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Preview Assessment - Self Assessment

20152015FinalNURS151CourseLearningOutcomes
NURS151PracticalNursingPractice2(PN,13Jan2015
30Jun2015)
Student:
YongYang
StudentID:
N01032414
ClinicalTeacher/Preceptor:
SimoneReid
ProgramCoordinator:
JohnStone
Location:
LeisureworldScarborough
Placement:
Agency
Unit:
A5
Period:
24Apr2015to02May2015
RequiredHours:
168

FinalAssessment

Studenthours:
168
Validatedhours:
162
Teachercommentforvalidatedhours:
NoclinicalsonGoodFriday

Ideclarethatthisismyoriginalworkandthesourcesusedareacknowledged.

Iagree

StudentRating

TeacherRating

1. COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND


ETHICAL FRAMEWORK
1.1Complywithregulatorystandards,relevantlegislationandthepracticesettingspolicies
andprocedures.
Y.Y.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Iregularlystudiedandfollowedthenursedressingcode,punctuationrules
nursingpracticestandard,etc

1.2Actinaresponsible,ethicalandaccountablemanner.
Y.Y.

Ialwaystakeresponsibilityofpersonalactionandnursingpractice,andIrespect
thedifferentculturalbeliefs,valuesandattitudes.

1.3Determinestrengthsandlimitationsandwhentoconsultandseekassistancefromother
professionals.
throughregulationandknowledgestudying,andselfreflection,consultationfrom
Y.Y.

otherprofessionals,Idevelopmyskillsandabetterunderstandingofself

limitation

1.4Useevidenceinformedpracticeandatheorybasedapproachtocare.
Y.Y.

referringtothetheorytoensuretheaccuracyinordertodeceaseoreliminate
errorsmeantimeassistthepatienttoachievetheirproperright

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

1.5Ensureclientsafetyandasafeenvironment.
Y.Y.

throughnursingpracticeandservicessafelyandeffectively,Iensureasafe
practiceenvironment,makeuseofbedrailsandwheelchairblocks,obeythe
transferringcode

1.6Askrelevantquestionstoclarifyunderstandingoftheplanofcareandwhenever
uncertain.
Y.Y.

Iuseplanscaleandaskaboutthepainlocation,timing,typeandintervention
hadtakenandeffect.AndImakesureaboutwhatI'mgoingtodoifIam
uncertainaboutit.

1.7Identifyethicalandunsafesituationsandseekappropriateassistancetoresolvethese.
Y.Y.

Iidentifythesituationfirstandmakesureaboutthesafetyofthepatient,at
sametimerespectpatient'scultureandreligionandpersonalchoice.

1.8Demonstrateunderstandingabouttheroleofthestudentnurse.
Y.Y.

asanursestudent,Idistinguishandcomplywiththeobligationofnursing
student,andfollowtheinstructionsofnurseandinstructor

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A


PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK ability:
Yonghasmetalltheabovelearningoutcomessatisfactory.Heisveryrespectfultowardshispeers,staffatthefacility,residents
andalsohisinstructor.Helistensactivelytohispeersandshareshisknowledgewithothers.Yongisfamiliarwithhisroleasa
studentpracticalnurseYongseeksassistanceduringtransferofhisresidentfrombedtochairviaaHoyerliftfromthestaffat
thefacility.YongalsoresearchandcompleteshisDOPaheadoftime[Resident'sdiagnosis,goalsandInterventionareclearly

articulatedonDOPs]ievitalssignscompletedpriortoadministrationofmedication[ieantihypertensivemeds].Wheelchairis
alsolockedpriortotransfers,inordertopreventanyadverseevents.Yonghasmaintainedaconsistentattendanceduringhis
clinicalrotation.Yongalsosubmitsallassignmentontimeandalsopriortotheduethedate.

2. ACCURATE AND RELEVANT COMMUNICATION


2.1Participateinteamsharinganddiscussions.
Y.Y.

Ialwaysdiscusswithmypeers,coworkers,bodynurseandmyinstructorsabout
practicalexperiencesandmyuncertainties,andvaluethefeedbacksfromthem

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

2.2Documentclearly,accurately,conciselyinatimelymannerusingwrittenandelectronic
methods.
Y.Y.

Ialwaysfinishandsubmitmyhomeworksandassignmentsinstandardand
accuratelywayforexamplefollowingtheAPAformat)

2.3Reportrelevantinformationtotheappropriatepersonnel.
Y.Y.

Iperformnursingpracticebycategorizingproblemsfirst,consultingrelevant
problemswiththerightpersonandattherighttime

2.4Utilizecommunicationtechniqueswiththeclientandinterprofessionalhealthcare
team.
Y.Y.

Ipracticemynonverbalandnonverbalcommunicationskillstopatientwhohave
difficultiesofspeakingorhearingproperly

2.5MaintainprivacyandconfidentialityaccordingtothePersonalHealthInformation
ProtectionAct(PHIPA)
Y.Y.

particularlyIadherestrictlytothePersonalHealthInformationProtectionActto
avoidthepersonalandcredentialinformationdisclosure

2.6Usetechnologytoretrieveinformationincludingresearch,dataandotherinformation.
Y.Y.

Istudyandreviewvarietymeansofinformationresources,makegooduseof
practicesupports,consultationresources

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION ability:


Yonghasmetalltheabovelearningoutcomessatisfactory.Heisateamplayerandheactivelyparticipatesduringpreandpost
conferences.Yongensuresthathedocumentstheresident'smedicationadministrationafteradministrationandnotbefore.He
maintainspatientprivacybyusinginitialonlyandnottheirfullnames.Yongalsoseekshelpwithhisdocumentationfromhis
teacherandifheisunclearaboutsomethinghealwaysseeksclarificationforhisownlearning.

3. CARING RELATIONAL PRACTICE


3.1Utilizeeffectivecommunicationtechniques.
Y.Y.

ImakegooduseofTherapeuticCommunicationTechniquestosolveproblems.
andalsotobeagoodlistener.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

3.2Demonstratetherapeuticcaring,compassionate,andculturallysaferelationshipswith
clientsandhealthcareteammembers.
Y.Y.

ItrytoapplytheTherapeuticCommunicationTechniquestogainagood
relationshipswithpatientandpeerworkers.andatsametimeIrespectandvalue
otherculturesandtheirbeliefs,valuesandattitudes.

3.3Applyknowledgeoftherapeuticuseofselfandidentifyitseffectonclientwellbeing.
Y.Y.

Iassessmyclientsandprovidehelpaccordinglytotherapeuticneedsoftheclient

3.4Useselfawarenesstoidentifytheeffectsthatbeliefs,values,andpersonalexperiences
haveonrelationalpractice.
Y.Y.

Iusemyknowledgeabouttheculture,beliefsandvaluesdiversitytomaintaina
rationalpracticewithpatients.IuseSelfreflectionassiststoidentifythevalues
andbiasesthatunderscoremyapproachandinterventions,andtheimpactonthe
client.

3.5Interactwithclientsandmembersoftheinterprofessionalhealthcareteamand,
consultappropriately.
Y.Y.

iemphasizeonusingeffectivecommunicationstrategiesandinterpersonalskills
toappropriatelyestablishagoodnurseclientrelationship.

3.6Applyknowledgeofpracticesandsystemsthatsupportthediversityofclientsandthe
interprofessionalhealthcareteam.
Y.Y.

iunderstandmyknowledgeofvariousculturesandbroadentheunderstandingof
othercultures,andIalsoapplybothmytheoreticalandpracticalknowledgethat
supportthediversityofthehealthcarepopulation.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

3.7Applyknowledgeofclientscultural,religious,andotherbeliefsandvaluesasthese
influenceclientschoicesanddecisions.
Y.Y.

Toprovideappropriateclientcare,theIworkonunderstandingofpatients'
culturefirst.

3.8Provideeffectiveclienteducation.
Y.Y.

Ieducateandencouragemyclient,andprovidehealthcaretopatientandtryto
meettheirdefinitionsofhealth,wellbeingandqualityoflife,aswellastheir
goalsfortreatment.

Teacher comments for CARING RELATIONAL PRACTICE ability:


Yongdemonstratesanexceptionaltherapeuticcaringandcompassionaterelationshipwiththeresidentandthehealthcareteam.
Heensuresthathisresident'sdiaperischangedifheavilysoiled,AMcareisprovided[Residentisneatlydressedincleanclothes,
haircombed,mouthcareprovidedandassistancewithresidentsfeedingduringbreakfastandsometimeslunch].Yongtakesthe
timetoconnectwithalltheresidentsthathehadprovidedcaretodespitenotbeingassignedtothemcurrently.Hehascometo
understandwhattheirneedsarewithoutthemevenverbalizingit.

4. LEADERSHIP AND ADVOCACY


4.1Recognizeconflictsandstrategiesforresolution.
Y.Y.

Ialwaysdiscusswithpeergroupmembers,clientsandtheirfamilies,anduseskills
toidentifyconflict.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

4.2Demonstrateleadershipskillsthatfostergroupworkandapositivelearning
environment.
Y.Y.

Tofunctioneffectivelyaspartofateam,imaintainpositiverelationshipsthrough
goodcommunication,mutualacceptanceandunderstanding.Iusepersuasion

4.3Identifyopportunitiestoimprovehealthcareserviceandnursinginterventionsby
advocatingforclient,self,others,andqualitypractice.
Y.Y.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Ialwaysapplyclientcentredcarestrategiestopreventbehavioursthatcontribute
badconsequenceofconflict

4.4Providefeedbacktopeersandacceptfeedbackfrompeersandmembersoftheinter
professionalhealthcareteam.
Y.Y.

Toidentifytheunderlyingcauseoftheconflict,Iusemystrategiestocollaborate
anddiscusswithpeerworkers.

4.5Supportclientsrightsforselfdeterminationandchoice.
Y.Y.

Intherealcases,Iutilizethestrategiestoinvolvetheclient,theclientsfamily
andthehealthcareteammembersinassistingwiththebehavioranddeveloping
solutions.

4.6Respondappropriatelytounsafe,unacceptable,andunprofessionalbehaviours.
Y.Y.

SofarIhavenotfacedunacceptableandunprofessionalbehavioursfrompeers
andnurses,IfIencounteredthiskindofsituationsinthefutureIwilluseproper
skillstogivemyfeedbackandreport

4.7Consultandcollaboratewhencarryingouthealthcareandnursingpracticesthatarein
thebestinterestsofthepublicandprotectthepublicthroughcollaborationandconsultation.
Y.Y.

Iamstillonmylearningprogress,however,Iamaccountableformypractice.
andIwouldtrymybesttoprovidequalityclientcarewhentheyareinan
environmentandperformaadaptivewaythatsupportsandprotectthepublic.

Teacher comments for LEADERSHIP AND ADVOCACY ability:


Yonghasmettheaboveoutcomesidentifiedinthisarea.Yongconsistentlyconsultsandcollaborateswiththebuddystaffduring
residentcare.Hereportsvitalsignstohisinstructorpriortodocumentingitontheresident'scharts.
Heisencouragedtocompletehisnursingassessmentduringhisinitialinteractionwiththeresidentinsteadofdoingitoutsideof
theresident'sroom[iediningroom].

5. PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED

5. PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED


OUTCOMES
5.1Incorporatetheuniqueneedsandexpectedoutcomesintoindividualclientsplansof
care.
Y.Y.

Iwouldtrytounderstandandidentifytheclientsgoals,wishesandpreferences
bycommunicatingandactivelyincludingtheclientasapartnerincare.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

5.2Developtheorybasedplansofcarethatareholisticandclientcenteredandare
articulatedcompetentlyinwritingandorally.
Y.Y.

Iwouldconsiderthecarefromalltheperspectives,forexample,toassessmy
clientfirstandidentifytheirpriorityneeds,andthenchoosetherighttimeand
rightroutetoapplymycompatibleknowledge,refertoresourcesavailableto
consultasneeded.

5.3Useknowledge,skillandjudgmenttoassessclients,prioritizeneedsandoutcomes.
Y.Y.

Istudyandreviewtheagencypolicyanddocumentmyassessmentwithpatient
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e.gheadtotoecheck,vitalsignsandmedicationadministrationandmakecare
planaccordingly.

5.4Provideinformationthatcontributestotheevaluationandrefinementofplansofcare.
Y.Y.

Isticktomytextbooksandclinicalinstructor'sinstructionandreviewthesafety
measuresandguideprinciplesmakingaccuratehealthcare.

5.5Safelyandcompetentlycarryoutnursingassessmentsandnursinginterventionsthat
aretheorybasedandwithinskillabilities.
Y.Y.

Istrivetodeliversafe,competent,ethical,quality,evidenceinformedcare.
performheadtotoeassessment,vitalsignsandskinintegrityassessmentto
preventulceronmypatient

5.6Carryoutnursingcarethatreflectsthepracticedecisionmakingframework.
Y.Y.

Imakedecisionsbasedonpatientassessmentandactedonthem.

5.7Completenursingcareresponsibilitiesandnursinginterventionsinanorganizedand
timelymanner.
Y.Y.

Ifollowthe10medicationrights.AccordinglyIcheckvitalsignsbeforegiving
medicationandhadadministereditatrighttime,andrecordthevitalsignsand
medicationadministrationintocomputertimely.

Satisfactory

Satisfactory

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY
AGREED EXPECTED OUTCOMES ability:
Yonghasmettheabovelearningoutcomes.Yong'sDOPsarecompletedpriortoprovidingresidentcare,heisfamiliarwiththe
residentsdiagnosis,comorbidityandmedicationsbasedonYong'sresearch,andhecompletesadailyplanofcareforthe
residentheisassignedto.Yongperformsallnursingcare[ie.headtotoe,medicationassessment,feeding,computercharting
etc]inatimelymanner.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM


6.1Workwithclientsandmembersoftheinterprofessionalhealthcareteamtoassess
clients,determinehealthneeds,andtoachievemutuallyagreedexpectedoutcomes.
Y.Y.

Aftermyhealthcareperformance,Idiscussmyexperiencewithmygroupmates
andclinicalinstructorsandreceivethefeedbacktocorrectmyfaultand
strengthenmypositivity

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

6.2Contributeasamemberoftheinterprofessionalhealthcareteamtorespondtothe
changingneedsandexpectedoutcomesofclients.
Y.Y.

Iperformaeffectivecollaborationwithmypeerworkersmyclinicalinstructorand
mybodynurse,andapplythecommunicationwithclientsandfamilies,
professionalcommunications,informationsystemsandtechnology,
communicationwithinandbetweenprograms,andconflictresolution

6.3Seekoutassistanceandconsultwithmembersoftheinterprofessionalhealthcare
team.
Y.Y.

Imakegooduseofcommunicationwithclientsandfamilies,professional
communications,informationsystemsandtechnology,communicationwithinand
betweenprograms,andconflictresolutionmechanisms.

6.4Useteamwork,consensusbuilding,andconflictresolutionskills.

Y.Y.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Tofunctioneffectivelyaspartofateam,idevelopepositivecollegialrelationships
throughgoodcommunication,mutualacceptanceandunderstanding.Iuse
persuasionwaysratherthancoercionwhenworkingwithothers.

6.5Describeeffective,collaborative,andconsultativestrategiestomeetclientsneeds
withinachangingenvironment.
Y.Y.

tomakeproperplanandprovidepropercareatpropertimeaccordingtoclient's
uniquesituation.

6.6Interactwithmembersofthehealthcareteamrespectingtheiruniqueroleand
competencies.
Y.Y.

Imakeeffortstocreatetherapeuticnurseclientrelationshipandestablishand
maintainthiskeyrelationshipbyusingnursingknowledgeandskills,aswellas
applyingcaringattitudesandbehaviors.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL


HEALTH CARE TEAM ability:
Yongisaveryeffectivememberwithinthemultidisciplinaryteam.Heacceptspositiveandconstructivefeedbackinarespectful
way.Yongisextremelyhelpfultowardshispeersandseeksassistancefromthestaffinatimelymanner.Yongworkshandin
handwithnotjusthisbuddystaff,butallthestaffontheunithesometimesforgetstofocusonhisprimaryassessmentbut
insteadfocusesonthetaskoftheentireunit.Yonghasreceivedalotofpositivefeedbackfromthestaffhoweverheis
encouragedtofocusonhisroleasaPNstudentandnotaPSWstudent.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE


7.1Actinthebestinterestsofclientsandprotectclientsfromharmthroughcollaboration
andconsultationwithmembersoftheinterprofessionalhealthcareteamandthrough
competentandsafepractice.
Y.Y.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Itreattheclientasawholeperson,andrespectfortheclientsautonomy,voice,
selfdeterminationandparticipationindecisionmaking.

7.2Participateinselfreflectiontoidentifystrengths,areasforimprovement.

Y.Y.

Imakeuseofselfreflectiontoidentifymystrengthsandweakness,andtryto
identifythereasonsofmypracticedifficultiesanddeveloptheremediallearning

plan.
7.3Create,implement,andevaluatealearningplanconsistentwiththeQualityAssurance
program(CNO).
Y.Y.

Thepracticestandardsaretosupportnursesinprovidingsafeandethicalcareto
thepublic.IamaccountableforreviewingtheseQualityAssuranceprogramsand
practicinginaccordancewiththesestandards.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

7.4Seekoutlearningopportunitiesandfeedbackthatfosterprofessionaldevelopment
and,integratetheseintopractice.
Y.Y.

Collaborationisthecornerstoneofinterprofessionalandintraprofessionalcare.I
useadaptivecommunicationskills,maintaingoodpartnershipandperformactive
participationtoworktogetherwithmyteammembers,healthcareprofessionals
andclientsinacoordinatedapproachtoshareddecisionmaking

7.5Utilizenursing,healthandothertheoryandliteraturetoimprovenursingpractice.
Y.Y.

Idevelopmyknowledgeofvariousculturesandbroadentheunderstandingof
othercultures,andshowmyrespectontheirculturalbeliefsandinteractingwith
clientsandcolleagues.

7.6Useatheorybasedapproachandevidenceinformedpractice.
Y.Y.

Istudyandreviewthefundamentaltextbook,onlinestudymaterialsandnotes,
watchvideosandfollowtheinstructionofmyclinicalinstructorandrefertomy
ownknowledge.Imakegradualimprovementofmynursingpractice,

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE


COMPETENCE ability:
Yonghasactivelyparticipatedinhislearninggoalthroughselfreflectionandhislearningplan.Yongstillrequiressomemore
developmentintheuseofatheoryapproachandevidencebasedpractice.Overall,Yonghasdemonstratedsomeknowledgeof
theabovelearningoutcomesandisstronglyencouragedtobuildonhisexistinglearninggoalsthroughouttheupcoming
semesters.

8. USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING


EFFECTIVELY
8.1Utilizeproblemsolvingskillstoinformdecisionmakinginallaspectsofnursingcare.

8.1Utilizeproblemsolvingskillstoinformdecisionmakinginallaspectsofnursingcare.
Y.Y.

Iutilizethethoughtfulconsiderationofallrelevantfactorsandconductanethical
decisionmakingprocesstoensurethatthebestdecisionisreachedandResolve
dilemmascausedbyconflicting.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

8.2Useproblemsolvinganddecisionmakingskillstoassessclientsandtodetermine
nursingdiagnoses,expectedoutcomes,nursinginterventions,andevaluativecriteria.
Y.Y.

Istudyandpracticeandutilizeaserialofskillstoperpormcriticalthinking,such
asdecisionmaking,nursingprocess,problemsolving,evaluation,criticalanalysis,
judgement,reflectionandreasoning

8.3Useselfreflectiontodesignaplantoimproveproblemsolvinganddecisionmaking
skills.
Y.Y.

Ireferclient'sdiagnosistotakeappropriateinterventions,checktheblood
pressurebeforeadministeringtheirhypertensivemedication

8.4Utilizeknowledgefromvarietyofnursing,health,andothertheoryintonursingpractice
toprovidesafeandcompetentcare.
Y.Y.

Ialwaysrefermytextbookknowledge,CNOstandardsandelseviermaterialsto
providesafeandcompetentcare

8.5Useprioritizationstrategiesforclientcare.
Y.Y.

InthissituationIwouldrecognizekeyfactorsassociatedwithconflictmay
preventitsescalationfirstandimprovethedeliveryofcare.

8.6Demonstrateprofessionalismandaccountability.
Y.Y.

Iamaccountableformypractice.andIwouldprovidequalityclientcarewhen
theyareinanenvironmentandperformaadaptivewaythatsupportsandprotect
thepublic.

8.6Recognizestrengthsandlimitationsandseekappropriateassistanceandsupport.
Y.Y.

Irealizethethetheorybasedplansofcarethroughmanyways,suchasassess
thesituation,consultwiththeclient,peercoworkersandotherexpertsandrefer

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING &


DECISION-MAKING EFFECTIVELY ability:
Yong'scriticalthinkingskillshasimprovedthroughoutthesemester,Yonghasdemonstratedsomeknowledgeofcriticalthinking
skillshoweverthereisstillsomeroomforgrowthanddevelopmentashisnursingcareerprogresses.Overall,Yongisawareof
someconceptsinvolvedinhiscriticalthinking.Forexample,Yongidentifiedonemorningduringhisroutinenursingcarethat
theresidenthewascaringforspeechwasverygarbledanddifferentfromtheresidentsnorm.Hewasabletonotifyhisinstructor
ofhisfindingsandalsothenurseinchargeontheunit.Weallwereabletoassesstheresidentandidentifiedthatthiswasdue
totheresidentsneckbeinghyperextendedwhilelyingdown[thiswasduetoresidentsmedicalcondition]whichlateron
residentwasassessedtobeokayafterresidentwastransferredformbedtowheelchairviathehoyerlift.

Student Final Summary with Strategies for Continued Growth


Inleisureworldcaregivingcenter,Thishadfinishedmyfirstexperienceofclinicalpracticeplacement.ItwaswonderfulandI