Carroll Community College
Division of STEM, Nursing and Allied Health
Department of Nursing
NURS 242 — Nursing Concepts 4
SUMMATIVE Student Clinical Performance Evaluation
‘Student _Alex Mace Date 3/19/17 __CSE# Faculty _Sparhawk
'S = Satisfactory — | N= Needs Improvement | U = Unsatisfactory NA= Not applicable _| (*) Creal behavior
‘Stodents who meet any ofthe following criteria will be given a remediation plan and may be placed on probation.
Failure to progress in these areas may result in failure of the course.
-One unsatisfactory grade in a critical behavior Two needs improvements in a critical behavior
Two unsatisfactory grades in a non-critical behavior _-Four needs improvements
‘Student | Instructor
Self. | Eval of
Outcome 4 Eval | Student
Use the nursing process to optimize client health (CSLO1) siniu_| SINIU
1._*Prioritizes patient care based on assessment Ss Bi
2. “Demonstrates accurate patient assessment skills Ss Si
‘3. Analyzes and incorporates data from the patient's medical record in the provision of s s
care
4._Uses patient assessment data to implement individualized plan of care s Ss
'. Establishes appropriate nursing diagnoses based on collected evidence and patient Ss
assessment S
6. Establishes measurable patient outcomes based on nursing diagnosis Ss s
7._ Establishes appropriate nursing interventions based on assessment s Ss
| Evaluates patient response to care and revises pian as needed Ss Ss
Student | Instructor
selt- | Eval of
Outcome 2 Eval | Student
Assimilate into the profession of nursing (CSLO2) siNiU_| SIN/U
'9._Demonstrates professional behavior and appearance s Ss
0. Seeks input from patient, instructor, and healthcare team in the delivery of palient- s
centered care s
Ti "Demonstrates accounlabilly and accepts responsibility for own actions and atitudes |S s
12. *Adheres to attendance policy s Ss
13. Participates actively in all clinical experiences Ss Ss
“14. Engages in self-reflection and communicates learning needs to instructor s s
18. Completes assignments as required and submits on time Ss s
16. Demonstrates iiative in assisting peers and healthcare team members in the clinical s
setting s
‘Student | Instructor
Sef. | Eval of
Outcome 3 Eval | Student
Provide patient-centered care (CSLO3) siniu_|_SINU
17. *Implements appropriate infection control precautions s =
18. Provides culturally sensitive care Ss S
19 Documents patient care accurately Ss Ss
20. Uses therapeutic communication skils Ss s
21. Follows through with all patient care Ss Ss
22. Demonstrates knowiedge of medications for assigned patients N Ss
23. “Administers medication safely using six rights of medication administration s Ss
24 Demonstrates caring behaviors s Ss
25_ Uses SBAR effectively [amis s
26 Acts as an advocate for patients and families lass! s
27. “Demonstrates physical and mental competence s s
‘Approves 1214/14 Rewsed 12/1072014, 0172015Carroll Community College
Division of STEM, Nursing and Allied Health
Department of Nursing
NURS 242 - Nursing Concepts 4
SUMMATIVE Student Clinical Performance Evaluation
28. “Identifies safety concerns and notifies instructor and appropriate healthcare team s
members s
29. Organizes time efficiently N s
'30. Evaluate effectiveness of patient and family teaching and revises plan as needed Ss s
31. “Updates instructor and healthcare team regarding changes in the patient's condition s s
'32. “Provides nursing care based on the policies and procedures of the facility s Ss
'33. "Provides nursing care in accordance with the Maryland Nurse Practice Act s s
34. Adheres to HIPAA guidelines. s
'35. "Provides care according to ANA Scope and Standards of Nursing Practice Ss s
‘Student | Instructor
Self | Evalof
Outcome 4 Eval | Student
Engage in evidence based care (CSLO4) SIN/U_| S/N/U
36._Critiques current practice based on evi S Ss
‘Student Reflection (Thoroughly answer all questions)
How has this clinical rotation helped to define your role as a nurse? Please explain.
This clinical rotation gave me great insight into the job role and responsibilities of a medical surgical nurse. The
nurses that | shadowed were new graduates and it was helpful to see how they organized their assessments
and implemented care. | also was able to practice essential skills in the clinical setting such as Foley care and
dressing changes. Towards the end of the clinical rotation I felt much more confident and organized. | was able
to prioritize and cluster my care so that | could accomplish more for my patients,
Which objective did you accomplish during this rotation? How did you do it?
This clinical rotation | was able to recognize crucial assessments and communicate them effectively to the
clinical staff and my instructor. | accomplished this through understanding the disease process and physiology
of my patients. | utilized the patient's medical background, subjective complaints, and my own observations to
make accurate assessments and determine any abnormalities. | communicated using the SBAR model when
updating my professor and nurse with my plan of care and while giving report on my patients.
What are your goals for future work in the clinical setting?
In the future | would still like to work on my time management and efficiency in the clinical setting. | will
accomplish this by understanding what materials are needed for procedures before | go into the room. | will
also continue to cluster my care based off of my patient's needs. | will continue to practice and improve my
prioritization skills in the clinical setting as well.
Faculty Comments/ Student Learning Goals (Goals must be established even if performance is Salistactory.
If an item was identified as N or U, narrative comments are necessary to clarify student performance along
with goals to improve performance).
| am very proud of Alex, she has gained the confidence she needs to move forward in her career. | have no
| doubt that she will be an asset to the nursing profession. She is knowledgeable, she critically thinks and
provides therapeutic care. She presents herself professionally. She is a team player. It has been a pleasure
working with Alex and watching her grow. Keep up the good work Alex! Best Wishes!
Approved 124/14, Revised 121072014; 01/2015Carroll Community College
Division of STEM, Nursing and Allied Health
Department of Nursing
NURS 242 - Nursing Concepts 4
SUMMATIVE Student Clinical Performance Evaluation
Student Signature: _| Alexandra Mace Date: 349/17
Instructor Signature: | T. Sparhawk MSN, RN Date: 3/24/17
Approved 124/14, Revised 12/10/2014; 01/2015