Adapts delivery of nursing services with consideration for patients’ differences, values, preferences, and needs.
Incorporates an understanding of the implications of indiv. and cultural diff. and adapts behavior.
Commun. with sensitivity by consider. differ. in race/ethn., rel., gender, age, sex. orient., disab.
Provides care in a nonjudgm. manner when the pts beliefs and values conflict with ind. beliefs.
Discovers, respects, and regards individ. differ., prefer., values, life issues, and emotional needs
Values the sociocultural, psych., and economic influences on pts and responds accordingly.
CULTURAL COMPETENCE
Adapts delivery of nursing services with consideration for patients’ differences, values, preferences, and needs.

NURSING PROCESS
Establishes and implements a plan of care that is safe, effective, patient/family-centered, and evidence-based.
Assessment: Collects and analyzes data from the patient assessment (history, systems review, diagnostic tests and
findings from other care providers) to make clinical judgments.
Planning (Plan of Care): Establishes an individualized plan of care in collaboration with the patient, family, and the
health care delivery team, which is consistent with the assessment.
Implementation: Implements interventions to meet the specific needs of the patient, families, communities and
groups.
Evaluation: Evaluates the effectiveness of nursing care interventions; revises, and reprioritizes the plan of care.
Performs a complete nursing assessment which meets the requirements of the clinical setting
Performs regular reassessments based on patient status; reflects the status of the pt and the family
Reviews health history from patients and other sources
Incorporates physiological, psychological, sociocultural, economic and life-style factors.
Recognizes signs and symptoms that would preclude interventions due to contraindications.
Analyzes and interprets the results and determines a need for further assessment or referral
Clusters assessment data to identify nursing diagnoses/problems.
Sets short- and long-term outcomes that are specific, measurable, achievable, relevant and timely.
Selects interventions based on the best available evidence and patient preferences.
Identifies the resources needed to achieve the goals and refers the patient in a timely fashion.
Correctly identifies patients before intervention according to agency policy.
Implements interventions according to agency policy.
Adapts care to meet the unique developmental, cultural, and spiritual issues of the patient and fami
Maintains patient privacy & dignity.
Implements facility HIPPA plan as well as NNU Standards for patient protection & rights
Monitors and periodically re-evaluates the plan of care.
Recognizes when POC and interventions are ineffective, identifies areas needing change.
Implements required changes according to evaluation.
Communicates changes to patient, family and the health care team.
NURSING PROCESS
Establishes and implements a plan of care that is safe, effective, patient/family-centered, and evidence-based.
Assessment: Collects and analyzes data from the patient assessment (history, systems review, diagnostic tests and
findings from other care providers) to make clinical judgments.
Planning (Plan of Care): Establishes an individualized plan of care in collaboration with the patient, family, and the
health care delivery team, which is consistent with the assessment.
Implementation: Implements interventions to meet the specific needs of the patient, families, communities and
groups.
Evaluation: Evaluates the effectiveness of nursing care interventions; revises, and reprioritizes the plan of care.

DOCUMENTATION
Produces quality documentation, including patient charting in a timely manner to support the delivery of nursing
services.
Selects relevant information to document the delivery of care.

Documents all aspects of care including changes to, and communication with team.
Produces documentation that follows guidelines and format required by the practice setting.
Documents patient care consist. with guidelines and require. of regulatory agencies and payers.
Documents all necessary info. in an organized manner that demonstrates sound clinical
decisionmaking
Produces documentation that is accurate, concise, timely and legible.
Utilizes terminology that is professionally and technically correct.
Participates in quality improvement review of documentation (chart audit, peer review, goals achieve
Comments: Various examples of clinical documentation are thorough and accurate.

DOCUMENTATION
Produces quality documentation, including patient charting in a timely manner to support the delivery of nursing
services.

DELEGATION
Directs and supervises personnel to meet patient’s expected outcomes according to legal standards and ethical
guidelines.
Determines those services that can be delegated according to law, policies,codes of ethics.
Applies time-management principles to supervision and patient care.
Monitors the outcomes of patients receiving care delivered by other support personnel.
Demonstrates respect for the contributions of other support personnel.
Reviews, in conjunction with the CI, unlicensed personnelâ€™s documentation for clarity and
accuracy.

DELEGATION
Directs and supervises personnel to meet patient’s expected outcomes according to legal standards and ethical
guidelines
This rating is for the students performance for this evaluation period only. For a midterm and final evaluations- this
23. SUMMATIVE COMMENTS
Given this student’s level of academic and clinical preparation and the objectives for this clinical experience, identify
strengths.
If this is the student’s final clinical experience, comment on the student’s readiness to practice as a registered nurse.
Student comments: I have very good time management as I am able to complete assessments on time
and deliver medications in an appropriate amount of time. I understand how to prioritize patients
based on the severity of their needs. I communicate effectively, document procedures well, and ask
for help when needed. I don't mind asking questions and asking other more experienced nurses for
help. My clinical judgment is developing and I can see the improvement from past years. Instructor
comments: Rachel has consistently grown in skill during this semester. She consistently seeks and is
open to feedback, and produces excellent writing/documentation.
24. SUMMATIVE COMMENTS
Given this student’s level of academic and clinical preparation and the objectives for this clinical experience, identify
areas for further development.
If this is the student’s final clinical experience, comment on the student’s readiness to practice as a registered nurse.
NOTE: After completion of this evaluation, the student and clinical instructor will meet to review both the self-
evaluation and the CI's evaluation of the student. This will become part of the student's record and may be accessed
by the student and nursing faculty.
Student comments: I need to continue to grow in my clinical judgment and trust my instincts. I must
remember to speak up if I notice something wrong or abnormal. I need to gain more confidence when
speaking to providers. Most things I need to improve only will come with time and I understand it
takes time to develop the skills. Instructor comments: I agree with Rachel's comments above. She
tends to second-guess herself and is a bit apprehensive at times. Rachel can improve in her ability to
tackle difficult situations by trusting her instincts and continuing to expand her understanding of
various patho topics.
25. At this evaluation point, indicate whether the student is clinically passing the course:
PASS
26. For the Student

I, the student, have read directions for the Clinical Evaluation Tool. I have completed the training prior to using this
tool. I have also read, reviewed, and discussed my completed performance evaluation with the clinical instructor(s)
who evaluated my performance.
For the Evaluator(s)

I/We, the evaluator(s), have read and understood the directions for the Clinical Evaluation Tool (CET). I/We have
completed the training prior to using this tool. I/We have completed this tool, as the evaluator(s) according to the
training and directions for the CET. I/We have prepared, reviewed, and discussed the completed CET with the
student with respect to his/her clinical performance.
Name: JP Denham, ARNP
Total points for all rating scale questions: 36 (Each main question equally weighted)
Mean percentage score for all rating scale questions: 66.7% Response as of 2/24/2024 1:58:08 PM MT

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Survey: CLINICAL EVALUATION-NURS4000-FINAL-524-FA23

Reviewer: Preceptors (Denham, JP)

2. Dates of Clinical Experience:

9/20, 10/4, 10/11, 10/18, 10/25, 11/1, 11/15 2023

3. Total Number of Days Absent:

4. Specify Clinical Experience Site(s) Completed:

Additional Comments: NMC

Establishes and maintains safe working environment.

Advanced Interm. Performance [4 pts]

Mean: 4.00 of 6 Points: 4 Score: 66.7%

Advanced Interm. Performance [4 pts]

Mean: 4.00 of 6 Points: 4 Score: 66.7%

Places patient's needs above self-interests.

Advanced Interm. Performance [4 pts]

Mean: 4.00 of 6 Points: 4 Score: 66.7%

11. Professional Practice

Communicates, verbally and nonverbally, in a professional and timely manner.

12. Professional Practice

Advanced Interm. Performance [4 pts]

Mean: 4.00 of 6 Points: 4 Score: 66.7%

14. Patient Management

Advanced Interm. Performance [4 pts]

Mean: 4.00 of 6 Points: 4 Score: 66.7%

15. Professional Practice

Advanced Interm. Performance [4 pts]

Mean: 4.00 of 6 Points: 4 Score: 66.7%

17. Patient Management

Advanced Interm. Performance [4 pts]

Mean: 4.00 of 6 Points: 4 Score: 66.7%

19. Patient Management

Selects relevant information to document the delivery of care.

20. Patient Management

Advanced Interm. Performance [4 pts]

Mean: 4.00 of 6 Points: 4 Score: 66.7%

22. Professional Practice

Advanced Interm. Performance [4 pts]

Mean: 4.00 of 6 Points: 4 Score: 66.7%

23. SUMMATIVE COMMENTS

26. For the Student

For the Evaluator(s)

Name: JP Denham, ARNP

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