grudert Bryant & Stratton College Mid-Term Evaluation Summary ‘Name: Caitlyn Wegner Semester: Fall 2020 Course: Medical Surgical Nursing II Clinical Site: Community Memorial Hospital — 4SOP Identification of Strengths - Thave a strong background in patient care so I am very comfortable interacting with my patients, however I am still warming up to the nursing skills and medication passing. ~ 1am familiar with EPIC which helps which gives me the ability to help other students with charting and chart efficiently myself on my patients. = I tend to be a very talkative and friendly person which allows me the ability to communicate confidently and effectively with my team. Areas for Development = I need to work on my nursing skills and medication passing to grow my confidence with these skills. = Ineed to work on time management throughout the clinical day, | am still working on figuring, ‘out a schedule that works with this clinical site. I would really enjoy being at two patients soon ‘as Ido have a good amount of down time with one patient, but I need to organize my day out better to be able to care for more patients. Plan for Improvement = I plan to continue working on my nursing and medication passing skills this week and with future clinials. ve developing my own so I can soon be at a two- = [plan to observe other's routines and cor patient workload,Faculty Comments: Caitlyn, widin Thave seen great effort from you in clinical these past couple weeks, Continue one Ee Education to each of your patients each week including some type of educational Please see my comments below. Strengths: ‘+ Great patient communication ‘Good teamwork and collaboration * Good time management skills + Good Basic understanding of Pharmacology ‘© Good Physical Assessments * Good understanding of Pathophysiology + Overall good understanding of labs ‘Areas for Development * Care Plan Development-Priortize your care plans and Nursing Diagnoses. * Critical thinking associated with medication administration: What labs to monitor, when to hold, Pre‘post assessments + How the past Medical history impacts the patent's Admitting diagnosis, Student Signature Caitlyn M Wegner. Faculty Signature Date_10/2/2020 ng/Bryant & Stratton College inal Evaluation Summary Name: Caitlyn Wegner lyn Wegner Semester: Winter 2020 Course: Medical Surgi : ‘Medical Surgical Nursing 1 Clinical Site: Froedtert Menomonee Falls - 4S0P Wdentification of Strengths Thave a strong background in patient care which helps tremendously with my ability to care and Communicate with my patients and care team. ‘am familiar with EPIC which allows me to chart efficiently on my patients while also giving me the ability to help other students navigate it | was medication certified at a previous job, and the experience helps me feel more comfortable giving medications and also increases my knowledge on some medications from seeing them so often before. My previous healthcare experience has strengthened my ability to notice inconsistencies with patient care or within the chart that need to be addressed which allows me to advocate for my patient better. ‘Some examples being. noticing my patient’s labs and talking to the nurse about a blood transfusion and when I had the patient with MS, I had advocated for him by ensuring his tum schedule was being followed. Areas for Development ‘+ [till have room for improvement with my confidence and knowledge with medication passing © Thave improved my time management, but I feel that there is still room for improvement. I feel as, though I better plan out my days when I have two patients versus the one because I know my time is more limited, ‘© Lalso have room for improvement with my nursing tasks with knowing how to do them without direction and also doing them confidently. © Icould continue working with my critical thinking skills and strengthening them. Plan for Improvement + Iplan to continue working on my confidence and knowledge with medication passing in future clinicals. ‘© Ipplan to continue observing other's routines to assist in developing my own so I can plan out my day better and have good time management with tasks. ‘© plan to continue working on my confidence and independence with nursing tasks in future clinicals. ‘© I will continue to be observant with my patients to improve strengthening my critical thinking skills.Faculty Comments: Caitlyn, + II critical thinking Good job in your N223 clinical this semester. 1 saw some good improvements in a or ae skills, Physical assessment skills, understanding of Pathophysiology, understanding o1 ae ee ae ‘understanding of labs and how they correlate to the patient’s condition, and Care plan develop" . working on the following: ‘+ Continue to make education a goal for each of your patients. + Continue to practice answering NCLEX questions to help you prepare for the NCLEX exam. | wish you luck through the remaining semester and in your Nursing Career! Student Signature Faculty Signature ews Pov nisas Date_1022/20, gBryant & Stratton College Nursing | Evaluation Tool Student: Caitlyn Wegner URS 223: Medical/Surgical Nursing I Instructor: Tammy pans 2s Mes 2 . Campos SEMESTER: Fall 2020 Tee student must receive a minimum ofa 3.5 average for an overall evaluation of Satisfactory in the clinieal rotation, This means out ofthe $ objectives with 4 tems, the stent must eam 154 points out of a possible 176 points, Starred items “*” indicate that the student must receive a minimum of Satisfactory 3.0 by final faculty evaluation in order to pass clinical and progress tothe next course. Any item receiving a | in the faculty final evaluation isan automatic clinical failure. Any item that is Not Applicable will be scored as “n/a” CLINICAL OBJECTIVES (Course outcomes): Interpret and explain the role of the nurse as teacher, provider of care, manager of eare, ‘and member of the discipline of nursing. Formulate a comprehensive health care plan to provide nursing eare in a variety of health care settings. Develop clinical decision-making strategies that reflect best current evidence to provide safe and appropriate nursing care to culturally diverse patients with increasingly complex healthiliness needs. Demonstrate care that incorporates knowledge of palliative care and sensitivity to quality of life in providing nursing care to the dying person and their family, 5. Prioritize patient care needs, use of the nursing process, and QSEN competencies to evaluate, synthesize, and revise strategies that reflect concepts of nutrition, pharmacology, pathophysiology, microbiology, and anatomy and physiology in the provision of safe and competent nursing care to all patents as well as employ strategies for reflection on learning practices. 6. Integrate appropriate leadership/management styles toward the delegation of nursing care for individuals, Families, and groups. 7. Apply knowledge of legal and ethical responsibilities in planning and provision of nursing care. 8, Evaluate sources of information to provide safe, effective, ethical nursing care for patients with increasingly complex healthllness needs. ‘The six roles of the Associate Degree nurse (Advocate, Member of Discipline, Provider of Care, Researcher, Manager of Care, and Teacher) Nursing Program Student Learning Outcomes: Employ critical thinking and reasoning to ulitize the nursing process asa framework to deliver comprehensive, safe, and culturally sensitive care across the lifespan, 2. Demonstrate clinical competence in the performance of nursing skills utilizing quality ‘measures to provide safe effective nursing care. Apply best current evidence and appropriate nursing judgment in collaboration with the Patient to guide clinical decision making in the delivery of nursing care.stints, families and their social support 4. Collaborate and communicate effectively with pa se eam to achieve mutually a system, and the members ofthe health care team to achieve outcomes 'sof professional standards for 5. Practice within the ethical, legal and regulatory frameworks of pro! Sroka nursing, including employing agencies’ standards of eare, assuming studen conduct or eonvietions, which prevent such practice. ee 6. Construct a ffamework of personal accountability for lifelong leaming with an entry-le set of knowledge, skills, and behaviors to provide safe, effective nursing care. 7. Employ information literacy skills through the effective use of informatics to communicate, manage knowledge, mitigate errors, and support decision-making. Guide for Interpretation of Evaluation Seale 4 Student consistently functions at expected fevel independent Proficient, coordinated, confident, without direction ‘Student consistently functions at expected level with minimal guidance. Safe, accurate, efficient, coordinated, confident, with occasional direction Student requires reminders and guidance to function at adequate level Safe and accurate, inefficient or inconsistently inefficient {© Student performs unsatisfactorly, is unable to meet clinical objectives without needing constant guidance, or the student is unsafe in the clinical setting. Unable to demonstrate procedures, Needs continuous ‘verbal and/or physical direction. [3= Student Mid-Term Eval Key: Student=X_ Faculty Faculty Final Eval 1 4 1. Interpret and explain the role of the nurse as teacher, ]1]2]3 Ja provider of care, manager of care, and member of the discipline of nursing. (teacher, provider of eare, manager of Mis care, member of discipline; SLO 1, 4) X] | 1 Differentiates the roles of the nurse as teachen, provider oF x|V V |__| care, manager of care and member of te discipline through pe conversation or in writing X'/_[2. Analyzes actions taken during the provision of nursing care mr \ |_| which exemplify the oles ofthe nurse as teacher, provider of v [it 22 ate, manager of eare and member of the discipline fei | ‘Comments/Rationales for scores of 4 on each item in this section? Student Mid-Term Eval tudent=X Faculty = + Faculty Final Eval2. Formulate a comprehensi health care plan to provide nursing care in a variety of health care settings (advocate, member of discipline, provider of care, researcher, Manager of care, teacher; SLO 1,3, 4) 3. Performs and communicates a thorough health assessment on each pi 4. Differentiates necessary health assessment data to collect based on patient setting * 5. Evaluates data to prioritize patient needs. 6. Creates nursing diagnoses that logically follow from assessment data.* Zlom 7. Formulates appropriate outcomes or goals related to patient needs and assessment data, 8. Identifies and safely provides nursing interventions that ure appropriate to patient condition, axlaxlaxla~ ‘9 Supports interventions with findings From best current evidenced based practice alamo 10, Evaluates effectiveness of nursing interventions in relation to progress toward identified patient outcomes. TI. Evaluates the impact of patient choices on his or her health condition |= 12. Revises outcomes, goals, and interventions in response to ‘changes in patient condition. x v Comments/Rat Eval Student Mid-Term Eval itionales for scores of 4 on each item in this section: Key: Student =X Faculty = + Faculty Final 1/2]3]4 3. Develop clinical decision-making strategies that reflect best current evidence to provide safe and appropriate nursing eare to culturally diverse patients with increasingly complex healthllness needs. (advocate, member of discipline, provider of care, researcher, manager of care, teacher; SLO 2, 3) 13. Examines the impact of cultural diversity and deviations from health __ appropriate to patient population. / 14, Defends decisions for nursing care and interventions utilizing best current evidence. x 15, Collaborates with other members of the health care team to revise the plan of care. x | 16. Provides safe care to patient to meet patient needs.X]17. Creates an empathetic, nonjudgmental, and caring vl ¥ | environment for the patient and family. * : . X |] 18. Applies evidenced based practice and techniques in the 4 1 {_| performance of nursing procedures. Comments/Rationales for scores of 4 on each item in this seetion: Student Mid-Term Eval Key: Studen Eyal 23/4 4. Demonstrate care that incorporates knowledge of 1]2]3]4 Palliative care and sensitivity to quality of life in providing | ‘nursing care to the dying person and their family. |_| @dvocate, member of discipline, provider of eare, researcher, manager of care, teacher; SLO I, 4) |X |__| 19. Assesses patient and family views on quality andor end-of x] | v Jiffe concerns. 7 X | 20. Creates an empathetic and caring environment for the x © | patient and family. ‘Comments/Rationales for scores of 4 on each item in this section: Studen Eval 1/2]3]4 = I-Term Eval Key: Student=X Faculty S: Prioritize patient care needs, use ofthe nursing process, |1]2]3 | 4 and QSEN competencies to evaluate, synthesize, and revise | strategies that reflect concepts of nutrition, pharmacology, pathophysiology, microbiology, and anatomy and | Physiology in the provision of safe and competent nursing care to all patients as well as employ strategies for reflection on learning practices. (advocate, member of discipline, provider of care, researcher, manager of eare, teachers SLO 1,2, 3,4) X| | 21. Differentiates pertinent information about presenbod x V |_| medications, treatments, and diagnostic resus as appropiate y __| to patient and/or clinical setting. * 3 |_| 22 Priorities and administers medications comrectly. # es X| "23. Uilizes effective verbal and non-verbal therapeatio x |__| communication skills when interacting with patients, families, y and other care providersX | 24. Demonstrates ability wa trates ‘lear ra ably ‘0 act on written and verbal directions x peed Ale ak '¥ and members of the healthcare team. * v X | 25. Main - 1 | deve its @ sae environment based on age and x ‘evelopmental needs, * y a entities cient Teaming needs, provides appropriate X L| | lucation, and evaluates client response to teaching* 7 A 27. Demonstrates professionalism inability to work effectively x and cooperatively with patients, faculty, and members of the v healtheare team,* Y | X | 28. Prioritizes patients” problems, nursing interventions, and x assessments of patients’ responses to care provided v X | 29. Adapts to change and is both flexible and tolerant in x V | changing situations V X | 30. Recognizes limitations of self to provide effective, safe care 5 | and requests appropriate assistance. * v Comments/Rationales for seores of 4 on each item in this seetion: Student Mid-Term Eval Key: Student =X Faculty =+ Faculty Final Eval 1/2]3 [4] 6. Integrate appropriate leadershipimanagement styles [1] 2]3 | 4 toward the delegation of nursing care for individuals, families, and groups. (advocate, member of diseipline, provider of care, researcher, manager of care, teacher; SLO 1,4,5) 1151. Follows agency guidelines for practice x | |X} |32, Demonstrates accountability for care given by self and/or x LY |_| delegated to others, follows up appropriately on delegated tasks v X |_| 33: Reflects on leadership style and evaluates opportunities for X V| | improvement Als X |__| 34. Identifies and takes responsiblity to access appropriate xfV |__| resources for learning. * ui c X | 35. Reports to agency staffand faculty upon arriving and x V 1 | before leaving the clinical location.*X ] 36, Evaluates self for further knowledge needed, identifies ] * \ | areas for further skill development, and creates a plan for | achieving goals : ‘Comments/Rationales for scores of 4 on each item in this section: Student Mid-Term Eval Key: Student =X Faculty = + Faculty Final Eval 1/2]3]4]7. Apply knowledge of legal and ethical responsibilities in | 1|2[3 [4 planning and provision of nursing eare (advocate, member of discipline, provider of care, researcher, manager of care, teacher SLO 3) x 37. Documents pertinent and meaningful information on x \ |__| patients’ record as appropriate to clinical setting per v instructor's direction, including submitting clinical paperwork per due date.* z 38. Contributes meaningfully to pre- and post- conferences, x y X | 39, Uilies resources to provide safe patient care. * x y q X | 40. Adheres to HIPAA rules and regulations as it relates to x 1 | patient care, patient confidentiality, and scape of practice. + v x 41. Adheres to ethical principles in providing nursing care 5% f Nv Eval Student I |-Term Eval Key: Student=X Faculty Comments/Rationales for scores of 4 on each item in this section: 34 8. Evaluate sources of information to provide safe, effective, ethical nursing care for patients with increasingly complex healthvillness needs (advocate, member of discipline, provider of eare, researcher, manager of care, teacher; SLO 3, 5, 6,7) 42, Incorporates best current evidence into patient teaching. | 43. Provides appropriate citations for work created 44, Deseribes methods of reducing errors while using technology in health care Comments/Rationales for scores of 4 on each item in this seetiOverall Mid-Term Eyaluat See comments (attached). Ef 4, m (number score) _ 150/176. AVERAGE _34___ GE a7 ae Overall Final Evaluation (number seore)___164_/176__ AVERAGE_ ‘See comments (attached).