NURS 3020H Clinical Practice Focused on Acute Care

Midterm Evaluation x Final Evaluation      

Student: Naomi Su

Clinical Instructor: Emily Donaldson

Clinical Placement Hospital: B6 PRHC

Date: February 19 2023

Missed Clinical Hours: 0 Missed CLC Lab Hours: 0

 NURS 3020H Clinical Practice Evaluation
Program Goals
Students graduating from this program will be:
1. Prepared as generalists entering a self-regulating
profession in situations of health and illness.
2. Prepared to work with people of all ages and genders
(individuals, families, groups, communities and
populations) in a variety of settings.
3. Expected to have an enhanced knowledge of the program
foci: indigenous, women's and environmental health and
aging and rural populations.
4. Prepared to learn to continuously use critical and scientific
inquiry and other ways of knowing to develop and apply
nursing knowledge in their practice.
5. Prepared to demonstrate leadership in professional nursing
practice in diverse health care contexts.
6. Prepared to contribute to a culture of safety by
demonstrating safety in their own practice, and by
identifying, and mitigating risk for patients and other
health care providers
7. Able to establish and maintain therapeutic, caring and
culturally safe relationships with clients and health care
team members based upon relational boundaries and
respect.
8. Able to enact advocacy in their work based on the
philosophy of social justice.
9. Able to effectively utilize communications and
informational technologies to improve client outcomes.
10. Prepared to provide nursing care that includes
comprehensive, collaborative assessment, evidence-
informed interventions and outcome measures.
3000 Level Outcomes
On completion of 3000 level courses students will be
able to:
Fully understand how to practice in a self-regulating
profession.
Analyze clinical situations and reflect on individual roles of the
nurse as it impacts upon patients and the nursing profession.
Rationalize the link between health and illness.
Understand the complexity adults, of all genders, to achieve
optimal health.
Use a critical perspective in applying the foci to nursing
knowledge and practice.
Integrate critical reflective evidence-informed care using
multiple ways of knowing.
Develop and embody leadership at the point of care.
Expand awareness of leadership in nursing.
Identify strategies to develop leadership potential.
Anticipate, identify and manage risk situations.
Demonstrate awareness of resources related to risk
management.
Engages in deliberative personal centred relational practice to
assist individuals, families and communities to achieve health.
Acknowledge own potential to contribute to effective
collaborative team function.
Advocate for individuals, families, and communities
recognizing the influence of public policy on health.
Recognize contextual influences on persons lived experiences
within the health care system.
Integrates and applies critical thinking to the use of
information technology and dissemination strategies as related
to clinical outcomes.
Critically assess the individuals, family and community health
status.
Collaborate to identify priority health needs.
Identify evidence informed interventions and health outcome
evaluation in complex care situations.
Before completing the evaluation form, students and preceptors should review the objectives and sub-objectives. While
students and preceptors should comment on each of the seven course objectives, it is not necessary to write comments about
each sub-objective. It is better to provide specific and detailed comments about a few sub-objectives than to write broadly
about many.

Each objective should be awarded one of the following ratings:

Midterm:
Satisfactory Progress (SP): The student consistently demonstrates sufficient knowledge, and skill and ability to safely practice
or achieve the objective with an average level of teaching support and guidance; or the level of performance is what the
instructor would expect of an average student at that level and point in time; and  the instructor reasonably anticipates that if
the student continues at the current pace of practice and achievement, the student should be able to fully meet the objective
at the end of the course. 
 
Needs Development(ND): The student demonstrates sufficient knowledge and ability to safely practice or achieve the
objective,  but requires more teaching support and guidance; or the student demonstrates knowledge but needs more
practice to achieve the competency; or the level of performance is below what the instructor would expect of the average
student at that level and point in time; and the instructor reasonably anticipates that if the student focuses his/her learning in
the required area, and gains sufficient practice, the student has the potential to meet the objective at the end of the course.

Unsatisfactory Progress (UP): The student does not consistently demonstrate sufficient knowledge, or skill, or ability to safely
practice or achieve the objective, even with constant, intensive teaching support and guidance;  or the level of performance is
far below what the instructor would expect of the average student at that level and point in time; and the instructor
reasonably anticipates that if the student continues at the current pace of practice and achievement, the student is not likely
to  meet the objective at the end of the course. 
Final:
Satisfactory (S): The student consistently demonstrates sufficient knowledge, and skill and ability to safely practice or achieve
the objective with an average level of teaching support and guidance; or the level of performance is what the instructor would
expect of an average student at that level.

Unsatisfactory (U): The student does not consistently demonstrate sufficient knowledge, or skill, or ability to safely practice or
achieve expected objectives, even with constant or intensive teaching support and guidance; or the level of performance is far
below what the instructor would expect of the average student at that level.
 NURS 3020H Clinical Practice Evaluation
Course Objective
1. Provide nursing care that includes
comprehensive, collaborative
assessment, analysis, planning, evidence-
informed interventions and outcome measures.
 Interpret critical aspects of the person’s
experience of acute illness in relation to
common signs and symptoms, responses to
treatment, patterns of coping, and impacts on
individual and family relationships
 Demonstrate selected nursing and
collaborative interventions related to caring
for adult patients with acute
illness, preoperative and postoperative
care, IV medication administration, cardiac
assessment and rhythm strips, neurological
assessment, wound care, blood component
therapy, TPN, central venous
devices, pulmonary care including chest
tubes, rapidly changing conditions, and
resuscitation.   Naomi has completed focused head to
  Identify common medical treatments and
potential consequences/complications of
selected acute illnesses   assigned patients daily. Naomi was able
  Demonstrate health promotion and illness
prevention practices.
  Engage with patients and families to identify
health-related situational challenges
 Work with patients and families to create
reasonable and effective solutions.
Progress Midterm Progress Final
 SP  S
 ND  U
 UP
Progress
Evidence/Indicators Evidence/Indicators
Midterm Final
Student: Student:
 I’ve done many head to toe
assessments during my clinical
shifts which involves taking vital
signs, assessing body systems
and critically thinking about the
results.
 I have created 3 nursing care Clinical Instructor:
plans that are thorough and
involve evidence-informed
interventions and outcomes.
 I’ve done wound care for my
patients at clinical and had to
assess the wound as well as chart
it accurately on EPIC.
Clinical Instructor:
toe assessments and vitals on her
to document her assessment accurately
in EPIC.
Naomi completed medication passes
following the 10 rights of medication
administration. She had the opportunity
to administer PO and SQ medications.
Thus far, Naomi has completed dressing
changes following sterile technique,
removed staples, participated in a blood
transfusion and observed drainage of a
pleural effusion through a pleurX.
2. Establish and maintains therapeutic, caring and
culturally safe relationships through effective
communication
 Explain the experience of acute illness in
individuals receiving care in acute setting
 Demonstrate therapeutic use of self
 Understand and anticipate emerging bio-
psycho-social needs of persons with acute
illness and apply this knowledge to care:
o Plan appropriate nursing care
o Predict outcomes of nursing care
o Evaluate client response to nursing
care
o Demonstrate patient advocacy
Progress Midterm Progress Final
 SP  S
 ND  U
 UP
3. Apply the ways of knowing and informational
technologies to effectively care for
diverse, acutely ill patients
 Apply relevant nursing
Student: Student:
 As I am a student, I have the
privilege to take my time with my
assessments and personal care. I
make it a priority to establish a
therapeutic relationship with all
my patients.
 I do purposeful rounding Clinical Instructor:
throughout the shift, checking in
on my patients and their families,
asking if they need the bathroom
or a water, and if I could help
them in any way.
 I’ve taken a patient down to
Tim’s to grab a snack.
 I braided a patient’s hair and
took her down to the gift shop to
buy a book.
Clinical Instructor:
I agree with Naomi’s comments
mentioned above. Naomi develops
therapeutic relationships with her
patients by effective communication and
active listening. Naomi takes the extra
time with her patients to go above and
beyond to make sure their needs are
met. Naomi has completed care plans on
her assigned patients which
demonstrates she can plan, predict and
evaluate her nursing care.
Student: Student:
 One of my patients is diabetic
and had a hypoglycemic episode.
My nurse and I followed the
 hypoglycemic protocol which
models, philosophical frameworks, theories involved giving the patient juice
and evidence  
and crackers, and checking blood
 Adhere to policies and practice of the
institution. sugars every 15 minutes. Then Clinical Instructor:
 Use knowledge gained in theory and labs to we would reassess.
support patient care decisions  I researched IV monographs with
 Uses best practice guidelines my clinical instructor and we
talked about the practice
Progress Midterm Progress Final guidelines.
 During the DKA unfolding case
 SP  S study, I learned a lot about DKA
 ND  U and the nursing role that goes
 UP
with that disease process and
applied it to my practice when I
had a DKA patient during clinical.
This helped me be mindful of
their blood glucose levels, diet,
and aware of DKA symptoms.

4. Adhere to professional practice standards and
organizational polices to contribute to a culture
of safety.
 Critically appraise own practice in relation to
nurse-client/family interactions and as a
member of the health care team
Clinical Instructor:
Naomi always practices within the scope
of a third year nursing student while in
placement. As mentioned, Naomi used
the information used in lab and the
theory courses to recognize when her
patient was having a hypoglycemic
episode and intervene with the primary
nurse in an appropriate manner. Naomi
adheres to the policies of PRHC by
donning and doffing PPE correctly.
Student: Student:
 The hypoglycemic protocol is a
standing order that my patient
had. We had to follow the
hospital’s policy which was
starting with juice and crackers
  Engage with patients in an ethical and and blood sugar checks Q15
culturally safe manner mins. Clinical Instructor:
 Demonstrates accountability
 I was given the opportunity to
 Demonstrates reliability
administer medications at clinical
Progress Midterm Progress Final and I had to follow my
medication checks. I made
 SP  S thorough drug cards and talked
 ND  U about the medication with my
 UP clinical instructor prior to
administering medication. I
checked the medication when
pulling them from the ADU with
the MAR, checked it again before
entering my patient’s room, and
again at the bedside.

Clinical Instructor:
Naomi demonstrates accountability and
reliability by showing up to each clinical
shift 15 minutes early in her Trent
Nursing uniform. As mentioned, Naomi
adhered to professional practice
standards when administering
medications following the 10 rights of
medication administration.
5. Exercise leadership to enhance patient Student: Student:
care, and support professionalism in practice  I helped my peers with showers
and washing their patients. I also
 Participate in professional development helped them get familiar with
based on reflective practice and critical
inquiry   clinical placements as I had prior
 Support peers experience last semester.
 I created a line of communication
Progress Midterm Progress Final between my patient, primary Clinical Instructor:
nurse, clinical instructor, and
 SP  S myself.
 ND  U  I answer call bells even when
 UP they are not my patient’s or my
nurse’s patients.

This section to be filled out by the
student.
Clinical Instructor:
Naomi is a leader amongst her peers.
With her previous clinical and work
experience she was able to support her
peers with basic ADL’s and transfers.
Naomi always takes initiative on the
floor by answering call bells. Naomi
communicates with her primary nurse to
enhance patient care.
Student Areas of Strength Student Areas of Strength
1. I am confident with my skills 1.
with personal care
2.
2. I am confident with my head-
to-toe assessments and getting 3.
vital signs
Student Areas for Future
3. I manage my time well during Development
clinical, rarely being late for
breaks and keeping a schedule 1.
with my tasks
2.
Student Areas for Future
Development 3.

1. I would like to start thinking

more critically while doing my
assessments
 2. I would like to be more
knowledgeable about lab
values and medications

3. I need to communicating
effectively with my nurse and
the doctors – SBARs

Clinical Instructor Summative Comments:

Naomi is exceeding expectations this semester thus far and I encourage her to continue coming to placement prepared and
taking initiative on the floor. I am hoping she will be able to gain more experience with hanging IV fluids and IV medications in
the second half of the semester.

End of Term Clinical Practice Outcome (completed by Clinical Instructor): Satisfactory Unsatisfactory

Clinical Learning Centre

Attended mandatory skills workshops       Attended practice OSCE session      

Total number of unfolding case studies completed in the HUB       / 4

OSCE (S/U):      

Clinical Learning Centre Outcome (completed by Course Lead): Satisfactory Unsatisfactory

Signature of Course Lead: __________________________________Date: _____________________

Signature of Clinical Instructor: Date: March 6, 2023

Signature of Student: ______________________________________Date: March 15, 2023