Self Assessment

2014 - 2015 - Final NURS-151 Course Learning Outcomes

NURS 151 Practical Nursing Practice 2(PN,13-Jan-2015-30-Jun-2015)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Period :
Student hours :
Required hours :

Derek A. Smits
Neemera Jamani
John Stone
Sunnybrook - Veterans
Agency
K3E
20-Apr-2015
168
168

To 02-May-2015

Student Rating

Teacher Rating

1. COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL

FRAMEWORK
1. 1 Comply with regulatory standards, relevant legislation and the practice settings policies and

Satisfactory

procedures.
D.A.S. : I believe that i do comply with regulatory standards , an example would be when there has to be a registered nurse in the room for a student
nurse to be feeding a resident. That is also sunny brook veterans policy. As well as having a registered nurse in the room when we are using the
hoyer mechanical lift for the resident, it always has to be a registered nurse using the hoyer lift for transferring the patient from bed to chair.

1. 2 Act in a responsible, ethical and accountable manner.

Satisfactory

D.A.S. : I do this by holding myself accountable for my actions in the clinical setting. Nothing has gone wrong, but obviously if something ever did, it
would be of my professional behaviour to hold myself accountable for such actions.

1. 3 Determine strengths and limitations and when to consult and seek assistance from other

Satisfactory

professionals.
D.A.S. : I believe that i already do this, in the beginning of the semester i did not really have any strengths but now i feel confident with handling two
patients, and feel really confident with providing the AM care, and administering medications. I now only really seek assistance from other
professionals when i need help with the transferring, or if i am really unsure on how to do something.

1. 4 Use evidence informed practice and a theory-based approach to care.

Satisfactory

D.A.S. : I believe i have started to used more of my theory-based approach to care from my theory classes. I would not perform an assessment on an
patient unless i knew the reasons for doing such an assessment.

1. 5 Ensure client safety and a safe environment.

Satisfactory

D.A.S. : I always ensure client safety and a safe environment by always making sure that the bed rails are put back up after i am done at the bed
side. I make sure to always ensure safe feeding practice. Encourage swallowing of food, eating, and drinking fluids. I always make sure that the
patients seat belt is on when in the chair and that their bed alarm is attached.

1. 6 Ask relevant questions to clarify understanding of the plan of care and whenever uncertain.

Satisfactory

D.A.S. : I have no problem doing this, I may ask Neemara or ask the primary nurse for that specific patient. I always look at the patient's care plan, so
it provides an accurate image in my head of what to do for the patient. I always ask the nurses when i am uncertain, or look at the care plan of the
patient.

1. 7 Identify ethical and unsafe situations and seek appropriate assistance to resolve these.

Satisfactory

D.A.S. : I believe i do this , during clinical on the second last week, i walked by a patients room and noticed that she was sleeping without her bed
rails up. I immediately went and put the bed rails up in the room because she was on the edge, and than i asked Neemara about it, and we asked one
of the primary nurses and she said that the patient puts her self to sleep and only needs 1 side rail up. It explained a lot because i thought that a nurse
put the patient to bed and forgot about the side rails.

1. 8 Demonstrate understanding about the role of the student nurse.

Satisfactory

D.A.S. : I do understand my role of the student nurse, when i first started at sunny brook veterans i was unsure, but it has been a great learning
experience and every week i have attended clinical i have got stronger in my nursing student skills, and more confident with providing care to
residents and administering medications.

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions.

Satisfactory

D.A.S. : As a nursing student team we all participate in sharing our experiences and discussions during breaks, and lunch, and also when we have
post conferences and Neemara asks us all individually how our day was.

2. 2 Document clearly, accurately, concisely in a timely manner using written and electronic methods.

Satisfactory

D.A.S. : Yes i do this by using the POC at sunny brook veterans. They actually made it very easy to document, and i always document everything i
do for a patient after i provide the care.

2. 3 Report relevant information to the appropriate personnel.

Satisfactory

D.A.S. : If i notice some abnormal behaviour in a resident that i am taking care of than i will report it to the primary nurse and they will tell me if we
should write a progress note or not. Typically they will write a progress note about a patient who has abnormal behaviour or does something
abnormal.

2. 4 Utilize communication techniques with the client and inter-professional health care team.

Satisfactory

D.A.S. : I use several communication techniques when working with the patients of K3E because they all have dementia. I find that it is good to talk
to them on their level and not over them, and to always agree with whatever they see even though they may be defiant at times. Also, talking in front
of them to their face instead of directly above them or behind them. I also, relay all this information to the inter professional health care team.

2. 5 Maintain privacy and confidentiality according to the Personal Health Information Protection Act
(PHIPA)

Satisfactory

D.A.S. : I always maintain privacy and confidentiality of every patient and sunny brook veterans.

2. 6 Use technology to retrieve information including research, data and other information.

Satisfactory

D.A.S. : I use my online textbooks when i need to find information about a specific drug that i am administering to a resident. Also, i retrieve
information from the college of nurses.

3. CARING RELATIONAL PRACTICE

3. 1 Utilize effective communication techniques.

Satisfactory

D.A.S. : Yes, i believe that i have utilize effective communication techniques, i always relay information to the nurses and i know how to communicate
with various types of residents. I never knew how to communicate with an individual who was blind, but now i know how.

3. 2 Demonstrate therapeutic caring, compassionate, and culturally safe relationships with clients

Satisfactory

and health care team members.

D.A.S. : I believe that i also demonstrate a therapeutic caring and compassionate relationships with the clients of sunny brook veterans. I also enjoy
talking to every patient there, they are all so unique and i love hearing about their past life and getting them to reminisce.

3. 3 Apply knowledge of therapeutic use of self and identify its effect on client well-being.

Satisfactory

D.A.S. : I apply knowledge of therapeutic use of self and identity by getting the client to reminisce about their past life and encouraging to talk to them
about themselves and their past

3. 4 Use self-awareness to identify the effects that beliefs, values, and personal experiences have on

Satisfactory

relational practice.
D.A.S. : Many different nurses and even student nurses may have different beliefs and values and personal exeperiences that may impact their
nursing practice, but i do not let mine get in the way of the objective of the client. Which is providing a caring approach to their care.

3. 5 Interact with clients and members of the inter-professional health care team; and, consult

Satisfactory

appropriately.
D.A.S. : The best part about clinical is being able to interact with each client, and helping the nurses of the inter professional health care team. I have
learned so much about each client and about some of the nurses in K3E.

3. 6 Apply knowledge of practices and systems that support the diversity of clients and the inter-

Unsatisfactory

professional health care team.

D.A.S. : I do not know what this really meanss

3. 7 Apply knowledge of clients cultural, religious, and other beliefs and values as these influence

Satisfactory

clients choices and decisions.

D.A.S. : I believe that i have done this because i have had a few female clients that do not like male nurses caring for them, so i had to let my female
colleagues care for them. Also, one of the patients at K3E have religious beliefs that basically mean she can't receive any medications from them
receive transfused blood and does not want male nurses caring for the client.

3. 8 Provide effective client education.

Satisfactory

D.A.S. : I always provide effective client education by encouraging the client and explaining to them about the care that i am providing if they ask
questions about it. Sometimes they ask why do i need a shower and i educate them on what a shower does for their body.

4. LEADERSHIP AND ADVOCACY

4. 1 Recognize conflicts and strategies for resolution.

Satisfactory

D.A.S. : I think that i have worked on this since the midterm evaluation. When i recognize conflicts, i resolve it in a polite and calm manner.

4. 2 Demonstrate leadership skills that foster group work and a positive learning environment.

Satisfactory

D.A.S. : I believe that i have demonstrated leadership skills that foster group work by helping one another, and i believe that it has always been a
positive learning environment

4. 3 Identify opportunities to improve health care service and nursing interventions by advocating for

Satisfactory

client, self, others, and quality practice.

D.A.S. : There have been several opportunities to improve health care service by advocating for clients, for example the one nurse that was last on
shift for a patiient forgot to order more oral suspension medication for a client , so myself and my clinical instructor filled out the pharmacy form to get
more for the patient.

4. 4 Provide feedback to peers and accept feedback from peers and members of the inter-

Satisfactory

professional health care team.

D.A.S. : My nursing student team and I always provide feedback to each other on our nursing practices. It actually helps a lot when a colleague
notices something that we can improve on.

4. 5 Support clients rights for self-determination and choice.

Satisfactory

D.A.S. : The one time i had a patient refuse their medication, so i told the primary nurse and my clinical instructor and i supported the clients rights for
refusing the medication and their own personal choice

4. 6 Respond appropriately to unsafe, unacceptable, and unprofessional behaviours.

Satisfactory

D.A.S. : I respond appropriately to unsafe and unprofessional behaviours but i also act in a professional behaviour while i attend clinical.

4. 7 Consult and collaborate when carrying out health care and nursing practices that are in the best

Satisfactory

interests of the public and protect the public through collaboration and consultation.
D.A.S. : I do this by always washing my hands before providing care, and after providing the care, this carrying out an effective nursing practice in
best interests of the public by infection control, and if a client is in isolation, i always wear the proper material for precaution.

5. PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED

OUTCOMES
5. 1 Incorporate the unique needs and expected outcomes into individual clients plans of care.

Satisfactory

D.A.S. : I always do this by looking at the care plan of the specific patient and use that for their care.

5. 2 Develop theory-based plans of care that are holistic and client centered and are articulated

Unsatisfactory

competently in writing and orally.

D.A.S. : I need more clarification on what this means

5. 3 Use knowledge, skill and judgment to assess clients, prioritize needs and outcomes.

Satisfactory

D.A.S. : I have used my knowledge to assess the clients needs and outcomes, by following their care plan and determining what they need so they
have the best outcome of care possible.

5. 4 Provide information that contributes to the evaluation and refinement of plans of care.

Satisfactory

D.A.S. : Yes i have done this by telling the primary nurse that they had the wrong information on the care plan for something to use, so than we fixed
it.

5. 5 Safely and competently carry out nursing assessments and nursing interventions that are theory-

Unsatisfactory

based and within skill abilities.

D.A.S. : We did not really get the opportunity to carry our nursing assessments.

5. 6 Carry out nursing care that reflects the practice decision-making framework.

Satisfactory

D.A.S. : I have done this by alway assessing my decisions before i act on them.

5. 7 Complete nursing care responsibilities and nursing interventions in an organized and timely

Satisfactory

manner.
D.A.S. : At first when we started i was not doing my nursing care in a organized and timely manner, but as the weeks progress, i feel more confident
in completing my nursing care in a responsible time and organized manner. For example, by obtaining all the supplies i need prior to going into the
room and starting my care.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

6. 1 Work with clients and members of the inter-professional health care team to assess clients,

Unsatisfactory

determine health needs, and to achieve mutually agreed expected outcomes.

D.A.S. : We have not had the opportunity to do this.

6. 2 Contribute as a member of the inter-professional health care team to respond to the changing

Satisfactory

needs and expected outcomes of clients.

D.A.S. : Yes, i believe that i have done this.

6. 3 Seek out assistance and consult with members of the inter-professional health care team.

Satisfactory

D.A.S. : I have continued to do this if i do not feel comfortable in an area that i am caring for the patient in. But other than that, i know when to seek
assistance if i am going to have trouble. It is better to have assistance than to be struggling by myself.

6. 4 Use teamwork, consensus building, and conflict resolution skills.

Satisfactory

D.A.S. : We continue to use team work among ourselves as nursing students. My colleagues have had some troubles with their patients, and if i am
not busy caring for my patient at that time when they are having trouble, than i have no problem helping them with their patients if they need the help

6. 5 Describe effective, collaborative, and consultative strategies to meet clients needs within a

Unsatisfactory

changing environment.
D.A.S. : I do not know what this really means, i need more clarification on this.

6. 6 Interact with members of the health care team respecting their unique role and competencies.

Satisfactory

D.A.S. : Yes i have done this. I have not over stepped by boundaries as a nursing student and i respect each member of the health care professional
team.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

7. 1 Act in the best interests of clients and protect clients from harm through collaboration and

Satisfactory

consultation with members of the inter-professional health care team and through competent and safe
practice.
D.A.S. : I have been acting in the best interested of the clients and protecting the clients from harm by advocating for them.

7. 2 Participate in self-reflection to identify strengths, areas for improvement.

Satisfactory

D.A.S. : I feel like i self reflect every week after clinical on thursdays. I find that my strengths are through communication and starting to get the
handle of the flow of AM care, but i find my weaknesses are still getting the patients dressed on my own. For future weeks, my goal is to do the
dressing of a patient all on my own.

7. 3 Create, implement, and evaluate a learning plan consistent with the Quality Assurance program

Unsatisfactory

(CNO).
D.A.S. : We have not done that this semester.

7. 4 Seek out learning opportunities and feedback that foster professional development; and,

Satisfactory

integrate these into practice.

D.A.S. : I find that this is what clinical is all about . The learning opportunities. So far, i have learned a lot from just attending clinical. For example, I
learned how to bathe a patient, and how to administer medications. Administering medications is my favourite part and makes me feel more
professional as a student nurse.

7. 5 Utilize nursing, health and other theory and literature to improve nursing practice.

Satisfactory

D.A.S. : I have been doing this by providing the knowledge that i have obtained from the nursing theory class to my nursing practice, which it actually
helps a lot.

7. 6 Use a theory-based approach and evidence-informed practice.

D.A.S. : I need more clarification on this.

Unsatisfactory

8. USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY

8. 1 Utilize problem-solving skills to inform decision making in all aspects of nursing care.

Satisfactory

D.A.S. : I have done this by doing vital signs on my patients and if they complain of pain i proceed to look deeper into the problem.

8. 2 Use problem-solving and decision-making skills to assess clients and to determine nursing

Unsatisfactory

diagnoses, expected outcomes, nursing interventions, and evaluative criteria.

D.A.S. : I do not think that we have done this.

8. 3 Use self-reflection to design a plan to improve problem-solving and decision-making skills.

Unsatisfactory

D.A.S. : I do not think that we have done this.

8. 4 Utilize knowledge from variety of nursing, health, and other theory into nursing practice to

Satisfactory

provide safe and competent care.

D.A.S. : I have done this by using the information i already know about health and nursing prior to wha ti know from my nursing courses in this
program. Overall, i want to ensure the safeness of my patients.

Satisfactory

8. 5 Use prioritization strategies for client care.

D.A.S. : At the start of the semester i did not really know how to prioritize my time and organize my utilities that i would use while providing care. Now
i feel more confident in prioritizing my time and organizing my care for that patient.

Satisfactory

8. 6 Demonstrate professionalism and accountability.

D.A.S. : I am always maintaining a professional attitude towards my patients and other members of the inter professional health care team. I will
always be accountable for what do. I need to also advocate for a patient when necessary as well.

8. 6 Recognize strengths and limitations and seek appropriate assistance and support.

Satisfactory

D.A.S. : I recognize my strengths, and i believe that i have got a lot more stronger than when we first started in the clinical setting. I am now confident
with the AM care that includes bathing the patient, dressing, oral care, transferring, changing briefs, feeding, and administering medications. I always
seek assistance and support when i am unsure about something or if i do not know how to provide the care.

Student Final Summary with Strategies for Continued Growth

Overall, i have learned a lot from my clinical experience at sunny brook veterans. It has been a great learning experience and a great environment for
first nursing student to patient contact. I believe that the knowledge and skills i have gained from attending clinical at sunny brook veterans will stay
with me for my future nursing practices. My final learning strategies would be to still learn how to prioritize my time in a more efficient way and
organize my tools better. But as each week went by in clinical i felt like my skills have got a lot more stronger, and i feel more confident in providing
care to patients as a student nurse. Every nurse at sunny brook veterans has shown me a lot on how to care for patients, i am very thankful for this
experience. It has been a fulfilling an rewarding experience attending clinical at sunny brook veterans.

Submitted Date: 20-Apr-2015 17:46