Escolar Documentos
Profissional Documentos
Cultura Documentos
Date:
N = Needs Improvement
Location:
U = Unsatisfactory
HCGH
Faculty:
NA = Not applicable
Minnema
(*) Critical behavior
Students who meet any of the following criteria will be given a remediation plan and may be placed on probation.
Failure to progress in these areas may result in failure of the course.
-One unsatisfactory grade in a critical behavior
-Two needs improvements in a critical behavior
-Two unsatisfactory grades in a non-critical behavior
-Four needs improvements
Student Instructor
Outcome 1
SelfEval of
Analyze the effectiveness of the plan of care using the nursing process (SLO 1, GE 3)
Eval
Student
S/N/U
S/N/U
Collects evidence related to clinical practice from appropriate resources.
S
S
*Demonstrates accurate patient assessment skills.
S
S
Establishes appropriate nursing diagnoses based on patient assessment.
S
S
*Prioritizes patient care based on assessment.
S
S
Identifies measurable patient outcome based on nursing diagnosis.
S
S
*Implements care according to established plan and desired outcomes.
S
S
Uses therapeutic communication techniques during nurse/patient interactions to facilitate
S
S
the nursing process.
Identify appropriate interventions based on assessment.
S
S
Demonstrates knowledge of medications for assigned patients.
n/a
S
*Administers medication safely using six rights of medication administration.
n/a
n/a
*Implements appropriate infection control precautions
S
S
Follows through with all patient care
S
S
*Evaluates patient response to care and revises plan as needed.
S
S
Student Instructor
Outcome 2
SelfEval of
Incorporate learning opportunities that promote personal and professional growth and a
Eval
Student
commitment to lifelong learning. (SLO 2, GE 5)
S/N/U
S/N/U
Participates actively in all aspects of the clinical experience.
S
S
Discusses patients plan of care with instructor.
S
S
Demonstrates professional behavior and appearance.
S
S
Engages in self-reflection and communicates learning needs to instructor/preceptor.
S
S
Completes assignments as required and submits on time.
S
S
Organizes time efficiently.
S
S
Student Instructor
Outcome 3
SelfEval of
Implement nursing care that considers the uniqueness of various cultures, backgrounds, and
Eval
Student
belief systems (SLO 3, GE 6)
S/N/U
S/N/U
Demonstrates caring behaviors with the ability to develop and maintain therapeutic
relationships with people from diverse backgrounds.
S
S
Considers patient values, cultural characteristics and religious differences when planning care.
S
S
Student Instructor
Outcome 4
SelfEval of
Contribute to healthcare teams to provide patient-centered care (SLO 4, GE 1)
Eval
Student
S/N/U
S/N/U
Identifies patient and family health education needs.
S
S
Implements patient and family education.
S
S
Seeks input from patient, instructor, peers, and healthcare team in the delivery of patient care.
S
S
*Updates instructor and healthcare team regarding changes in the patients condition.
S
S
*Identifies safety concerns and notifies instructor and appropriate healthcare team members.
S
S
Demonstrates initiative in assisting peers and healthcare team members in the clinical setting.
S
S
Demonstrates communication skills using SBAR.
S
S
Acts as an advocate for patients and families
S
S
Approved 12/4/14. Revised 12/9/2014
S
S
Instructor
Eval of
Student
S/N/U
S
S
S
S
S
S
S
Instructor
Eval of
Student
S/N/U
S
S
Student Learning Goals (List desired learning goals, and your plans to meet them, for the next clinical
experience. Goals should be based on identified performance issues and the desire for new knowledge and
experiences.)
- More confident when talking to patients.
Faculty Comments/ Student Learning Goals (**If an item was identified as N or U, narrative comments are
necessary to clarify student performance**)
Kerri was very professional in psychiatric clinical. She appeared comfortable when talking to many different
types of patients exhibiting many different symptoms. She held group with her peers and was very insightful.
During pre/post conference, she had good input and asked thoughtful questions. Her assignments were
thorough and complete. She would be an asset to any psychiatric floor.
Student Signature:
Preceptor/Instructor Signature:
Kerri Burda
Amy Dinaburg, RN
Date:
11/24/15
Date:
11/29/2015