4/11/2016

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Evaluations ­ > Evaluation Review
Final Clinical Evaluation

aluations

Ev

NUR4948LSMHUD 4/10/2016
Evaluation date:   4/10/2016
Evaluator:   Davis, Amanda (adavis11@health.usf.edu)
Evaluatee:   Escobar, Alyssa (aje@health.usf.edu)

Evaluations

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5­Outstanding: Exceeds Standards
Exhibits above average performance of nursing care for this level student. The student is
proactive, self­directed, and consistently engaged in learning; needs minimal guidance; is
knowledgeable; and appropriately incorporates knowledge with skills. Student is proactive
and self­directed in approach to learning.
 
4­Satisfactory: 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.
 
3­Minimal
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.
 
2­Unsatisfactory
Requires intense guidance for the performance of activities at a safe level. Clinical
performance reflects 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.
 
1­Unsafe to Practice
Is unsafe to practice without constant, intense guidance. Frequently lacks necessary
knowledge and skills and unable to integrate these into practice. Requires constant
detailed instructions regarding learning opportunities and is often unable to utilize them.
Attempts activity or behavior, yet is unable to complete. Focuses entirely on the task or
own behavior, not the patient.
 
Standard I­­Communication
The student communicates pertinent information regarding the patient's
condition/concern to health team members.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard I­­Communication
The student communicates effectively in written form (Nursing Process Worksheet
is organized and complete)
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard I­­Communication

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The student communicates effectively in verbal form.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard I­­Communication
The student initiates, maintains, and terminates the nurse­patient relationship
using principles of therapeutic communication.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard I­­Communication
The student functions as an advocate for the patient/family and communicates
family needs to other members of the health care team.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard I­­Communication
The student examines the dynamic interactions between the patient, family,
community, and society.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard I­­Communication
The student initiates discussion to identify and resolve interpersonal problems that
impact care.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard I­­Communication
The student uses interpersonal skills to enhance patient/family coping abilities.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard I­­Communication
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 I­­Communication
The student delegates appropriately to patient care technician, family, or other
team members.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard I­Knowledge
The student applies knowledge of humanities, physical and social sciences, and
nursing when providing patient care.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
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Standard I­Knowledge
The student applies knowledge of social, cultural, and genetic factors to the care of
diverse populations.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard I­Attitude
The student does not in anyway demonstrate disrespect or inappropriate behavior
to the patient, staff, or faculty
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard I­Attitude
The student is actively engaged in and seeks out opportunities for learning.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard II­Safety
The student does not make judgmental, discriminatory, or prejudicial statements to
the patient, staff, or faculty.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard II­Safety
The student applies principals of universal precautions, practices specific isolation
techniques, and teaches the reasons for universal precautions.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard II­Safety
The student assesses patients for fall risk and applies principles of safe patient
handling.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard II­Safety
The student maintains the patient's physical safety by protecting the patient from
harm.
   Answer:  5
(Comment Required)
Outstanding: Exceeds Standards
   Comment:  The patient's physical safety is never at risk while on duty.
 
Standard II­Safety
The student maintains medical and surgical asepsis when doing procedures
requiring sterile technique.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard II­Safety
The student properly identifies techniques and teaches the reasons for universal
precautions.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
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Standard II­Safety
The student validates the accuracy and appropriateness of orders for
nursing/medical care prior to initiating care.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard II­Safety
The student implements orders accurately and efficiently.
   Answer:  5
(Comment Required)
Outstanding: Exceeds Standards
   Comment:  Orders are always reviewed and implemented efficiently.
 
Standard II­Safety
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 and/or clinical faculty member.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard II­Safety
The student adapts skill performance using principles of theory when necessary.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard III­Nursing Process:Assessment
The student identifies data from the history and physical assessment to formulate
appropriate nursing diagnoses.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard III­Nursing Process:Assessment
The student identifies the patient's health education needs.
   Answer:  5
(Comment Required)
Outstanding: Exceeds Standards
   Comment:  The needs of the patient, including educational needs are always discussed
and identified.
 
Standard III­Nursing Process:Diagnosis
The student synthesizes history and assessment data as well as diagnostic results
into the development of nursing diagnoses.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard III­Nursing 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 III­Nursing Process:Plan
The student identifies measurable, expected patient outcomes that are realistic and
individualized to the patient.
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   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard III­Nursing 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 III­Nursing Process:Plan
The student demonstrates judgement in decision­making and priority setting.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard III­Nursing Process:Plan
The student uses appropriate collaborative resources to personalize the nursing
care the patient receives.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard III­Nursing Process:Intervention/Implementation
The 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 III­Nursing Process:Intervention/Implementation
The student performs skills according to agency policy and procedure and clinical
lab guidelines.
   Answer:  5
(Comment Required)
Outstanding: Exceeds Standards
   Comment:  Alyssa always performs skills according to USF and SMH policies.
 
Standard III­Nursing Process:Intervention/Implementation
The student implements the written action plan/protocol considering the priorities
for each assigned patient.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard III­Nursing Process:Intervention/Implementation
The student implements a teaching plan based on scientific knowledge and utilizes
resources appropriately.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard III­Nursing Process:Intervention/Implementation
The student incorporates evidence based research into nursing practice.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard III­Nursing Process:Intervention/Implementation
The student practices individualized and culturally competent care.
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   Answer:  5
(Comment Required)
Outstanding: Exceeds Standards
   Comment:  Alyssa always provides culturally competent care to all patients.
 
Standard III­Nursing Process:Intervention/Implementation
The student initiates appropriate referrals as needed.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard III­Nursing Process:Evaluation
The student evaluates the patient's response/outcome to the intervention.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard III­Nursing Process:Evaluation
The student utilizes subjective and objective data to revise nursing actions (as
appropriate for the student at that level of the curriculum).
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard III­Nursing 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 III­Nursing Process:Organization
The student organizes time and resources effectively and efficiently.
   Answer:  5
(Comment Required)
Outstanding: Exceeds Standards
   Comment:  Alyssa is a PCT at SMH, which aides her in organizing time and resources
effectively.
 
Standard III­Nursing Process:Organization
The student gathers and organizes equipment necessary for patient
care/procedures.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard III­Nursing Process:Organization
The student identifies and seeks appropriate resources during patient care
provision.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard III­Nursing Process:Organization
The student completes the daily clinical assignment in a timely manner.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard III­Nursing 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.
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   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard III­Nursing Process:Documentation
The student documents problems and nursing care goals in the patient record
(with co­signature).
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard III­Nursing Process:Documentation
The student identifies and documents nursing actions/orders initiated in
implementing the plan of care.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard III­Nursing Process:Documentation
The student correctly enters data into the patient record in a timely manner per
agency protocol.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard III­Nursing Process:Documentation
The student assures privacy of the patient record at all times.
   Answer:  4
Satisfactory: Meets Standards
   Comment:  
 
Standard III­Nursing Process:Critical Thinking
The student utilizes critical thinking skills to prioritize patient needs based on the
patient assessment.
   Answer:  5
(Comment Required)
Outstanding: Exceeds Standards
   Comment:  Alyssa uses critical thinking to prioritize patient care.
 
 
Comments:
 
 
Alyssa Escobar has reviewed the above evaluation on 4/11/2016 10:36:00 AM and
has provided the following comment:
 
 

 

172.31.7.190/projectnurse_usf_prod/ APP v4.32.5938.20627 DB v4_32 4/10/2016 APPUSER:AJE

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