Carroll Community College Division of STEM, Nursing and Allied Heatth Department of Nursing NURS 140 — Nursing Concepts 2 'SUMMATIVE Student Cinical Performance Evaluation ison Unyer S1aiit (tr nN = Needs mbovwrart~[U= Unsaisscoy [WA Net opts | (| CRE bar ‘Sluors whe met ay of flown etorawilbe gen a renediaion Ban ad may be pai on probation. Falur orogens no ares ma ont nar ote cron “Gre ureataiaday grace nacrica teravor "Two needs improves in cl behavior “a iretstadony grea na tonite oe Fou ends oravonerts ‘Student | istuator ‘Soh. ‘Eval of Oxtcome + Eval | Student | pt thenursing process when implementing a an of care (CSLOt) sy | smu 1. riontzes patent care based on assessment wih assistance S 2._Demonstatus accurate pant assessmant sks 3._incorportes data fom the pti’ medial recordin the provilion of care g 4. Uses pation assessment dla to develop indvualzed pian of care wih assistance 5. Estabishes appropri rursng diagnoses based on coloced evdence ad paint $ > assessment wih assistance 3. Estabishes messurabie patent ovicomes based on nursing diagnosis wih esistanes 7. Estabshes appropriate nursng rteveiton based on assessment wih assistance Ss 8. Evaluates patent response care and evses plan as needed with asistancs = Siudet | Teter Set | Evalol xtcome 2 Eval | Student Pecelcato in opportunities that esta) snvy_| SIU. {8,_Demonstates professional behavior and appearance. 10” Seoks inp from paint. insrucor, and heethcare toa in th daivery o pao ¢ ¢ centered care 11 "Demonsivtes accourabily and accops responsibly for own acions and audes = 12. “Adhere to attendance poicy = = 13, Pertpates ecvaly na cla! experienaes | 14. Engages in set-electon and communicates leering neds I nsrucor 18. Completes assgrments 2s roqursd and submits on tino NY ‘Studer | Instructor ‘Sof | Evalot ‘Outcome 3 Eval | Student Provide patient-centered care with assistance (CSLO3) eae su | SIU 16, ‘implements appropriate infection control precautions S sa 17, Provides culturally sensitive sare with assistance 18. Documents patent care accurately with assistance Ss 19. Uses therapeutic communication skis = 20, Folows through with al patent care with assistance $ tg 21. Demonstrates knowledge of medications for assigned patients a 22, *Adminisiers medication safely using six rights of medication administration ae "23, Demonstrates caring behaviors S "24, Uses SBAR to communicate patient status to strucor and healthcare eam with S sscitance 25, Acts ns an advocate for patents and fares with assistance rove 44, Revs 0072014; 012015Carroll Community College Division of STEM, Nursing and Allod Health Department of Nursing NURS 140 ~ Nursing Concepts 2 'SUMMATIVE Student Clinical Per 26, ‘Demonstrates physical and mental competence 27. “idaniifes safely concer and notifies. eructc ard appropria palace tearh members 28, Domonsraios time management eohnigues 29. Implements patent and family education 30. “Updates instructor and healthcare team regarding changes in the patonts condition ‘31. *Provdes nursing are based onthe poles and procedures ofthe fecity '32. "Provides nursing care in aocoance wth the Marlon Nurse Practice Act S 33, “Adhores to HIPAA guidlines ‘34. “Provides cara according to ANA Scope and Standards of Nursing Practice, < be] ca lal Myon fal wf I I Outcome 4 Eval Pan rursing care bated on senile evidence (CSLO4) 35, utes pate ano cre based on cent dence “Student Roflection (Thoroughly answor all questions) How has this clinical rotation helped role as a nurse? Peds Was, Complete Sime rea “fan Vahon a me how to Work wrth babies since 1 never y ex Perel Which objective did you accomplish during this rotation? How dd you do Ie? 1 bee how ts Swaddié 4 10F, do Fteos,y BP on Q baby Bt in, it tou, ety Halu What goals for your next clinical rotation? Have berry ciimunicarion with the Yampwes ¢ Understand labs bettey | Facutty Comments! Student Learning Goats (Goals mustbe established even I performance 6 salistactony | tan fom was identified as N of U, narative comments are necessary fo clay student performance along MAISON dy flee wih (otls Was She bad oct pros Cnitad “anki Ow peehertt acl a eaucrt SOM Uorlel le Jove! Be 4 Wont ot Chee cay ponents wih families. ynature: vy 7 S/4hiy Sees eae Aepove 04, Rae 1200 O15