a Carroll Community College
NURS 233 — Nursing Concepts 3
'SUMMATIVE Student Clinical Performance Evaluation
Student Toth Date Weeks 2 Faculty _Dinabure
Falure to progress in these areas may esut in alle ofthe course,
‘Needs improvement | U= Unsatisfactory —| NA= Not apploabie | () Crcalbehavior
[Students who meet any of he folowing criteria wil Be given a remediation plan and may be placed on probate.
‘One unsatisfactory grade ina ciical benavior “Two needs improvernens ina criieal behavior
“Two unsalisiacion grades in anon-ertical behavior “Four needs improvements
Outcome +
Analyze te effectiveness of the pian of care (CO1
4. ‘ozs patente ened on eeraman a resus
“Dermonstvates accurate patent assessment skis
‘Analyzes and incorporates data ftom the patients medical recordin he provision of care
San esata se SRT
85” Establishes appropiate nursing prorties lat based on Collected evidence and patent
‘assessment wih faculty as a resource
[6 Estabishes measurable patent ovtornes based on nursing pres with faculy as 8
7. Establishes appropriate nursing intowentions based on assessment wih faculty asa
'8_Eveluates patient response o care and revises plan as needed wit faculty 2s a resource
Outcome 2
Ses Spee Bt rome tenon sow 602)
‘Demonstrates professional benavior and appearance
| tor Beat templar Resecor a hecticae am ne deve ofp
centered are
“Ti, “Demonstrates accountabily and acceps responsibilty for own actions and attudes
12."Adneres to attendance polcy
13, Partcpates actvely in al cincal exereness|
“V4 Engages in st-efiction and communicate learing needs fo nsvusior
415. Completes assignments as required and submits ontime
16. Demonstrates intave in asistngpoors and hesttcare cam member in the ciel seing
Outcome 3
rovide patent centered care with faculty as a resource (C03)
Fo onal
Hy
17 Implements appropriate infection contol precautions
18. Provides cuturally sensitive cae
18, Documents patient care accurate)
20. Uses therapeutic communication sls
21. Folows through wih all patent care
22. Demonstrates knowledge of meticatons fo assigned patents
23. *Administors medication safely using sx rights of medication amination
24, Demonstrates caring behaviors
25. Uses SBAR effective
wlele lol olol> ERE laolainm lo 22EE ai fo fo obo gael
aalZ|o\a|a|a|a| 0
pewoves 248. Revd 200014 010015; 31018a Carroll Community Colege
NURS 233 — Nursing Concepts 3
SUMMATIVE Student Clinical Performance Evaluation
25. Acs 05 an advocate for plionts and fies $
27. ‘Demonstrates physical and mental competence _s
28, “identifies saely concerns and notifies Maiuctor and approprae heaiheare barn
memoers s
25, Demonsraes ime management echnigues e
30. implements patient and family education and evaluates effectiveness ofteacing S
31. “Updates instructor and healthcare team regarding changes in the patent's conan Ss
32, “Provides nursing care based on the polcies and procedures ofthe facil —|s
39. Provides nursing care in accordance wih the Manfnd Nurse Practice Ack 3.
54. “Adheres to HIPAA guidelines S.
36, "Provides care scooting to ANA Seape and Slandards of Nursing Procies s
‘Siosent
‘Sete
‘Outcome 4 Eval
Implement nursing care based on scientific evidence (CO4) SiN
36, incorporates evidence-based rationale that suppots the pale plan of care Ss.
‘Student Reflection (Thoroughly answer all questions)
How has this clinical rotation helped to define your role as a nurse? Please explain.
‘This clinical rotation helped me to see that sometimes therapeutic communication and istening is the most
Important sepect of nursing. You gain the most knowledge about your patient by creating @ trusting
relationship and by listening and supporting your patient.
Which objective did you accomplish during this rotation? How did you do it?
{Twas able to effectively use therapeutic communication skis to teach my patent coping techniques. | ci this
by using techniques to instil a trusting relationship and to listen tothe patient | used reflecting, restating,
seeking clarification, encouraging evaluation, and summarizing to create a therapeutic relationship,
What are your goals for your next clinical rotation?
[My goals are to use my skis that | futher developed with therapeutic communication to listen and total with
my future patients to instil a trusting relationship,
| Facutty Commenta/ Student Learning Goals (Goals must be estabished even performance is satisfactory. |
‘fan item was identified as N or U, narrative comments are necessary to carly student performance along
with goals to improve performance)
Kaitlyn did a great job in psychiatric clinical. She showed compassion and taked to @ numberof diferent
patients. Her assignments were complete and thorough. She asked great questions and had good insight
She would be an asset to any peychiatric unt,
‘Student Signature: | Kaitlyn Toth Date: orate
Instructor Signat yDinaburg, RN | Date: 09/24/2018,
powoves 4 Raves ‘2HnO1: 012018; 1698