Carroll Community College Division of STEM, Nursing and Allied Health Department of Nursing NURS 140/233 Hatt, Student Clinical Performance Evaluation - Summative Student__j#! Date (Term/Year). Location _SGAH Faculty_Jed/ Ha// Dow Ledisdnes = Needs Improvement’ —_U = Unsatisfactory. (*) Denotes critical behaviors. lents who meet any of the following criteria will be given a remediation plan and may be placed on probation. Feilure to progress in these areas may result in fallure of the course. - > One unsatisfactory grade in a critical behavior = Two needs improvements in a critical behavior = + Two unsatisfactory grades in a non-critical behavior__- Four needs improvements in non-critical behaviors: Integrating Concept: Contextiand Environment Outcome 1: Identifies Fela ees teamwork within theiorganizational structure, with: PORNLG & Spit of Neuve cea et ee : “Maintains ethical accountability for nursing practice in accordance with the ANA Code of Ethics. Maintains legal accountabily for nursing practice in accordance with the Maryland Nurse Practice Act *Adheres to HIPAA guidelines regarding patient confidential. Demonstrates the role of the nurse as patient advocate. Integrating Concept: Knowledge and Sclencadi= sa Outcome 2: Identities knowle fom ring peleeaed alodhanieag designing and:implementing’patient.centered:care for:individuals; families: assistance: (POIRNLG:'2 Nursing’ Judgment; POIRNLG! 4 Spiritof Inquiry) Collects evidence related to clinical practice from appropriate resources. Integrates knowledge of evidence based theory from nursing and other disciplines to plan care ‘Demonstrates accurate and holistic patient assessment skis. Establishes appropriate nursing diagnoses based on patient ‘Determines patient specific etiology related to nursing diagnoses. ‘Determines patient specific signs and symptoms related to nursing diagnoses ‘Determines patient specific outcomes for nursing diagnoses. ‘Determines patient specific interventions for nursing diagnoses and outcome(s). Implements care according to established plan and desired outcomes. Evaluates patient response to care and revises plan as needed. Integrating Concept: Personal and. Professional Developments" = ‘Outcome 3: Identifies the need for the lifelonig process of leaming nursin Discusses patient's plan of care with instructor. ‘Completes assignments as required and submits on time Organizes time efficiently. Demonstrates professional appearance and demeanor. Engages in self-reflection and communicates learning needs to instructor Integrating Concept: Quality and Safety Fare See Outcome 4; Identifies knowledge from nursing science and'allied health:disciplines to begin: providing competent care based on‘current standards of practice:to minimize:risk of harm to all members of the health care system through: system effectiveness.and individual practice, with — assistance: (POIRNLG: 1: Human Flourishing;: PO/RNLG 2: Nursing Judgment; POIRNLG 4: Spirit: of Inquiry) Raia UME Seen “trove safe care ‘according to established standards of nursing practice. Prioritizes patient care based on assessment. Readily incorporates technology into clinical practice. “Observes infection conirol precautions. Demonstrates accountability and responsibly for own actions and alludes, “Demonstrates knowledge of medications for assigned patients, “Administers medication safely using six rights of medication administration. 1N140_N233 Clinical Eval 172972014Carroll Community College Division of STEM, Nursing and Allied Health Department of Nursing NURS 140/233 “Respects patients’ rights with regard to their dignity and human worth. Tdentifies patient/family health education needs and implements patient teaching. 3 Ss. Di tient care accurately and in a timely manner using the written or electronic health record. Ss Ss c Evalof Studen: SINU ‘Seeks input from patient, instructor, peers, and healthcare team in the delivery of patient care. KE “Updates instructor and healthcare team Demonstrates professional i regarding changes in the patient's condition in a timely manner. kills using SBAI z How have you grown as a nurse? Please explain and use specific examples: do beeve thot TE have $6 Nacst DUN ae O56 Wid Experience. + WES DOLE Fo Orackice My OSSESSCMENy SKANS OO Comer HEVIHOCO Holy Od G A pn.01d 4 Do you have any continuing concerns about your performance? Piease explain. T yapnnd Wee +o Wove Gnore EK eeriarce Rok: SeOA HES experiences NOAEG Me ro DEC OENE HoCHEL Nurs WE Vediodr ics. Wis Wos & a CHOMCAL \ ¢ ow Gnd Bvsowrd MANS oor, WeneSeated a) ee RUSE Soe OA S08 \Gnoees Faculty Commental Student Leaming Goals ("if an Item was identified as Nor U, narrative comments are necessary to clarify student performance") Heat, provaded, Coy and Conpaneicrsty cars go her padietuc Potiarts at! Shady Caen. Mabther tao pagar! yi. bb ogpenron ond deren. — Hedhera imteracterar with 0 Than parm bie of Ye padestnrd ategg ware respect gat omd ertlabratiie, Baked Haug Gutatine and woo on sntiaiaohe’ Pantespert ar ist Corsrincea Pastiirte Jr wher She paride cars included infant Hamgh Shok Age poputahera. Student Signature: | EX pate: 1A] /a[2oi4 Instructor Signature: * Qos, cru CNL Date: /o [yy /db/e