Carell Comenanty Colage
Division of STEM, Nursing and Alled Health
Department of Nursing
NURS 133 ~ Nursing Concepte 4
'SUMMATIVE Student Cinical Performance Evaluation
‘Students who meat ay te folowing ctor wil be ivan a omedatn plan anid ay be plod on probation
Fue to progress in hese aren may raul Yale of ho couse,
-Qra.unsatslectery-grae in acti behave Two noede improvements in arial behavior
Two unsalsfastoy grads nw ron-rical nave Four eas Imerovernnts,
Student _Ashiey H. Tote Date 12/118 __ACCH 4 __ Faculty Prot Bankenah _
[S=Satsaciny [N= Noa povenen | U= Unifocery “TWAT Ha apphene Tr) Crary
Eval
Use te congas of the arkng rGea66 when eating a pian of caro (CSLO1)
Sudert | rato
Sere | “Eval of
‘Outcome 4 ee
4._“Priorizes ptlant cao based on assessment wih coaching
‘2. Demonsrstes accrata patient assaerect sls wih costing —
‘3. Gathers cata fon the patent's mecca record to provide pain care
4 Uses patent stossrect cata to develop indviduined plan of care vith coaching
'5 Esablshos appropiate raring dagroses based on colecod evidence ard palert
aseossmonl wih coaening
3 Esiablshes meesaie plant zoe bated on nang dag wih coming
‘8 Evalstes patie response 1 cre and rise lan as needed wih coaching
SAW
s
s
S
s
s
s
7 Esleblshes appropiate nursing inerverions bated on assessment wih coaching s
s
‘Siudeat
Set
Outcome 2
Develop an avarnens of opportunites tht promote profesional row (CSL02)
'8_Demonsrates pofeesions behavior end a
107 Seok ipa om patent, rsructr, ad healicare ari he Gaver Ot pain=
centored sare
47, *Domensirates account and asap responsi er oan adons and aiuos
12. *Adhores to attendance pocy_
19, Ptipates actly nal cecal xparences
‘14 Engages in seefecton and conmuncalslearing ods 1 neil
15. Campos assgrmerss as esos and submits on tra
‘Outcome 3
‘Provide patient cantre care with cosehing (CSLO3) SAU
16, “implements appropriate vecton contd precautions 8
[17 Provides cuturaysenaive car wit coaching
s
18 Docume ptr cr cry wih coocing S
| 12: Uses begining teapeti emmuncaion se [oe
| —20. Fotos trot with pent care wih comeing
21. Vatazs inewindge of meseatos fr estigned ales
s
[os
22. Denenstate caring bahaviers s
22, Uses SBAR io communica paler sata to natutr wih coach 8
bala
25. “Deronsttas physeal and menial compaiance
24, nies issues needing advocacy fr aesigned pabants = |
‘Aro 10446, ONBAONE: oH918Carr Communty Colege
DOision STEM, Nursing and Aled Heath
‘Department of Nursing
‘Nuns 133 Nuruing Concepts 1
‘Student Cina! Performance Evaluation
i iy oar ade APIS BPO RCTS TCR
bers 5.
| enti waa wend eae moma se
| erates tet an ot at ean nt Eas
= Inst and neatcars teem garng carga nie pater ann =
| 20. Preven nig cr Boe on Be sos and pocdvenotie cy 1
31, 2Provies nuning sare n coatarce wh tye Maryiand Nore Practice Act =
22 here MPAA gus 3
39. ear score Au Sepa Sana oR rt
Somat
Se
ouzomas Ea
lr eet evidence at eppors ne patente plan oko (CS1.08) sai
34. sets ences teed ner ea
int td ouourn owe eho case 2? Place explain
Bru ry parent wal ror in cnbecice, Tolioned my mate pind 19
hee ce nents and obKerved. My muri Shaved, mi gyiasiery, Oe difRrenr|
VES (ox Bee tgs maregmmunt, nasoqasirie mgmt. \Or -
Bi asic SCS se eG
ity pal oe Contranrly Fee) Cr CO thou (NS a shaden nue &
when, Cain henvs. | 1h inet (althaagh Hey cand
re ed al Sa rane vba aly
Be yotherebs Ne nt eur perormance? i so, whet are your pans for improvement?
rigase explain. NW centering aft, with adequately and Correerly og 1
Chet mip. with he advice fran my Chinithl instucim, feu) fekicr lau
Creating thy next 0% with 3 dd wl have Concerns ust eyaluario}
una + 2e re Whun panunt is discharged *s
erecta Cat plan. 1 wr enn hare ee
ally Commend Studer Leming Goal (Goal TH Bs colablaNed ern pa oTnONCSW ITSO
{fn row dtd aU rave cna a eae Say sso prema org
ES rane) ™ >
Dore sie desrased the cog maf eone Map
Yak spon grkan! a bitte sen desatesdng o: pe
Bee? Cased yw Aeagniass!
“Beant Snaure TOSIS Fem ufc aaa
Instructor Signoture: | hu Lg2 Bete: 29 /Je ¢
owen 100 Rett aro204, 012095