RAMPURHAT NURSING INSTITUTION

KRISHNA NAGAR, WEST BENGAL

ADULT HEALTH NURSING I
EVALUATION PROFORMA OF CLINICAL PRESENTATION FOR
B.Sc., (N) STUDENTS

Sl.No. EVALUATION CRITERIA MARKS MARKS REMARKS

ALLOTTED OBTAINED
I. PLAN:
1. Central and contributory objective :
2. Content adequacy and its relevancy :
3. Organization of content and legibility :
4. Resources used (Adequate Books & :
Journals

II. SELECTION OF PATIENT:

1. Appropriate selection of patient related :
to subject
2. Clinical Manifestation present in the :
Selected person

III. PRESENTATION
1. Appearance

2. Introduction (relevant, motivating and :

interesting

3. Personal information of the patient :

Name,Age,Sex, Occupation, Income,
Marital Status, Address etc.

4. History of the patient Family History :

Family Health History, Patient Past
History, Patient Present History.

5. Reason for Present Admission :

6. Diagnosis and its interpretation :

7. Coverage of Specific Area like :

a. Causes/Predisposing factors
b. Clinical Manifestations
c. Pathophysiology
d. Investigations
e. Management in all aspect and its
Correlation with the books.
8. Nursing Process
a. Assessment :
1. Subjective date
2. Objective date
b. Making appropriate Nursing :
diagnosis
 c. Objective :

Sl.No. EVALUATION CRITERIA MARKS MARKS REMARKS

ALLOTTED OBTAINED
d. Complete Nursing Care plan :
e. Rationale :
f. Implementation and evaluation :

9. Knowledge regarding the topic :

10. Confidence in Presentation :

IV. COVERAGE OF PRESENTATION :

1. Completed in time/before time/after. :

2. Reservation of time for discussion :

3. Acknowledgement of discussion :
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A.V.AIDS

a. Visibility

b. Appropriateness according to topic :

c. Skill in use :

d. Principles observed in preparation :

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Total Makrs :

SIGNATURE OF THE EVALUATOR