Self Assessment

2015 - 2015 - Final NURS - 208 Course Learning Outcomes (201509)

NUR 208 Practical Nursing Practice 4 (PN, 06-Sep-2015 - 31-Dec-2015)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Period :
Student hours :
Required Hours :
Validated hours :

Hoa My Tang

Sunnybrook Veterans Centre

Agency
K3E
06-Sep-2015 To 31-Dec-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.
H.M.T. : Before any procedure, I need to understand the policies from the practice setting, nursing legislation and practice standard.

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

Satisfactory

Satisfactory

H.M.T. : Nurses should be accountable for their actions and respond in a timely manner. For example, after giving medication, I should
document right way because I might forget later and the nurse after me wouldn't be able to know if the patient didn't or did have the
medication on time.

1. 3 Determine how the three factor and practice decision-making frameworks influence client

Satisfactory

Satisfactory

care.
H.M.T. : For my understanding, based on the three factors: client, nurse, environment factors, we are new and less experience to provide
complex care; thus, patient's condition is mostly stable. However, some patient requires more attention, we are collaborated with nurses
for additional support in providing care.

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

Satisfactory

Satisfactory

H.M.T. : I learned from theory is that dementia patients often get confused and agitated easily, one of suggested way to communicate with
them is to face the patient, not shouting but using a firm voice with respect and giving them time to respond (Potter, Perry, Ross-Kerr,
Wood, Astle, Duggleby, 2014).

1. 5 Carry out safety-based practices and risk management principles to ensure client safety
and a safe environment.

Satisfactory

Satisfactory

H.M.T. : I am aware of safety practices when giving care for patients. For example, before leaving the patient's room, I have to make sure
that alarm bed is on, patient's side rails are up and bed is at low position as well as patients understand and are able to reach the call bell if
they need assistance.

1. 6 Ask questions and clarify the plan of care, unclear orders or directions, and whenever

Satisfactory

Satisfactory

uncertain.
H.M.T. : I agree that clarification is very important. For example, giving fleet enema as prescribed, if the order says that giving fleet enema
if no bowels movement more than 3 days. I need to clarify with the nurse, consult her opinion if we need to give fleet enema as scheduled
since the progress notes show patient got normal bowel movement yesterday. By doing it, I can avoid more harm to the patients because
every medication has adverse effects, including electrolyte imbalance if patients has too much loose stool and dehydrated.

1. 7 Demonstrate professional behavior by seeking assistance in situations in which there is

Satisfactory

Satisfactory

unsafe,
unacceptable and/or unprofessional behavior.
H.M.T. : If I believe that I need assistance from my colleague, I should not be hesitate to ask. For example, giving bed bath for my patient
who is considered heavy and needs two persons for assistance (according to his care plan), for this situation, I need to discuss with my
colleague to arrange her time and my time, so we can both work together for our patients within the time management required.

1. 8 Demonstrate understanding about the role of the nurse within health care.

Satisfactory

Satisfactory

H.M.T. : As a nurse, he/she needs to know their scope of practice, aware of the practice setting's policies, legislation and standard
guideline and practices so that they know what they can do and can't do.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
Hoa is professional and engages in safe and ethical care. She seeks clarification when she is unsure or needs to learn more.

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions.

Satisfactory

Satisfactory

H.M.T. : I find it very helpful because it gives us opportunities to review our theory concepts and knowledge learned from schools from the
disease pathology, the medication uses and other considerations.

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

Satisfactory

Satisfactory

methods.
H.M.T. : In Sunny Brook, we have a system which patient's care is scheduled at specific time and descriptive care is also provided for
electronic documenting. We need to follow that schedule and document accurately for our care so that everyone can participate and easily
follow up the care for specific patient.

2. 3 Report relevant information to the appropriate personnel.

Satisfactory

Satisfactory

H.M.T. : Specific nurse is in charge of specific patient as schedule. Before providing care, I should know which nurse is in charge of my
patient, so that I can report to her about his condition or look for additional advice during my care.

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

Satisfactory

Satisfactory

team.
H.M.T. : Documenting in a timely manner is one of the communication techniques which helps the health care team to easily follow up,
communicate the care and be aware of the patient's condition.

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

Satisfactory

Satisfactory

Protection Act (PHIPA).

H.M.T. : Nurses have responsibilities to keep patient's information in private and confidential (College of Nurses of Ontario, 2009). For
example, patient's name is provided with initials and room number, but not the full name.

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

Satisfactory

Satisfactory

information.
H.M.T. : I am satisfied with using computer system at Sunny Brook to retrieve information such as patient's careplan, progress notes for
nursing or medical, medical diagnosis and lab reports.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

Participates in team sharing and post conference discussions. Documents accurately according to format used at the clinical site.
Collaborates effectively with health team. Maintains privacy and confidentiality

3. CARING RELATIONAL PRACTICE

3. 1 Use effective communication techniques.

Satisfactory

Satisfactory

H.M.T. : Based on patient's care plan, I learn the appropriate way to communicate with patients, some patients are dependent on the care
including feeding, but some only need motivation and verbal cues.

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

Satisfactory

Satisfactory

and health care team members.

H.M.T. : The majority population of patients are old, their skin is often dry and sensitive. When giving bed bath, I am aware by letting them
touch the cloth, be familiar with the temperature before I apply the cloth to wash the face and other parts.

3. 3 Demonstrate therapeutic use of self to foster client well-being.

Satisfactory

Satisfactory

H.M.T. : After each meal, I am aware of providing mouth care for patients to limit chances of patient getting mouth sore or dental cavity.

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

Satisfactory

Satisfactory

have on relational practice.

H.M.T. : I keep my hand washing as a routine practice. By doing that, I can limit chance to introduce any pathogens to my patients and help
to improve their well being.

3. 5 Collaborate with clients and members of the inter-professional health care team and
consult appropriately.

Satisfactory

Satisfactory

H.M.T. : I have a chance to collaborate with my patient's personal support worker who comes to provide care for him every day. We
collaborate with each other in providing bed bath since he is very heavy and changing his brief properly before the nurse provides
mechanical lift to move the patient to his wheelchair.

3. 6 Support the diversity of clients and the inter-professional health care team.

Satisfactory

Satisfactory

H.M.T. : I understand the care for patient should be collaborated to ensure patient's safety and wellbeing; for example, I collaborate the
care with patient's personal support worker, and with patient's relative member.

3. 7 Display sensitivity and respect for clients cultural, religious, and other beliefs and values

Satisfactory

Satisfactory

influencing their choices and decisions.

H.M.T. : I am aware of patient's choices and preferences by learning from their care plan carefully. For example, one of my patient likes to
have quiet environment, but he likes scenery; so I take him to the lounge and let him sit next to the window where he can enjoy viewing
more trees and activities outside.

3. 8 Provide effective client education.

Satisfactory

Satisfactory

H.M.T. : One of my patient is diagnosed with COPD (chronic obstructive pulmonary disease), so I encourage him to practice deep
breathing and purse lip to help him slow down the breathing pattern and improve the lung capacity to exchange gas.

Teacher comments for CARING RELATIONAL PRACTICE :

Maintains a caring, therapeutic compassionate relationship with her patients. Collaborates with the multidisciplinary team, peers, and
clinical instructor to provide safe and effective patient care.

4. LEADERSHIP AND ADVOCACY

4. 1 Apply appropriate conflict resolution skills in therapeutic client and other interactions.

Satisfactory

Satisfactory

H.M.T. : For example, patient refused to drink water instead of drinking cokes. I find that there is a conflict between client well-being and
client choice (College of Nurses of Ontario, 2009). As a student nurse, I should promote the best interest for her well-being by encouraging
her to drink water instead of coke since she has diagnosis of diabetes and hypertension, however, at the same time I need to respect her
choice of choosing the liquid to drink. In response to that, I don't stop her drinking coke but repetitively try to encourage her to drink,
saying the benefits of water and asking for additional advice from staff to motivate her drinking water.

4. 2 Evaluate and refine leadership skills to develop solutions and create a positive work

Satisfactory

Satisfactory

environment.
H.M.T. : If there is a time conflict, though we all agreed from beginning to help each other in providing care for both patients. After
providing bed bath for my colleague's patient, my colleague realized that she needs to feed her patient and was not able to work with me
for my patient's bed bath. I understand her time conflict and mine, I talked to my clinical teacher and asked for other colleague for
assistance. By doing that, we all can provide the safe care in timely manner.

4. 3 Provide feedback to peers and accept feedback from peers and members of the inter-

Satisfactory

Satisfactory

professional health care team.

H.M.T. : I believe one of the best way to improve learning need is to obtain peer feedback. I believe that being open to peer's suggestions
and accepting mistakes or areas for improvement will help me to improve my learning needs.

4. 4 Advocate for clients, self, others, and quality practice environment.

Satisfactory

Satisfactory

H.M.T. : As a nurse, we need to adhere to practice standard and policy provided by college of nurse of Ontario, according to practice
standard for ethics, we need to maintain my commitment to clients such as respect the clients, to self such as recognize what I truly
believe in for example, I always value and respect the elders which will have more influence on the way caring for them. Also, ensuring the
commitment to my college, for example supporting and collaborating in providing care for patients, and the commitment to quality practice
environment such as documenting after providing care and following the practice setting policy (College of Nurse of Ontario, 2009)

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

Satisfactory

Satisfactory

H.M.T. : I follow the practice standard by being aware of client's right for making choice. After providing patients with benefits for
increasing more fluid intake, if patient still refuses to drink. I have to respect the patient's choice decision (College of Nurse of Ontario,
2009); then report for the total intake so that the health care team can follow up with the patient's fluid intake and able to provide fluid
supplement such as hypodermoclysis if his fluid intake is less than requirement.

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

Satisfactory

Satisfactory

H.M.T. : If there is an unsafe practice provided by either myself or colleague, I need to be accountable to take action to correct it because I
have to ensure my commitment to my client, self, others and quality practice environment.

4. 7 Collaborate and consult when implementing health care and nursing practices that are in

Satisfactory

Satisfactory

the best interests of the public and protect the public through collaboration and consultation.
H.M.T. : Nursing is not individual task, it is a collaboration of both inter profession and intra profession; particularly collaborating with
nurses, with caregivers, and with others within health care team.

4. 8 Contribute to the creation of quality practice solutions and strategies.

Satisfactory

Satisfactory

H.M.T. : Creation is very important, especially giving care for dementia patients with behavioral changes. Patient may response different
today comparing from yesterday; thus, being creative, be patient and firm in providing care is encouraged.

Teacher comments for LEADERSHIP AND ADVOCACY :

Shows initiative in seeking learning experience. Advocate on patients behalf for continuity of safe care. Provided feedback as well as
accepted constructive feedback from peers, and instructor to improve clinical performance.

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

5. 1 Incorporate the clients unique needs and expected outcomes into holistic and client-

Satisfactory

Satisfactory

centred plans of
care.
H.M.T. : I believe that a good care plan is the plan which can meet the the client's specific needs. By doing that, we need to do a careful
assessment based on his conditions (able to provide part of his care, or total dependent on staff) and integrate his preference and his/her
belief and value into his care plan.

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

Satisfactory

Satisfactory

H.M.T. : A good theory based plan of care should be client centered, holistic, accessible and should be regularly modified to meet the
client's needs based on his physical and mental changes.

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

Satisfactory

Satisfactory

H.M.T. : All nurses should be aware of levels of priorities: first level issues must be prioritized includes ABCs plus V (airway, breathing,
circulation, and vital sign concerns like high fever), then second level issue such as pain, mental changes and then third level such as
providing rest or client education (Jarvis, Browne, MacDonald-Jenkins, Luctkar-Flude, 2014).

5. 4 Collaborate in the evaluation and modification of plans of care.

Satisfactory

Satisfactory

H.M.T. : To create an accessible and realistic care plan requires the whole team effort to contribute in modifying the care plan such as
caregiver, nurse, doctor, patient's family members and others such as speech therapist, music therapist or physiotherapist.

5. 5 Safely and competently implement and evaluate nursing assessments and nursing

Satisfactory

Satisfactory

interventions in a manner that demonstrates knowledge and skill.

H.M.T. : Before providing any care, I need to understand the patient's care plan for ensuring patient's safety; or make sure I understand the
procedure of provision care. For example, in a situation if patient has catheter bag need to be changed, I need to review theory for proper
procedure of changing the catheter bag and make judgement about the uterine volume and quality so that I can ensure if patient has a risk
of infection or dehydration and others.

5. 6 Use the Three-Factor and practice decision-making frameworks to guide practice.

Satisfactory

Satisfactory

H.M.T. : Always considering the three factors: the patient's condition (stable or complex); self ability to handle the task (if having
experience in giving the care) and the environment for support my task
including policy, practice guideline, and the support from the health care team (College of Nurse of Ontario, 2009).

5. 7 Prioritize nursing care and nursing interventions in order to manage workload, time, and

Satisfactory

Satisfactory

physical
resources.
H.M.T. : Making a daily organizational plan helps me to manage my time effectively in providing care for patient.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
Assessment skills are improving. Administer medication in a safe manner, able to state rationale for each medication as it relates to her
individual client.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

6. 1 Collaborate 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.
H.M.T. : In order to provide the patient centered care, I believe that collaborative practice is considered crucial among the health care team
(nurses, doctors, others) and with the team care outside like caregivers and family members.

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

changing needs and expected outcomes of clients.

Satisfactory

Satisfactory

H.M.T. : For every time at the clinic, I try my best to contribute to provide the best care for my patient, ensure their safety and collaborate
with others to improve the client's care.

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

Satisfactory

Satisfactory

H.M.T. : I will look for advice if I am not sure about the care which I am assigned for. For example, I ask my colleague for showing me
where to obtain the new catheter bag since she had experience in changing the bag before.

6. 4 Use teamwork, consensus building, and conflict resolution skills to meet expected client

Satisfactory

Satisfactory

outcomes.
H.M.T. : If sometimes there is conflict during collaborating among group member while providing patient's care, I believe that discussing
the issue with the particular person first is encouraged, and if it can't be solved, I should look for consultation from clinical teacher. By
addressing and resolving the conflict will definitely help to improve the patient's care and the atmosphere at work.

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

Satisfactory

Satisfactory

changing
environment.
H.M.T. : My intention for caring is always respect the client, inform their right to choose the care or refuse it. Talking to them to address
their concerns for example, the reason why they don't want to eat, or take medication. Explain to them about how the medication will help
them to relieve pain (for example). If they still don't want, I should consult with other experienced nurses about caring for this particular
patient, so that I can provide the best care for this patient.

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

Satisfactory

Satisfactory

competencies.
H.M.T. : When collaborating with my colleague for giving her patient's care, I take part as a supporter, even though I have taken care of her
patient before. The reason to step back as a supporter, instead of telling her what to do, is because I believe we can learn and respect each
other roles in caring for particular patient; especially, building trust and bonds among team members; but patient's safety is the most
concern.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

Interacts well with the multidisciplinary team and colleagues to provide continuity of safe and effective care. Demonstrated the ability to be
flexible and also utilizes various conflict resolution strategies to achieve healthy interpersonal interactions.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

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

Satisfactory

Satisfactory

and consultation with members of the inter-professional health care team and through
competent and safe practice.
H.M.T. : Though reading and understanding the patient's care plan, I believe that communicating and asking for specific concerns from the
nurse helps me to understand the patient more, and have a better and right approach to particular patient.

7. 2 Engage in ongoing reflective practice to identify strengths, areas for improvement; and,
integrate feedback into practice.

Satisfactory

Satisfactory

H.M.T. : Ongoing self reflection provides me an outline of areas for my strengths and improvement. Combining the advice and feedback
from teacher and colleague will help me to address the issue more clearly. For example, one of the advice my colleague give me is to work
more on calculation since she believe that accurate measures from calculation has big influence on client's condition such as IV
calculation or ordered and available dose. Taking her advice, I practiced more on several types of nursing calculation which I find
challenging. Now, I find myself more comfortable with it.

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

Satisfactory

Satisfactory

program (CNO).
H.M.T. : Developing a learning plan have 3 components: Self-Assessment; Practice Assessment and Peer Assessment. Self reflecting
provides strength and areas improvement and obtaining peer feedback. Then combining it to develop the most relevant learning goal
within a time frame for completion. Then, later evaluate the goal.

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

Satisfactory

Satisfactory

integrate these into practice.

H.M.T. : I welcome to receive feedback from my teacher and colleague. Taking this advice into consideration, I can develop my learning
need for better nursing practice.

7. 5 Use nursing research to foster professional development.

Satisfactory

Satisfactory

H.M.T. : Being a nurse, we have to maintain the basis knowledge, applied evidence based practice and doing research for improving
client's care and safe workplace environment, such as several resources which include the nursing guideline and standard from College of
Nurse of Ontario or from Registered Practical Nurses Association of Ontario.

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

Satisfactory

Satisfactory

H.M.T. : When caring for the patient with benign prostatic hypertrophy, on catheterization and on medication tamsulosin. In order to
understand the care for patient and the effect of medication, I use knowledge learned from school found in chapter 57 for the pathology,
chapter 48 for medications and types of catheterization (Lewis, 2014).

7. 7 Apply knowledge of changes to the health care system, technology, and in society as

Satisfactory

Satisfactory

these affect nursing practice.

H.M.T. : My skills of using mechanical lift is enhanced; now I find it more comfortable in collaborating with the nurse in transferring patient
to wheelchair.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

Practice within the CNO standards and guidelines according to Sunnybrook Health Sciences Centre Guidelines. Encouraged to continue to
seek out learning opportunities to enhance her clinical practice.

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

8. 1 Use critical thinking and problem-solving skills to inform decision-making in all aspects

Satisfactory

Satisfactory

of nursing care.
H.M.T. : Self reflection combined with evidence informed practice will help to make more critical decisions in providing care.

8. 2 Use critical thinking, problem-solving and decision-making skills to assess clients and to

Satisfactory

Satisfactory

determine nursing diagnoses, expected outcomes, nursing interventions, and evaluative

criteria.
H.M.T. : Applying knowledge about medication, for example patients has taken hypertension medication (beta blocker such as atenolol),
the expected outcomes will decrease the blood pressure. Also, by understanding the onset of this medication is 1 hour, and duration is 24
hour, and adverse effects such as dizziness, headache, fatigue, bronchospasm (Skidmore-Roth, 2015) , I might consider while providing
care such as patient's mobility which might create more fatigue or limit the risks for fall since he might feel drowsiness.

8. 3 Evaluate critical thinking, problem-solving, and decision-making skills and design a plan

Satisfactory

Satisfactory

to improve
these.
H.M.T. : Using self reflection from a daily organization plan help me to build up my problem solving and decision making skills. For
example, it can help me manage my time properly and ensure the care scheduled for patient.

8. 4 Integrate knowledge from a variety of nursing, health, and other theory into nursing

Satisfactory

Satisfactory

practice to provide safe and competent care.

H.M.T. : I develop an awareness for patient's safety. Particularly, I remember to put up the rails and alarm bed on, and call bell in patient's
reach before leaving his/her room, or before taking patient to dining room, I should make sure the safety alarm attached to patient, hip
guard on and the seat belt plugged.

8. 5 Prioritize effectively.

Satisfactory

Satisfactory

H.M.T. : Different patient with different prioritization. Making a daily organization plan will help to prioritize which patient should receive the
care before the others.

8. 6 Demonstrate professionalism and accountability.

Satisfactory

Satisfactory

H.M.T. : Document properly, accurately and in a timely manner, which is considered one of the practice for professionalism and
accountability.

8. 7 Use the practice decision-making and the nurse-client-environment frameworks to inform

Satisfactory

Satisfactory

and guide practice.

H.M.T. : Before proceeding any procedure, I need to ask myself some questions such as if patient has any change on his/her condition, if I
have any experience on this care procedure and if there is any guide practice or assistance for me to provide the care. By considering
these questions, I might start the care by myself or ask for additional support since I am not confident in doing alone.

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING :

She is able to apply theory to practice,however is encouraged to continue to enhance her skills in this area. She has improved in her ability
to self-assess and reflect on her learning.

Student Final Summary with Strategies for Continued Growth

What are my strengths at the end of the semester?

The three strength I achieve at the end of this semester at Sunny Brook Hospital are:
1. Time management: I am more aware of the time consumed for each task. And following the daily plan helps me to be more organized on my
provision care to my patients and give me time to have enough break.
2. Accountability: I learn that nurses have to take responsibility for their own actions and provide care in a timely concern in order to promote patients
safety, and maintain patients well being. This will become my intention which is always aware of the risks and benefits of the outcomes before
proceeding any action.
3. Hard working: I devote more time in studying such as medical concepts, pathology, nursing interventions and considerations as well as mechanism
action of common drugs such as for cardiovascular, neural (dementia), gastrointestinal, or urological disease. I believe that understanding these helps
me to provide the best and safest care for my client.
I believe that I should focus in some areas for improvement:
1.I want to be able to provide the care in an appropriate way of communication to dementia patients. According to the pathology of dementia disease,
most of patients partly loss or have difficulty in finding words to communicate what they want; and it leads to their confusion and agitation. I would like
to develop more skills in communicating with them so that I can provide them the best care.
2.I want to improve my skills in giving subcutaneous and intramuscular injections. In the unit I am working now, I find it hard to develop my skills in
giving injections.
3.I want to improve my skill in documenting accurately and in timely manner. I understand that nursing documentation is considered important since
this is the most crucial methods which communicates the whole health care team in providing care, interventions and following up and evaluating the
patients condition.

Teacher Final Summary with Strategies for Continued Growth

Hoa has demonstrated satisfactory progress for this placement. She has functioned well within the clinical setting and has successfully completed 2
formal submissions for Concept Care Mapping and other assignments . She has received positive feedback from nursing staff regarding the care she
delivered to clients in the clinical setting. As she continues within the program she is encouraged to seek out learning opportunities to enhance her
nursing skills.

Student's References
College of Nurses of Ontario (CNO). (2009). Practice Standard: Confidentiality and PrivacyPersonal Health Information. Retrieved from
http://www.cno.org
College of Nurses of Ontario (CNO). (2009). Practice Standard: Ethics . Retrieved from http://www.cno.org
Jarvis, C., Browne, A., MacDonald-Jenkins, J., Luctkar-Flude, M. (2014). Physical Examination and Health Assessment, Canadian Edition, 2nd
Edition. [VitalSource Bookshelf Online]. Retrieved from https://pageburstls.elsevier.com/#/books/9781926648729/
Lewis, S. L. (2014). Medical-Surgical Nursing in Canada, 3rd Edition. [VitalSource Bookshelf Online]. Retrieved from
https://pageburstls.elsevier.com/#/books/978-1-926648-70-5/
Potter, P., Perry, A., Ross-Kerr, J., Wood, M., Astle, B., Duggleby, W. (2014). Canadian Fundamentals of Nursing, 5th Edition. [VitalSource Bookshelf
Online]. Retrieved from https://pageburstls.elsevier.com/#/books/978-1-926648-53-8/
Skidmore-Roth, L. (2015). Mosby's Drug Guide for Nursing Students, 11th Edition. [VitalSource Bookshelf Online]. Retrieved from
https://pageburstls.elsevier.com/#/books/9780323170215/

Grade

Satisfactory

Unsatisfactory

Referred to Clinical Excellence Committee (CEC)

Grade
Program Coordinator Feedback
The Program Coordinator has reviewed the evaluation

Satisfactory

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

Student Comment
Marcia, I would like to thank you for all your support. You are a great clinical teacher, you are always encouraging us to improve ourselves and
develop our learning needs.
Once more thing I also appreciate is that at our placement, you are always looking for opportunities for us to enhance our skills such as attending the
in services of speech therapy, music therapy, infection control, feeding techniques for patient with dysphagia..
I wish you all the best, please keep your teaching style.