Weeks OVERALL CLINICAL rene Sorry a [tan | ns] ‘a | os lea Demonstrates behavior appropriate to the role as a beginning manager of care in a structured settin, SAFETY, ssisananeuting aay : P " i en Arrives at clinical on time, prepared with required equipment as assigned and appropriately dressed each day. Accepts assigned client and ha O Unsatisfactory clarifies student role and plan of ida Comments: care with RN /Provider and Instructor. Seeks instructor assistance for ALL new procedures and activities. Completes thorough lab and medication review prior to physical assessment and delivery of care. Implements nursing actions according to the scope of student practice required within the respective clinical environment. Notifies instructor and RN of new abnormal findings immediately. Any / All medications are administered safely and on time utilizing the 6 rights of medication administration standards. Reports to instructor and RN/Provider using SBAR format for client hand off before leaving unit or facility. CO en ea References all procedural institutional policies as a guide er 4 before performing any skilled task meee within the clinical environment. sina Carries out appropriate nursing O Unsatisfactory actions in a timely manner and 2 analyzes client response to F Comments: evaluate effectiveness. Z Demeanor in clinical environment demonstrates a desire and/or objective to seek out new experiences and advance knowledge base. Receives constructive feedback, accepts responsibility for individual actions, develops and implements a plan to improve areas of weakness. Integrates quality improvement practice and analysis measures into client care according to established institutional guidelines In efforts to positively effect client outcomes.ADO Weeks OVERALL 1 2 sf. CLINICAL 5 6 SUMMARY Demonstrates behavior that reflects responsibility for self-learning and self growth as a member of the profession. Supports patient, family, and/or client advocate participation in planning care that prioritizes client centered needs. S | 2Batistactory O Unsatisfactory Utilizes professional skills of communication when collaborating/advocating for patient, family needs within community agencies. Applies principles of communication to foster discussion and professional interactions among members of clinical research activity teams to Produce optimal project outcomes. Accurately, thoroughly documents medications, client care and assessment data according to EHR organizational and CMS standards. Seeks faculty co- signature with any documentation errors incurred. Consider all information gathered related to client protected health information confidential and may not be copied to any external memory device, or shared on social media sites of any kind for any reason. *Review NCSBN Webpage* Comments: 2 Satistactory O Unsatisfactory Comments: Conducts Nursing Services in accordance with college, state and federal practice standards as outlined in: Michigan Nursing Practice Act, ANA Nurses code of Ethics, AAS-N Student Handbook, HIPAA, HITECH, CMS, and Joint Commission.Basis 5 i My tg Ady OF Cinical IT vwook CN PC Partum, IL Vod On autsane nurge, T +0OcKk care of Oo PCr nycterceiomny PALS ANCOMIMENTSS ee WHOSE | | Week 1 To gpk +0 pass vwedS woh my nuMG T was tcwght | now 40 Ao a Waly assessment, and how +o do | Date: \0/25 /\\e 0 fundal Cneck, alco got +0 as Ki padder Scan. | Orientation +o unit; goals % ] Warning Notice: 0 expect or ons diecussed for clinica | Date: _1o[1¢ li roach on. Baby ASSLSS NN 6 mel | Yos,- bladdat scanner. [Today in Specral ore AULT AQ a ayeat spierence. T Wat awison nua, very gen on nec ONLCK dons Or Welpful. E got TO £ aula. a MUU, Watelne} vitubin KH, Aloy CEE TT COMMENTS | [rexdings, drayerUnangg? at Weegnrs, Watoned are loys | Ivoniters, ond ene Cour ccak Cnallenge- T algo [got tO noid a Waly. Warning Notice: 1 Date: _u|ihiv Site: SW patent thet was didlaked +o 2h when L come in. Thay eoned loth Oh HO RRHOSIAE and it seemed HO Sart fOKick in. T felt comracticns Mman, Jrremitored tnby Weart rate, mamr He, and He actos. L howe assret With position Chara leuned c_ tot ulule oder jor. With t Wald & aw @~ PN Lan mducnon fy PLT pomp. p Vel Novo ane WN ie tn LAD Week 3 pate: Ul Z Warning Notice: 0] Date: Wye Site: L*Oday 7H ObD. T+ was Kind oF qiuw Wi§ moming, > WAU A COUPLE vuorr ShIedS Tests, O ‘ and watthed me Lyn Start an W- Vaginal oneer, yon yanivors as well. [\v T watthed and tbe PCn Mee © creom Date: WIS a Kee 40 go 10 meather tak A cee Warning Notice: 0 ser “EN VOL : _ bate mils he antepartum . Aw vel e Week 4 p on NS. Mspried! Qn volO fov OBEY Oday T wad iM Mmorrer adloy, MY NUK $e. ao nastier Week 5 nec & 7 Date: 1132 hr oe RS Ae ee a crecticn a god special care Warning Notice: 0 pags -excellen . ae Lee ple ate:_UI9a]re Jenod pst CSew - : ad. f NB. Ane rs Wd WILE - a-pplryiny) inva Student-Signature: (Required): Instructor Signature: Instructor Signature: Instructor Signature: The weekly completion of this clinical documentation is a vital component o: ssional demeanor. This weekly clinical tool reflects objective data of your clinical performance and the i of that clinical experience as well as the instructor’s evaluation of those areas that require i The student is required to document on this form and/or journal weekly. . The loss of this document and/or failure to turn this in weekly as requested by the clinical instructor will result in a written warning notice and a reduction of .5% in the course grade. vv vv JW.2016-17_NUR 176_Jackson College7 Sorted out in OBD,. thare, OSE sine Going (n, wet had 2 no shows and T got to Se me MTL then went with Facet Wond- weed SB8DIaIAEDNAFoMEAH ve. T thaugh Date: 11]24 eee QA nly fob explaininy shy Week 6 ane Ate we Tirade Moco Warning Notice: 1] Date: WI2g Mint Pin site: Obid> JAL Week 7 Date: _12]u Warning Notice: Date: nly Site: EN Student Signature: (Required): fe Instructor Signature: Ubuter- Un Instructor Signature: Instructor Signature: The weekly completion of this clinical documentation is a vital component of professional demeanor. This weekly clinical tool reflects objective data of your clinical performance and the instructor’s interpretation of that clinical experience as well as the instructor’s evaluation of those areas that require improvement. The student is required to document on this form and/or journal weekly. The loss of this document and/or failure to turn this in weekly as requested by the clinical instructor will result in a written warning notice and a reduction of .5% in the course grade. VV VV JW.2016-17_NUR 176_Jackson College