TEERTHANKER PARSHVNATH SCHOOL OF NURSING

NURSING CARE PLAN

NAME OF THE STUDENT:
DATE:
FIELD PLACEMENT:
S.NO CRITERIA MARKS MARKS
ALLOTED OBTAINED
1. History collection 5
2. Physical examination 4
3. Investigations 4
4. Medication 4
5. Identified patient 3
problems and needs
6. Assessment of subjective 3
data and objective data 3
7. Nursing diagnosis and 5
goals
8. Nursing intervention 6
9. Implementation of care 6
10. Evaluation 3
11. Health education 4
Total 50
 EVALUATION CRITERIA FOR NURSING CASE
PRESENTATION
Maximum marks: 100
S. No. Content Maximum Marks obtained
Marks
1. Physical arrangement 05
2. Assessment 10
3. Co-relation with patient 10
and book
4. Management – nursing, 10
medical & surgical
5. Drug study 06
6. Nursing care plan 20
7. Nurses notes 05
8. Health education 05
9. A.V aids 05
10. Time management 04
11. Group participation 10
12. Effectiveness /style of 05
presentation
13. References 05
Total 100
 TEERTHANKER MAHAVEER COLLEGE OF NURSING,
MORADABAD
DEPARTMENT OF MIDWIEFRY AND OBSTETRIC NURSING
HEALTH TALK EVALUATION FORM
Date:……………
Max. Marks: 100
Name of the student :………………………………………………………………
Language :………………………………………………………………
Topic allotted by supervisor/Teacher :………………………………………………………………
Selected by the student
Audience/Group :………………………………………………………………
Ward / Field :………………………………………………………………
Name of the supervisor / teacher :………………………………………………………………
PLANNING Yes No
(5 marks) (0 marks)
1. Has she/he submitted plan in time?
2. Has show shown initiative and interest?
SUBJECT
3. Does she/he select a proper topic/sub topic?
4. Is the matter adequate?
5. Is the matter relevant to the group?
6. Is the knowledge up to date?
7. Is the matter reliable?
PRESENTATION
8. Is the introduction of the health talk interesting?
9. Is the method adopted by the student appropriate?
10. Does she communicate the idea correctly?
11. Is the language used appreciable?
12. Is the speech and manners satisfactory?
13. Is she effective as a health educator?
14. Is the conclusion of the health talk adequate?
PARTICIPATION AND RESPONSE
15. Is the response of the participants/group is positive?
16. Does she/he involve participants/group?
17. Is the doubts of the participants/group is cleared?
VISUAL AIDS
18. Are the effectively prepared by applying principles?
(planning, simplicity, clarity)
19. Has she/he used visual aids correctly?
(placement, handling, explanation)
20. Has she/he used visual aids at the right time?

Total marks obtained:

Remarks:…………………………………………………………………………………………………
……………………………………………………………………………………………………………

Signature of the student Signature of the Supervisor/CI

___________________ ________________________