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Carrol Community Collage NURS 233 — Nursing Concepts 3 ‘SUMMATIVE Student Clinical Performance Evaluation stu Ms r = Gatsloctay — | N= Needs improves ‘Sludenis who mel any ofthe folowing criteria wil bo given a remediation plan and may be placed on erobation. Fealure to progress lnthese areas may result n fare ofthe course One unsaisfactory gadeinacrical behav “Two needs improverents in ciel behavior Two unsatsactary clades In 2 non-real Behavioe Four needs improvements a Se ee S| ‘Sele Evalof Outcome 1 Eval | Student ‘Analy2a te effectiveness ofthe plan of care (C01) smuu_| “smuv) 1._Prioriizes patient care based on assessment wah facully aa resource 5 Ss 2. “Demonstrates accurate patient assessment sls s s ‘3. Analyzes anc incorporates dat from the patent’ medical recordin the provision of care | s ‘4. Uses patient assessment daa o mplementindvidualzod pian of care with faculty as a s source s ‘5 Establishosappropiato nursing pris Uist Based on calecied evidence and pallet s assossment with faculty as arecoures 8 ‘Establishes raessurable paler outcomes based an nursing proriies wih Taculy a8 s source. s 7, Establishes appropriate nursing inlervantons based on assessment wit fculy a8 @ s resource s ‘8. Evaluates paient response to care and revises plan as needed wih Taculy 3s a resource s ‘Sudent | instructor Sele | “Eval of Outcome 2 Eval | Student ‘Sook cpportunies tht promote professlnal growth (C02) snvu_| “SMU |__9._Demonstratesjrofessionl behavior and appearance s s 410, Seeks input fom patent. insite, and healthcare team inte Galivery of palint- s centered care * {1 ‘Demonstrates accountability and sccepts responsibilty or own acions and aiudes A s 12. *Adheres to attendance pol s Ss 418, Parootesecvly in al cinical experiences s s “4 Ergazesin sutrlecion ang comsmunsteslearing needs lo inerulor s Ss) 15. Completes asslonments os requed and submis on tne * s 16. Demonstate intisve Ho ae8shng pers and healthcare am members in he cnical sting | s ‘Sudent | rector Sor | Evalol Outcome 3 Eval | student Provide patent centered care wih fecuity 98 a resource (COS) 2 snu_| “Siu. 7. “Implements appropiate infection contol precautions 5 eI 18. Provides culturally sensitive care . Ss 19. Documents patient care accurate aa |S 20. Uses therapeute communestion skis 5 s 21. Follows touch wth all allen care © s 22. Demonstrates knowledge of medications fo assigned patents s s_ 23. *Adminsters medication safely using six rights of medication edrinistation . Ss 24. Demonstrates caring behaviors s s 25. Uses SBAR effectively a N eproved 12414 Rove tana: 092008 386 Carroll Community Colege NURS 233 — Nursing Concepts 3 SUNMATIVE Student Clinical Performance Evaluation socate for pal [21 Demonstrates physical and mental competence idenufes sally concerns and roils inslor and appropiate healthcare team members |__29, Demonsiraies time management techniques maa | | — [os s— 30. kmplements pabant and family education and evaluates effectiveness of teaching tt Ss |_at "Updates instcter and healthcare team renarding changes in the patent's condition | s Ss [22 Provides suring care based onthe policies end procedures ofthe faci. s |S 38, “Provides nursing car i accocance wih he Mayland Nurse Practice Act ss] s Ss St “nero RPAA gelnes 25. "Poies care acatig to AVA Scope a Sande Nag Prana ‘sof | Eval of Outcome 4 Eval | Stusent Implement nursing car based on scenic evidence (CO4) smu | SU 26, incorporates evidence-batescaonale thal supports hepa ol care s “Student Reflection (Thoroughly answer al questions) How has this clinical rotation helped to define your role as a nurse? Please explain. This clinical rotation helped to define my role as a nurse because it showed me that | may want to pursue @ | career in labor and delivery which Ids rot tk | wanted o do before Which objective did you accomplish during this rotation? How did you do it? | Taosomplahed autcowe umber ths rotation. ai ts by aclvel paraating in aces at clinical event ‘nas newous or uncomfortable because Thad’ Gone them belore. also sszomplshee tis by coming | Sppropratlycressed,on ime and helping my peo What are your goals for your next clinical rotation? My goals for my next rotation are to continue perfecting my assessment skils and to participate in al activities feven fam nervous doing thom forthe fist ime. Faculty Commantal Student Learning Goals (Goals must be oslablshed even 1 performance 1s salsfactory Ian item was lentified as N or U, naralive comments are necessary to cary student performance slong with goals to improve performance) Hannah, you did an outstanding job with your patients, your assessments, and your documentation. Continue fowork on your SBAR, making Sure you have everthing you need to report quickly to a provider—thisis 2 work in progress forall | can see you clearly working towards independence next semester. siadont Signature: [Hannah Wola [Dae a0 Inter Signature? [Challe Gcisean [bate arate | j Aepred 10, Ree ozo: 1201 ENB

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