NURS 208

Peer Feedback RE: Clinical Performance

Name of student receiving peer feedback: Sarah Mann

I thinking you are doing a great job at:

1. Determines how the three factor and practice decision-making frameworks influence client care.

Sarah is able to utilize the three-factor frame to work in a safe, compassionate, competent and

ethical manner. She is able to assess the client to see the condition they are in (is it within her

scope of practice to provide care for this individual, are they stable and do they have predictable

conditions). As the nurse (she checks if she is the right HCP to provide the care the patient, she

makes sure she is prepared and knowledgeable in the procedure she is going to perform, and she

checks if she can do it safely for the patient and herself). She makes sure that she has the right

resources in place in the Environment (she checks to make sure there are clear and identified

procedures, policies, medical directives, protocols, plans of care, care pathways and assessment

tools).
2. She ask questions and clarifies the plan of care, unclear orders or direction whenever uncertain.

Sarah asks relevant questions to clarify understanding of the plan of care and whenever

uncertain. For example her patient was on IV antibiotics (her patient had allergies), she made

sure to check the MAR against the medication and make sure the patient was not allergic to the

medication to be administered and she also clarified with the nurse the mL per hour the IV was

to be administered over and check why that was a therapeutic rate.

3. Reports relevant information to the appropriate personnel. Sarah has demonstrated her ability to

report relevant information to the appropriate personnel. She was working with an agency nurse

because the nurse scheduled was not able to make it in due to an illness. The agency nurse did

not want to take the patients blood sugar levels and Sarah discussed with a few of her clinical

peers as well as advised our clinical teacher and another nurse on the unit about the issue. We

all addressed the situation together. If she still did not want to check the patient blood sugars she
 would have gone to the charge nurse, but the agency nurse did check the patient blood sugar

level and no further action needed to be taken.

I think you could develop further in the following area:

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

methods: You currently have the knowledge base for proper recording of information. More

practice week to week will make you proficient and able to write a progress note with no help.
2. Time Management: Make sure to utilize your time wisely. Taking your breaks is important for

self. You do not want to over work yourself. Find out the patients routine, make a schedule you

can follow to make sure you have time for yourself. Yes it is important to get your morning

routine done and have the patient up and out of bed but there may be room for you to relax.

Also make sure to coordinate with fellow students.

3. Responds appropriately to unsafe, unacceptable, and unprofessional behaviours. Sarah had to

deal with an ethical dilemma. There was a nurse that she noticed was acting in an unsafe

manner with a patient. The nurse did not cap the end of the intravenous line that they unhooked

from the patient and just left it dangling from the bed, which left it open to bacteria that could

have caused an infection. Sarah let our clinical instructor and her clinical peers know about the

situation she observed but being a student she did not talk with the nurse about the issue. She

now knows that she should have talked with the nurse about the unsafe care being provided and

that the charge nurse she be advised if she noticed the nurse still working in an unsafe and

unethical manner.

Date: April 6, 2016 Student Peer Giving Feedback: Angela Sommerville

Student Receiving Feedback: Sarah Mann