NUR 420 Practicum Final Practicum Progress Document

The Scarborough Hospital

Student Name: Brooke Gagnon Agency and Type of Unit: General Site – CP3

Student Number: 119264174 Date: April 8, 2019

Number of days or hours missed: 1 day (sick) Number of Days Late: 0

FINAL Progress: Satisfactory ☐ Unsatisfactory ☐

Clinical Supervisor: Maria Isorena

Clinical Supervisor Signature: Students Signature:

Date Final Review Discussed: Copy Given to Student:

Additional Information Attached:

Defining Characteristics/Performance Indicators Final Progress
Progressing well ☐
Learning Outcome #1
Required areas of focus ☐
Establish caring-healing relationships with Clinical Supervisor Comments:
culturally diverse clients and their
families.
1. Use a variety of ways of knowing to
explore the lived experiences of clients
and families (Independently)
2. Demonstrate use of empathy, honesty and
respect for others. Consistently
acknowledge the dignity, worth, and rights
of all individuals (Independently)
3. Adjust own communication style to suit the
current situation and to accommodate
diversity (Independently) Student Comments: I have been establishing caring-healing relationships with
4. Identify client situations where advocacy is culturally diverse clients and their families by demonstrating empathy, honesty, and
required (With assistance) respect for others. I demonstrated this when I stayed by my patient’s side and
5. Demonstrate an attitude of openness and reassured her while she was experiencing pain before her medication kicked in. I
a willingness to change in order to have also demonstrated an attitude of openness and a positive attitude towards
develop self in the role of the nurse learning by participating in role development rotations in the ER and OR.
(Independently)
6. Demonstrate a positive attitude towards
learning and in all interactions with others
(Independently)
7. Abides by student scope of practice and
student conduct guidelines to ensure
patient safety.
 Defining Characteristics/Performance Indicators Final Progress
Progressing well ☐
Learning Outcome #2
Required areas of focus ☐
Provide client-centered care for individuals with Clinical Supervisor Comments:
complex health conditions. Demonstrate clinical
decision-making and critical thinking informed by
current evidence and nursing theory.
1. Demonstrate effective critical thinking, critical inquiry
and clinical decision-making. Identify priority issues
within each nursing situation and consider the
options and alternatives (With assistance).
2. Identify specific findings related to assigned client’s
health situation and be able to discuss the
significance of these findings. (For example,
recognize ‘normal” expected findings versus
“abnormal” results).
3. Conduct on-going holistic assessments of clients,
gathering information about client’s medical
conditions, diagnostic tests, medications, Student Comments: I have provided client-centered care for individuals
treatments, procedures and be able to discuss the with complex health conditions and demonstrated clinical decision-making
significance of this information (With assistance). and critical thinking informed by current evidence and nursing theory
4. Identify determinants of health and other factors because I identify specific findings related to my patient’s health situation
contributing to the client’s health situation, including and am able to discuss the significance of these findings. I have
physical, emotional, cognitive, developmental, demonstrated this by identifying and documenting significant findings
cultural and spiritual domains. (Independently) during vital signs and head-to-toe assessments. I have also worked with
5. Demonstrate ability to apply nursing knowledge and my clinical supervisor to gather information about my assigned patient’s
skills. Provide a rationale, based on nursing medical condition including blood work results, CT notes, and physician
knowledge, for all client care provided (With progress notes to be able to discuss the significance of the findings.
assistance).
6. Abide by student scope of practice and student
conduct guidelines in order to ensure patient safety.
 Defining Characteristics/Performance Indicators Final Progress
Progressing well ☐
Learning Outcome #3
Required areas of focus ☐
Demonstrate professional responsibility and Clinical Supervisor Comments:
accountability in classroom and practicum
settings
1. Prepare for Practicum each week by reviewing and
researching nursing knowledge, skills, procedures,
and pertinent client information (Independently).
2. Recognize clinical or client situations that are
beyond current level of competency and seek
assistance immediately from the most appropriate
and qualified person (Independently)
3. Maintain strict confidentiality regarding any
information or issues encountered during practicum
experiences (Independently)
4. Demonstrate application of the CNO standards of
practice and be able to discuss the significance of Student Comments: I have been demonstrating professional
these (With assistance) responsibility and accountability in classroom and practicum settings by
5. Design and implement a personal learning plan. coming to clinical prepared by reviewing and researching nursing
Identify areas where personal growth is needed knowledge, skills, and procedures prior to clinical. I demonstrated this by
and begin to address those areas (With
practicing manual blood pressure and reviewing head-to-toe assessment
assistance).
skills prior to clinical. I have also implemented a personal learning plan
6. Consistently demonstrate professionalism by
being prepared for Practicum, by following
where I have identified areas where personal growth is needed. I also
instructions, by arriving on time, by adhering to the recognize situations which are above my current level of competency and
dress code and by completing assignments that inform either my primary nurse that I am not able to do the skill, or ask my
are well done and submitted on time clinical supervisor for assistance. I was absent for one day due to being
(Independently). sick but did attend the sim lab session at the school.
7. Abide by student scope of practice and student
conduct guidelines to ensure patient safety.
8. Demonstrates good attendance
 Defining Characteristics/Performance
Final Progress
Indicators
Progressing well ☐
Learning Outcome #4
Required areas of focus ☐
Differentiate the nurse’s role from Clinical Supervisor Comments:
other health care professional roles
through nursing theoretical
knowledge.
1. Collaborate with multidisciplinary
team members to develop and
implement effective heath care plans
for assigned clients (With
assistance)
2. Demonstrate effective use of
relational skills, critical thinking and
critical inquiry (With assistance)
3. Demonstrate growth in ability to
synthesize the subjective (client’s Student Comments: I have been differentiating the nurse’s role from other health care
lived experience and perceptions) professional roles through nursing theoretical knowledge by demonstrating use of
with the objective (facts about reflection and correction by looking back on my errors and working to correct them. I
client’s current health situation) in demonstrated this by reviewing my head-to-toe assessment skills after the second
each nursing situation (With clinical day prior to the third clinical day. I have also collaborated with multidisciplinary
assistance) team members such as physiotherapy, RNs, RPNs, and my clinical supervisor to
4. Demonstrate use of “reflection and provide the care my assigned client required.
correction” to expand own angular
view (Independently)
5. Abide by student scope of practice
and student conduct guidelines to
ensure patient safety.
 Defining Characteristics/Performance Indicators Final Progress
Progressing well ☐
Learning Outcome #5
Required areas of focus ☐
Demonstrate skillful application of simple Clinical Supervisor Comments:
nursing therapeutics that meet the current
CNO Entry to Practice Competencies.
1. Collaborate with others (including teacher,
staff, client and family) to develop effective,
comprehensive and individualized health care
plans for each client assigned (With
assistance)
2. Carry out appropriate assessments for
assigned clients and demonstrate ability to
discuss the significance of the findings (Basic
nursing skills - independently)
3. Clearly articulate rationale to support all
nursing interventions (Basic nursing skills -
Student Comments: I have been demonstrating skillful application of simple
independently)
nursing therapeutics that meet the current CNO Entry to Practice
4. Carry out appropriate nursing care for
Competencies by completing and documenting vital signs first thing in the
assigned clients in a responsible and timely
morning, help my patient with their ADL’s, give medications, perform a head-
manner (Basic nursing skills - independently)
to-toe assessment, and document in a timely manner.
5. Demonstrate time-management and
organizational skills and the ability to prioritize
interventions (Basic nursing skills -
independently)
6. Demonstrate application of selected CNO
(2009) Entry to Practice Competencies in the
clinical area (With assistance)
7. Abides by student scope of practice and
student conduct guidelines to ensure patient
safety.