: Carroll Community College Division of STEM, Nursing and Aled Health Department of Nursing NURS 133 - Nursing Concopts 1 'SUMMATIVE Student Clinical Performance Evaluation aco ‘Student Allison Unverzagt Date 4 Faculty _ Prof. Schroeder ‘$= Setsfacioy [N= Needs Improvement | U= Unsallfeciry —[NA= Not aspleable |) Cites! behavior ‘Stunts who meet any ofthe folowing era wil bo glen a remedalon plan and maybe placed ar proSaton Faire to progress these areas may result falure of the coves. One unsatisfactory grage na criteal beaver “Two needs inprovements in aericl behavior Two unsatisfactory grades na noncrical behavioe Four needs imorovements Outcome 1 i Eval | susent ot smu | smu | “Prloiizes Patent care based on assessment with coaching 2 Demensivates accuree patient assessment sklls wih coaching Head to toe assesnert bsoried and well done '3._ Gathers data from the patent's medical record to provide alent care Uses patient assossment data lo develop indvidualzod plan of cae wih coaching Establishes appropriate nursing dlagnoses based on collecied evidence and paint ‘assessment vith caaching [[Entabisnes messurabe palon! ocicones based on nursing daghosla wih coaching 7. Establishes appropriate nursing intrventors based on assessment vith coaching, Wore interventions would be appropriate. Think ktiaugh to add preventative Inter ontons or iueatonsl ones, 1 Evaluales patent response 6 care and revises plan a naoded wih coaching 2 2 Outcome 2 an awareness of that rofessional 8._Demonstrates professional behavior and sopearance Always 10: Seeks input from paint, insucter, and healteare team in the Galvery of paler centered care 11. *Demonsvates aocountabilty and aocepts responsibly fr own actons and atitudes 12. *Adherws to ationdance policy s s Ss S. s s 8 S ‘Siuaant Set. | snwy_| Ss s s = 13. Partepates actly nal cial eaperaneas st | “10 Egos as Sor and cory arg es S RST ss} S ‘Sudant ‘Sof. Eval sv s Ss s Ss Ss N Ss Ss 5 a | 75. Completes assigrmens 9s requed and submis on z 2 Outzome 3 Provide patient-centered care with coaching (CSLO3) 18. “Implements sppropriate infection contol precautions 47 Provides culuraty sonstve care wit coaching 18. Documents patient care accurately with coachira 49. Uses beginning therapeutic communication sls 20. Folows through with al patient care wih coaching 21. Verbaizes knowledge of mecicatons for assigned patients Medicalon uses ae Corally documented onthe ful assessment Demonstrates caring behaviors 23, Uses SBAR to communicate patent slats to fntuctor wilh coaching 24, dente issues needing edvocacy for assigned patents I lefalo ofall Ie posroves 14014 Reve t0R044 012018Carroll Community College Division of STEM, Nursing and Alled Health Department of Nursing NURS 133 — Nursing Concepts 1 SUMMATIVE Student Clinical Performance Evaluation 25, *Demonsvates physeal and mental compatenoe s Ss 26. “ieniies safely cerns and ‘oli Insiuctor and appropriate Peace team members 8 s 2 lderthes ways to ypand cnicl ive ore aint, s_| 28 Werdfes patent ard family heath education needs s S [25-"Updatesinsructer and healineare team rojarcing changes in the patient's condition s s 20, “Provides nursing care based on the policies and procedures ofthe facil Ss 3 231. “Proves nursing cae in serordancs wit the Maryand Nurse Pracios Ack Ss ‘s—_| 22. adheres (0 HIPAA cidelnes s S 13. “Prowdes care according to ANA Scope and Standards of Nurang Pravin. s s Rae ‘Sladent | Tstucior . ‘Salt | ‘Eval of ‘Outcome 4 Eval | Student apars the patents plan of care (CSLO4) smu _|_snvu_| “34, Hentites evdencedBased ralonal at suppors the patent's lan of care S s “Student Reflection (Troroughly enswer ail questions) How has this clinical rotation helped to define your role as 2 nurse? Please explain. | have become a lt more confident in myself with starting conversations with patients ané not making the situations awkward Which objective did you accomplish during this rotation? How did you do it? | have become more cenfident in mysatf and | know when to ask for help and times where ! know I can do it mmyse¥, But asking for helps never an issue, What are your goats for your next clinical rotation? ‘Be more aware of what is going on with my patlonts, to be able to identify their probloms and tho ‘medications they are on better than I can now. | Faculty Commontal Student Learning Goals (Goals must be established even ¥ performance 6 satatactory | Iran item was identfied as N oF U, narrative comments are necessary to clanfy student performance along with goais to improve performance). Alison ‘Tam glad to see you have goals tor te next clinical experience. Work on those medications over January. ‘The assessment on E-E. is thorough except for incisional and dressing assessment. Since he had a fracture and surgery alteration in moblity should be addressed to help him regain his independence ‘and prevent complications related to immobility. That should be the number one nursing diagnosis. pppoe 2404 Read HHO OOSsn Carroll Community College Division of STEM, Nursing ar Aled Health Department of Nursing NURS 133 ~ Nursing Concepts 1 ‘SUNMATIVE Student Cinical Performance Evaluation Nice job on the assessment on LC overall, 1am confused about output from the Weostomy. in one ‘section you report LBM 11/30 and another section you document no output and clo pain. The top 3 ‘hursing diagnosis are correctly written and accurately priontized. Allison the probation terms have been fufiled and | am sure that the violation will not be repeated. | have observed growth in the aursing role during this dinical experience at CHC. Thank you for your Patience for your clinical instructor changed and you had many different facuity members in CSE. | was giad to step in at CHC and enjoyed having you as a student in the clinical seting, Keep on growing! ‘Student Signature: | Allison Unverzagt Dato: s1R0n7 Instructor Signature: | Jane Schroeder, MSN, RN | Date: 12/15/2017 Pecos I Redan YON; 012018