Self Assessment

2015 - 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 :
Validated hours :

Paige Lacy
Zabrina Chevannes
John Stone
Malton Village
Agency
A10
16-Apr-2015 To 24-Apr-2015
168
168
168

I declare that this is my original work and the sources used are acknowledged.

Abilities and Outcomes / Learning Outcomes

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

Satisfactory

Satisfactory

and procedures.
P.L. : I am responsible and follow the clinical and school policies. I know what I am allowed to do and preform in the clinical settings and I
know the rules.

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

Satisfactory

Satisfactory

P.L. : I act responsible while being in the clinical placement and while dealing with patients and the health care team.

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

Satisfactory

Satisfactory

professionals.
P.L. : I know when I am in need of assistance and when to get help. I also am always trying to determine my strengths and limitations in
the clinical setting and in school.

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

Unsatisfactory

Satisfactory

P.L. : I still need to review some theory to increase my knowledge on some rationales and the reasoning why to who certain procedures.
For example, I need to review medications so that I know all of the information before going into the clinical setting.

1. 5 Ensure client safety and a safe environment.

Satisfactory

Satisfactory

P.L. : I always ensure the client is in a safe environment when I am in the room and that they are safe. For example, whenever I enter a
patients room I scan the room for any potentially unsafe objects and I also ask the patient if they are okay and if they need anything.

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

Satisfactory

Satisfactory

P.L. : Whenever I am unsure I make sure to ask a person on the health care team or my clinical teacher whenever I am uncertain or do not
understand a certain thing. For example, when distributing the diapers at the beginning of the shift and I don't know which size a certain
patient needs in their bedroom I ensure that I find someone who is familiar with that patient so I give them the correct size of diaper.

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

Satisfactory

Satisfactory

P.L. : I am able to identify unsafe situations within the clinical setting and seek the proper assistance. For example, during dinner two
residents were fighting at the dinner table I was able to stop the situation before it became unsafe for the other residents and once the
situation was resolved I reported the incident to the RN to be safe.

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

Satisfactory

Satisfactory

P.L. : I demonstrate the proper understanding of my role as a student nurse and I ensure I know my roles and responsibilities in the
clinical setting.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
student adheres the policies of the facility. student is professional at all times. student asks relevant questions during clinical and also
takes the initiative to look up information before asking for help.

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions.

Satisfactory

Satisfactory

P.L. : I am always participating in team sharing and discussions. For example, during our daily reflections I always share my stories from
the shift I just worked and when someone asks questions I am sure to put my opinion in.

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

Satisfactory

Satisfactory

methods.
P.L. : I could use some extra practice documenting but I have been practicing and getting better. For example, I practice DAR notes when
on down time.

2. 3 Report relevant information to the appropriate personnel.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

P.L. : When a situation has occurred I have reported it to the correct health care professional.

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

P.L. : When communicating with the patient I am able to use the communication techniques I have learned throughout semester one and
two.

2. 5 Maintain privacy and confidentiality according to the Personal Health Information

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Protection Act (PHIPA)

P.L. : I know how to maintain privacy and confidentiality in the clinical setting.

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

P.L. : When unsure of something in the clinical setting I use the internet to research information I and not sure about.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

student reports relevant information to the proper health care team member. student documents correctly. student maintain the privacy of
the client.

3. CARING RELATIONAL PRACTICE

3. 1 Utilize effective communication techniques.

Satisfactory

Satisfactory

P.L. : I practice and use proper communication techniques in the clinical setting that I have been taught.

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

Satisfactory

Satisfactory

clients and health care team members.

P.L. : I demonstrate therapeutic caring and culturally safe relationships with patients and the health care team member. I use my
knowledge from semester one and two to know the proper therapeutic relationship.

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

Satisfactory

Satisfactory

P.L. : I apply my knowledge of therapeutic self and identity in the clinical setting from the education in semester one and two.

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

Satisfactory

Satisfactory

have on relational practice.

P.L. : I use the proper therapeutic relationship with clients when dealing with beliefs, values and personal experiences.

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

Satisfactory

Satisfactory

appropriately.
P.L. : In the clinical setting I interact with patients and members of the health care team. For example, at the beginning of the shift I make
sure I go around and say hi to every resident on my floor to see how they are doing and if they need anything at that moment.

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

inter-professional health care team.

P.L. : I am educated in different cultures to ensure I know a patients beliefs in the clinical setting.

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

P.L. : I know different cultures have different beliefs and decisions. I am supporting and knowledgeable of their choices within the clinical
setting.

3. 8 Provide effective client education.

Satisfactory

Satisfactory

P.L. : I have not demonstrated client education in the clinical setting before but I have reviewed my notes from school so I will be able to
provide education when the time comes.

Teacher comments for CARING RELATIONAL PRACTICE :

student is caring and compassionate to clients. student communicates well with clients. student makes clients needs the priority.

4. LEADERSHIP AND ADVOCACY

4. 1 Recognize conflicts and strategies for resolution.

Satisfactory

Satisfactory

P.L. : I am able to recognize conflicts within the clinical setting and resolve them. For example, I was able to separate two residents that
were fighting within the clinical setting. I was able to calm them down and resolve their problems.

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

Unsatisfactory

Satisfactory

P.L. : I need to improve my leadership skills in group work but I am able to provide a positive learning environment in the clinical setting.

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

Satisfactory

Satisfactory

advocating for client, self, others, and quality practice.

P.L. : I am able to identify opportunities to improve health care service and nursing interventions. For example, Health care team should
include all patients in activities or get them out of their bedrooms. They could let them walk around or watch tv in the tv room with the
other residents.

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

Satisfactory

Satisfactory

professional health care team.

P.L. : I am able to provide feedback to my peer and I enjoy getting feedback form my peers as well.

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

Satisfactory

Satisfactory

P.L. : I support the patients rights and choices in the clinical setting. For example, I listen to the way a patient chooses to each their dinner
and what they need/want to be done after dinner.

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

Satisfactory

Satisfactory

P.L. : I have not been in a situation where it has been unsafe or unprofessional while being in the clinical setting.

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

Satisfactory

Satisfactory

the best interests of the public and protect the public through collaboration and consultation.
P.L. : I am able to ask for help and work together with my peers, nurse and PSW's.

Teacher comments for LEADERSHIP AND ADVOCACY :

student communicates well with in the group. student does take the lead in discussions. student provide feedback and listens to feedback.

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

Satisfactory

Satisfactory

care.
P.L. : I listen to the needs based on individual patient including their diets depending on restrictions and making a care plan based on their
needs.

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

Unsatisfactory

Satisfactory

articulated competently in writing and orally.

P.L. : I was successful completing theory based care plans while in the clinical setting. I just need to improve on my step 2 in the care
plans.

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

Satisfactory

Satisfactory

P.L. : I am able to use my knowledge from semester one and semester two to assess my patients. For example, would be when my clinical
teacher asks what the priority is for a certain patient.

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

Satisfactory

Satisfactory

P.L. : I review theory to help me assess a patient by searching the patients diagnosis to know the signs and symptoms as well as what I'm
supposed to look for in that patient. I used theory based information from my textbook.

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

Satisfactory

Satisfactory

theory-based and within skill abilities.

P.L. : I review text before and during clinical when I am not 100% when I am not sure on a specific assessment or situation. When I am
unsure I also ask a lot of questions.

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

Satisfactory

Satisfactory

P.L. : I use the nursing process (ADPIE) when making decisions to know what needs to be focused on.

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

Satisfactory

Satisfactory

timely manner.
P.L. : I finish my nursing care responsibilities on time and organized when asked to perform care for a patient.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
care plans were thorough. student had a good understanding of assessments and the step two. continue reviewing theory about
assessments and interventions specific to different diagnosis.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

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

Satisfactory

Satisfactory

clients, determine health needs, and to achieve mutually agreed expected outcomes.
P.L. : I work with the patient and the health care team when assessing the patient to determine the needs of the individual.

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

Satisfactory

Satisfactory

changing needs and expected outcomes of clients.

P.L. : I contribute in the health care team and are updated on the changes with patients and the expected outcomes by the changes while
in the clinical placement

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

Satisfactory

Satisfactory

P.L. : I ask for assistance when I am unsure by the health care team and my clinical teacher.

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

Satisfactory

Satisfactory

Unsatisfactory

Satisfactory

P.L. : I use team work and conflict resolution in the clinical placement.

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

P.L. : I need to improve my skills of describing strategies to meet the patients needs in the clinical setting.

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

competencies.
P.L. : I interact with the health care team and I respect their roles in the clinical setting.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

student worked well with the 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 consultation with members of the inter-professional health care team and through
competent and safe practice.

P.L. : I ask questions for help in the best interest of my patients to not cause harm and to ensure my practices are safe for the patient in
the clinical setting.

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

Satisfactory

Satisfactory

P.L. : We self reflect everyday during clinical by interacting with my peers and doing peer feedback everyday.

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

program (CNO).
P.L. : We have completed learning plans in the clinical setting and have reflected on them.

7. 4 Seek out learning opportunities and feedback that foster professional development; and,
integrate these into practice.
P.L. : I always seek out learning opportunities and feedback while being in the clinical setting.

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

P.L. : I use nursing and theory based knowledge to improve my nursing practice in the clinical setting.

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

Unsatisfactory

Satisfactory

P.L. : I need to improve my theory based knowledge but have been approving over the semester and will continue to review.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

student completed the learning plan. peer review and self review were also completed.

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

Satisfactory

P.L. : I use ADPIE when problem solving and decision making for nursing care in the clinical setting.

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

Satisfactory

Satisfactory

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

P.L. : I use problem solving and decision making skills when creating my care plan for individual patients in the clinical setting.

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

skills.
P.L. : I use self reflection to improve my problem solving and decision making skills.

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

P.L. : I review all material from class into my nursing practice to provide safe care and to better myself as a nurse.

8. 5 Use prioritization strategies for client care.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

P.L. : I prioritize according to my patients needs in the clinical setting.

8. 6 Demonstrate professionalism and accountability.

P.L. : I always demonstrate professionalism in the clinical setting.

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

P.L. : I know my strengths and limitations and I strive to improve them while in the clinical setting and I always seek assistance when
needed to help improve my skills.

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY :
student does have satisfactory critical thinking skills. student knows how to prioritize her care. continue to review theory.

Student Final Summary with Strategies for Continued Growth

I will be sure to review my theory based information over the summer months to improve my nursing skills ready for semester 3.

Teacher Final Summary with Strategies for Continued Growth

continue to review theory about assessments and practice the nursing skills.

Student's References
I enjoyed this semester. I feel like me as an individual I could have learned more while in the clinical placement but with many limitations I have
learned what I was able to learn. I am excited to see what next semester brings.

Grade

Satisfactory

Unsatisfactory

Referred to Clinical Excellence Committee (CEC)

Grade

Satisfactory

Program Coordinator Feedback

The Program Coordinator has reviewed the evaluation

Yes

No

Student Sign Off

I met with my Clinical Teacher/Preceptor and discussed my evaluation

Yes

No

In general this evaluation accurately reflects my performance

Yes

No