Carroll Community College

Division of STEM, Nursing and Allied Health

Department of Nursing
NURS 233 – Nursing Concepts 3
SUMMATIVE Student Clinical Performance Evaluation

Student Wren Long Date 9-15-21 Week # 1 Faculty Schlaerth

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
Analyze the effectiveness of the plan of care (PG1) S/N/U S/N/U
Using faculty as a resource:
1. Prioritizes and completes daily nursing tasks S 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
Seek opportunities that promote professional growth (PG2) S/N/U S/N/U
Using faculty as a resource:
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 faculty as resource (PG3) S/N/U S/N/U
Using faculty as a resource:
14. *Implements appropriate infection control precautions S S
15. Identifies client’s cultural needs N N
16. Accurately documents patient care NA N/A
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 S S
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 S 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
Criteria: S = Satisfactory N = Needs Improvement U = Unsatisfactory NA = Not (*) Critical
(Meets) (Requires assistance) (Unable) applicable behavior

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 233 – Nursing Concepts 3
SUMMATIVE Student Clinical Performance Evaluation

Instructor
Student Eval of
Course Goal 4 Self-Eval Student
Implement nursing care based on scientific evidence (PG4) S/N/U S/N/U
Using faculty as a resource:
26. Incorporates evidence-based rationales that support the patient plan of care S
S
Student Reflection (Thoroughly answer all questions)
How has this clinical rotation helped to define your role as a nurse? Please explain.
I knew before this that L&D nurses provided emotional support and pain management to laboring mothers, but I had no idea how
much information could be gained from the uterine contraction/FHR strip. It taught me that my role as a nurse is not only to
provide comfort, but also to assess and monitor critical life functions (i.e. perfusion, oxygenation) and intervene when necessary.

How did you specifically meet the course goals for this course? Give detail for each. (Reminder, course goals are listed on the
evaluation here in blue).
Plan of care: The labor nurse and I discussed appropriate goals for the patient: pain management, cervical dilation, and emotional
support. In order to facilitate proper pain management, I frequently assessed the patient’s pain and when it was not being
managed sufficiently we collaborated with anesthesia to have an epidural placed. In order to evaluate effectiveness, we assessed
pain every time we checked on the patient (~q15 min) and instructed her to press her call button if she was in too much pain.
Professional growth: After my own traumatic birth experience in July, this clinical was emotionally difficult for me to participate in.
I showed professionalism by taking a break when I needed to, and then returning and focusing on my patient and her needs.
Patient-centered care: I administered the patient’s newborn meds using the 3 checks and the 6 rights. In addition, I discussed with
the nurse why these medications are given to newborns and the fact that each one has a designated body location (left and right
legs) for standardization. I followed that standard when administering the injections.
EBP: Evidence shows faster labor progression with better outcomes when the patient pushes in an upright position. We helped the
patient position herself with the head of bed raised almost to 90 degrees when it was time to push.

What is the biggest take away you have from this clinical rotation and how will that affect your future practice?
I observed very good teamwork among all the L&D staff: nurses, techs, midwives, and doctors. They ended up having to deliver two
babies within minutes of each other, so the doctor took over one of the midwife’s patients. My patient was dilating slowly in the
morning, so my nurse and I helped with some of her nursing tasks while she administered meds. It reminded me of how EMS works
during a code, and I was impressed at the efficiency and the unit culture. I want to be the kind of nurse in the future that engages
in this team approach to care rather than being an island.

What are your goals for your next clinical rotation?

My next clinical rotation is psych/mental health. During that rotation, I would like to focus on careful observation and assessment
skills of verbal and nonverbal communication, as well as my own therapeutic communication skills.

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).

Wren I am so proud of you for telling me you needed a break and then taking the time to talk to me about it. If you had continued
to care for your patient their care may have been affected. It takes a lot of self-awareness to do what you did. Throughout the day
you were able to update me on your plan of care and to prioritize the patient’s needs. Your SMART outcomes were appropriate. I
would say a good goal for your next rotations would be to incorporate the cultural assessment into the patient’s plan of care since
you were unable to accomplish that today.
Student Signature: Wren G. Long Date: 9-15-21

Instructor Signature: Date: 12/15/21

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