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Evaluations - > Evaluation Review

Evaluations Clinical Evaluation Tool Revised June 2017

NUR3225L TGH UD Spring 2019 (3/26/2019)
Experience
Olinger, Christine (colinger@health.usf.edu)
Change password Evaluator: Custodio, Editha (ecustodi@health.usf.edu)
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5-Outstanding: Exceeds Standards

Exhibits above average performance of nursing care for this level student. The student is proactive, self-directed, and consistently engaged in learning; needs minimal guidance; is knowledgeable; and appropriately
incorporates knowledge with skills. Student is proactive and self-directed in approach to learning.

4-Satisfactory: Meets Standards

Exhibits average performance of nursing care for this level student. Functions with minimum guidance. Demonstrates adequate knowledge and requires minimum assistance in applying knowledge to skills. Recognizes
learning opportunities but may require assistance in utilizing them.

3-Minimal (Consider Level 3 Violation)

Exhibits minimal performance of nursing care for this level student. Functions safely with moderate guidance. Demonstrates minimal knowledge and requires moderate assistance in applying knowledge to skills. Requires
some direction in recognizing and utilizing learning opportunities. Often focuses on the task or own behavior, not on the patient.

2-Unsatisfactory (Consider Level 2 Violation)

Requires intense guidance for the performance of activities at a safe level. Clinical performance reflects difficulty in the provision of nursing care. Demonstrates gaps in necessary knowledge and requires frequent or almost
constant assistance in applying knowledge to skills. Requires frequent and detailed instructions regarding learning opportunities. Focuses primarily on the task or own behavior, not on the patient.

1-Unsafe to Practice (Consider Level 1 Violation)

Is unsafe to practice without constant, intense guidance. Frequently lacks necessary knowledge and skills and unable to integrate these into practice. Requires constant detailed instructions regarding learning opportunities
and is often unable to utilize them. Attempts activity or behavior, yet is unable to complete. Focuses entirely on the task or own behavior, not the patient.

Standard 1: Patient-Centered Care

1. Performs a comprehensive assessment including patient values, preferences, and needs.
2. Develops an individualized plan of care with a focus on the nursing process.
3. Provides care with sensitivity and respect for the diversity of the human experience.
4. Delivers care based on knowledge of pathophysiology and pharmacotherapy.
5. Identifies potential barriers to active involvement of patients in their own health care process.
5 (Comment Required) Outstanding: Exceeds Standards
4 Satisfactory: Meets Standards
3 Minimal
2 (Comment Required) Unsatisfactory
1 (Comment Required) Unsafe to Practice

Standard 2: Teamwork and Collaboration

1. Demonstrates awareness of own strengths and limitations as a team member.
2. Initiates requests for help from other team members as appropriate.
3. Communicates effectively with patients, family members, and other members of the healthcare team.
4. Identifies potential complications related to handoffs or transitions of care.
5 (Comment Required) Outstanding: Exceeds Standards
4 Satisfactory: Meets Standards
3 Minimal
2 (Comment Required) Unsatisfactory
1 (Comment Required) Unsafe to Practice

Christine is often commended by her preceptor as extremely helpful on the unit. She is very eager to learn and interacts well with patients.

Standard 3: Evidence-Based Practice and Quality Improvement

1. Utilizes evidence-based literature to support clinical decision making as demonstrated in written clinical assignments.
2. Differentiates clinical opinion from evidence-based practice to determine best clinical practice.
3. Promotes and practices quality, cost-effective delivery of care.
4. Identifies potential areas for quality improvement in the clinical setting.
5. Participates in measures to improve patient outcomes as appropriate.
5 (Comment Required) Outstanding: Exceeds Standards
4 Satisfactory: Meets Standards
3 Minimal
2 (Comment Required) Unsatisfactory
1 (Comment Required) Unsafe to Practice

Standard 4: Safety
1. Identifies strategies to reduce the risk of harm or poor patient outcomes in the delivery of care.
2. Delivers medication (as appropriate) in a timely and safe manner including understanding the specific indications for the medication and potential side effects.
3. Communicates effectively between team members or to clinical faculty when giving patient report.
4. Uses appropriate resources to improve organization and/or time management.
5 (Comment Required) Outstanding: Exceeds Standards
4 Satisfactory: Meets Standards
3 Minimal
2 (Comment Required) Unsatisfactory
1 (Comment Required) Unsafe to Practice

Keeps patient safety the top of her priority. Has performed extremely well during med pass. Utilizes effective communication skills.

Standard 5: Informatics
1. Navigates the electronic health record where appropriate.
2. Documents clearly, concisely, and accurately in the electronic medical record where appropriate.
3. Protects confidentiality of all protected health information.
5 (Comment Required) Outstanding: Exceeds Standards
4 Satisfactory: Meets Standards
3 Minimal
2 (Comment Required) Unsatisfactory
1 (Comment Required) Unsafe to Practice

Able to navigate the electronic medical record with ease. Documents appropriately and adheres to HIPAA standards at all times.

Standard 6: Professionalism
1. Demonstrates core professional values (caring, altruism, autonomy, integrity, human dignity, and social justice).
2. Maintains professional behavior and appearance.
3. Demonstrates expected behaviors and completes tasks in a timely manner.
4. Engages in self-evaluation and assumes responsibility for learning.
5. Arrives to clinical setting on time.
6. Demonstrates evidence of preparation for clinical learning experiences.
7. Maintains a positive attitude while interacting with patients, family members, faculty, peers, or members of the healthcare team.
8. Accepts individual responsibility for actions.
5 (Comment Required) Outstanding: Exceeds Standards
4 Satisfactory: Meets Standards
3 Minimal
2 (Comment Required) Unsatisfactory
1 (Comment Required) Unsafe to Practice

Exhibits a professional behavior at all times. Treats everybody with respect and courtesy. Shows enthusiasm to learn in the clinical setting.

Levels of Practice Violations

Level 3 Violation
• Potential for unsafe practice
• Typically a single event or occurrence that presents minimal risk for patient harm
• Examples include but are not limited to being unprepared for clinical or a perceived disrespectful attitude.
• Intervention: Interaction with clinical instructor. Complete student contact form. Notify course coordinator.
Level 2 Violation
• Evidence of unsafe practice
• Pattern of behavior
• Examples include but are not limited to pattern of being unprepared for clinical, unable to organize patient report, continued inability to describe indications for medications or interventions
• Intervention: Meet with clinical instructor. Notify course coordinator and program director. Academic Jeopardy Form with clear plan for resolution of concerning behavior.
Level 1 Violation
• Unsafe practice with unacceptable risk for harm
• Examples include but are not limited to dishonesty, failure to change behaviors in response to feedback, physical or mental impairment (intoxication or lack of sleep), violent behavior, breach of
confidentiality, extreme anxiety, angry or unprofessional outburst.
• Intervention: Immediate removal from all clinical, lab, and simulation activities. Notify course coordinator and program director.
N/A

Comments:

It has been a pleasure to have Christine in my clinical group this semester. She is a very good student and is very eager to learn. She asks pertinent questions and is very proactive and self-directed in her pursuit of learning. I wish you all the
best Christine in your nursing career!

Christine Olinger has reviewed the above evaluation on 5/4/2019 and has provided the following comment:
Thank you so much for being so hands-on with us this semester Edith! I always felt comfortable speaking with you about my patients and asking questions. You were a great instructor and I hope we see each
other again in the future.

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