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Carroll Community College Division of STEM, Nursing and Allied Health Department of Nursing NURS 1140 — Nursing Concepts 2 'SUMMATIVE Student Clinical Performance Evaluation sete ASHNY Ne TOC owe Slit etme eaeam Po Jodi Hatt sft sods Inprovernent_[U= Unaatafacion — [NA = Not pplzabie TC) CnteaTbehavor Suerte who hee any othe folowing feta wie glen a remediation pln and may be place on probation. Feature to popressin these ars may resut Yue fhe couse. “One unsastactor race m9 rial behavior Two neds improvements tical behavior wo unsaistacton grades n'a nonritea behavior “Four needs improvements Sudan vaca ‘set. | valet ‘outcome 4 Eva | Suen ‘opt fh using process when implementing a plano are (CSLO%) si | “sau ‘L_Prories patent care based on assessment wih assistance s "2 Demonsttes scot patent assessment sis s ‘3. Ineapoate data rom the patent's mesial reo nth provision care ‘a 4. Uses patel assessment dala to develop ndvidualzed pan of care wih asian Estabienessppropatarursing Gagroses based on coleciod evidence and patent assessment wih asttones gis 3__Esiblshes measurable pant culeomes based on nuring diagnosis wih assatance | [7 Esabtenes appropriate nursing levetions based on assessment wih assistance s 8. Evaluates patent response lo cae and revises pln 25 needed win asssiance Slosat | ear ‘Sot | 'Evalot utsome 2 Eval | Suen | Parise opsonuntes nat promot potessonl growth (CSL02) sau _| ‘sw 8. Demonstrates professional behav and appearance Ss “O° Seeks np fom paber, srt and heaticare eam ne daWery of paver _centeres care S Ss 7H. “Demonsrales aocauniabiy and sozepsreaponsbiy fo om adios ondatiuges | Sf 3 | 12 ~Adheres to atendance pot | 13: Panciostes schly nal cies exgerences = s “4. Engages in seleecton and communica eaming needs Tonsil —£ “5. Completes asigrmens 85 requred ea submits on tie + Siar Tass set. | Evalo! ‘outcomes Esa | Student Prone patent centered care wih assistance (OSLO) sn | “SNU 46, “implements appoorit infection contl precautions s fs 17 Provigescutualysensive care wih assstance 18. Documents patent care accurately win assstance £ 3 19. Uses therapeute communeston sls 7 = 20, Follows trough wih al paint care wi asitonce “21. Demonstrates knowledge of medieations for assigned patois $_[s 72. *Administes medcaton safely Using Sighs of medicaion administration 23. Demonsvates caring behaviors Z4- Uses SBAR conuneas pln dats To sudo" apd heaicare team wih assistance, LS Ss 25. feta a8 an advocate for pater and a Sry Aowoved 12004, Roan 2102014 012015 Carroll Community College Division of STEM, Nursing and Aled Health Department of Nursing NURS 140 ~ Nursing Concepts 2 'SUMMATIVE Student Gincal Performance Evaluation (Ge Berensaies psc and mera comptnce . = 3 "eros sty Conse an Nes WaT ETT SP TODTAS ST al |? rember | © 28. Demonstrates time management techniques. SL s 28._plerts patent ad far edvaton = 20_"Updnes rte andnothcare aon arg changes = 2. Prowes ng ce Eaed on poles ad proc Es 2 Prone nung cr eros wih he Maya STs 53 Adhets to HIPAA glisines Sk Proes cv ecztrg wo ANA Spe ad Sans tag Paice. ST S| ar Ser | "Setar outcome 4 Erm | Suet Pan ning car tated on ceric evens (C5100 snu_| “Sn 35st peters pl cae bse on cure dns Sts “Student Reflection (Thoroughly answer al questions) i 5 has this linia tation helped to define your role as @ nurse? Please explain. ~

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