Carroll Community College Division of STEM, Nursing and Allied Health Department of Nursing NURS 140 — Nursing Concepts 2 ‘Student Clinical Performance Evaluation - SUMMATIVE Frederick Theresa Student Rachel Panek Date 2/265 Location Fro Faculty fietenbach ‘S= Salistactory_[ N=Needs improvement | U= Unsatisfactory | N/A = Not applicable | (*) Critical behavior ‘Students who méet any of the following criteria will be given a remediation pian and may be placed on probation. Failure to progress in these areas may result in failure of the course. -One unsatisfactory grade in a critical behavior -Two needs improvements in 2 critical behavior Two unsatisfactory grades in a non-critical behavior__ -Four needs improvements Student | instructor Outcome 1 Seff- | Eval of ‘Apply the nursing process when creating a plan of care. (SLO 1, GE 3) Eval | Student smu | SINU Collects evidence related to assigned patieni(s) rom appropriale resources. Ss Ss ‘Demonstrates accurate patient assessment skils. s s Establishes appropriate nursing diagnoses based on collected evidence and patient assessment. |S s Prioritizes patient care based on assessment, s s Identifies measurable patient outcome based on nursing diagnosis. S Ss Implements care interventions according to established plan and desired outcomes. En Uses therapeutic communication techniques during nurse/patient interactions to faciitate the nursing process. sl s Identify appropriate interventions based on assessment. s Ss Demonstrates knowledge of medications for assigned patients. s Ss “Administers medication safely using six rights of medication administration. s Ss “Implements appropriate infection control precautions. Ss s Follows through with all patient care. Ss s Evaluates patient response to care and revises plan as needed. s s Gans ‘Student | Tnstructor ‘Seek opportunites that promote personal and professional growth and a commitment io fetong | $24 | Eval of learning. (SLO 2, GE 5) sivu | siwu Participates actively in all aspects of the clinical experience. Ss Ss Discusses patient's plan of care with instructor. s s ‘Demonstrates professional behavior and appearance. s Ss ‘Engages in self-reflection and communicates learning needs to instructor. Ss Ss ‘Completes assignments as required and submits on time. s s ‘Organizes time efficiently. s Ss Student | instructor Outcome 3 Self | Evalof Plan holistic, culturally competent care for patients and families. (SLO 3, GE 6) Eval | Student SIN _|_SINIU Demonstrates caring behaviors wih the ability to develop and maintain therapeutic relationships with people from diverse backgrounds. s s ‘Considers patient values, cultural characteristics and religious differences when planning care. Ss s Student | Instructor Outcome 4 Selt- | Eval of Contribute to healthcare teams to provide patient-centered care. (SLO 4, GE 1) Eval | Student SIU _|_SIN/U Identifies patientvfamily health education needs. Ss Ss Implements patient and family education. Ss Ss ‘Seeks input from patient, instructor, peers, and healthcare team in the delivery of patient care. Ss Ss “Updates instructor and healthcare team regarding changes in the patient's condition. s s “identifies safety concems and notifies instructor and appropriate healthcare team members. s s ‘Demonstrates initiative in assisting peers and healthcare team members in the clinical setting. s s ‘Demonstrates communication skills using SBAR. Ss s ‘Acts as an advocate for patients and families. Ss s Approved 12/4/14; Revised 32/2015Carroll Community College Division of STEM, Nursing and Allied Health Department of Nursing NURS 140 — Nursing Concepts 2 ‘Student Clinical Performance Evaluation - SUMMATIVE Outcome 5 Sef- | Evalof Provide nursing care based on scientific evidence. (SLO 4, GE 1) Eval | Student siu_|_SIN/U Identifies evidenced-based rationale that supports the patient plan of care. Ss Ss Integrates knowledge from nursing and other disciplines to plan care. s s outcomes een [eer Plan nursing care based on legal and ethical principles and standards of practice. (SLO6.GE | Eva | student Di sinu_|_SINU ‘Adheres to attendance policy. Ss s “Demonstrates safe clinical practice. s s Provides nursing care based on the policies and procedures of the facility. Ss Ss *Maintains legal accountability for nursing practice in accordance with the Maryland Nurse Practice Act. s s “Adheres to HIPAA guidelines regarding patient confidentially. Ss s Provides care according to the ANA Nursing Scope and Standards of Practice, s s “Demonstrates accountabily and responsibilty for own actions and attitudes. Ss Ss Student | Instructor Outcome 7 Sef | Eval of Develop informatics skills using technology and electronic sources of health care information 0 | Eva) | Student suppor clinical decisions, promote communication, and monitor care outcomes. (SLO7.GE4) | savy | SINU Gathers data from the electronic medical record to provide patient care. 5. S Uses electronic medical record 'o document patient care accurately and in a timely manner. Na NA ‘Student Reflection — Looking back on the rotation: How have you grown as a nurse? Please explain and use specific examples. | was able to grow as 2 nurse by using the skills I leamed in class to communicate and assess pediatric patients. | listened to wheezing and rhonchi on many children that | only had experience with listening to online. | also listened to a patient after a breathing treatment and heard the improvements. | also grew as a nurse by giving a medication in the the clinical setting. had the opportunity to give Zofran PO to a child for nausea and vomiting. Before giving the medication | looked up the side effects and then had to calculate the dosage. This clinical gave me the opportunity to learn how a pediatric unit works and also how to be a pediatric RN. Do you have any continuing concerns about your performance? Please explain. No | think overall the experience was positive. Faculty Comments! Student Learning Goals (“if an item was identified as N or U, narrative comments are necessary to clarify student performance") Rachel spent both days working on the ER side of the unit (lack of inpatients). There, she was able to perform multiple thorough assessments and reassessments after treatments. She was able to identify the different advantageous breath sounds and note changes in patient's condition and report it appropriately. Rachel interacted well with both patients/families and staff, adjusting her approach for the developmental level the children. Rachel was ‘eager to learn new skills and performed them well. Medications were researched thoroughly and she was well prepared to administer them in a safe manner. Because of being in the ER, Rachel did not have the opportunity to chart in the computer. However, she did follow up on results of test being ordered (lab values, xray reports) and discussed the significance of these. She was very folved in group discussions of different diagnoses and the appropriate nursing care and patient education that she would provide. Approved 12/4/14; Revised 3/2/2015Carroll Community College Division of STEM, Nursing and Allied Health Department of Nursing NURS 140 — Nursing Concepts 2 ‘Student Clinical Performance Evaluation — SUMMATIVE, ‘Student Signature: Rachel Panek Date: _2/26/15 Instructor Signature: ‘Theresa Breitenbach, RNC, BSN_ Date: _2/26/15