Carroll Community College

Division of STEM, Nursing and Allied Health

Department of Nursing
NURS 140 – Nursing Concepts 2
SUMMATIVE Student Clinical Performance Evaluation

Student Kelly Rodier Date 3/7/2020 Week # 5 Faculty Prof. Taylor

Criteria: S = Satisfactory N = Needs Improvement U = Unsatisfactory NA = Not (*) Critical
(Meets) (Requires assistance) (Unable) applicable behavior
Students who meet any of the following criteria will be given a remediation plan and may be placed on probation.
Failure to progress in these areas may result in failure of the course.
-One unsatisfactory grade in a critical behavior -Two needs improvements in a critical behavior
-Two unsatisfactory grades in a non-critical behavior -Four needs improvements
Instructor
Student Eval of
Course Goal 1 Self-Eval Student
Apply the nursing process when implementing a plan of care (PG1) S/N/U S/N/U
With assistance:
1. Prioritizes and completes daily nursing tasks N S
2. Completes assessments accurately S S
3. Uses EMR/MAR, patient charts, handoff report to provide care S S
4. *Establishes appropriate nursing priority list S S
5. Creates measurable patient outcomes S S
6. Establishes appropriate nursing interventions S S
7. Evaluates patient response to care and revises plan as needed S s
Instructor
Student Eval of
Course Goal 2 Self-Eval Student
Participate in opportunities that promote professional growth (PG2) S/N/U S/N/U
With assistance:
8. Adheres to dress code S S
9. Seeks input from patient, instructor, and healthcare team when providing care S S
10. *Demonstrates accountability and accepts responsibility for own actions and attitudes S S
11. Actively participates in all clinical experiences S S
12. Communicates learning needs to instructor S S
13. Completes assignments/evaluations as required S s
Instructor
Student Eval of
Course Goal 3 Self-Eval Student
Provide patient-centered care with assistance (PG3) S/N/U S/N/U
With assistance:
14. *Implements appropriate infection control precautions S S
15. Identifies client’s cultural needs S S
16. Accurately documents patient care N/A Na
17. Communicates appropriately with patient, family, healthcare team, and instructor S S
18. Explains the actions, side effects, and nursing implications of medications S S
19. *Administers medication using the six rights N/A Na
20. Demonstrates concern, compassion and empathy with patients S S
21. *Demonstrates physical and mental competence S S
22. *Notifies instructor and appropriate healthcare team members with safety concerns and changes S
in the patient’s condition S
23. Identifies patient and family health education needs N/A S
24. Provides nursing care in accordance with the Maryland Nurse Practice Act and the ANA Scope & s
Standards of Nursing Practice S
25. *Adheres to HIPAA guidelines S S

Approved 12/4/14. Revised 12/10/2014; 01/2015; 3/16/18, 1/2020

 Carroll Community College
Division of STEM, Nursing and Allied Health
Department of Nursing
NURS 140 – Nursing Concepts 2
SUMMATIVE Student Clinical Performance Evaluation

Criteria: S = Satisfactory N = Needs Improvement U = Unsatisfactory NA = Not (*) Critical

(Meets) (Requires assistance) (Unable) applicable behavior
Instructor
Student Eval of
Course Goal 4 Self-Eval Student
Plan nursing care based on scientific evidence (PG4) S/N/U S/N/U
With assistance:
26. Justifies patient’s plan of care using appropriate resources s
S
Student Reflection (Thoroughly answer all questions)
How has this clinical rotation helped to define your role as a nurse? Please explain.
This clinical experience was an eye opener for the realty of our need for higher standards regarding this level of care. The nurses
on this unit have a tremendous load distributed between far too few to be able to give quality care to these high need patients.
Since geriatric care is the specialty that I would like to pursue, it is quite alarming and disheartening. Yet, it just goes to show how I
can make a difference as a nurse. Yes, it is amazing given the tons of laws and guidelines that have been developed around LTC that
it could still be so poorly executed. I am glad that the group was able to see the “tremendous load” and staffing shortage and still
appreciate the fact that staff really does try to do a good job.
Which objective did you accomplish during this rotation? How did you do it?
The patient that I was assigned was an 85-year-old female that had been recently assigned to hospice care, therefore, she was only
in need of palliative care. While palliative is somewhat limited, I believe the objective that I accomplished during this rotation was
providing patient-centered care with assistance. Having limited medical experience, I am learning more and more of how to
recognize the needs of my patients. For example, with this patient, her ability to communicate her needs was limited due to her
speech difficulties. Therefore, Professor Taylor was able to make me aware of certain concerns she has noticed over the past
month and I was able to attend to these needs with her assistance. For example, replacing the water on her oxygen humidifier and
finding a swab for her dry mouth. With the assistance of my fellow nursing students, we were able to clean up the patient and
make her more comfortable. This may have taken quite some time, otherwise, given the understaffing. I was also able to assist
other patients with ADLs and comfort measures as they arose. Yes, I think we were definitely able to make a difference in her day.
What are your goals for your next clinical rotation?
My next clinical rotation is acute care. For that rotation, I want to take what I have learned from each of the clinical experiences
that I have had thus far and apply it. Specifically, making use of the assessment and care skills I have acquired. I hope that as I
become more knowledgeable and get more hands-on practice, my confidence and abilities to provide quality care will increase.
Good goals. Assessment, and the ability and dedication to act on our findings really define us as nurses.
Faculty Comments/ Student Learning Goals (Goals must be established even if performance is satisfactory. If an item was
identified as N or U, narrative comments are necessary to clarify student performance along with goals to improve performance).
Even though this group didn’t really get very far into the Charts and PPC until our 2 nd day, you all did a very good job of combing
through that information and identifying things we could be doing better for these residents. As your on-going goal, keeping what
you learned about how info was being communicated – or not communicated – I suggest working on assessment and reporting.
We saw a lack of both of these skills in our LTC setting, but I think that once you get into the Acute care setting you will have more
opportunity. Review and practice. What do you need to learn about your patient on this shift today, what do you need to do
about it and what is most essential to pass on in report.

Student Signature: Kelly Rodier Date: 3/7/2020

Instructor Signature: Henrietta Taylor, MS RN Date: 3/11/2020

Approved 12/4/14. Revised 12/10/2014; 01/2015; 3/16/18, 1/2020

 Carroll Community College
Division of STEM, Nursing and Allied Health
Department of Nursing
NURS 140 – Nursing Concepts 2
SUMMATIVE Student Clinical Performance Evaluation

Approved 12/4/14. Revised 12/10/2014; 01/2015; 3/16/18, 1/2020