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Carrol Community Colage Division of STEM, Nursing and Alied Health Department of Nursing NURS 225 ~ Practical Nursing ‘Summative Student Clinical Performance Evaluation ‘Students who meet ary of tho felloving cera wil be iven Faire to progress in these areas may result in falure ofthe cours, _-Two ursalistaclary grades n @roferiical behavior “Four needs movements, remediation plan and may be placed on probation ‘One uneetatectory grade aa eric! bahevor “Two needs inprovernens ina cl ber Outcome 4 Contribute to the nursing process as part ofthe healthcare taam(COt) ‘Sent ‘Sel Eval SU 1. * Organize and protize care or aescned croup of ints 2._Use data from various sources in making dlrcal decisions 8 Outcome 2 Assimiate into the prfessien of practical nursing (C02) Contribute t th dalopment adr update ofthe cont an ccare weed ‘Demonstrates professional behavior and appearance. “Demonstrates acoounablty and accepts resconsibliy for own actions and attudes — “adheres to attendance pole Partcpates actively nal cial exparionees —_ ‘Epages in eo-feon and communicates aaring needs io natulor ‘Completes asskynments as requted and bits on time “Demonstrates physeal and mental competence Demonstrates time management tecnlques Outcome 3 Provide patient-centered cae (C03) “Use aseptic and sae tocnicues Use therapeutic conmunication techniques wth cient Demonstrates caring behaviors Uses SBAR to communicate patent datus to askucior a healcare team wih assistance ‘Advocate for clentighs ard needs with asitance "Coniibutes to the protection of cients and healthcare poreonnl Wem health and ‘environmental hazards 7. Reinoree education to client garding care and conditon 8. "piates instructor a hsltheare nam regarding changes in the patients condo 8. “Provides nursing ear based onthe policies and procedures ofthe facity 10, *Adheres lo HIPAA guidelines ln be )4<7 oe, Hees err rrese urfolulil uv bola baba fa eh alae a8 pope 1201 Reed 2014 Ov. 67018 Carroll Community Collage Dhision of STEM, Nursing and Aled Healt Department of Nursing NURS 225 - Practical Nursing ‘Summative Student Ginical Performance Evaluation “Statant Retioction (Trcagiy ower wl eons Heetpel Braman he UA cei BEER PRES ust trom assessment Dut Octwaliy startin, Q veal Conversion of Nour own 4 Ting AW Lec Hh going. Which objective aid you accomplish during thi rotation? How did you do it? Feellqd Vlove COMMorfapit IN mse adgut going up fo patiend ¢ just Starning O COMNCISthon OO More MOO Spec patients chart 4 yng TO Sce if what ahey ave Thy Me Dads up Wh dp eir diaynost Faculty Commonts! Student Leaming Goals (Goals musi bo eslabished oven T performance 6 salstactony fen itamwas identified as N or U, narrative comments are necessary to clarify student performance along with goals to improve performance) [Prtactrnent Bae oma Sh Lee Student Signature: |(Q0gon JOp7 | date: ¥JZi/1f Instructor Signature: | SWYamnlen) WEAN [ates (olo'] 18 Approved 1204 Read HNO C420; 382048

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