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Carroll Community College NURS 233 — Nursing Concepts 3 'SUMMATIVE Student Cinical Performance Evaluation ‘Student _K.Toth Ds Week # 6 Faculty _Soarhawc [S= Saiista N= Needs Improv U= Unsaiistactry | WA=Not epplcabie | | behavior ‘Studenis wha meet any of the following criteria willbe given a remediation plan and may be placed on probation Falure to progress in these areas may result in fallure of the course. One unsatisfactory grade h a cical behavior Two needs improvements in a eiical behavior | two unsatistactoy Gradesin a non-rical behavior _ “Four needs imzrovements Siodent | istucior Sat. | Evalof Ovtzome 1 Eval | Student | Anat the etfectivoness of the plan of care (C01 | sn | sry | 4._“Prorizes patient are based on assessment with uly as a resource s Ss 2_—*Demonsiates aoastate pant sesessment sis. s Ss '3._Analyzes and incorporates da from the patient's medical record im te provision ofeare_| S| S. ‘© Uses patient assessment deta to implement indvialzed plan of care wih facuty as a s resource s 55” Ectabishas appropiate nursing ponies Wet based on collacied evidence and patient 5 assessment with sclty 8 a resource s Establishes moascrable patent outcomes based on nursing ponies with fecuty s resource s 7. Establishes approwate nursing niwentons based on assessment wit Taculy as @ ; 3 resource s ._Evalsates paint rszonse to care and revises flan ae needed wih facaly as @ resource |S |S ‘Suet | Tastustor Ser | Evalot Outcome 2 Eval | Stusent ‘Seok opportunites that promote professional growth (C02) SIMU | “SIN '8._Demonevates professional behavior and appearance S S "07 Seeks input rom pat, instructor, and Reaheare team in Ho Glia of patient s centered care s i, “Demonsrates acsbunlailiy and 960078 esponsbiny for own actions nd ailudes s s 12. "Adheres to atendance pole S s 13, Part ates achvel in al cviealexzeianoos s S. 14, Engages in solleecton and conmuricale lenming needs to nstutor s s 15. Comlatesassigrnonts us reditod and submits on te s Ss 36. Demonstrates inate in asising peers and healthcare eam member ho inca oe 5 Ss ‘Sent | tasbusior Sof | Evalol Outcome 3 Eval | Suudont Prove palont-contred cae with facuty as a resource (C03) smiv_| “SIO 17. “implements epprepate infection convol precautions s Ee 18. Provides culialy seneilve care 5 s 78. Documents patentesre accurate s s 20._Uses therapeutis eommuniaton ae 5 s 27. Follows through wih all patel care S S 22. Demonsivatos krovledg of medications for aelzped pation 23. thdmiisiers mediation safely using sx rigis of medeation admnisvatan s s ‘24. Demonstrates caring behaviors 5 5 28. Uses SBAR offectve, 3 s 26, Acts as an advocae for pants and fang Ss 727. Damanaiaies physial and mental competence 3 s—] Carroll Community College NURS 233 ~ Nursing Concepts 3 SUMMATIVE Student Cinical Performance Evaluation 28. “aenifiessaety concerns and nafs istuclor and appropiate heaihcareteam TSS. memoors s_| | 28, Demcrsrses tne management techniques s s [ 20" imptorens glen! anc family educaton and evaluate efeelveness af teaching s 5 ‘31 “Updates instructor an¢ healthcare team regarding changes in the paten's condiion 5. =| ‘32, Prowdes nursing care based on the policies and procedures ofthe facily S femal 33. “Proves nursing car in accordance with tho Mayland Nuts Pracce Act ==els=si Ss 34. "Adnres HIPAA gudelines S s_ 35 "Proudes cre eecording i ANA Scope and Siandard 6! Nursing Practice s cen ‘Student | Tnsbuctor ‘Sol | Eval of ‘Outcome 4 | Eval | Student iets plan fee Ss “Student Reflection (Thoroughly answer al questions) Haw has this clinical rotation helped to define your role as a nurse? Please explain. ‘This cinical rotation has helped to further define my role as a nurse by providing me with the sks to further my knowledge thrcugh assessment, | was able to nat only develop my assessment sks but also my bedside rursing skis throught tis retation, Through this rotation | further developed my caring and empathetic ‘ursing rote help provide mere compassionate care Which objective did you accemplish during this rotation? How did you do it? During this otaien | was able te futher my assessment skl knowledge. In addition, | was able to learn priritzation of care ty handling three patients at atime, The last wook of cincal Iwas able to accomplish the | Skil f documenta by éecumenting formation on my patient into the system. |leaened and accomplished ‘30 much information this clinical rotation that | wil carry with me throughout my nursing career. | What are your goals for your next clinical rotation? My goal forthe next cinical rotation isto cary he sklls that! have developed this semester onto next ‘semester. | am always eagor to futher develop my knowledge and skils, 0 | hope to gain more information, ‘and sks noxt semester! Faculty Commental Student Learning Goal (Goals must bo eslabishod avon I performance is salefaciory. Iran tom was icentfied as N or U, narrative comments are necessary to clay student performance along with goals to improve pertormanco), Kate is a eveet, compassionate, young woman. She is a pleasure to know and work with, Kate grew in this Clinica rotation in confidence and sks. She increased het knowledge in how to interview patients. She did ‘well wth prorilzing. She was able fo assess her pation! and put pleces together regarding comorbiities. She twas a merrber of a good working team and team work was a main focus i this cinical rotation. Katie wil Well 3s she grows in her chosen profession. Best wishes Katie! Student Signature: | Kaitlyn Toth [ Date: [Decomber7,2018 | Instructor Signature: T. Sparhawk MSN, RN | Date: sano Aoorved 1, Rees Tatoo OAT INA Carroll Community College NURS 233 ~ Nursing Concepts 3 'SUMMATIVE Student Cincal Performance Evaluation Student _K Tot Week# 6 Faculty _ Sparhaws = Saisfaciey —[W jatstactory | NA= Not applicabie | (7) Creal behavior ‘Students who meat ay of the folowing citer wil be given a remediation plan and may be placed on probate. Felure to progross inthese areas may eau n faire of the couree -One unsatisfactory erace na rica behavior “Two nesds improvements in aerial behavior “Two unsatistactory crades ina noncical behavior _-Four needs imrovements. ‘Sudent | rstostor Se | “Evalot Outcome 4 Eval_| Student ‘Analyze the effectiveness ofthe clan of cara (CO1) a smu _| “smu |_1._‘Prottizes patent care based on assessment with faculy as a resource s 5 2 “Demonstrates secuato pant assesement ells sts] ‘3. Analyzes andincorzorates data from the paten's medical readin he provision oleare |S 5 4. Uses patient assessment data fo implement individualized plan of care wit faculy 38 8 s resource s |S Establishes eppropite nursing pines Ist based on caleciod evidence and patient 5 _sssessment wh faculty aa rosoures 8 Establishes neasurable patent cutzomes based on nursing prion wih faauly 98 @ s resource s 7. Establishes eppropraie nursing iterventone based on assessment wih faculy a8 @ s resource, 8 '_Evaluates paler response to care and revises plan 9s needed wih focully a a resource |S 5 ‘Student | arveior Sel | “Evalot Outcome 2 Eval | Stugent ‘Seek opportunities that promote peolessional owt (C02) sau _| “SN ‘9. Demonstrates pefessionsl ehavr and appearance 40, Seaks input tom pation inebuclr, and healthcare team in the dlvery of patank= centered care i. "Demonstrates accouristiity and Soceps resporebiy for own actons and aiid. 32. "Adheres to attendance policy 2. Paniop ates srtvaly nal ena expences 14. Engages in e-roecton and communicates lamin nad 16 svuSlor 15. Completes sssgnments 08 requed nd submits on ime 16. Demonsivates inate in asisng peers and heahcare fam member inthe Gina eling Tnsiusir | Evalof Student SIN 8 uteome 3 Provide patient-conierad care with faculty 8 a resource (COS) 17. “imoloments appropriate infection contol precautions 8. Provides cutral sensitive care 19. Documents patent cae sccurstel 20. Uses thereeulc communication sis 21, Folows trauch wih al atient care ‘22. Demonstrates knowledge of medications for assigned pater 23. Adminisors medion safly using Six Fights of medication adminsiraion 24. Demonstrates caring behavior 25. Uses SBAR sfecvel 26. Acs as an aévocat for patons and fares 27. "Demonstrates physical and menial com etenee a powrones HN Reve ono ov20%8 2108

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