Practical Nursing Diploma Program Final Clinical Evaluation Form ‘Student: Harshpreet Lobana Student Number: 823-018-478 Course: ___NURS208 Section _18 Dates: ember 2014 to December 2014 Time Missed: 12 hours Satisfactory U: Unsatisfactory [summary of Areas of ‘Student Comments: Faculty Comments: Practice Summary of clinical Summary of clinical experience Experience Competent and safe practice |S UF sx ina professional, legal and Ihave demonstrated my Harshpreet has utilized CNO Ca clinical practice in safe and | and Best Practice guidelines on ethical manner by ensuring | practice and professional patient safety is given number | standards asa means to guide cone priority, especially her practice when providing disoriented clients with high | care to clients. She is aware that falls risk. Itried to eliminate | these standards will assist in factors from the environment | her development of that can compromise the understanding her nursing role | lient’s well-being and overall_| within the context of proving health. !approach my peers, | safe ethical nursing care. instructor and other health Harshpreet has also provided ethical care by providing privacy, respect, autonomy and confidentiality when caring for care staff for clarifications to avoid harm and work within the regulatory standards of nursing. Client choice patients. primary value used during my care to increase Harshpreet is attentive to the independence, comfort and | environmental safely of her provide maximum quality care. | clients, ensuring that all, hospital equipment is used safely and seeking assistance as needed whenever she required support. au : Communication a a | Effective communication is 2 Hlarshpreet is comfortable key in providing optimal care. | | communicating with those ‘tied to communicate with my | around her for her level of clients as much as possible to | learning. She has improved in understand their subjective this area as the weeks haveViewpoints, so that Tean orient my care accordingly to their needs. For example, one my client wanted me to sit with her and talk because she feels, lonely and ignored by other nurses. Therapeutic nurse- client retationship is based on communication. As a nurse, we can attain necessary information from our clients through communication. Primary nurse was informed for any concerns, such as ‘when patients refuses to take the medication. Reporting to the nurse was done on ‘ongoing basis. Documentation was done regularly and in a concise manner. | also had detailed discussion with my nurse to what more we can do to solve any issues, For example, decided to give bed bath later because patient was | having difficulty breathing and turing and positioning wil just make it more difficult for patient to breath. progressed, Harshpreet has independently established purposeful and caring relationships with her clients She engages them in discussion during care in efforts to gain greater knowledge specific to their care needs and is then able to use this knowledge to encourage clients to participate in their care e.g, self care with hygiene and ambulation. Harshpreet has communicated with staff members in a productive manner in order to facilitate timely care interventions for her clients She has consistently documented the care she has provided in a timely manner via the patient's EMR and via the MARs after administering medications. Harshpreet has also been active by serving asa translator for hospital staff communicating with clients ‘who spoke little English. Caring relational practice (Hou: | always keep open ended ‘communication with my clients, 60 that they can approach me easily and point ‘out any concerns. | check on my client in regular intervals such as after every 15-20 minutes. Respect for culture and individualization was maintained. Sometimes, nurses beliefs and values can be different from the client and conflict can arise but this, difference should not affect the therapeutic care provided. Best quality care within my S U: Harshpreet has the ability to build caring relationships with her patients. She has developed her communication skills and has become more comfortable speaking and caring for clients in her role asa student nurse. Harshpreetis very caring and takes her time to ensure her clients are aware of the task she {is performing with them at all times. Ensuring her patients understand any activity taking place. Leadership and advocacyDemonstrated leadership roles hile working with my peers. For example, helping them with documentation and ‘assisting peers in ambulation ‘of patients. Client education was done in ongoing basis to promote the understanding of therapy. For example, ‘mechanism of action of ‘medications was explained to promote understanding. Time was managed properly and effectively. Approach to right resources on time was done to ‘avoid any risk factors. Report of unsafe behavior or activity was given to appropriate personnel. For example, pharmacy was informed when client was experiencing difficulty swallowing oral medications and recommendation for alternative method was given. Harshpreet has been able to demonstrate her development of leadership skills as she takes part in planning and implementing nursing care that isclient specific. She has been able to become more involved in advocating for her patients. Because of this, she has been able to take part in making suggestions that directly affects the nursing care her patients’ receive, Plans of care: Meeting Clients Needs and Mutually Agreed Expected Outcomes is: ‘Open communication was encouraged between nurse ‘and client to set out goals and have mutually agreed ‘expected outcome, Knowledge, skill and judgment is an important aspect when providing nursing care that help prioritize goals. For ‘example, clearing sputum form the chest by deep coughing is given priorty to help client breathe easily compared to client ambulation. Head to toe assessment was done to assess patients health status ‘and measure were implemented such as eu Harshpreet has been able to ‘modify her plan of cared based fonclient assessment findings and medication usage. She has been able to apply standards for physical assessment, mobility, medication administration and hand hygiene, She has used these guidelines as her resource to develop a safe plan of care for her patients, She has been able to do this consistently ‘more often for the latter half of the practicum, She has adjusted care based on clinical findings ‘when giving BP meds and the client B/P was low and when given diabetic medications. She has also adjusted medication ‘administration such as Collaborative Practice clovaing the head ofthe bed | séministration suchas, Ce required before giving the drug, v ae: Harshpreet has continued to _|Tworked collaboratively with | communicate and seek inter professional health care | guidance from the nursing staff | | team such as pharmacist, and instructor with questions physiotherapist, speech and | ad toinform both the RN and language therapist physician | mstructor of assessment findings or changes for het and social workers to set out | Patent she ha continued to mutually agreed goals and | work with and assists others, interventions for the client. For | her peers and the nursing staff example, with consuttation _| in general when they need help with speech and language _| in caring for their patients. therapist, client's diet was. Harshpreet understand the changed from regular to Importance of working with om eae gd | lied healthcare providers.As erred eee iJ such, her ability to engage in outa role of a translator for a | a ae ee physician, | greatly benefitted her learning opportunities. Quaity Assurance Su: se U Ihave abvays worked inthe | Harshpreethaswtlized self best interest ofchents end | evaluation asa meansto protected cient from any tye | develop and adjusther ‘of harm, Self-evaluation is spree eae aa performed eguarty to prove | Siehas een able oui rutsngskilsand entity ther | Seas en aero areas that requires more | tnstracorta beter her feedback. For example, | have | methods of care delivery. She removed Foley catheter with | hasbeen very receptive to mmy clinical instructor but think | constructive feedback Iwill need assistance and Eee a quick learner monitoring few more times | andseeks outlearning before become comfortable | OnPovtunities independent removing it independently. 1 | learning. am always seeking out opportunites to learn new skills. Ctical Thinking, Problem | EE Solving and Decision Making | ctical thinking was used to | Harshpreet has continued to understand the nature of the | demonstrate her able to utilize have on the overall health of | academic learning to better an individual, For example, understanding of her role as a abnormal levels of BUN and | student providing care inthe creatinine is expected in an clinical setting. She is able to individual with kidney disease. | connect the theoretical aspects The lab value of INR and PT is | of knowing with the ‘also important to assess the | information she gathers in blood coagulation before practicum to come up solutions giving warfin, For example, for her clients when aspects of [nurses ‘will not administer care needs arise. She has beenWarfn the INR value Is Figh | able to demonstrate her because it increases the risk | learningas she has carried for {or bleeding, rather antidote of | various clients with varied VITK willbe administer. Iwill | health eare needs. Harshpreet also evaluate the effectiveness | has demonstrated that she fof the method | used to find | understands the aspects of areas of improvement and act | problem solving and decision ‘upon those areas to raking as she utilizes specific strengthen my practice. patient information asa means | to process her actions. Thave read and understand this form and its contents ae Nex 5,201 oats De 5, 20 iy Student Signature: Faculty Signature: