Carrot Community Colege Division of STEM, Nursing and Aled Health Department of Nursing NURS 140 Nursing Consents 2 SUMMATIVE Student Cinical Performance Evalvaton Pais 12. IB see Facul Wot appease —[ (Crea behavior ‘Studenis wo mee any ofthe folowing eter wil e given aremedbon lan and ey be aces or prosaton ature progress in feae area may ros tare te couroa “One unsaitecory green acca behavior Two nesds improvements in a citi behavior Two unealsaclr/ grades ra noreiteal behavior _‘Fthents provements, “Student insucior Set | valet outcome 4 Evai_| Susent Appi the nursing process when implementing apn of are (SLO! sn | SSN 4._"Prirtizs pant care base on assessment wih aessance s [2 demonsvates accurate patent assessment sil =F 3._Incoportes data rom the pabon's mecca record nthe provision of care E 4 “Uses patent assessment ala to develop nsivauazd plan cf cre wth assiance s. 5. slabs anoying dgteses bse on coe even and patent fT ssscanment win gessarcs ._Estebishes measurable patent outcomes based on nursing agnosis win assatance | |< | 7._Eatabishes appropriate nursing interventons based on assessment wih asistnce | S| 5 | 8. Evaluates potent response to cre and revises lan as needed wi asitance 2 Susent | nseuer set | "Eval ot outcome 2 Eval | Student Parciat In opportunites that prometepotssonal growth (CS1.02) sw _| ‘sw | 8._Demanstatesprofessnal benavor and apperence Smiles 16. Sees neu rom patent, nstuctr, ana healncar teat Be devery ot pao ale centered care | 1, “Demonsratesaccourabiy and accepis esponsbily frown aclons and ates “12 *Adheres to atendance ple $ | ‘ta. artipates acelin a cic experiences 5 oy [ 14. Engages in section ard conriacate sing reeds fo nau Sunes 15. Competes assignments as requed an submis on te Ss Student | Tnarueior ‘Sal Eval SIN Era of outcome 3 Stent Provide patent canard care wih assistance (CSLO03) ‘SAU 6. implements apropiate infcton contol precautions sts Provides curl senstve cae wi assistance R Documents patent cae accurately wih assistance S Uses heapeuts communication skis S Follows trough wth al patent care wih asics SIF Demonstrates knowledge of medicaton for assigned patents =| Imnisters medication safely using six rights of medication administration N/A | Ja) 7. Demonetaes cating behaviors s 24 Uses SBAR fo communicate paint sas nsVICY and Fear Team wit 3 | gesisance “ 5 2B Acts as an advocato for poo an farce wih sssisance = CO pono 24/14 Reva YON070%4 O08Carroll Community College Division of STEM, Nursing and Alfed Heath Department of Nursing NURS 140 ~ Nursing Concepts 2 SUMMATIVE Student Clinical Performance Evaluation 26, “Demonsiates physical and mental competence S ne 27. "dentiies safety conoems and noifes instructor and appropriate healicere team S bers s 28, Demonstrates tre management echriques Se 28. Implements pation and family education Family mot ne A 30, “Updates instructor and heathcae team regarding changes inthe patents condtion | = 31, “Provides nursing care based on the poles and procedures o! he fac nal 32. “Provides nursing cae in accordance wih te Marland Nurse Pracce Ack Summ 38. “Adhere to HIPAA guidelines 3 3A. “Provides cre according to ANA Scope and Standards of Nuting Prades ‘Student | Wastucior ‘So Evalol Outcome 4 Eval | Student Pian nursing care based on scientfic evidence (CSLO4) snu_| “SIU. 35. uses patonts plen of cave bazed on cuent evidence S ‘Studont Reflection (Thoroughly answer al questions) ‘How has this clinical rotation helped to define your role as a nurse? Please explain. F am interested in Ped iCS SO Hr WES @ Great experiene- zt aeaee Hur arflereng in cure petweerfan adur and vad BS arent a ete ov apt sermon eee Net ANd Corresponded With We AN 40 AdUOGHE for tre patent to get unover Chast xy VRUUUSE OF War Lung sounds 8 Secrerions. What are yo {goals for your next elinieal rotation? TO We HE SEIS T Obra through ARIS Clinica 4O IMPOHE MY Assessments for He future CluniGa Yoru ONS! [Facuty ConmortarStoent Ceaming Goats (Gaas rust bo calabaned oven T paTOTnanGsW TSO fan item was identified as N or U, narrative comments are necessary to cay student performance along with goals to improve ann ‘(guy etd gic (ao wn Pa was CHrads eonIry Uidous Nf NQ fends, Mep up a nN Huot uoer! | student signawre: PRattlyws Quit [oats 5/4/18 Instructor Signature: FAW Hn WAY yo) bates SVT ppv 4/4 Revindt2n001; 12018