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Evaluations - > Evaluation Review
Final Clinical Evaluation
NUR 4467L VA SB Section 015 2/26/2015
Evaluation date: 4/24/2015
Evaluator Rickel, Anne (arickel@health.usf.edu)
Evaluatee: Turner, Samuel (sturner2@health.usf.edu)
5-Outstanding: Exceeds Standards
Exhibits above average performance of nursing care for this level student. The student
's proactive, self-directed, and consistently engaged in leaming; needs minimal
guidance; is knowledgeable; and appropriately incorporates knowledge with skills.
Student is proactive and self-directed in approach to learning,
4-Satisfactory: Meets Standards
Exhibits average performance of nursing care for this level student. Functions with
‘minimum guidance. Demonstrates adequate knowledge and requires minimum
‘assistance in applying knowledge to skills. Recognizes learning opportunities but may
require assistance in utilizing them.
3-Minimat
Exhibits minimal performance of nursing care for this level student. Functions safely
with moderate guidance. Demonstrates minimal knowledge and requires moderate
‘assistance in applying knowledge to skills. Requires some direction in recognizing and
utilizing learning opportunities. Often focuses on the task or own behavior, not on the
Patient
2-Unsatisfactory
Requires intense guidance for the performance of activities at a safe level. Clinical
Performance refiects difficulty in the provision of nursing care. Demonstrates gaps in
necessary knowledge and requires frequent or almost constant assistance in applying
knowledge to skills. Requires frequent and detailed instructions regarding learning
opportunities. Focuses primarily on the task or own behavior, not on the patient.
1-Unsate to Practice
's unsafe to practice without constant, intense guidance. Frequently lacks necessary
knowledge and skilis and unable to integrate these into practice. Requires constant
detailed instructions regarding leaming opportunities and is often unable to utlize
them, Attempts activity or behavior, yet is unable to complete. Focuses entirely on the
task or own behavior, not the patient.
Standard I-Communication
The student communicates pertinent information regarding the patient's
condition/concern to health team members.
Answer: 4 Satisfactory: Meets Standards
Comment:
Standard |--Communication
The student communicates effectively in written form (Nursing Process
Worksheet is organized and complete)
Answer: 4 Satisfactory: Meets Standards
Comment:
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‘Standard |~Communication
‘The student communicates effectively in verbal form.
Answer 4 Satisfactory: Meets Standards
Comment:
‘Standard |-Communication
The student initiates, maintains, and terminates the nurse-patient relationship
using principles of therapeutic communication.
Answer: 4 Satisfactory: Meets Standards
‘Comment:
Standard Communication
‘The student functions as an advocate for the patient/family and communicates,
family needs to other members of the health care team.
‘Outstanding: Exceeds
Standards
Comment: Above average in advocating for the patient - brought issues to the
attention of his preceptor at times
Answer: 5 (Comment Required)
Standard |~Communication
The student examines the dynamic interactions between the patient, family,
community, and society.
Answer: 4 Satisfactory: Meets Standards
‘Comment
‘Standard l-Communication
‘The student initiates discussion to identify and resolve interpersonal problems
that impact care,
Answer: 4 Satisfactory: Meets Standards
Comment
‘Standard |-~-Communication
‘The student uses interpersonal skills to enhance patient/family coping abilities.
Answer: 4 Satisfactory: Meets Standards
‘Comment:
Standard |~Communieation
The student discusses the ethical issues and approaches the ethical dilemmas
{that confront the patient/family and appropriately discusses experience with
faculty/preceptor.
Answer: 4 Satisfactory: Meets Standards
‘Comment:
Standard -Communication
The student delegates appropriately to patient care technician, family, or other
team members.
Answer: 4 Satisfactory: Meets Standards
Comment:
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Standard I-Knowledge
The student applies knowledge of humanities, physical and social sciences,
and nursing when providing patient care.
Answer: 4 Satisfactory: Meets Standards
Comment
‘Standard |-Knowledge
The student applies knowledge of social, cultural, and genetic factors to the
care of diverse populations.
Answer 4 Satisfactory: Meets Standards
‘Comment:
Standard LAttitude
‘The student does not in anyway demonstrate disrespect or inappropriate
behavior to the patient, staff, or faculty
Answer: 5 (Comment Required) Quistanding: Exceeds
Standards.
Comment: Sam is always respectful and has a very positive attitude toward al
‘Standard L-Attitu
‘The student is actively engaged in and seeks out opportunities for learning.
Outstanding: Exceeds
Standards
‘Comment: Sam is proactive in seeking out new learning experiences.
Answer: 5 (Comment Required)
‘Standard Il-Safety
The student does not make judgmental, discriminatory, or projudicial
statements to the patient, staff, or faculty.
Answer: 5 (Comment Required)
Outstanding: Exceeds
‘Standards,
Comment: Sam is open-minded and respectful of individual differences in those he
is in contact with,
Standard II-Safety
The student applies principals of universal precautions, practices specific
'solation techniques, and teaches the reasons for universal precautions.
Answer: 4 Satisfactory: Meets Standards
Comment:
Standard I-Safety
‘The student assesses patients for fll risk and applies principles of safe pationt
handling.
Answer: 4 Salisfactory: Meets Standards
Comment:
Standard Il-Safety
Tho student maintains the patient's physical safety by protecting the patient
from harm,
Answer: 4 Satisfactory: Meets Standards
Comment:
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Standard l-Safety
The student maintains medical and surgical asepsis when doing procedures
requiring sterile technique.
‘Answer: 4 Satisfactory: Meets Standards
Comment:
Standard Il-Safety
The student proporty identifies techniques and teaches the reasons for
universal precautions,
Outstanding: Exceeds
Standards
‘Comment: Sam is more attuned to this area than the average student
Answer: 5 (Comment Required)
Standard II-Saf
The student validates the accuracy and appropriateness of orders for
‘nursing/medical care prior to initiating care.
Answer. 4 Satisfactory: Meets Standards
‘Comment
Standard II-Safety
The student implements orders accurately and efficiently.
Answer: 4 Satisfactory: Meets Standards
Comment:
Standard Il-Safety
The student is able to identify potential signs and symptoms of an emergent
medical condition and promptly reports changes in the patient's health status
to preceptor andior clinical faculty member.
Answer: 4 Satisfactory: Meets Standards
Comment
Standard II-Safety
The student adapts skill performance using principles of theory when
necessary.
Answer, 4 Satisfactory: Meets Standards
Comment:
Standard lll-Nursing Process:Assessment
The student identifies data from the history and physical assessment to.
formulate appropriate nursing diagnoses.
Answer. 4 Satisfactory: Meets Standards
Comment:
Standard Ill-Nursing Process:Assessment
‘The student identifies the patient's health education needs,
Answer: 4 Satisfactory: Meets Standards
Comment:
Standard Ill-Nursing Process:Diagnosis
The student synthesizes history and assessment data as well as diagnostic
results into the development of nursing diagnoses.
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Answer: 4 Satisfactory: Meets Standards
Comment:
Standard Ill-Nursing Process:Plan
The student integrates psychosocial needs into care plan, identifies
appropriate resources for the plan of care, and incorporates health education
into the care plan.
Answer: 4 Satisfactory: Meets Standards
Comment
Standard Ill-Nursing Process:Plan
‘The student identifies measurable,
and individualized to the patient.
Answer 4 Satisfactory: Meets Standards
Comment
>xpected patient outcomes that are realistic
Standard Ill-Nursing Process:Plan
‘The student identifies the discharge planning process and needs of the patient
upon admission and throughout the hospitalization.
Answer: 4 Satisfactory: Meets Standards
Comment:
Standard Ill-Nursing Process:Plan
‘The student demonstrates judgomont in decision-making and priority setting.
ot (Comment Requires) Oustanding: Exceeds
Comment: Above average in decision-making
Standard Ill-Nursing Process:Plan
‘The student uses appropriate collaborative resources to personalize the
nursing care the patient receives.
Answer: 4 Satisfactory: Meets Standards
Comment:
Standard lll-Nursing Process: ntervention/implementation
Tho student demonstrates understanding of the principles underlying nursing
actions appropriate for the student at this point in the curriculum,
Answer 4 Satisfactory: Meets Standards
‘Comment:
Standard Ill-Nursing Process:Intervention/implementation
The student performs skills according to agency policy and procedure and
clinical lab guidelin
Answer: 4 Satisfactory: Meets Standards
Comment:
Standard il:Nursing Process:intervention/implementation
The student implements the written action plan/protocol considering the
Priorities for each assigned patient.
Answer. 4 Satisfactory: Meets Standards
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‘Comment:
Standard Ill-Nursing Process:Intervention/implementation
The student implements a teaching plan based on scientific knowledge and
utilizes resources appropriately.
Answer: 4 Satisfactory: Meets Standards
Comment:
‘Standard lll-Nursing Process:intervention/implementation
‘The student incorporates evidence based research into nursing practice.
Answer: 4 Satisfactory: Meets Standards
Comment:
Standard Ill-Nursing Process:Intervention/Implementation
‘The student practices individualized and culturally competent care.
Answer: 4 Satisfactory: Meets Standards
Comment
Standard Ill-Nursing Process:Intervention/Implementation
The student initiates appropriate referrals as needed,
Answer: 4 Satisfactory: Meets Standards
Comment:
Standard Ill-Nursing Process:Evaluation
‘The student evaluates the patient's responso/outcome to the intervention,
Answer: 4 Satisfactory: Meets Standards
Comment
Standard ill-Nursing Process:Evaluation
The student utilizes subjective and objective data to revise nursing actions (ae
appropriate for the student at that level of the curriculum).
Answer 4 Satisfactory: Meets Standards
‘Comment
‘Standard lll-Nursing Process:Organization
The student provides organized, coordinated, and prioritized nursing care for
the patients with a range of health problems.
Answer. 4 Satisfactory: Meets Standards
‘Comment
‘Standard Ill-Nursing Process:Organization
‘The student organizes time and resources effectively and efficiently.
Answer 5 (CommentRegutes) _ Qustanding: Exceeds
‘Comment: Sam is above average in time management
Standard Ill-Nursing Process:Organization
The student gathers and organizes oquipment necessary for patient
carelprocedures.
Answer: 4 Satisfactory: Meets Standards
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‘Comment:
‘Standard Ill-Nursing Process:Organization
The student identifies and seeks appropriate resources during pationt care
Provision,
Answer: 4 Satisfactory: Meets Standards
‘Comment:
Standard liNursing Process:Organization
The student completes tho daily clinical assignment in a timely manner.
Answer. 5 (Comment Requires) Sutstanding: Exceeds
Comment: See comment above
Standard ill-Nursing Process:Documentation
The student appropriately develops long and short term patient oriented
nursing care goals based on patient assessment and scientific principles of
nursing practice.
Answer: 4 Satisfactory: Meets Standards
Comment:
Standard Ill-Nursing Process:Documentation
The student documents problems and nursing care goals in the patient record
(with co-signature),
Answer: 4 Satisfactory: Meets Standards
‘Comment:
Standard Ill-Nursing Process:Documentation
The student identifies and documents nursing actions/orders initiated in
implementing the plan of care.
Answer: 4 Salisfactory: Meets Standards
‘Comment:
Standard Ill-Nursing Process:Documentation
‘The student correctly entors data into the patient record in a timely manner per
agency protocol.
Answer: 4 Salisfactory: Meets Standards
Comment:
Standard Ill-Nursing Process:Documentation
‘The student assures privacy of the patient record at al times.
Answer: 4 Satisfactory: Meets Standards
Comment
‘Standard Ill-Nursing Process:Critical Thinking
he student utilizes critical thinking skills to prioritize patient needs based on
the patient assessment.
Outstanding: Exceeds
Standards
Comment: Samis above average in ertical thinking skills
Answer 5 (Comment Required)
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‘Comments:
‘Sam has demonstrated progressive ability to assess and care for antepartum,
intrapartum, and postoartum mothers and their newborn infants, He has above
average ably to organize his care and use critical thinking skills. He relates well to
patents/families, preceptors, and other tearm members on the nursing unit. He is
proactive in seeking out new learning experiences. It has been a pleasure to work with
him! Anne Rickel
‘Samuel Turner has reviewed the abov.
has provided the following comment:
| enjoyed my experience greatly. | fee! like this rotation provided a rich experience
in al clinical areas involved.
aluation on 7/1/2015 7:52:00 PM and
_athenafprojectnurse_usf prod! APP v4.10.5508.7053 DB v4_19 5/11/2015 APPUSER:STURNER2
https://seeure.projectnurse.com/usf/evaluations evaluations.asox ananne