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Carroll Community College Dhvision of STEM, Nursing and Aled Health Department of Nursing NURS 133 - Nursing Concepis 1 'SUNMATIVE Student Cinial Performance Evaluation Faculty fa NAS Nol appa Wider pate lilirle ese Ate meni Faure to progress in these areas may resin fave te cure. M, | Stunts wo mea ny of te folowing crea wi be given a remsdain plan and maybe placed on probation | ‘Qneunsatsfecory grade ne crcl behavior Two needs improvements ina ctical behavior Two unsaiston ‘anorecrcal behavior “Four nseds ingrovements Outcome 1 Use the components ofthe nursing recess when creating a plan of care (CSLO1). See ‘So Eval of Stent 1_=Peiorzes palit care based on assessment wah coaching ‘2. Damonsales sccuale patent assessment sks wih coaching '3.Gathers data from te patents medical record le Provide Caen care 4. Uses paen assessment data fo develo indvtuakzed an of care wih coaching 'S” Establshes appropriate nursing dlagnoses based on collected evidence and paler '5_ Establishes messurble poten olcores based on nurting dlagnosl wih coaching 7. Estabishes appropriate nursing niervenitons based on assessment wih coaching 8. Evaluates patient resporso i care and revises pan a needed wih coaching Outcome 2 Develop an awareness of that anal growth (CSLO2) 8,_Demonstaies professinal behave and appearance 107 Seeks nou om patient. nsvucor, and heateae eam in deWvary of palon cored cre {1 *Demensrles aczzuniably and accor respond (or own actions and alludes 12. “Adheras to attendance poe "3, Pancigates seein a cnc] exparencas “4. Engages in safuflecion and eonuricses eoring needs sior 15. Compoes assgnmens a5 eed and ext on tne ‘outcome 3 Provide palie-contred care with coaching (CSLO8) va of ‘Shudent 16. “implements appropiate infection conto precautions "7, Provides ctu sense care wih coaching 18, Documens patent care accuraely wih coaching 19. Uses beginning therapeu communication sis 20, Follows tough wih al patent care wih coaching 21. Verbaizes knowledge of medications fr sesivied paler 22, Demonstrates caring behavior. 23, Uses SBAR to communicate pani sale lo osutior wid coaching 24, Identifies tues neoding advocacy for aselgned patent 25. ‘Demonsvates physical and menial competence ha of) lolol BREE felt» PRE Hoop nla ovo YN, Ravan YO: YDS Carrol Community College Division of STEM, Nursing and Allied Heath Department of Nursing NURS 133 Nursing Concepts 1 'SUMMATIVE Student iinical Performance Evaluation "5. Tao ally cancers and ties Werulr and BpTOpTaTO HOGER Wah = [8 members BF, lentes way to spd anal ine roe efi = 28. lentes paint and family health eucaton needs 3 28, “Updalesinsicior and hostticareleom regarding changes in hs patents condon 3S 30, “Provides nursing care based on the pots and procedures of he laiiy 31, “Provides nursing ear in accordance wih the Maryan Nurs Paces Act Cs 22. "Adhores lo HIPAA gigeines is 39, “Provides car according o ANA Scop and Sandards of Nursing Praies ete Sele | ‘Evalol ‘Outcome 4 Eval | Stodont Explore the scenic evionce that supports te palin’ plan of care (CSL.O4) sau | smu ies evidence-based fens he supports th pln’ ian ol cave STS ‘Student Reflection (Thoroughly answer al quesions) ‘How has this clnial rotation helped to define your role as @ nurse? Please explain Ld has Sram me Ne we Be ate palin ks Poem eS ym tee bsetaa € rain 4 pln Paint cove cud od pln Sev HY cot Ge Ste peed ARI Mey ook Die Heir ty, Which objective did you accomplish during this rotation? How did you doit? Bsa blk Corecthy conptite «Kendo fe cetestnnd falenee Ube doneubeld Jt Had bem de fist dor, md Fb AL AOL ene ey od spe Jom sek, E became etrnaly Cerhdldh by my guserinnt shill What aro your goals for your next clinical rotation? SO hd 2 nee Leama od beta ex baller mse Binet be eat te caettete erty Me my cay conlnla ty, Facully Commenta/ Student Learning Goals (Goals must be eslablahed even i performance Salsfaclony Han item was identified aN or U, narrative comments are necessary to clanly student performance along with goals to improve performanes) tole ou figiesca yal daring is Cinicad tn: Gob Week wish you Corchrwe NLULLSS Student Signature: || C204, ZZe [ Date: «77 Inatrutor Signature oa: 11/22/10 depron 12414, vant Wa0N: 92018

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