Carrol Community College
. Division of STEM, Nursing and Allied Health
Department of Nursing
NURS 140 - Nursing Concepts 2
Student Clinical Performance Evaluation — SUMMATIVE
Howard
Student Katya Ambrose Date 121082 Location General Faculty Professor Balk
Hospital 2S
‘$= Salisfactory _[N=Nesds Improvement | U = Unsalisfactory __| N/A = 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 wil be given a remediation plan and may be piaced on probation.
-One unsatisfactory grade in a eritical behavior -Two needs improvements in a critical behavior
Two unsatisfactory grades in @ non-crtical behavior __-Four needs improvements
‘Student ] instructor
Outcome 1 Se | Eval of
Apply the nursing process when creating a plan of care. (SLO 1, GES) Eval | Student
SINIU | SIU
Collects evidence related to assigned patient(s) (rom appropriate resources, Ss Ss
Demonsvrates accurate patient assessment sedis. s 3
Establishes appropriate nursing diagnoses based on collected evidence and patient assessment. |W N
Prioriizes patent care based on assessment. Ss Ss
S Ss
‘identifies measurable patient cutcome based on nursing diagnosi
implements care interventions according to established era jesired outcomes, EAT
Uses therapeutic communication techniques during nurse/patient interactions to Taciitaie
the nursing process. s s
Identity appropriate interventions based on assessment s s
‘Demonstrates knowledge of medications for assigned palenis. s s
“Administers medication safely using six rights of medication administaton Ss Ss
“implements sporopriele infection control precautions. s s
Follows through with al patient care. Ss Ss
Evaluates patient response to care and ravises plan as needed 5 s
Outcome 2 Se nae
eek opportunities that promote personal and professional growth and acommimentto lifelong | Se eat
learning. (SLO 2, GE 5) gnu | snvu
Participates actively in all aspects of the cinical experience: Ss Ss
‘Discusses patients plan of care with instructor. Ss s
Demonstrates professional behavior and anpearanca Ss Ss
[ Engages in self-refiecton and communicates leaming needs fo INsiRiCIOr, s Ss
Completes assignments as required and submiis on time. s s_
‘Organizes time efficiently. s a
‘Student | Tastructor
‘Outcome 3 set. | Evalot
Plan holistic, culturally competent care for patients and families. (SLO 3, GE 6) Eval | Student
su | S/NU
Demonstrates caring behaviors with the ability to develop and maintain therapeutic relationships
with people fram diverse backgrounds. Ss s
‘Considers patient values, cultural characieristics and relgious diferenoss when plenning Gare. s S
‘Student | Instructor
Outcome 4 ‘Sef- | Eval of
Contribute to healincare teams to provide patient-centered care. (SLO 4, GE 1) Eval | Student
su | “S/W
‘denies patientfamiy heath education needs, Ss Ss
Implements palient and family education. s S
‘Seeks input from patient, instructor, peers, and healthcare team in Ine delvery Of Galea care. Ss Ss
“Updates instructor and healtheare team regarding changes in the patient's condilion, Ss s
“Identifies safely concems and notifies insuctor and approprate healthcare leam members. s s
Demonstrates intiaive in assisting peers and healthcare team members in he dinical setting Ss Ss
‘Demonstrates communication skils using SEAR. Ss s
Acts as an acvosate for patients and families. s s
Approved 121414; Rexised 12/14/2018Carroll Community Colege
. Division of STEM, Nursing and Allied Health
Department of Nursing
NURS 140 Nursing Concepts 2
‘Student Clinical Performance Evaluation ~ SUMMATIVE
Faculty Comments/ Student Learning Goals ("if an item was identified as N or U, narrative comments aro
necessary to clarify student performance™)
During this clinical rotation Katya has made a significant amount of progress, She has cared for two patients
simultaneously and done well with managing all patient care in a timely manner. She has cemonetrated good
teamwork by helping other students and staff when she was available.
Katya has cared for a veriety of patients with varied medical diagnosis including: total knee replacement, multiple
fractures, hip fracture repair with heparin erip, lumber laminectomy, chronic pain, acute renal failure, and ORIF of
tibifib. She demonstrated good infection control skils.
| Katya has performed multiple skills during this rotation including: basie patient ADL cere, discontinuing a Foley
catheter, medication administration via a vatiety of routs including oral, SQ, dermal patch and IV. She worked with an
{ce Man unit. pertormed a bladder sean and demonstrated patient teaching including incentive spirometer and pain
control techniques. She worked with a Russian speaking patient and was able to make the patient and family more
comfortable by communicating in their language.
Katya has shown a desire to leam as much as possible and a wilingness io improve. She graciously takes all
assignments and works to achieve the best outcome for the patient using her critical thinking skills. She demonstrated
Safe nursing practice and refused to follow unsafe instructions by a staff member. She handled the situation very
‘competently and confidently.
‘She has successfully compleled her second term clinical and | am confident that she is ready to progress to the next
level,
Future goat:
‘Continue to work on spectic nursing diagnosis with detailed signs and symptoms cisplayed by the petiont.
Student Signature: a Ambrose Date: _12/08/2015
Bei
Instructor Signature: Baa Leh. Dete: 1243/15
Approved 12/4/14; Revised 12/14/2015