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Evaluations>EvaluationReview
Evaluations FinalClinicalEvaluationFormRevised4/2016
Evaluations NUR3026LFHTUDSection01(11/14/2016)
Experience
Taylor,Olivia(omtaylor@health.usf.edu)

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Evaluator:Wills,Angela(amwills01@gmail.com)

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5Outstanding:ExceedsStandards

Exhibitsaboveaverageperformanceofnursingcareforthislevelstudent.Thestudentis
proactive,selfdirected,andconsistentlyengagedinlearningneedsminimalguidanceis
knowledgeableandappropriatelyincorporatesknowledgewithskills.Studentisproactiveand
selfdirectedinapproachtolearning.

4Satisfactory:MeetsStandards

Exhibitsaverageperformanceofnursingcareforthislevelstudent.Functionswithminimum
guidance.Demonstratesadequateknowledgeandrequiresminimumassistanceinapplying
knowledgetoskills.Recognizeslearningopportunitiesbutmayrequireassistanceinutilizing
them.

3Minimal

Exhibitsminimalperformanceofnursingcareforthislevelstudent.Functionssafelywith
moderateguidance.Demonstratesminimalknowledgeandrequiresmoderateassistancein
applyingknowledgetoskills.Requiressomedirectioninrecognizingandutilizinglearning
opportunities.Oftenfocusesonthetaskorownbehavior,notonthepatient.

2Unsatisfactory

Requiresintenseguidancefortheperformanceofactivitiesatasafelevel.Clinicalperformance
reflectsdifficultyintheprovisionofnursingcare.Demonstratesgapsinnecessaryknowledgeand
requiresfrequentoralmostconstantassistanceinapplyingknowledgetoskills.Requires
frequentanddetailedinstructionsregardinglearningopportunities.Focusesprimarilyonthetask
orownbehavior,notonthepatient.

1UnsafetoPractice

Isunsafetopracticewithoutconstant,intenseguidance.Frequentlylacksnecessaryknowledge
andskillsandunabletointegratetheseintopractice.Requiresconstantdetailedinstructions
regardinglearningopportunitiesandisoftenunabletoutilizethem.Attemptsactivityorbehavior,
yetisunabletocomplete.Focusesentirelyonthetaskorownbehavior,notthepatient.

StandardICommunication

1.Communicatespertinentinformationregardingthepatient'scondition/concernto
healthteammembers.

2.Communicateseffectivelyinwrittenform(NursingProcessWorksheetisorganized
andcomplete)

3.Communicateseffectivelyinverbalform.

4.Initiates,maintains,andterminatesthenursepatientrelationshipusingprinciplesof
therapeuticcommunication.

5.Functionsasanadvocateforthepatient/familyandcommunicatesfamilyneedsto
othermembersofthehealthcareteam.

6.Examinesthedynamicinteractionsbetweenthepatient,family,community,and
society.

7.Initiatesdiscussiontoidentifyandresolveinterpersonalproblemsthatimpactcare.
8.Usesinterpersonalskillstoenhancepatient/familycopingabilities.

9.Discussestheethicalissuesandapproachestheethicaldilemmasthatconfrontthe
patient/familyandappropriatelydiscussesexperiencewithfaculty/preceptor.

10.Delegatesappropriatelytopatientcaretechnician,family,orotherteammembers.
5 (CommentRequired) Outstanding:ExceedsStandards
4 Satisfactory:MeetsStandards
 3 Minimal
2 (CommentRequired) Unsatisfactory
1 (CommentRequired) UnsafetoPractice
See below.

StandardIKnowledge

1.Appliesknowledgeofhumanities,physicalandsocialsciences,andnursingwhen
providingpatientcare.

2.Appliesknowledgeofsocial,cultural,andgeneticfactorstothecareofdiverse
populations.
5 (CommentRequired) Outstanding:ExceedsStandards
4 Satisfactory:MeetsStandards
3 Minimal
2 (CommentRequired) Unsatisfactory
1 (CommentRequired) UnsafetoPractice

StandardIAttitude

1.Consistentlydemonstratesprofessionalbehaviorasindicatedbypreparednessfor
rounds,contributingsubstantivelytopostconferences,respectingstaff,facultyand
preceptorsincommunicationandtone.

2.Providesclinicalobjectivestopreceptorasdeterminedinpreconference.

3.Preparednessfortheclinicaldayasindicatedbytimelyarrivaltoclinicalinthe
requireddresscode.

4.Focusedattentionduringpostconferencetopeersaswellasfaculty.
5.Isactivelyengagedinandseeksoutopportunitiesforlearning.

5 (CommentRequired) Outstanding:ExceedsStandards
4 Satisfactory:MeetsStandards
3 Minimal
2 (CommentRequired) Unsatisfactory
1 (CommentRequired) UnsafetoPractice
See below.

StandardIISafety

1.Doesnotmakejudgmental,discriminatory,orprejudicialstatementstothepatient,
 staff,orfaculty.

2.Appliesprincipalsofuniversalprecautions,practicesspecificisolationtechniques,
andteachesthereasonsforuniversalprecautions.

3.Assessespatientsforfallriskandappliesprinciplesofsafepatienthandling.
4.Maintainsthepatient'sphysicalsafetybyprotectingthepatientfromharm.
5.Maintainsmedicalandsurgicalasepsiswhendoingproceduresrequiringsterile
technique.

6.Properlyidentifiestechniquesandteachesthereasonsforuniversalprecautions.
7.Validatestheaccuracyandappropriatenessofordersfornursing/medicalcareprior
toinitiatingcare.

8.Implementsordersaccuratelyandefficiently.

9.Isabletoidentifypotentialsignsandsymptomsofanemergentmedicalcondition
andpromptlyreportschangesinthepatient'shealthstatustopreceptorand/orclinical
facultymember.

10.Adaptsskillperformanceusingprinciplesoftheorywhennecessary.
5 (CommentRequired) Outstanding:ExceedsStandards
4 Satisfactory:MeetsStandards
3 Minimal
2 (CommentRequired) Unsatisfactory
1 (CommentRequired) UnsafetoPractice

StandardIIINursingProcess:Assessment

1.Identifiesdatafromthehistoryandphysicalassessmenttoformulateappropriate
nursingdiagnoses.

2.Identifiesthepatient'shealtheducationneeds.
5 (CommentRequired) Outstanding:ExceedsStandards
4 Satisfactory:MeetsStandards
3 Minimal
2 (CommentRequired) Unsatisfactory
1 (CommentRequired) UnsafetoPractice

StandardIIINursingProcess:Diagnosis

1.Synthesizeshistoryandassessmentdataaswellasdiagnosticresultsintothe
developmentofnursingdiagnoses.
5 (CommentRequired) Outstanding:ExceedsStandards
4 Satisfactory:MeetsStandards
3 Minimal
2 (CommentRequired) Unsatisfactory
1 (CommentRequired) UnsafetoPractice
 See below.

StandardIIINursingProcess:Plan

1.Integratespsychosocialneedsintocareplan,identifiesappropriateresourcesfor
theplanofcare,andincorporateshealtheducationintothecareplan.

2.Identifiesmeasurable,expectedpatientoutcomesthatarerealisticand
individualizedtothepatient.

3.Identifiesthedischargeplanningprocessandneedsofthepatientuponadmission
andthroughoutthehospitalization.

4.Demonstratesjudgmentindecisionmakingandprioritysetting.

5.Usesappropriatecollaborativeresourcestopersonalizethenursingcarethepatient
receives.
5 (CommentRequired) Outstanding:ExceedsStandards
4 Satisfactory:MeetsStandards
3 Minimal
2 (CommentRequired) Unsatisfactory
1 (CommentRequired) UnsafetoPractice

StandardIIINursingProcess:Intervention/Implementation

1.Demonstratesunderstandingoftheprinciplesunderlyingnursingactions
appropriateforthestudentatthispointinthecurriculum.

2.Performsskillsaccordingtoagencypolicyandprocedureandclinicallab
guidelines.

3.Implementsthewrittenactionplan/protocolconsideringtheprioritiesforeach
assignedpatient.

4.StandardIIINursingProcess:Intervention/Implementation

5.Implementsateachingplanbasedonscientificknowledgeandutilizesresources
appropriately.

6.Incorporatesevidencebasedresearchintonursingpractice.
7.Practicesindividualizedandculturallycompetentcare.
8.Initiatesappropriatereferralsasneeded.

5 (CommentRequired) Outstanding:ExceedsStandards
4 Satisfactory:MeetsStandards
3 Minimal
2 (CommentRequired) Unsatisfactory
1 (CommentRequired) UnsafetoPractice

StandardIIINursingProcess:Evaluation

1.Evaluatesthepatient'sresponse/outcometotheintervention.

2.Utilizessubjectiveandobjectivedatatorevisenursingactions(asappropriatefor
thestudentatthatlevelofthecurriculum).
5 (CommentRequired) Outstanding:ExceedsStandards
4 Satisfactory:MeetsStandards
3 Minimal
2 (CommentRequired) Unsatisfactory
1 (CommentRequired) UnsafetoPractice

StandardIIINursingProcess:Organization

1.Providesorganized,coordinated,andprioritizednursingcareforthepatientswitha
rangeofhealthproblems.

2.Organizestimeandresourceseffectivelyandefficiently.

3.Gathersandorganizesequipmentnecessaryforpatientcare/procedures.
4.Identifiesandseeksappropriateresourcesduringpatientcareprovision.
5.Completesthedailyclinicalassignmentinatimelymanner.

5 (CommentRequired) Outstanding:ExceedsStandards
4 Satisfactory:MeetsStandards
3 Minimal
2 (CommentRequired) Unsatisfactory
1 (CommentRequired) UnsafetoPractice
See below.

StandardIIINursingProcess:Documentation

1.Appropriatelydevelopslongandshorttermpatientorientednursingcaregoals
basedonpatientassessmentandscientificprinciplesofnursingpractice.
2.Documentsproblemsandnursingcaregoalsinthepatientrecord(withco
signature).

3.Identifiesanddocumentsnursingactions/ordersinitiatedinimplementingtheplan
ofcare.

4.Correctlyentersdataintothepatientrecordinatimelymannerperagencyprotocol.
5.Assuresprivacyofthepatientrecordatalltimes.

5 (CommentRequired) Outstanding:ExceedsStandards
4 Satisfactory:MeetsStandards
3 Minimal
2 (CommentRequired) Unsatisfactory
(CommentRequired) UnsafetoPractice
 1

StandardIIINursingProcess:CriticalThinking

1.Utilizescriticalthinkingskillstoprioritizepatientneedsbasedonthepatient
assessment.
5 (CommentRequired) Outstanding:ExceedsStandards
4 Satisfactory:MeetsStandards
3 Minimal
2 (CommentRequired) Unsatisfactory
1 (CommentRequired) UnsafetoPractice

Comments:
Olivia is extremely involved in all aspects of care on the oors. She demonstrates excellent communication with
sta and patients consistently. She takes initiative to seek new learning opportunities and is prepared to discuss
each situation with the instructor in a timely fashion. Olivia is ready to take patient care to the next level by digging
into histories, diagnostics, and medications. Great work this semester.

OliviaTaylorhasreviewedtheaboveevaluationon11/18/2016andhasprovidedthe
followingcomment:

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172.31.7.190/projectnurse_usf_prodAPPv4.51.6470.28378DBv4_519/19/2017APPUSER:OMTAYLOR