tne University of New England University of New England School of Health Professional Entry Nursing Courses CLINICAL RECORD BOOK HSNS 376/576 Transitioning to Practice 2 STUDENT NAME: SUSHMA = TANDUICAR STUDENT CONTACT TELEPHONE: 0415354956 | STUDENT ID NUMBER: 22014943825 STRICT HOSPITAL HOSPITAL/HEALTH AGENCY: | KEMPSEY D: 2 PRECEPTOR/FACILITATOR/ IAN HEPFERNAN CLINICAL PARTNER: PRECEPTOR CONTACT TELEPHONE: | 0443°F 23448 t LOCATION (eg: town name): KEMPSEY WARD/UNIT: |CLOSE OBSERVATION UNIT PLACEMENT DATES: FROM 10 / 08 /20 TO04 /04 /20 For more information, additional copies of documents or questions related to your Clinical Record Book | lease contact the Clinical School staff. ae ES : et LUNE ~ HSNS376/576 Clinical Record BookYOUR CLINICAL RECORD BOOK _B Your Clinical Record Books have been designed to provide a record of your clinical placement experience, This record will provide you with guidance for your clinical development. ou are personally responsible for your Clinical Record Book and you are required to follow the following instructions * Show your clinical book to your Clinical Partner/Facilitator when you commence your clinical placement to discuss your requirements for the placements. * Keep this Clinical Record Book with you at all times during your clinical placements. «Keep it clear from food and drinks. * Do not use white out/ correction fluid or tape under ANY circumstances * Whilst on Clinical placement if no one is available to complete your clinical placement booklet, contact the Clinical Coordinator and they will negotiate with the agency for a report to be completed and forwarded to this university. [ CHECK LIST DO THIS NOW OQ write your name, contact telephone number and student number on the front cover of this book. Complete your goals for this placement in your Clinical Record Book DO THIS EVERY DAY Q complete your Daily Attendance Time Sheet and have your Clinical Partner/Facilitator sign it. DO THIS BEFORE YOU LEAVE THE PLACEMENT OQ Make sure your Clinical Partner/Facilitator has signed your Procedures Check List for procedures performed during this placement, Ensure your Clinical Partner/Facilitator has completed and signed your final assessment (ANSAT) and the Final Assessment of Clinical Procedures. Q_ Review your Personal Goals set for this placement; date those you have achieved. Ask your Clinical Partner/Facilitator to help you identify goals for your next placement (if applicable). AT THE CONCLUSION OF THIS PLACEMENT al record book into the Moodle site. Q1 submit your completed cli Q You MUST keep your original clinical record book as it may be called on for auditing purposes. LUNE - HSNS376/576 Clinical Record Book ; SeamedthConScamerBa CONTACT INFORMATION The Clinical Office Clinical Placement Asistants Tania Robb Kellie Lockyer Alisa Kennedy Contact details: Phone: 6773 4388 Email nursingplacements@une.edu.au Clinical Placement Manager: Jillian Fitagerald Contact details: Phone: 6773 4388 Email fcpwil_coord@une.edu.au Students are reminded to contact the Clinical Office Staff via the AskUNE system. If we are unable to answer your call please leave your name, brief description of message, contact details and time you called and we will return your call as soon as possible. Clinical Coordinator - Academic: Zach Byfield Contact details: Email: fcpnursing_academic@une.edu.au Mobile: 0407 414 577 LUNE - HSNS376/576 Clinical Record Book ScarmedihConSerner‘4008 p1020H FIUNID 975/92 ESNSH = ANN } ray ma qua pyar V od a hinge fogs pr pro ved ray 1 Bongo Cmay M_ oyalwso pap 907 mt arynoul oy i proochowow wy vals wa \[QS WVPyVs BI Se eens arm grsiane vay 2 maeqedwes tprod oy Yay bre lama apm Lirprond pe -pooy prayrd gvridodie barany hey rd Koay fo Kipvlia > oamibeay 9 aeeanl ont op ban Savor mmmaies mppad ob - peed ny theca yruoy a4l| Uy Duewaynp ere L wes yee oo oenpY Weems prayed -peoged fo yyyroy) ae veymndde sp Greed fy? sepryand ay yopmar| sproynd aug ronda of vogronaus ru_aprod of fyqiay - "Pua ba pre jag. ve May Prog. 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Thinks ertcaiy and analyses nursing practice {5 Gomples and practices according to relevant legilation andTocalpaley i273 er we + Uses an ethical framework to guide decision making and practice ale: Rea Les [> Benenson repo naan cura inci AborgiandTaver sian wae) 4 | 2 | 3 [@| s | wa Sous andrea eluent Tear nd esac eine deve aly alata vals! wa [5 Maintains the use of clear and accurate documentation 712 [3 (ls TN [2 Engages in therapeutic and professional relationships [+ Communicates effectively to maintain personal and professional boundaries i[273 (4 5] NA [+ olaberates wh the oath careteamandotherstosreknowewgetatponotesmeson- TT 2 | a [| 5 | wa Partcipates as an acive member ofthe healthcare team fo achieve optimum health outcomes [2 [ 2 | 3 -4)| 5 [ N/A ‘+ Demonstrates respect for a person's rights and wishes and advocates on their behalf a | 2 sel) | S| Wa 3,_Maintains the capability for practice al Demonstrates cornmitment to life-long learing ofselfand others T[2 ayy] = [NA Rg oTen ea aT ented oe TR TEE eats bw + Darerste sis inheath education to rable people tomate dese areate aera 1 [3 | 5 | wa 2 Recognises and responds sppronrlately when own or others cpabiliyforpracieesimpared [2 | 2 | 8 = [Na '» Demonstrates accountability for decisions and actions appropriate to their role a] 2 Ts Ts [ua 4_Comprehensively conducts assessments + Completes comprehenslve and systematic assessments using appropriate and avalablesourees [1 [ 2 [USI *)| 5 [WA + Accurately analyses and interprets assessment data to inform practices th2 ba (ays [WA 5._Develops a plan for nursing practice + Collaborstively constructs plan informed by the patient/clent assessment i]? es LWA + hans cte priest ndvuainenan oersiethcareramvosieeoeeced [V2 | 5 PHY s [iva outcomes 6. Provides safe, appropriate and responsive quality ‘nursing practice + Delivers safe and effective care within their scope of practice to meet outcomes T[2 aya s Wa + Provides effective supervision and delegates care safely within their role and scope of practice | 1 | 2 [3 Em YZ = Recognise and responds to practice that may be below expected organisational, legal or ala Se regulatory standards 7. Evaluates outcomes to inform nursing practice =” Monitors progress toward expected goals and health outcomes tT] 2 (se ys We . ‘Modifies plan according to evaluation of goals and outcomes in consultation with the healthcare 1 ie IQ 5 | wa team and others GLOBAL RATING SCALE In your opinion asan assessor of student performance, relative to theirstage of practic, the overall nical unit was: cere of thls student nthe cl 1 een conrad se BiscussED! Qs No [ADDITIONAL PAPERWORK: YES ‘complete this section ONLY if thisis a summative assessment Passed: I [Me tsa 76/576 chal Record Book SeamednthConScamer ”ANSAT = Australian Nursing Standards Assessment Tool SUMMATIVE ASSESSOR FEEDBACK: 1. What has the student done well throughout this placement? Gashmne ws apickl) orientale ede cam sou Peirce Pala 5 aa toto Omrastoany dre Hy 2. What strategies can the student use to advance their learning in future placements? Ste needs de core de be eweleeols SH wrt! Cakes qperteons agpice tatty o-el work He teams et 3. Any further comments? be San, Contnme Here affhrs fe ov goed poe Greed fe Saba. fe are cokny well in SUPERVISOR COMMENTS: Bichirgh ho ume Oey er Gee Jes Teta aieos, ey Thee are! bales Canes come Tt Signature: ruff. _v Date:_Zi-8-Zo20 ‘STUDENT COMMENTS! Placement in Close Obsenaton Unit (Cov) ig @ now eaperrence rome ard = T came ACOs idenhfinrg fle ering ole f pahet aus oy te erialah Hen ae ow Bremen eicniee) & ‘Scoring rules: > Circe N/A not assessed) ONLY ifthe student has not had an opportunity to demonstrate the behaviour 1 ifanitem isnot assessed its not scored and the total ANSAT score is adjusted forthe missed item Cirle ONLY ONE number foreach item it score falls between numbers on the sale the higher number wil be used to calculate a total Evaluate the student’ performance against the MINIMUM practice level expected for thelr level of education LUNE ~ HSNS376/576 Clinical Record Book Seamed CansearnerStudent Name:] Susuma THADUEAE [Student course Name / Code: [WSN] 36 [53-6 [2 20593829 | Year Level: |THTeD. Clinical Setting / Ward: | CLOSC omSeRUATIon UNTI (lov Placement Dates: fe he. Assessment type / date: | (inal/Summative) de: 1= Expected behaviours and practices not performed 2 = Expected behaviours and practices perf ractices performed below the acceptable/satsfectory standard 3 = Expected behaviours and practices performed ata satisactory/pass standard 4= Expected behaviours and practices performed ata profient standard 5= Expected behaviours and practices performed at an excellent standard ne a fo) | N/A = not assessed ‘Noe’ rating 1 8/or2 indeates thatthe STANDARD has NOT been achieved Assessment item Circle one number ‘1._Thinks critically and analyses nursing practice Complies and practices according to relevant legslavon and local poly Tata wa Uses an ethical framework to guide decision making and practice a}2 314 GNA Demonstrates respect fr individual and cultural (including Aboriginal and Tores strat lander [> aeons ep foxrdnand tual naka brgraonsToresearainey) | [2 | a| « (| wa F Sere eT ane ie arsenate wy al 2 Balan [= Maintains the use of clear and accurate documentation Tals ta ae 7. Engages in therapeutic and professional relationships = _ Communicates effectively to maintain personal and professional boundaries T]2 Da 4( 3 Na [> Colabowtswih heath areteamandetenteshweknowbieetmenotrresen [| 2 | 3 | 4 (wm + Farticpates as an active member ofthe healthcare team to achieve optimumbeakh outcomes [3 | 2 [3 [4 ((s) A = Demonstrates respect for a person's rights and wishes and advocates on their behalf (2 La ees Cu N/A 3. Maintains the capability for practice + Demonstrates commitment to life-long learning ofsel and others Tz [sy 4 ay NA = Reflects on practice and responds to feedback for continuing professional development. pa ps «(SN wa + Berenstain extent erties ort secsesmstonrtnse | [a [3 | « (3) [wn + Recognises and responds appropriately when own or others capability for practice & impaired 713] =I wa] = Demonstrates accountability for decisions and actions appropriate to their role zpsla te N/A 4. comprehensively conducts assessments + ambietes comprehensive and systematic assessments using appropriate andavalablesoures [3 [2 [31] 4 |(3{ WA = Aecurately analyses and interprets assessment data to inform practices 12 [ste Siva ‘5. Develops a plan for nursing practice + _Calaboratvely constructs a plan informed by the patlent/lent assessment [2 [Se Na S Hans ave in partnership with indkiduals/sigifcantothers/heath care team toachievewected |, | | 3 | 4 (-5)| wn outcomes 6. Provides safe, appropriate and responsive quality nursing ‘practice "© Delivers safe and effective care within their scope of practice to meet outcomes 1[2 aa N/A Seen eae suporveion and delegates care safely within ther role andscope ofpracice | 1 | 2 [ai] 4 K3){ WA + Recognise and responds to practice that may be Below expected organisational, legal la tela Cd lw regultory standards 7 Evaluates outcomes to Inform nursing practice '* Monitors progress toward expected goals and health outcomes 1[2 fa 4 N/A Soa re ere dingo ealuation of goals and outcomes inconsuraton wih theveathcare Ts] > |g] « Ke] wa team and others GLOBAL RATING SCALE in your opinion as an assessor of student performance, relative to thelr staze of prctice the overall performance of this student in the clinical unit was: Unsatisfactory [_] umited L_] satisfactory] Good] Excellent 4/4 DISCUSSED: No ‘ADDITIONAL PAPERWORK: YES pate: & -F Jo2o, summat NAME: ne Passed; SIGNATURE: tte lle. E UNE ~ H5NS376/576 Clinical Record Book SeamedthConScamer “complete this section ONLY if this isa nt NO[ANSAT = Australian Nursing Standards Assessment Too! “SUMMATIVE ASSESSOR FEEDBACK: T. What has the student done well throughout this placement? Sushma iS Consisklty gfe, nell fe Ce pedatle mannan a oS alee eee hy teh pect 25 What strategies can the student use to advance their learning in future placements? Bigiins bale yb cohre de be an Ce kar ee ball kaning yp bed al be oper 3. Any further comments? iesltess we dicate J ard rant And Sudha oo Sele oo ovens an emate, Tre, /infeien ont Grbwe flees gelrey » pecwte~>' SUPERVISOR COMMENTS: A 3 Eee Bros, pa oil tim fb che worl ouais Gaeta eobivally welied of & oe oheh~ teow marke a7. 4 fl Signature: 7 1e/77— ra Date: #-F-Zoz0 “STUDENT COMMENTS: g voll had qed oliniend experience, aud Lear oF veer cove eke — pated and muss i, se ite ce of dekeriovedeg paherd - i Signature: bate: 04° 09-2020 _ rules: ot ues QML th nuert a otha n opportunity to demonstrate ee aa fat beset ot scored andthe tal ANSAT scores adjusted forthe missed ‘ONE number foreach item opal soa te an a the student's performance against the MINIMUM pi T Seamed Cansearerst -yo0a pu922u fe>1UN> 925/92 ESNSH = ANN “AiorseysHws se paia1ua aq 01 UAUISSASSE 104 parajdwoD aq 01 pastnba1 aze WHO} 5143 Jo suoN2aS Ty aN FICE Ty 7 eee arerraee masa oF YOLVLITIDV4/4O1dIDI¥d ms = SFYNLVNDIS iy 2h ae SFUNLYNOIS ANIGNLS YOLWLIMIDVS/AOLdIIIYd oo _, Soe anid 0: yes werojes Pe ware DTU 81 UORER3I0> wh F 2 Ey a aw a “squaned 40) a4e9 pasinbai jo luawabeuew AojDesuRS aIEASUOWEP (01 age st wapms ain ivausa2eyd siyn Jo uoIsnauo9 aya ay RT| 9 7} uepanon, eojs Pu fea] USI Unt SBD I We SOLER may | Ama 7A Sroquisui wea} Jao Jo sojou ata sonyen pue weoi 2109 ipjeoy oun w Afonndoyso suonUNS =: wy yg) = =a Fa ‘Apreudosade are quaned asnuoud pue aBeuew awn 01 ANjge aip sarensuowag a ee os BeerE 7 ara 7a} FanGea|jo9 paduauadse Siow wo uoddns ‘ons 59895 pue pasinbas SI 9a1npe/aDueIsISse UayM S9siU6099% Orb py oe oe) ct Papinoud aue9 ayy sayenjena ApeinB2y TEOE 7 Ha eA i ayeudosdde se a1e> quaned siuawajdw! pue sarentuy rece bp | 27 rent 7 i> waned anoqe Ayeans2y24 pue Ajeanu> yuNNp 03 Auge ay saIESuOWIG, a2 bP a ag Auessoo0u se siuauissasse quaned yBnosoyt no sale ae ree 27 ena a tp 4 vonzeid 10) aseq apaymouy punos e saensuowag Rely re wf ‘asinu s1enpesb mau BJO pared yoro] ayp ze wioyied ApuarsisuoD on Ayige sia sotensuouisa ~ suai eG Sumeubis Ne on [aT VI¥ALIID SONVANORIA (224bap Jo uoirajduio2 4oj Asosjndwo>) §$JUNGIIONd IWIINITD JO LNIWSSISSW TVNIF ] suowensi6as pur a21De1g Bulsinn Jo 191seW/SuIsunyy Jo 10]24>eg 247 $0 uoreyduties 40) DjaiEne wo 03 auepnas Bus mlaeuaos Seunudicaied/aueoras/jo14 curtis gh wai cease Anon Eileen ert iii tRCAiitiNaNNNNneN a tnnaelisidcaisaill Seamed Canseare