Carroll Community College

Division of STEM, Nursing and Allied Health

Department of Nursing
NURS 242 – Nursing Concepts Clinical 4
SUMMATIVE Student Clinical Performance Evaluation

Student Elaina Hilliard Date 3/11/22 Week # 6 Faculty Dr. 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
Use the nursing process to optimize client health (PG1) S/N/U S/N/U
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
Assimilate into the profession of nursing (PG2) S/N/U S/N/U
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
14. Demonstrates initiative in assisting peers and healthcare team members S S
Instructor
Student Eval of
Course Goal 3 Self-Eval Student
Provide patient-centered care (PG3) S/N/U S/N/U
15. *Implements appropriate infection control precautions S S
16. Identifies client’s cultural needs S S
17. Accurately documents patient care S S
18. Communicates appropriately with patient, family, healthcare team, and instructor S S
19. Explains the actions, side effects, and nursing implications of medications S S
20. *Administers medication using the six rights S S
21. Demonstrates concern, compassion and empathy with patients S S
22. *Demonstrates physical and mental competence S S
23. *Notifies instructor and appropriate healthcare team members with safety concerns and changes
in the patient’s condition S S
24. Identifies patient and family health education needs S S
25. Provides nursing care in accordance with the Maryland Nurse Practice Act and the ANA Scope &
Standards of Nursing Practice S S
26. *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 242 – Nursing Concepts Clinical 4
SUMMATIVE Student Clinical Performance Evaluation

Instructor
Student Eval of
Course Goal 4 Self-Eval Student
Engage in evidence-based practice (PG4) S/N/U S/N/U
27. Critiques current practice based on evidence S
S
Student Reflection (Thoroughly answer all questions)
How has this clinical rotation helped to define your role as a nurse? Please explain.

This OB clinical rotation has helped me define my goal as a nurse in many different ways. This clinical experience has helped me
solidify what type of nurse I want to be. I can genuinely see myself as a labor and delivery or postpartum nurse in my future. I was
so grateful we were selected as the first 6 week OB clinical group. I didn’t think the one day last semester was nearly enough time
to get more comfortable in labor and delivery/postpartum. These 6 weeks have allowed me to grow in my skills, place me out of
my comfort zone, learn and shadow new experiences, and allowed me to reflect what type of nurse I want to be!

Which objective did you accomplish during this rotation? How did you do it?

Throughout OB clinical I was able to meet the course goals with the assistance of Dr. Schlaerth and the unit nurses. I was able to
use the nursing process to optimize the clients health. I did this by prioritizing daily OB tasks, completing focused laboring,
postpartum, and newborn assessments. I used the EMR/MAR to provide care, created priority lists, created measurable outcomes,
established appropriate interventions based on assessments/priorities, and evaluated the plan of care based on patient response. I
was able to better assimilate into the profession of OB nursing. I adhered to Carroll Community’s clinical dress code, sought out
clinical input, took accountability and responsibility for all actions made, actively participated and helped peers, communicated
learning needs, and completed assignments/evaluations as needed. I also was able to provide patient centered care around each
patient’s birth plan. I implemented appropriate infection control precautions, identified cultural needs, documented care,
communicated appropriately with my patients, explained medication, administered medication using the six rights, demonstrated
empathy as well as physical and mental competence, notified safety concerns, identified educational needs with the patients,
provided care in accordance with the Maryland Practice Act and ANA Scope & Standards of Nursing Practice, and adhered to HIPPA
guidelines. I also was able to implement nursing care based on scientific evidence by incorporating evidence based rationales that
supported patient’s plan. Meeting these OB clinical course goals has allowed drastic improvement and development as a student
nurse.

What are your goals for your next clinical rotation?

My next and final clinical rotation will be my nursing practicum. My goal for practicum is to carry over what I have learned from OB
clinical, even if my practicum will not be OB focused. I can take forward new information, skills, and overall confidence, which will
allow me to grow even more in practicum. I am very excited to be paired one on one with a nurse which will allow me to feel more
prepared post-graduation.

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).

Elaina, it was a pleasure to have you in my clinical group. I have seen you progress in your OB and nursing skills in the last 6 weeks.
Specifically, your strengths are:

Organization
Spending time with patients beyond what is required for assessments
Establishing a therapeutic relationship
Adaptable to change
Uses information learned from errors to improve performance
Strives to improve performance

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 242 – Nursing Concepts Clinical 4
SUMMATIVE Student Clinical Performance Evaluation

Maintains a positive attitude and works well with other team members
Gives medications safely and effectively

You are on your way to nursing independence!

Student Signature: Elaina Hilliard Date: 3/11/22

Instructor Signature: Date: 3/14/22

Definitions:
Coaching – Faculty guides student to define objectives, set goals, and develop action plans through collaboration in the decision-making process
Assistance – Student unable to perform task independently; needs some aid or minimal direction from faculty to complete tasks. Not autonomous but does not
require coaching.
Resource - Faculty serves as a facilitator but student is capable of completing self-directed tasks.

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