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Carroll Community College NURS 233 — Nursing Concepts 3 SUNMATVE Student Cinical Performance Evaluation Rate student yy BITS i _ Wook: Facutty Aso SQ, (B= Satstcioy [N= Needs mproverect_[ Uz Unsatitactny [NA=Notapreablo—[€)Crical behavior Suen eho peel ay ofthe loving ra wl be en a remedaon pon end oy be pecad on proton. | Faire progress in these areas may resut i Talure ofthe course | “Gre tunetsacry grade n acteal benavor Two needs improvements in acral behavior | Swe uneatistnctry grades'n a non-cteal ehavor “Fou needs improvements Stucent ‘see Outcome 1 Eval | Anse he efectveness of the plan of cre (201) SIU 1 Pies patent care based on assessment with au asa reource 2. *Demesats aczuat patent assessment sks 3 3._Anayzes and incorporates deta rom te patent's medeal record inthe proven of ae 1 Uses patent assestmant dala o plement inivauaized plan ofcare wi facly as a aly “aly | ~EEstablanes appropiate nursing proves lst based on colecied evidence and ratient | assessment wit faculty as a resource 5 Estabiches measurabe palint outcories based on nursing pores with faculy as a 7. Establshes appropriaie nursing iterveriions Gased on assessment wih atu 25 @ {Evaluates pation response fo care and revises plan as needed with faculy asa rescuree ulolu Outcome 2 ‘Seek opportunites that promote professinel gowth (C02) '9__ Demonstrates professional behavior and appearance 10” Seeks input fom patent, metructor, and healthcare team inthe deivery of paint cantare are [1 Demonstrates accountabity and accepts responsibly for own actions and atiludes 12, “Adheres to atendance policy = 13, Partipates actively in al ines experiences i [14 Engages in st-oftection and communicates learing nee to ietucor [15 completes assigns 2s requred and submits. en tine =scnn 16. Demonstrates inate in assisting peers and healncare fea members in ii ting Outcome 3 Eval Provide patent contered car wt facut resoure (C03 saw | “SNU 17. “implements appropriate infecton contol precautions. Ss 1. Proves cutraly sensitive care = 3 19. Documents patent care secratay — 5 20_Uses therapeu communication sis —21-Fotoms tough wth al patent cae 2 22. Demonetates knowedge of medians for atigned patois $ 23, "Adrinistrs medication safely using sighs of medleaton adinsraon s 24° Demonstrates canng behaviors Ss 25. Uses SBAR eflectvely 7 = Apoved 24014 Resa 020% 812015 388 Carrol Community Colage NURS 233 — Nursing Concepts 3 'SUMMATIVE Student Cinical Performance Evaluation [28 ‘Aats as an advocate for patients and families — IS ] 21 Demenstates chal and mria competence 24 “deities safety concer ard nails neuter ahd apiepcte hells Wear S members 26. Demonstrates time management techniques : - '30_Impiements pation ad family education and evaluates effectiveness of teaching ‘31. "Updates instructor and heaticae tam regarding changes in the patent's condition | ‘32 "Provides nursing care based on the policies and procedures ofthe facily 3. “Provides nursing car in accordance wih the Mand Nurse Practice Ac 24 *Adheres to HIPAA guidelines 35, “Provides care sccosingto ANA Scope and Siandards of Nursing rast 3s] ‘Sludant | Tastrucor ‘Set Outcome 4 Eval Inplerent nursing care based on slenifc evidence (C04) SIN 36, Incorporates evidence-based raonale that supgrts the patient's lan of care “Student Reflection (Thoroughly answer ail questions) How has this clinical rtation helped to define your role as a nurse? Please explain I lerned = lot > HWS (HEGS , Peretthic — @mmunicahiny a ICL ine Fecomtt, & rch moves Which objective did you accomplish during this rotation? How did you do it? Teefuic communication wi ach & Y MHS, Mey ; oll Wed ero reeds & nya dohing Rwe 10 Sit wheel u'll el al GNC S%Q ved veRey A wi mere eee | Faculty Commental Student Learning Goale (Goals nuit be esablohed oven fperfornance is sabsfacony at Weg eile Nr Urarate cones ar necesny tly en parorrance arg | Very geod yoo eynis, dinical yoraton., You Took all opporturiies owen =o You 40 taun and BA oon. You rcame Mae comforted Ln meds aod mHEENAG them. CVU geod OO GD01S OAL AD LOrcmere Gu Moe Cordier VV cui(Stig Bulle ond furtrer_daweroe aittreat rng etd, ‘Student Signature: pate: [9/15 | Instructor Signature Awan date pate: 112ae | Pero '24/4 Raid 12N014 01015; 966

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