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Carcoll Community College NURS 233 ~ Nursing Concepts 3 'SUMMATIVE Student Clinical Performance Evaluation tudes y JOPUP AR -acul 5 pepe Homa Otel wth tecbanel Shien uno mea nyo ha sowing ete wlbe gn a oaciatn plan and maybe lado on proton. Felur progress eae aras may ron fur othe cour. ‘Se nastotacy grade no citatehevot “Two needs ingroverent in acricalbehavor | Sas unsatsfaco" Wedesinanonctica behave ‘Four needs morovenens Sel | Evalof Outcome t Eval | Stugent | Aralize the effeciveness ofthe panotcare (cory | “sm | |" "1. “Prontiaes patient care based on assessment with fauly a8 a resource — S| |__2. ‘Demonstrates accurate patient assessment skis L S 3. Analyzes and incorporates data om the patents medical cord nthe provision of are S 4 Uaes patent eens ala imelementnviuazod pan of care wih ay 8 | = 5. Establishes appropiaienuraing pioriies lat based on Colected evdence and patent — | (> | assessment wih aculy a8 aresource Ss Estab ment pate uae Eee ov ruta pine wih Bey ars | 7 Enables sepa Rg miners DemTonasesoneniwmeMas ||| {Evaluates patent exponce lo care and revises plan 6a needed wih faculy os aresource % Outcome 2 Seek opportunites that promote professional grow (C02) [5 Demonstrates professional beso 10, Seeks input fom pat comtered core “Demonstrates accountability and accepts responsiblity for own acbons and atudes: 12, “Adhere to attendance potcy 13, Parespates acvly nace! experiences _—_ 14. Engages in sel-etecton and communicates eating needs Io insructer 15. Competes assignments as required and submits on ime 16. Demonstatsintatve in assisting peers and neatheare fear amber in he crcl seing ‘Siadent | svOetor ‘Sef Evalot utcome 3 Eval | Student Provide patient-centered care with faculy as a resource (CO3) _-sniy_| “savy 17. “implements appropiate infection contol precautions 18, Provides culturally sensitive care 19. Documents patent care accurate 20. Uses therapeutic communication sil ‘21. Follows through with al patent care 22, Demonstrates knowedge of medications for assigned patients 23, *Admiisers medication safely using six rights of medication ain “24. Demonstrates caring behaviors t= 25, Uses SBAR effectively = road 11, Rovian 1207014; 012045 3818 Carroll Community College 1URS 233 ~ Nursing Concepts 3 'SUNMATIVE Student Clinical Performance Evaluation a 3 26. Acs as an advocate for patients and femiles 7. “Demonstrates physical and mental competence 1ursing care based onthe polces and procedures of he faciy nurang care in sccordance with the Moniand Nurse Practie Act HIPAA guideines 35, Provise cae secording to ANA Scope and Standards of Narang Practoe ‘outcome 4 Inplementnursng care based on scientific evidence (CO4) a 36. incorporates evdence-besedratonale that suppors the patent's plon of cre ‘Student Reflection (Thoroughly answer al questions) sobs atin hed etn your rts muse Pass ea AAS Siig: AS “Chim can CeROO gai "prachice, OF SKIS OK Os team new ones, Wwas I ‘ minds la SI AN tv DMC . L accomplished wig py Geeking oppurtunity ein The Chico ehwomdmen| lea new SAILS trap oa fr rr len rit? Gna TO Work O MY assessment Gkets ‘at Fons yo 120M OS Wary pew SKIL Faculty Commente! Student Learning Goals (Goals must be eaabianed ayn I paomance & sasTadory Ivan tem was identified as N or U, narrative comments are necessary to clay student performance along with goalsto improve performance. nah Shaved incredbl qreuth Thrashed te ‘Student Signature: Instructor Signature: somes 128, Re aa

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