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Carroll Community College Division of STEM, Nursing and Allied Health Department of Nursing NURS 233 - Nursing Concepts 3 ‘Student Ciinical Performance Evaluation ~ SUMMATIVE Student: Rachel Panok Date: 127/15 Location: Ummc _ Faculty: Kelerman S= Satisfactory | N= Needs Improvement | U= Unsatisfactory | NA=Not applicable | (*) Critical behavior Failure to progress in these areas may result in failure of the course. ‘Students who meet any of the following criteria will be given a remediation plan and may be placed on probation. One unsalisfactory grade in a citcal behavior Two needs improvements ina critical behavior Two unsatisfactory grades in @ non-critical behavior __-Four needs improvements Sludent | trstructor Outcome 4 set. | Evalof Analyze the effectiveness of the plan of care using the nursing process (SLO 1, GE 3) Eval | Student smu _| SIU ‘Collec evidence related to cintcal pracice Wom appropriate resources. s s “Demonstrates accurale patient assessment skils, s s Establishes appropriate nursing diagnoses based on palient assessment. s Ss “Prioiizes patient care based on assessment. s Ss Identifies measurable patient outcome based of nursing diagnosis. S Ss “Implements care according to estabished pian and desired outcomes. Ss S ‘Uses therapeutic communication techniques during nurse/patient interactions to facitate Bi ie the nursing process. Identity appropriate inferventions based on assessment = s ‘Demonstrates knowledge of medications for assigned patients. s Ss “administers medication safely using six righis of medication administration S Ss “Implements appropriate infection control precautions. s Ss Folows through wih al patient care s s Evaluates patient response to care and revises plan as needed. s s Ome 2 Sade stir Incorporate learning opportunities that promote personal and professional growth and a eames ‘commitment o lifelong learning, (SLO 2, GE 5) eae Participates actively in al aspects of the cinieal experience s Ss Discusses patient's pian of care with instructor. s Ss Demonstrates professional behavior and appearance. s s [Engages in self-reflection and communicates learning needs to struclorpreceplor s s ‘Completes assignments as required and submits on time. s s [ Organizes time efficient s s Implement nursing care that considers the uniqueness of various cultures, backgrounds, and | Self belief systems (SLO 3, GE 6) prt ee Demonstrates caring behaviors with the abiity to develop and maintain therapeutic relationships with people from diverse backgrounds. s s Considers patient values, cultural characteristics and religious diferences when planning care_|_—S Ss ‘Student | Instructor Outcome 4 sett. | Evalof Contribute to healthcare teams to provide patient-centered care (SLO 4, GE 1) Eval | Student siy_| SIN Identifies patient and family health education needs, s s Implements patient and family education Ss $ ‘Seeks input from patient instructor, peers_and heahcare team in the delivery of patient care| Ss s “Updates instructor and healthcare team regarding changes in the patients condition. s Ss “Identifies safely concems and notes instructor end appropriate healthcare team members. s S Demonstrates initiative in assisting peers and healthcare team members in the cinical seting |S s Demonstrates communication skils using SBAR. s s ‘Acts as an advocaie for patients and families Ss s ‘Approved 12/4/14, Revised 120972014 Carroll Community College Division of STEM, Nursing and Allied Health Department of Nursing NURS 233 - Nursing Concepts 3 Student Clinical Performance Evaluation - SUMMATIVE Student | Instructor Outcome & Self | Evalof Provide nursing care based on scientific evidence, (SLO 5, GE 2) Eval | Student SINIU_|_SINIU, Identifies evidenced-based rationale that supports the patient plan of care. Ss Ss Integrates knowledge from nursing and other disciplines to plan care. Ss Ss Student | instructor Outcome 6 eau esclce Implement nursing care based on legal and ethical principles that reflect current standards of | fo, |

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