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
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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 388Carrol 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?
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oll Wed ero reeds & nya dohing Rwe 10 Sit
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GNC S%Q ved veRey A wi mere
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|
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