You are on page 1of 3

Clinical Evaluation Tool

Evaluator: Vargis, Shijimol (svargis@usf.edu) Completed Date:04/19/2023


Evaluatee: Espinola, Caton(espinolac@usf.edu) Rotation:

5-Outstanding: Exceeds Standards


Exhibits above average performance of nursing care for this level student. The student is proactive, self-directed, and consistently engaged in
learning; needs minimal guidance; is knowledgeable; and appropriately incorporates knowledge with skills. Student is proactive and
self-directed in approach to learning.

4-Satisfactory: Meets Standards


Exhibits average performance of nursing care for this level student. Functions with minimum guidance. Demonstrates adequate knowledge and
requires minimum assistance in applying knowledge to skills. Recognizes learning opportunities but may require assistance in utilizing them.

3-Minimal
Exhibits minimal performance of nursing care for this level student. Functions safely with moderate guidance. Demonstrates minimal knowledge
and requires moderate assistance in applying knowledge to skills. Requires some direction in recognizing and utilizing learning opportunities.
Often focuses on the task or own behavior, not on the patient.

2-Unsatisfactory
Requires intense guidance for the performance of activities at a safe level. Clinical performance reflects difficulty in the provision of nursing
care. Demonstrates gaps in necessary knowledge and requires frequent or almost constant assistance in applying knowledge to skills. Requires
frequent and detailed instructions regarding learning opportunities. Focuses primarily on the task or own behavior, not on the patient.

1-Unsafe to Practice
Is unsafe to practice without constant, intense guidance. Frequently lacks necessary knowledge and skills and unable to integrate these into
practice. Requires constant detailed instructions regarding learning opportunities and is often unable to utilize them. Attempts activity or
behavior, yet is unable to complete. Focuses entirely on the task or own behavior, not the patient.
Course

Answer: NUR 4227L COMPLEX HEALTH NURSING II CLINICAL

Semester

Answer: Summer

Year

2023

Select Evaluation Type

Answer: Summative

Standard 1: Patient-Centered Care


1. Performs a comprehensive assessment including patient values, preferences, and needs.
2. Develops an individualized plan of care with a focus on the nursing process.
3. Provides care with sensitivity and respect for the diversity of the human experience.
4. Delivers care based on knowledge of pathophysiology and pharmacotherapy.
5. Identifies potential barriers to active involvement of patients in their own health care process.

Answer: 5 Outstanding: Exceeds Standards (Comment Required)

Caton performs excellent comprehensive assessment. He develops an individualized plan of care with intervention for each patient. Apply
knowledge in patient care based on disease specific pathophysiology and pharmacotherapy. He involves patient and their family in the
caring process.

Page 1 of 3
Clinical Evaluation Tool
Standard 2: Teamwork and Collaboration
1. Demonstrates awareness of own strengths and limitations as a team member.
2. Initiates requests for help from other team members as appropriate.
3. Communicates effectively with patients, family members, and other members of the healthcare team.
4. Identifies potential complications related to handoffs or transitions of care.

Answer: 5 Outstanding: Exceeds Standards (Comment Required)

Caton performs excellent teamwork and collaboration within his limits. He helps the teammates and ask for help when situation warranted.
Great communication among multidisciplinary team members.
Standard 3: Evidence-Based Practice and Quality Improvement
1. Utilizes evidence-based literature to support clinical decision making as demonstrated in written clinical assignments.
2. Differentiates clinical opinion from evidence-based practice to determine best clinical practice.
3. Promotes and practices quality, cost-effective delivery of care.
4. Identifies potential areas for quality improvement in the clinical setting.
5. Participates in measures to improve patient outcomes as appropriate.

Answer: 5 Outstanding: Exceeds Standards (Comment Required)

Caton utilizes evidence-based literature to support clinical decision making. He does differentiate clinical opinion from evidence-based
practice to determine best clinical practice. He does promote and practices quality, cost-effective delivery of care. Participate in improving
quality of patient care.
Standard 4: Safety
1. Identifies strategies to reduce the risk of harm or poor patient outcomes in the delivery of care.
2. Delivers medication (as appropriate) in a timely and safe manner including understanding the specific indications for the medication
and potential side effects.
3. Communicates effectively between team members or to clinical faculty when giving patient report.
4. Uses appropriate resources to improve organization and/or time management.

Answer: 5 Outstanding: Exceeds Standards (Comment Required)

Caton identifies strategies to reduce the risk of harm in the delivery of care. He delivers medication in a timely and safe manner by
knowing the indications and potential side effects. Effective communication between team members or to clinical faculty when giving
patient report. He does uses appropriate resources to improve organization and time management.
Standard 5: Informatics
1. Navigates the electronic health record where appropriate.
2. Documents clearly, concisely, and accurately in the electronic medical record where appropriate.
3. Protects confidentiality of all protected health information.

Answer: 4 Satisfactory: Meets Standards

Caton protects patient health information's and knows navigating the chart to find patient information's.

Standard 6: Professionalism
1. Demonstrates core professional values (caring, altruism, autonomy, integrity, human dignity, and social justice).
2. Maintains professional behavior and appearance.
3. Demonstrates expected behaviors and completes tasks in a timely manner.
4. Engages in self-evaluation and assumes responsibility for learning.
5. Arrives to clinical setting on time.
6. Demonstrates evidence of preparation for clinical learning experiences.
7. Maintains a positive attitude while interacting with patients, family members, faculty, peers, or members of the healthcare team.
8. Accepts individual responsibility for actions.

Answer: 5 Outstanding: Exceeds Standards (Comment Required)

Caton demonstrates professional behavior and appearance at clinical. He maintains and demonstrates expected behaviors and completes
tasks in a timely manner. He does engage in self-evaluation and assumes responsibility for learning. He arrives to clinicals on time. He
Maintains a positive attitude while interacting with patients, family members, faculty, peers, or members of the healthcare team.

Page 2 of 3
Clinical Evaluation Tool
Comments: Caton is proactive, self-directed, and consistently engaged in learning; needs minimal guidance; is knowledgeable; and
appropriately incorporates knowledge with skills. He integrates evidence-based practices in patient care. Great communication
skills, excellent team player and stays above and beyond for patient care. Always available to the patient and to the staff, spend
time with patient, responds for call bell, behave very well with the team. Caton always ask questions and willing to learn new task.

Espinola, Caton reviewed the above evaluation on 4/19/2023 6:51:00AM.

Page 3 of 3

You might also like