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Self Assessment

2015 - 2015 - Final NURS - 208 Course Learning Outcomes (201509)


NUR 208 Practical Nursing Practice 4 (PN, 06-Sep-2015 - 31-Dec-2015)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Description :
Period :
Student hours :
Required Hours :
Validated hours :

Wendy Wong
Nicolette Duperrouzel Nicholls
Judy Martin
The Scarborough Hospital Birchmount Campus
Agency
4A Medicine
Acute care
06-Sep-2015 To 31-Dec-2015
168
168
168

I declare that this is my original work and the sources used are acknowledged.

Abilities and Outcomes / Learning Outcomes

Student Rating

Teacher Rating

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

1. 1 Comply with regulatory standards, relevant legislation and the practice settings policies

Satisfactory

Satisfactory

and procedures.
W.W. : I follow regulatory standards, relevant legislation, and the practice setting's policies and procedures at all times. By being familiar
with the regulations, I am able to safely and properly care for my clients. It is not only a means to protect the public, but also requires me to
meet certain standards to become a competent nurse.

1. 2 Act in a responsible, ethical and accountable manner.

Satisfactory

Satisfactory

W.W. : I act in a responsible, ethical, and accountable manner when I am practicing nursing care, as well as outside of clinical placement.
Although I am a student nurse, it is ultimately still my responsibility when caring for patients as I would be providing direct care. I make
sure all nursing care I have provided is documented, as I am accountable for my actions. I also treat my clients, colleagues, and other HCP
with respect and understand opinions may be different and that we should all work together to provide the best care for the specific
patient.

1. 3 Determine how the three factor and practice decision-making frameworks influence client

Satisfactory

Satisfactory

care.
W.W. : The three factor frame work involves the nurse, client, and environment. These factors are of equal importance, and decisions
based on the clients needs will have affect on how I would use the three factor frame work. For example: When I am in clinical, I will be
given assignments on patient with various levels of complexity, predictability, and risk for negative outcomes. As a nurse, I should
evaluate my abilities and review policies to determine if I am competent enough to care for the client. I try and apply my knowledge and
think critically, and know when I need to have additional supports, like other nurse or my instructor to ensure that I can provide safe and
ethical care to the client.

1. 4 Use evidence informed practice and a theory-based approach to care.

Satisfactory

Satisfactory

W.W. : Through my clinical placements, I am have been reading the kardex's of my clients trying to find out more about their admission
diagnosis, their past medical history, and how this may affect their health moving forward. I noticed in many instances, patients have had a
past medical history of diabetes, which we know affects many different systems in the body. By understanding and connecting the theory
behind their diagnosis, I am able to provide better care for my clients.

1. 5 Carry out safety-based practices and risk management principles to ensure client safety

Satisfactory

Satisfactory

and a safe environment.


W.W. : I regularly follow safety practices and principles to ensure client safety and environment. Whenever I am disposing needles or
glass, I make sure these objects are placed in a sharps container to prevent injury to myself, the client, and everyone on the unit. I would
also ask for or provide help when I am unable to transfer the client by myself. By asking for help, I am providing additional support for my
client and prevent them from injury due to falls.

1. 6 Ask questions and clarify the plan of care, unclear orders or directions, and whenever

Satisfactory

Satisfactory

uncertain.
W.W. : Although I try to work independently, I make sure I ask questions for clarification when I am unsure about orders and directions.
Many times, I will be completing a nursing task for the very first time outside of the lab. For example, priming and giving IV medications are
topics we have studied in classes. But in clinical settings, I make sure to run over the steps with my instructor or nurse to make sure I am
doing the task correctly and safely. By asking questions, I am actively learning, as well as preventing myself from making mistakes.

1. 7 Demonstrate professional behavior by seeking assistance in situations in which there is

Satisfactory

Satisfactory

unsafe,
unacceptable and/or unprofessional behavior.
W.W. : I always ask for assistance when the I feel the situation is unsafe, unacceptable/unprofessional behaviour. An example when my
client has a history of aggression and I was going to perform a bed bath. I made sure I was not by myself during this time, and had a nurse
with me to hopefully calm the patient so he/she would not refrain from care.

1. 8 Demonstrate understanding about the role of the nurse within health care.

Satisfactory

Satisfactory

W.W. : I understand that as a nurse I am the HCP that would have the most direct contact with the client. As a result, I should try and get
to know my clients more and observe any significant findings. These observations should be shared with other HCP, so a better course of
action for the client's health could be taken.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
Wendy ensures that she maintains confidentiality of her clients, she is continuing to learn the documentation system of the hospital, she
updates her buddy nurse or instructor of relevant information for her clients and will clarify plans of care, orders and whenever she is
uncertain of treatments or care, she communicates well with the clients and will use technology to research medications, diagnose and
treatments her client is receiving. She understands the role of a nurse within the healthcare system and always acts in a professional
manner. She cares for her clients by providing care based on principles and best practice guidelines.

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions.

Satisfactory

Satisfactory

W.W. : Every week my clinal group would gather for post conference to talk about our experiences and if we had further questions that
needed to be answered. Although I am naturally more inclined to listen, I do try and give my input as much as I can. It is still a work in
progress, and I have slowly become more comfortable in sharing and asking questions.

2. 2 Document clearly, accurately, concisely in a timely manner using written and electronic

Satisfactory

Satisfactory

methods.
W.W. : I make sure I document all the nursing care I have provided for my clients. To ensure that the documentation is not done last
minute, I try and document as soon as the nursing care it provided. For example, I try and have all my vital signs documented by 0900hr. A
lot of times doctors and other HCP rely on these values and documentation to determine how to care for the patient moving forward from
their admission. As nurses, we are the HCP that provides the most direct care, and therefore should be able to provide valuable information
pertaining to the client in the documentation.

2. 3 Report relevant information to the appropriate personnel.

Satisfactory

Satisfactory

W.W. : I make sure I report relevant information to the appropriate personnel. I had a client that had undergone a focal seizure while I was
performing care. I was able to recognize that this was not normal behaviour and had notified my clinical instructor as soon as I could. I
stayed with the patient and timed the seizure for further assessment. The doctor was notified and subsequently was able to come and
check on my client. I made sure that the nurse in charge was also updated and also documented these changes, so nurses on other shifts
will be able to observe the client for any changes.

2. 4 Use communication techniques with the client and the inter-professional health care

Satisfactory

Satisfactory

team.
W.W. : I use effective communication techniques with my clients and the health care team. When talking with clients and the family, I try to
use words that someone with no medical background are able to understand. I make sure I give them time to ask questions for clarification
or concerns. When talking to other nurses, I am able to use medical terms, but I try and be as concise as possible and make sure to note
significant information pertaining to the assigned client.

2. 5 Ensure privacy and confidentiality according to the Personal Health Information

Satisfactory

Satisfactory

Protection Act (PHIPA).


W.W. : I make sure I do not discuss about my clients by name or in any detail that may give away the identity outside of the circle of care.
As a nurse, I have responsibility and should know the standard guidelines when I am providing care to clients.

2. 6 Use technology to retrieve and share information including research, data and other

Satisfactory

Satisfactory

information.
W.W. : I always use additional resources from research, date, and other means of information to help me with my practices.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :


Wendy will communicate with her clients and provide education to them during her care. She is also sensitive to their cultural, religious
and other beliefs and values and will assist them to maintain their choices. She will collaborate with members of the inter-professional
team (physicians, nurses, pharmacy and other members of the interdisciplinary team) and impart relevant information to appropriate
personnel. She ensures the privacy of her clients whenever she is providing care. Wendy documents clearly, accurately and precisely
during the shift but sometimes is not able to document in as timely a manner. Wendy is always willing to translate for her peers or other
members of the health team.

3. CARING RELATIONAL PRACTICE

3. 1 Use effective communication techniques.

Satisfactory

Satisfactory

W.W. : I believe I use effective communication techniques to my colleagues, clients, other nurses, and HCP. I understand I would be able to
use medical terms with the HCP, but when speaking to the client I make sure I am using terms that are easy to understand to minimize
misinterpretation.

3. 2 Establish therapeutic caring, compassionate, and culturally safe relationships with clients

Satisfactory

Satisfactory

and health care team members.


W.W. : I try and get to know my clients as much as I can, as often times, they would provide information that may be pertinent to the
client's needs. By acknowledging clients needs, I am able to provide better, and more client-centered care. I also understand that clients
come from different backgrounds and may have different belief systems as myself, but I will respect and try to follow their wishes.

3. 3 Demonstrate therapeutic use of self to foster client well-being.

Satisfactory

Satisfactory

W.W. : I believe I demonstrate therapeutic use of myself that helps the client's well-being. For example: When I have a patient who has
dementia, I make more efforts to ensure that I am not being argumentative which will make them more irritated. From practice, I have
learned to offer distraction or will remove myself temporarily and check back on them shortly after when they are more calm.

3. 4 Use self-awareness to identify the effects that beliefs, values, and personal experiences

Satisfactory

Satisfactory

have on relational practice.


W.W. : I am aware that everyone will have different beliefs, values, and personal experience that may have effect on relational practice. I
am able to speak another language besides English, and have been able to help with translation between clients, nurses, and doctor
through out my weeks on this unit for placement. I am able to communicate with the client and address some of their questions and
concerns. In turn, I can also advocate for my client when communicating with the nurses and doctors that are caring for my client.

3. 5 Collaborate with clients and members of the inter-professional health care team and

Satisfactory

Satisfactory

consult appropriately.
W.W. : I have been able to collaborate with client and other members of health care team during my clinical. Most specifically when my
client had a focal seizure, My instructor and I were able to notify the physician as well as the nurse that was responsible for the client.
There are also many instance I was needed as an interpreter for clients that did not speak english. In many instances, it is when the client
is about to get discharged and paper work must be signed and patient teaching is involved.

3. 6 Support the diversity of clients and the inter-professional health care team.

Satisfactory

Satisfactory

W.W. : As mentioned, clients and other members of the health care team all come from different backgrounds and beliefs. I understand
that I may not share the same beliefs, but it is important to show respect and support the client's decision as they would know what is best
for them.

3. 7 Display sensitivity and respect for clients cultural, religious, and other beliefs and values

Satisfactory

Satisfactory

influencing their choices and decisions.


W.W. : There many different cultural, religious, and other beliefs that may influence a client's choice and decision. As someone with
medical background, it is common to determine how to proceed with the diagnosis based on client's prognosis. Whereas, the client may
have different needs and decide not to follow through with the doctor's suggestions. As a nurse, I will respect the client's decisions and
work with the client to come up with alternative plans that may help with the client's needs.

3. 8 Provide effective client education.

Satisfactory

Satisfactory

W.W. : Many times when I am administering medications, my clients would want to know what types of medication they care taking. This
gives me the opportunity to apply my knowledge to help explain why they are taking and how this would help with their recovery.

Teacher comments for CARING RELATIONAL PRACTICE :


Wendy develops caring relationships with her clients, she provides informal health teaching to her clients and will find effective ways to
communicate with the clients. She is sensitive to their cultural diversity, religious and beliefs and values that influence the clients
decisions and choices. She collaborates with members of the health team when providing care to the clients.

4. LEADERSHIP AND ADVOCACY

4. 1 Apply appropriate conflict resolution skills in therapeutic client and other interactions.

Satisfactory

Satisfactory

W.W. : I was able to use appropriate conflict resolution skills with my client that was aggressive when anyone would provide nursing care.
I made sure I gave the client privacy and time for them to calm down before I proceeded with my nursing care.

4. 2 Evaluate and refine leadership skills to develop solutions and create a positive work

Satisfactory

Satisfactory

environment.
W.W. : I always try and offer my assistance to other nurse and my colleagues when I have the opportunity. For example, when I have extra
time, I make sure to ask my buddy nurse to see what they need help with and what needs to be completed. A lot of times, they would
accept my help and by working together we can get all the nursing care done in an efficient manner.

4. 3 Provide feedback to peers and accept feedback from peers and members of the inter-

Satisfactory

Satisfactory

professional health care team.


W.W. : I normally either ask for feedback or nurses and my instructor has been giving me feedback at the end of each shift. When I am with
my instructor, she would evaluate how I am performing and offer suggestions of areas I could improve on, or offer clarification to some of
the nursing techniques. For this semester, we were also required to write feedback for our peers; list their strengths and areas of
improvement.

4. 4 Advocate for clients, self, others, and quality practice environment.

Satisfactory

Satisfactory

W.W. : Since I can translate or interpret for some of the clients on the unit that do not speak English, I am able to understand and get to
know more about the client and their needs. As a result, I am able to help advocate for my clients to make sure they are receiving the safest
and best care that will meet their needs and help them towards recovery or management.

4. 5 Support clients rights for self-determination and choice.

Satisfactory

Satisfactory

W.W. : Although I may not agree with the clients' choice, I understand that that it is ultimately their life and I should respect their decision
to help them meet their needs.

4. 6 Respond appropriately to unsafe, unacceptable, and unprofessional behaviours.

Satisfactory

Satisfactory

W.W. : As mentioned on the previous section, I was with a patient that had a history of aggression and was very resistant when I was
trying to perform nursing care. I believe i responded appropriately, as I removed myself from the situation and had given time for the
patient to calm down. I was able to continue on with the client's care shortly after.

4. 7 Collaborate and consult when implementing health care and nursing practices that are in
the best interests of the public and protect the public through collaboration and consultation.

Satisfactory

Satisfactory

W.W. : Although as student nurses we do not have much input in implementing health care and nursing practices for the best interest of
the public, I am able to listen into the HCP team daily huddles to have a better idea of their plans for each client.

4. 8 Contribute to the creation of quality practice solutions and strategies.

Satisfactory

Satisfactory

W.W. : I make sure I understand the nursing practices for each client and why these orders and medication are prescribed in relation to
their admission and medical health history. When there is uncertainty, I ask my clinical instructor or nurses for clarification to ensure there
is quality practice in place. There is also open communication, so that nurses and other hCP can work together to generate solutions and
strategies to meet client needs.

Teacher comments for LEADERSHIP AND ADVOCACY :


Wendy is working on her leadership skills by creating a plan of care for her clients that enables them to help make decisions about their
care, she collaborates with members of the health team to verify that it is appropriate prior to providing the care. She is accepting of
feedback given to her from the buddy nurse or instructor. She is always pleasant to staff and clients, she ensures that the clients beds are
in the low position, she ensures that she implements nursing practices as she follows nursing guideline and best practice guidelines.

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

5. 1 Incorporate the clients unique needs and expected outcomes into holistic and client-

Satisfactory

Satisfactory

centred plans of
care.
W.W. : I incorporate the clients' needs and expected outcomes into client-centred plans of care. Many times, the client's needs are not
written out, but rather, when I get to know the client more and they are able to verbalize their needs. I had a patient who was supposed to
be on pureed diet

5. 2 Develop theory-based plans of care that are holistic and client centered and are

Satisfactory

Satisfactory

articulated competently in writing and orally.


W.W. : As mentioned on the previous question, I would communicate with the client to understand their needs better, so I can notify
appropriate personnel to help develop a theory-based plan of care. In this course, we were also required to complete two concept maps for
our clients.

5. 3 Use knowledge, skill and judgment to assess clients, prioritize needs and outcomes.

Satisfactory

Satisfactory

W.W. : Since I am responsible for providing total nursing care for my assigned clients, I have to be able to apply the knowledge, skill, and
judgement to assess my clients.

5. 4 Collaborate in the evaluation and modification of plans of care.

Satisfactory

Satisfactory

W.W. : I have collaborated in the evaluation and modification of plans of care when one of my diabetic patient had a very low blood sugar
value in the morning due to not having a snack in the evening (the night before). Because of the low blood sugar, his insulin was held
during breakfast. The nurse and I notified the doctor and we had to reassess before lunch was to take place. Eventually his blood sugar
levels elevated, and we were able to administer his insulin using the sliding scale.

5. 5 Safely and competently implement and evaluate nursing assessments and nursing
interventions in a manner that demonstrates knowledge and skill.

Satisfactory

Satisfactory

W.W. : At the beginning of every shift, I make sure I read the kardex, orders, as well as the MAR before I perform any nursing care (besides
vitals). I want to make sure I understand what needs to be done, and why certain orders are placed. It allows me to me to apply knowledge
from my classes and well as critical thinking to help provide care that will meet the clients' needs. It is also important to look up all the
medications that I will be administering to my clients to ensure safety and could also provide a means for patient education.

5. 6 Use the Three-Factor and practice decision-making frameworks to guide practice.

Satisfactory

Satisfactory

W.W. : The three factor frame work involves the nurse, client, and the environment. Using these factors will help provide safe and quality
nursing care to help meet the client's needs. For example, depending on the complexity of the client, I may need help of a RN.

5. 7 Prioritize nursing care and nursing interventions in order to manage workload, time, and

Satisfactory

Satisfactory

physical
resources.
W.W. : Since we are expected to care for three patients at the end of this semester, is it important to work efficiently, but also provide safe
nursing care. I make sure that all the clients that are deemed independent, is set up early in the morning, so I can allot more time for the
client that is in total dependence on the nurse for ADLs. Some medications that are spaced 1 hour apart could also be taken at the same
time (if they do not interact) to save time.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
Wendy is able to plan the care of her clients, she uses the Three factor framework and will research the reasoning of procedures or
treatments or seek assistance to clarify the plan of care in situations where she might not understand the reasoning. She will give the
client a choice whenever possible so that they are able to participate in the care being provided to them. She is learning how to prioritize
her nursing care and has been able to manage the workload assigned to her.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

6. 1 Collaborate with clients and members of the inter-professional health care team to assess

Satisfactory

Satisfactory

clients, determine health needs, and to achieve mutually agreed expected outcomes.
W.W. : I have helped nurses and doctor translate to clients and their family who do not speak English. I was able to interpret the clients
wishes, as well as explain to them the doctor's orders on how to proceed with their plan of care.

6. 2 Contribute as a member of the inter-professional health care team to respond to the

Satisfactory

Satisfactory

changing needs and expected outcomes of clients.


W.W. : I contribute as a member of the health care team to respond to the changing needs and expected outcomes of the clients. My client
had a high reading for blood pressure, I had to continually monitor and reassess before this specific PRN medication could be
administered. Eventually the client's BP was dangerously high, and medication was administered. I had continue to closely monitor my
clint for the rest of the shift to make sure his BP is controlled, and not dropped too much, in which he will become hypotensive.

6. 3 Seek out assistance and consult with members of the inter-professional health care team.

Satisfactory

Satisfactory

W.W. : Whenever I am unsure, I make sure I ask for assistance from nurses or my instructor as additional support. I want to be able to
provide safe nursing care, as well as fully understanding the orders that are placed for client.

6. 4 Use teamwork, consensus building, and conflict resolution skills to meet expected client
outcomes.

Satisfactory

Satisfactory

W.W. : I continually work with clients, nurses, and other HCP to help meet expected client outcomes.

6. 5 Use effective, collaborative, and consultative strategies to meet clients needs within a

Satisfactory

Satisfactory

changing
environment.
W.W. : For my patient that had a sudden onset of a focal seizure, my instructor and I were able to stay with my client and observe the
characteristics as well as the timing of the seizure. We notified the physician, who reassessed the client to make new orders for increased
dose for anti-epileptics. Throughout the shift, I was monitoring to see if subsequent seizures would occur.

6. 6 Interact with members of the health care team respecting their unique role and

Satisfactory

Satisfactory

competencies.
W.W. : I am constantly interacting with members of the health care team and understand and respect their roles on the unit. I am able to
approach the nurses and doctors whenever I need clarification as they are often more familiar with the client and have more experience.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :


Wendy will collaborate with the inter professional health care team members, she is learning who they are and what their roles are while on
the unit, she will work as a member of the team to assess and provide care to the clients. Wendy will assist her peers when they require
help with the care of their clients.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

7. 1 Act in the best interests of clients and protect clients from harm through collaboration

Satisfactory

Satisfactory

and consultation with members of the inter-professional health care team and through
competent and safe practice.
W.W. : I follow best practices and guidelines to ensure that my client's best interest and safety. Whenever there is a concern, I will
communicate and consult with members of the health care team to come up with a solution to meet the clients needs.

7. 2 Engage in ongoing reflective practice to identify strengths, areas for improvement; and,

Satisfactory

Satisfactory

integrate feedback into practice.


W.W. : We are expected to complete a learning plan each semester, as well as having peers evaluating my practices. These learning plans
can be used to assess if there has been improvements since the previous clinical placement. It is also best practice to start writing learning
plans because the CNO requires their members to complete a QA program.

7. 3 Create, implement, and evaluate a learning plan consistent with the Quality Assurance

Satisfactory

Satisfactory

program (CNO).
W.W. : As mentioned on the previous questions, we are required to create a learning plan that is consistent with the QA program (CNO).
My instructor has read our learning plans, and will also meet up with each individual to talk about their evaluations and offer feedback on
our clinical experience.

7. 4 Seek out learning opportunities and feedback that foster professional development; and,
integrate these into practice.

Satisfactory

Satisfactory

W.W. : I have given a list of nursing skills that I have not done, or would like to have more practice on to my instructor. She has been
working hard to make sure every student gets a client that has the skills that we requested. I am also asking nurses when there are special
orders for procedures that needs to be completed on the client. For example: my nurse's client was due for a swab test. Since I have never
completed on prior to this placement, my nurse gave me the opportunity to complete the MRSA/VRE tests to send to the laboratory.

7. 5 Use nursing research to foster professional development.

Satisfactory

Satisfactory

W.W. : I use nursing research to give me a better understanding about the client's treatment, diagnosis, and medications.

7. 6 Use a theory-based approach and evidence-informed practice.

Satisfactory

Satisfactory

W.W. : When I am giving nursing care, I read all of the client's orders, kardex, and MARS to help formulate a theory-based approach and
perform evidence-informed practice. I apply my knowledge and use my critical thinking skills to help with nursing care.

7. 7 Apply knowledge of changes to the health care system, technology, and in society as

Satisfactory

Satisfactory

these affect nursing practice.


W.W. : Changes in the health care system, technology, and society has affected nursing practice. Now most of the documentation is
moved towards computer instead of having to write every nurse entry. Since it is on the computer, it is more easy for nurses and other HCP
to assess information for the client.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :


Wendy has grown in her role as a nurse, she is confident in the care that she is providing, but will seek clarification or guidance if she is
unsure about some of the care to be provided. She will review care provided and determine how it could be improved upon, she takes the
feedback given to her and does better next time. She uses the theory learnt in classes and implements them into practice. She researches
her medication and is aware of their uses and side effects prior to administering them to the clients, she practices the eight rights of
medication administration.

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

8. 1 Use critical thinking and problem-solving skills to inform decision-making in all aspects

Satisfactory

Satisfactory

of nursing care.
W.W. : Not only am I following best practice guidelines, I am also trying to use my critical thinking skills and problem solving skills to
make informed decisions in nursing care.

8. 2 Use critical thinking, problem-solving and decision-making skills to assess clients and to

Satisfactory

Satisfactory

determine nursing diagnoses, expected outcomes, nursing interventions, and evaluative


criteria.
W.W. : As mentioned on previous sections, I use problem-solving, decisions-making, and critical thinking skills to assess clients and to
develop better nursing care plans that are client-specific.

8. 3 Evaluate critical thinking, problem-solving, and decision-making skills and design a plan
to improve
these.

Satisfactory

Satisfactory

W.W. : Each week, I try and incorporate the aforementioned skills into my nursing practice. Initially, I was more task orientated and worried
about completing everything in time. Over the weeks I have been able to looking into the orders and treatment by using my critical thinking
skills and knowledge application.

8. 4 Integrate knowledge from a variety of nursing, health, and other theory into nursing

Satisfactory

Satisfactory

practice to provide safe and competent care.


W.W. : As mentioned earlier, I would use the knowledge from classes as well as best practice guidelines to provide safe and competent
care.

8. 5 Prioritize effectively.

Satisfactory

Satisfactory

W.W. : Although there is still room for improvement, my time management has been noticeably better than last semester. I no longer
struggle to care for two patients, and I have confidence I could manage a 3 patient work load.

8. 6 Demonstrate professionalism and accountability.

Satisfactory

Satisfactory

W.W. : I demonstrate professionalism and accountability by documenting correctly and communicating with other nurses and HCP make
sure they are aware of the client's condition. I always treat the clients and HCPs with respect and offer my assistance to the nurses
whenever I have free time.

8. 7 Use the practice decision-making and the nurse-client-environment frameworks to inform

Satisfactory

Satisfactory

and guide practice.


W.W. : I use the 3 factor frame work and practice decision-making skills to help me with my nursing practices.

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING :


Wendy has always attended clinical in her full uniform. She is aware that she is accountable for care provided to her client, she advises
her buddy nurse of care provided to her client as the buddy nurse is accountable for the client as well. Wendy is able to problem solve and
make decisions when providing care to her clients, she is expanding on her critically thinking skills, with guidance she is able to work
through problems and make decisions based on the outcomes. She is encouraged to continue applying critical thinking to each situation
when providing care and planning care for the clients.

Student Final Summary with Strategies for Continued Growth


I had an excellent experience at the unit I was placed on this semester and enjoyed working with my fellow colleagues, instructor, and the workers at
The Scarborough Hospital. During this placement I had the opportunity to do many of the nursing skills for the first time, including: IVs, G-feeds,
catheter care, wound care. Since I am working in an acute unit, there are many different admission and patient complexity that I had a chance of
caring for. I was able to improve my pre-existing skills from my last clinical, and become more proficient and can think more critically to provide a
client-centered care. By the end of this placement, I will be able to successfully care for three patients, which would help lead into my final practicum
when I care for all the clients for my preceptor.

Teacher Final Summary with Strategies for Continued Growth


Wendy learns from feedback given to her, she takes the feedback and improves on that area the next time (e.g. organizational time management).
She can plan, organize, implement and evaluate the care being provided to her client. She seeks out learning experiences (viewing diagnostic
procedures such as x-rays, ultrasounds, etc.). I encourage her to continue interacting with her clients/families, her peers and other members of the
health team, I also encourage her to continue practicing all the skills that she has learnt and to continue reviewing her notes, and to seek out
experiences as it will as it will give her a greater learning experience. It was a pleasure working with Wendy and I wish her all the best in her nursing
career.

Student's References
All of the answers come from my own experience, knowledge from classes, and CNO documents for best practices.

Grade

Satisfactory

Unsatisfactory

Referred to Clinical Excellence Committee (CEC)

Grade

Satisfactory

Program Coordinator Feedback


The Program Coordinator has reviewed the evaluation

Yes

No

Student Sign Off


I met with my Clinical Teacher/Preceptor and discussed my evaluation

Yes

No

In general this evaluation accurately reflects my performance

Yes

No