BSN Outcomes: Clinical Performance Evaluation BSN Outcome Objectives N460

Excellent Exceeds Expectations Satisfactory Needs Improvement Unsatisfactory

Leader
REQUIRED: Continues to demonstrate Level 1 (NRSG 360) and Level 2 (NRSG 361) indicators. Check all that apply: Distinguishes breakdowns in the healthcare delivery process which are not line with the institutions mission, values and philosophy. Demonstrates basic knowledge of the effects of healthcare policy, finance and regulatory agencies on the provision of healthcare services in the clinical setting. Examines his/her leadership style and assumes ownership for care delivery, in regards to clinical decision making, collaboration and communication. Demonstrates appropriate assertiveness in the clinical setting and in post-conference discussions. Demonstrates awareness of nurse-sensitive quality measures (e.g. falls, pressure ulcers) in place at the clinical level. Leads a discussion in conference regarding an evidence-based patient care practice; analyzes effectiveness as a leader in this discussion. Additional comments:

X x

Scholar
REQUIRED: Continues to demonstrate Level 1 (NRSG 360) and Level 2 (NRSG 361) indicators. Check all that apply: Compares observed clinical practices with published practice standards. Identifies and examines ways to strengthen own clinical practice and outcomes. Intentionally applies evidence-based research to impact the care of his/her client(s). Utilizes scholarly resources in searching for answers to clinical questions and shares findings with healthcare team and peers. Collaborates with the healthcare team to provide a plan of care that is evidence-based, reality-based and takes into account patient preferences. Evaluates outcomes to plan of care by constructively critiquing patient care and anticipated or actual consequences of that care. Additional comments:

X x

Draft: Spring 2010 (CA/DT)

Socially Responsible Provider

REQUIRED: Continues to demonstrate Level 1 (NRSG 360) and Level 2 (NRSG 361) indicators. Check all that apply: Demonstrates awareness of patient vulnerability and works to promote patient empowerment. Acts to prevent gaps in continuum of patient care across care transitions. Actively participates in patient advocacy when health disparities identified. Practices cost containment measures for cost-effective nursing care, including efficient time management. Consistently demonstrates responsibility for own learning and professional growth. Assumes accountability for own nursing care as well as care that is delegated. Exhibits personal awareness, openness and acceptance of others. Additional comments: Showed particular concern and excellent advocacy with a mother who spoke no English and needed lactation support and instruction. She is very astute in and respectful of cultural differences (demonstrates cultural humility).

Ethical Clinician
REQUIRED: Continues to demonstrate Level 1 (NRSG 360) and Level 2 (NRSG 361) indicators. REQUIRED: Meets core clinical competencies for Professional Accountability.

Check all that apply: Promotes the nursing image by modeling altruism, compassion, commitment, integrity, justice and respect for persons in conduct and character. Practices information-sharing and patient/family-centered care. Acts to prevent unsafe, unethical or harmful care practices. Evaluates any clinical practice errors and determines solutions/ prevention strategies. Appraises own professional development and creates a plan for continual growth. Identifies patient care situations that involve ethical, legal or moral decision making (e.g., sexual assault, abuse, advance directives, spiritual crisis) and involves the healthcare team in formulating a plan to address these situations. Analyzes actual and potential ethical dilemmas faced by self, health care providers and clients. Additional comments:

Critical Thinker
REQUIRED: Continues to demonstrate Level 1 (NRSG 360) and Level 2 (NRSG 361) indicators.

Draft: Spring 2010 (CA/DT)

Check all that apply: Applies previously acquired knowledge, skills, and attitudes to novel clinical microsystem; demonstrates awareness of this thinking process. Begins to demonstrate ability to transfer knowledge from one patient scenario to another, similar patient scenario. Analyzes relevant client history, etiology of diagnoses, current treatment and barriers to treatment in formulating a plan of care for his/her client. Evaluates clinical practice topics by searching nursing and other related databases. Examines assumptions and demonstrates perseverance in finding solutions to questions raised in the clinical setting. Begins to predict outcomes of nursing interventions. Demonstrates ability to modify plans in response to changes in client condition or circumstances. Predicts and evaluates consequences of clinical decision making. Additional comments:

Clinician
REQUIRED: Continues to demonstrate Level 1 (NRSG 360) and Level 2 (NRSG 361) indicators. REQUIRED: Meets core clinical competencies for safety and universal precautions.

X x

Check all that apply: Performs technical skills with minimal assistance while still referring to institutional policies and procedures and nursing personnel to guide interventions. Performs care for more than one client at a time. Identifies and examines unsafe practices such as work-arounds, unapproved abbreviations, and communication failures which contribute to patient harm. Utilizes error reporting system within organization to report any errors or near miss events. Analyzes any miss or near miss event by conducting a Root Cause Analysis (RCA). Actively consults members of the multidisciplinary health care team to provide care that meets the values, preferences and expressed needs of the client and family. Organizes and modifies plan of care based on contributions of other health care team members. Assumes role of team member based on clinical situation. Solicits and utilizes feedback from team members to improve team performance. Initiates and evaluates delegation to assistive personnel. Acts as liaison and advocate between patient and the health care system by translating the plan of care to the patient. Utilizes patient care technology in a comfortable and knowledgeable way to document and implement patient care.

Draft: Spring 2010 (CA/DT)

Additional comments:

Educator
REQUIRED: Continues to demonstrate Level 1 (NRSG 360) and Level 2 (NRSG 361) indicators. Check all that apply: Demonstrates increasing confidence and competence in assessing patients learning needs, current practices, beliefs and motivation to change. Provides creative teaching methodologies that encourage patient/family involvement & learning. Adapts teaching strategies to meet client literacy levels, interest, preferences, and specific clinical situation. Incorporates client & family education into multiple facets of patient care. Participates actively in patient discharge teaching. Provides patient with evidence-based health promotion and disease prevention information and resources. Additional comments:

X x

Effective Communicator
REQUIRED: Continues to demonstrate Level 1 (NRSG 360) and Level 2 (NRSG 361) indicators. REQUIRED: Meets core clinical competency for communication.

X x

Check all that apply: Communicates clearly and effectively with clients and family members and partners with them in care delivery. Incorporates effective communication techniques, including self-awareness, openness, conflictresolution and negotiation strategies. Demonstrates assertiveness in communicating with medical providers and participating with multidisciplinary staff to optimize patient outcomes. Utilizes SBAR when reporting a change in client status to clients provider. Presents an individual client in a comprehensive and organized fashion through completion of a comprehensive case study and verbal presentation to peers in clinical group, Utilizes information management systems and patient care technology in a comfortable and knowledgeable way to document and implement patient care. Written work exemplifies scholarly, grammatically correct, clear, and organized thought processes.

Draft: Spring 2010 (CA/DT)

Additional comments:

Comments: Maternity: Sara is a kind and enthusiastic student who always came prepared to give comprehensive care to the wide variety of patients seen in the maternity rotation. She is particularly interested in helping others, an important skill in nursing. Active listening skills are growing. I would encourage her to slow down a bit to ascertain the listeners energy before delivering her own. This will greatly enhance her assessments and responsiveness. Time management skills are improving. With continued skill acquisition, she will gain further confidence and competence in the role of the student nurse. I have no doubts she will become a fine nursing leader in the future. I wish her well in her very bright academic and clinical future. Pediatrics: Saras major strengths are a willingness to function as part of a team, a bright and intellectually curious mind, and a compassionate and sensitive bedside manner. She will continue to
work to improve her confidence in multiple assignments, time management and organization, and to expand her knowledge base. A pediatric setting was ideal for Saras energy and she is working to focus the energy into appropriate nursing decision making, but will benefit from watching professional behavior and imitating until she understands. She has demonstrated tremendous growth over this term. Sara is a developing second semester student who is well prepared for her next rotation. She has demonstrated compassionate and appropriate care to children, incorporating critical thinking, ethical practice, and beginning leadership ability. I enjoyed having her as my student.

I have reviewed the above evaluation and agree with the clinical performance evaluation. Student Signature _____Sara McClintock- per SE___________Date _______ Faculty__Sara Edwards CNM, MN, MPH______Date_10/13/10_

I have reviewed the above evaluation and agree with the clinical performance evaluation. Student Signature _____Sara McClintock- per MH___________Date _______ Faculty__Maeve Howett, PhD, RN______Date_12/10/10_

Excellent = Consistently exceeds performance expectations for beginning practitioner, independent thinker, takes initiative Exceeds Expectations = Occasionally exceeds performance expectations for beginning practitioner, independent thinker, takes initiative Satisfactory = Meets performance expectations for beginning practitioner, requires minimum guidance Needs Improvement = Performance adequate but requires guidance Unsatisfactory = Performance not improved in spite of guidance and feedback

Draft: Spring 2010 (CA/DT)