Carrol Community College Division of STEM, Nursing and Allied Health Department of Nursing NURS 140 ~ Nursing Concepts 2 'SUMMATIVE Student Clinical Performance Evaluation (Qe Falure to progress in these areas may result fale of the course, sudo HQinp Ah OMe late U2 foe 8 30 racy ICL _ nL ics 0 ea casa "Slidents who meet any of te folowing crtena willbe ven a remediation plan and may be placed on probation Establishes appropiate nursing interventons based on assessment wih assistance Che unsatistaciory grade na ctcal behavior “Two needs improvements in a crtizal behavior | Two unsaisfacior grades n a non-cilicl benaver Four needs improvernents a ‘Student | Toabustor | ‘Sot | ‘Erelot Outcome 4 | Eval | Sudent ‘Ago te nursing process when implementing a plan of care (CSLO1) snvu_| “su. | 1. ‘Prirtizes patient care based on assessment wih assistance i S 2. Demonstrates accurate patent assessment skils_ S 3. Incorporates data from the patients medical record the provision of care — iz 4. Uses patien! assessment dala to develop indviduaized plan of care wih assistance 5 Establishes appropriate nursing Gagnoses based on colected evidence and paint + assessment with assistance ~ — 1s Establishes measurable patient ‘esed on nursing dagnoss wih assis = ‘Outcome 2 ~8._Evelustes patent response to care and revises plan as needed with assistance 2 ‘Sent | Inuctor Set. | ‘Evaot Eval_| Sudent Patcipate in opportunites that promete professional growth {CSLO2) sn | suis Demonstrates professional behavior and appearence 10, Seeks input fom patient, instructor, and heacare learn he Galvery of paient- ceomteredcare he ‘countably and accep eponsbity for own action 12. “Aaneres to attendance pokoy . 13. Partciptes actly nal cinicl experience 14. Engages in sel-efecion and communicates leaing neads mateo: 15. Completes assigements as requves and submits on tine _ ‘Outcome 3 18. “implements appropiate infection contol pecautions rove palont-cantored care wih assistance (CSLO3) 17_ Provides cutualy sansiva cave with assistance 18. Documents patent cae accurately wth aes 19. Uses therapeutic communeation sks [20 Folios through wth al patent care with assistance 21. Demonstrates knowedge of medication fr assigned pais _ 22, “Adminisers mediation safely using 8x righs of medication edministration| 23, Demonstrates carng behaviors 74, Uses SBAR to communicate plist lalus to nsirucor and healhcare eam with assistance Ss as an advocate for patients and fies wit Fa proved 1144, Rand 12902944 0172015.Carroll Community College Division of STEM, Nursing and Allied Heath Department of Nursing NURS 140 - Nursing Concepts 2 SUNMATIVE Student Cinical Performance Evaluation nonstvaes physical and mental competence 27-“Wdenifes safety concems and notifies mstuctor and appropraie memes — 28 Demonstrates ime management techniques [29 implements Estent end family edveaton 30. “Updates insur an neatcare eam rezading cronges inte paint condion ma —31--Proves nursing care tasedon the fokces and ocd fhe ait “s rursnacare in accordance i wih ie Marvand Nurse Practica Act Io HIPAA guideines 34. “Provides care according to ANA Scope and Standards of Nursing Practice — t ‘Student Reflection (Thoroughly answer all questions) Hayashi circa retain helped to dtne your rol axa nurse? Plese expan, NS Meoea ne llc efue ) wodni Nave Mougnt \ WANTED TD" Woe 10 Peds but do | Will Comiaer It Which objective did you accomplish during this rotation? How ald you do It? Oui come #33 Louadms by CO cumenhing mm DOMES core. \t Loos rw (Mt hime vying Beemer oun y ' gut to pac ort st LOS Sone SM ve 10 Work On oto Cu iW 2 cy Of pectiaeme Meatcins ae ENGR Faculty Gomments/ Student Learning Goals (Goals must be established even T performances satsfactory Ivan item was identiied as N or U, narrative comments are necessary to sanity student performance along with goals to improve performar ed an nica. Gop rent, GIG GLH joe ads ¢ L baby | (inks Hou siceneradin rine at and Yoo Midedup Wal POA Fonjdunu WAld nature: sa PAC ean Arve AA. Roi 216014012018