Jackson Community College Associate Degree Nursing
NUR 277 Mental Health Nursing
Level Ill Clinical Performance Evaluation
Name: Mallory Owen
Semester: F'16 Clinical: gay U
KEYS =satisfactory
NI = needs improvement
Tardy: 0
Absences: 0
U =unsatisfactory Make-up: 0
NO =not observed
Behavior Week! | Week2 | Week3 4 | Week5
‘Orenuau | IFS/AU_| GU/SIM | “AU/GU, | AWIES
Treats client with dignity and |S s s s s
respect, provides privacy
during therapeutic
interactions
Provides culturally s s s s s
appropriate care with diverse
client populations
Maintains a safe and s s s s s
therapeutic environment
consistent with pt's
individualized plan of care,
professional standards &
MMHC as amended
Adapts care for client's s s s s s
functional abilities/
encourages self-care based
upon plan of care
Provides effective 8 s s 8 8
client/family teaching rit self-
care needsDemonstrates medication
teaching to clients &
designated others in
accordance with nursing
standards & MMHC as
amended
NO.
NO
No
NO
Performs nursing skills
safely & appropriately
a
Uses self-care model as
basis for planning/
providing care
Displays critical
thinking/clinical reasoning
to protect/promote client
health.
Completes clinical
assignments:
1) Submits Goals
2) Submits Journal
3)1A
4) Support Group
5) WPC
6) Milieu Group
7) Simulation
8) Post-conf.
9) Logs/quizzes
10) Behavioral Health
Modules: Treatment of Behavioral
Health Patients and Petitions and
Clinical Certificates
S: 1,2,5,
8,9, 10
S: 1,2,
5,8,9
S: 1,2,
3,5,7,
8,9
S:1,2,4,5,
8
S14,
2,6,9Demonstrates mental
health assessments of
izing appropriate
assessment techniques
Provides nursing care to
support client's
functioning based upon
NANDA & ANA standards.
o
Accurately is able to
discuss related dosages,
therapeutic effects, side
effects & toxic effects of
psychotropic medications.
NO
NO.
NO.
No
NO
Maintains client
confidentiality.
Obtains report prior to
caring for client/ discusses
client care plan with
assigned RN
Identifies care role with
RN/team members
Reports off to RN
whenever he/she leaves
the unit
Communicates effectively
with interdisciplinary team
o
Demonstrates correct
SBAR technique.Verbal/written
communication is
appropriate, complete, and
relevant.
Immediate verbal report of
any significant client
information to designated
staff & clinical instructor.
o
Professional appearance,
timeliness, preparation.
Displays professional,
caring behavior
Displays positive attitude &
confidence
o
Identifies & builds on
strengths/ improves
weaknesses
Seeks out and participates
in learning opportunities
Weekly Review
Student Initials
Instructor Initials
Wy
MT
}0 |0
IMT | JMT
70
IMT
io
IMT
Student Comments:Instructor Summary Comments:
WK 1: Participated in group therapy and Interacted well with clients. Good
insight into developing WPC.
WK2: Participated in group activities and interacted with several different
clients, utilizing various communication techniques
WK3: Active participant in simulation with the ability to accurately apply
theoretical concepts to patient scenario. IA completed-able to identify
communication techniques and stages of nurse client relationship without
difficulty as well as relate behavioral responses to patient's specific DSM-V
diagnosis.
WK 4: Milieu group proposal submitted. Support group paper completed.
Easily interacted with several clients. Utilized Depression Scale with
patient.
Wk 5: Observed at Allegiance Addiction. Led Milieu group at IFS. The
group was well attended an overall success. Proposed goals were met
nw “ultc
Clinical Instructor Date
Haller Mle
Student Date