NURS 253 PRECEPTOR FEEDBACK WRITTEN PERFORMANCE FEEDBACK OCCURS AT WEEK 7 AND WEEK 15 NOTE: Preceptors complete this written feedback form in Week 7 (Mid-term Evaluation) and Week 15 (Final Evaluation). In Week 4 a discussion of student learning to date occurs; students who ‘Need Development’ or are ‘Unsatisfactory’ in Week 4, 11 or as required, receive written feedback using this form which is submitted to the Professor/Clinical Teacher. based approach into nursing care. S S |S V. Assess practices and risk management principles = S Ss S S of the and take action to ensure safety of clients, self, and others. Vi. Question and clarify unclear orders or directons. = | S and when uncertain. vi, Question, ciariy or challenge questionable orders, J || decisions or actions by others. . vil, Respond in a professional manner to situations in J | LEARNING INDICATORS THAT LEARNING HAS OCCURRED: SATISFACTORY ‘OUTCOME ND = NEEDS DEVELOPMENT Students will be able U= UNSATISFACTORY to: ‘COMPETENT AND SAFE PRACTICE WITHIN A LEGAL AND ETHICAL ‘WEEK | WEEK | WEEK | WEEK FRAMEWORK = SNEe ere baie ae i. Comply with regulatory standards, relevant aC Ss 1. Model safe, legislation and the practice setting’s policies and LS competent, procedures armtizein | Astin @ professional, responsible, ethical and aS 4 Ss eereees accountable manner. . with Tegal and |i. Use the three factor and decision making oi regulatory frameworks to determine strengths and limitations | 5 | frameworks and when to collaborate and consult with other ee professionals. c polici . . procedures wv. Integrate evidence-informed practice and a theory it oP s S S > which there is unsafe, unacceptable or S unprofessional behavior. 2 | ix. Demonstrate understanding about the role of the S Siglo Shot aid he f Hh iw Query PKU surpoab. WN well whe weitere NG cas ~ eh ah tho, Je, wally i Sie ce all i ants +0 Hu Hetpduf. t Wet my please 4 Ram, each + Wok wth | bh bya (ket: ‘Comment| LEARNING | _ OUTCOME INDIGATORS THAT LEARNING HAS OCCURRED: SATISFACTORY Students will be able ND= NEEDS DEVELOPMENT to: U= _ UNSATISFACTORY WEEK | WEEK | WEEK | WEEK | 14 ACCURATE AND RELEVANT COMMUNICATION 2. Communicate using strategies and technology to effect accurate and timely information sharing including data, research, and other information. i Contribute fo team sharing and discussions Document clearly, accurately, concisely in a timely ‘manner using written and electronic methods. Use effective communication techniques when reporting relevant information and providing feedback to the appropriate members of the interprofessional heath care team. Evaluate and refine techniques used to communicate | | > and share information with clients and the eae interprofessional health care team. Ensure privacy and confidentiality. Ss c Use technology to retrieve information including S 2 research and other date and to obtain and forward |] | SS formation both within and outside the practice is setting. Ss S S$ S S S S S w Comments —i Demonstrate therapeutic use of self to foster client well-being. iv. Utilize relational knowledge and skills, and ethical principles to support clients and to interact with health care providers, V. Use self-awareness to identiy the effects that beliefs, values, and personal experiences have on relational practice Vi. Collaborate with cients, members of the "LEARNING OUTCOME INDICATORS THAT LEARNING HAS OCCURRED: ]S= SATISFACTORY Students will be able ND=_ NEEDS DEVELOPMENT to: = _ UNSATISFACTORY WEEK | WEEK | WEEK | WEEK CARING RELATIONAL PRACTICE 4 1 | 14 Ti. Establish therapeutic caring, compassionate, and [| evils 3. Engage Y culturally safe relationships with clients and health 2 ~ sea i care team members. \ | s practice thats |, Estabish acamng envionment that supports cients | WAC | NWA] NAC) NA comtresionate in meeting their needs and outcomes, managing and respectful. their illness, or experiencing a peaceful death Tapriocioedantierhoxewanayang | & Ls consult appropriately. vii. Uphold practices and systems that support the \ | eet ane [NAINA & 1S: | | health care team. Z ce vit_Proviie aac lan oeston sisl¢ ‘CommentsLEARNING ‘S=_ SATISFACTORY ‘OUTCOME INDICATORS THAT LEARNING HAS OCCURRED: |ND= NEEDS DEVELOPMENT Students will be able U= UNSATISFACTORY to: WEEK | WEEK | WEEK | WEEK LEADERSHIP AND ADVOCACY 4 i | 14 7 Evaluate and refine leadership skils to develop (A i 4. Actas a leader solutions, resolve conflict, create a positive work NA NA] NAY WA and an advocate environment and organizational culture, and to Caste on. i strengthen advocacy role. interprofessional | ii. Provide feedback to peers and accept feedback NAINA Akl) NAY health care team from peers and members of the interprofessional and to further the | __health care team profession, ii, Advocate for clients, self, others, and quality NDINDI S |S practice environment iv. Support clients’ rights for self-determination and choice. v. Respond appropriately to unsafe, unacceptable, and unprofessional behaviors. vi, Demonstrate public protection and acting in the interests of the public through collaboration and consultation with other members of the interprofessional health care teams. Contribute to the creation of quality practice strategies and solutions. vil, Assign, supervise, toach as appropriate, and provide feedback to unregulated care providers (UCPs) in collaboration with the interprofessional, health care team. ND a > NA NA NA ND 2 NA NA NA ‘Comments‘Comments LEARNING on outcome INDICATORS THAT LEARNING HAS OCCURRED: |/S= SATISFACTORY students will be ND= NEEDS DEVELOPMENT able to: U= UNSATISFACTORY PLANS OF CARE: MEET CLIENTS’ NEEDS AND MUTUALLY AGREED WEEK | WEEK | WEEK | WEEK EXPECTED OUTCOMES 4 Fel ona aa i Formulates clinical judgments that meet clients’ i > 5. Integrate the unique and changing health needs and priorties, | NEY | ND} S | S nursing process ‘outcomes, and overall condition and incorporates is these into evolving plans of care. f Sidacroes * | i Devise evidence-informed plans of care that are PNA | NA) NAY AA diverse practice holistic and client-centred, | sottings. ii, Use clinical judgment to assess clients, prioritize ND] S |S reeds, oveomes, and nursing interventions. | SL) ote iv. Collaborate in the evaluation, refinement and - ‘modification of plans of care. NB INB S| S ¥. Safely and competently perform treatments and CS Use techniques, and technology autonomously saat a5 and in collaboration wit clients and members of the interprofessional heath care team. vi. Collaborate with the cients across the lifespan and with members of the interprofessional heath |) | WAL Al cov bam taeatsectetsomreapen cron | NEC | NAL) NA) WA that is articulated with competence both in writing and orally. vi, Use awareness of own knowledge and skil, the J C> | CS theo acts of nse, dentand enwrnment J <2 | |S |S and the practice decision-making framework to guide practice. vi, Manage workload, time, and physical resources a tnepvotint tre trectmenms 1LID) IND] & | SLEARNING OUTCOME INDICATORS THAT LEARNING HAS OCCURRED: |$= SATISFACTORY Students will be able ND= NEEDS DEVELOPMENT to: U=_ UNSATISFACTORY COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE WEEK | WEEK | WEEK | WEEK TEAMS 4 zi "1 14 i Collaborate with clients to determine needs, 6. Collaborate and mutually agreed health outcomes, approachesto. | NAY | NAN NA Nb, oneal weit care, and to evaluate care. clients and the interprofessional |i Contribute as a member of the interprofessional NA] NAL NAL Ap saith Gare sean and health care teams to respond to changing client omen needs and outcomes, comprehensive | iii. Consult with and seek out assistance from Ss =| § AS and holistic members of the interprofessional health care team. | — 2 health careina | iy, Use teamwork, consensus building, and conflict complex and resolution and leadership skils to meetexpected INIA | NAY AL NX environment. isi ues ¥V. Integrate effective, collaborative, and consultative i svatesjos to moot torts needs winin acranging J NIN | NAY AVA environment. vi. Respect the unique role and competencies of al | pan members of the interprofessional health care team. | DD Ss Ss Vii Collaborate as a member of the interprofessional health care team to respond to changes in nursin \ inowedge and price andin heheatheare [ISA NANA | AV environment. é “CommentsLEARNING ‘S=_ SATISFACTORY ‘OUTCOME INDICATORS THAT LEARNING HAS OCCURRED: NEEDS DEVELOPMENT Students will be UNSATISFACTORY able to: | WEEK | WEEK | WEEK | WEEK QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE 4 7 nu | 4 iT Actin the best interests of cienis and protect cents || 7. Engage in from harm through collaboration and consultation 2 |> $ as eee with other members of the interprofessional and (oeereteai Soacaa town ouch compet nt the regulatory practice i} framework. i. Commit to Quality Assurance practice to identity | strengths and areas for professional growth and in accordance with the regulatory framework (CNO) Create, implement, and evaluate a leaming plan consistent with the Quality Assurance program (CNO). iv. Assume responsibilty to seek out feedback for colleagues and peers and leaming opportunities that foster professional development. Consistently review nursing research and Sle information about health care to improve 2 competence and to support clients vi. Develop professional responses to health care. system changes resulting from advances in research, technology, and changes in societaland J NYS. | KAA political forces. i CommentsLEARNING INDICATORS THAT LEARNING HAS OCCURRED: SATISFACTORY OUTCOME NEEDS DEVELOPMENT Students wil be able to: UNSATISFACTORY USE CRITICAL THINKING, PROBLEM-SOLVING and DECISION-MAKING WEEK | WEEK | WEEK | WEEK EFFECTIVELY 4 7 rt 14 i. Use critical thinking to inform decision making | << | nts 8. - critical tel in all aspects of nursing care. =e lisse e a, Problem | Use clinical judgment to assess and refine soteng asusononstrooleraion wns | NAS | NA] NAY Vd, eidtle tonectty interprofessional health care team, formulate health care needa nursing diagnoses, plan nursing interventions, |*¥ and expected and outine evaluative ctr, outcomes of clients. | iii. Evaluate and refine critical thinking, problem — | solving, and decision-making skills. NOI S}|S }S iv. Integrate knowledge from varity of nursing, J —~ c health, and other theory into nursing practice ae: iS s > to provide safe and competent care : voice efecely s|s |S |s vi. Demonstrate professionalism, responsibility, > |e fe ‘and accountability SS id is Vii. Use critical thinking, the practice decision- making framework and the nurse-clent- e Civica {NOS |S {s Judgments and practice ‘Comments