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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 needs Demonstrates 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, 2,6,9 Demonstrates 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

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