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CLS Assessment

2015 - 2016 - Clinical Learning Summary Assessment
NURS 151 Practical Nursing Practice 2 (PN, 12-Jan-2016 - 07-May-2016)

Student : Tiange Cui
Clinical Teacher/Preceptor : Michelle Lambakis
Program Coordinator : Wendy Chow
Location : Westbury Long Term Care
Placement Setting : Agency
Unit/Office/Clinic : LTC
I declare that this is my original work and the sources used are acknowledged.

1 Strengths in clinical practice (in relation to course abilities/outcomes).

T.C. : 1. Be prepared for the clinical: When I got a new patient, I did research to acknowledge the client's condition; therefore, I had more ideas to

create a proper care plan to meet the client's need and was more ready during the care.

2. Active listening: Every time when I talk with the client, I would prefer to ask them more questions and leave enough time to let them respond. Also, I

am aware of the importance of reminiscing for a senior, so I would be happy to spend time with them and listen to their stories. At this time, it is also a

good way to help me learn about the clients and assess their psychological status.

3. Responsibility to the client: During the care, I will try to maintain a qualified care for the client. For example, I am providing privacy for the client,

being accountable, and maintaining the safety.

2 Areas of clinical practice to continue to develop.

T.C. : 1. Continuing development of communication skills with the client and following staff members: Because of inadequate communication, I

missed a chance to give the medication to clients, which makes me realize the importance of effective communication with a fellow staff members.

Also, since I changed my clients who are all dementia, therapeutic communication became more difficult for me even though I tried to apply the

knowledge from the textbook. In this case, I felt that I have to firstly talk to my instructors and the associated health members to get more advice and

skills, and with the more knowledge, keep practicing with the clients to develop my communication skills.

2. Learn to prioritize nursing care: As for the typical example regarding my first client, he always makes me mess up the schedule. Due to his

condition, he has to be fed after the injection and get up from the bed after breakfast which is different from other clients. In this case, the time always

conflicts to the care for other clients who I have to care for.

3. Improve knowledge level of pathophysiology concepts and use the knowledge to respond to my assessment effectively.

3 Effective learning strategies in clinical practice.
T.C. : As for communication skills:

1. Being open and friendly to talk with clients and staff members

2. Reviewing the communication strategies in the textbook and applying them to the situations, such as slow speaking, attention the client who has

dementia, etc.

3. Full use of the spaced time. In that period of time, I can apply to talk with the client to generate more information, talk to the fellow members to

exchange the information or create a plan together that can suit for our schedule better. In this way, I properly can avoid the situation happened earlier

when the nurse took over all my job because she didn't know if I would give the medications.

Strategies for Learning to prioritize nursing care:

1. Getting advice from the instructor and the nurses on the floor: Through the communication, I can know more conditions about the client and get

more skills to deal with the situation.

2. Prioritizing the client: Continuing the example of my first client, ensuring his food after the injection is a priority rather than other clients' feeding


3. Being organized and scheduled: During the first couple of weeks of my clinic, I couldn't find a perfect time for my break because my client wants to

get up after the breakfast(around 0900) and needs a medication at 1000. Firstly, I would do the morning care before the break and give medication

after the break, the thing was the client might have another activity which made me miss the best time to give the medication. After I rescheduled the

care, I gave the medication and took the break.

Strategies for Improvement knowledge level and its application:

1. Review and be more familiar with the content in the textbook.

2. Question the knowledge in different situations to know how to apply it.

3. Practice and communicate to help me be more skilled and flexible.

Submitted Date: 10-Apr-2016 10:21