Carroll Community College Division of STEM, Nursing and Allied Health Department of Nursing NURS 233 — Nursing Concepts 3 SUMMATIVE Student Clinical Performance Evaluation Student __Alex Mace Date 11/17/16 __ CSE # Faculty Amy Dinaburg 1 (*) Critical behavior = Salisfactory _ | N= Needs Improvement | U = Unsatisfactory | NA= Not applicable ‘Students who mest any of the following criteria will be given a remediation pian and may be placad on probation. Failure to progress in these areas may result in failure of the course. -One unsatisfactory grade in a crtical behavior -Two unsatisfactory grades in a non-critical behavior_-Four needs improvements -Two needs improvements in a critical behavior ‘Student | Instructor Sel Eval of Outcome 1 Eval | Student Analyze the effectiveness of the plan of care (CSLO1) siNjU_|S/NU 1._*Prioritizes patient care based on assessment with faculty as a resource. s S 2, *Demonstrates accurate patient assessment skils Ss s 3._Analyzes and incorporates data from the patient's medical record in the provision of care_| _S s ‘4. Uses patient assessment data to implement individualized plan of care with faculty as a s resource s 5.” Establishes appropriate nursing diagnoses based on collected evidence and patient $s ‘assessment with faculty as a resource N 6. Establishes measurable patient outcomes based on nursing diagnosis with facully as @ Ss resource s 7. Establishes appropriate nursing interventions based on assessment with facully a5 @ S resource Tee s 8. Evaluates patient response to care and revises plan as nesded with facully as a resource |S $s ‘Student | Instructor Self- | Eval of Outcome 2 Eval | Student ‘Seek opportunities that promote professional growth (S102) SINU_|_ SINU 9._Demonstrates professional behavior and appearar 7 Ss Ss 10. Seeks input from patient, instructor, and healthcare team in ie delivery of patient Ss centered care _ A s “1. “Demonstrates accountabilly and accepis responsibility for own actions and attitudes Ss s 712. "Adheres to attendance polic a oe Ss Ss 13. Participates actively in all clinical experiences a Ss Ss “14. Engages in self-reflection and communicates learning needs to instructor Ss Ss 415. Completes assignments as required and submits on time Ss Ss 16. Demonstrates initiative in assisting peers and healthcare team members in the dinical setting Ss Ss ‘Student | Instructor Set. | Eval of Outcome 3 Eval | Student Provide patient-centered care with faculty as a resource (CSLO3) sINU_| SIN 17. “Implements appropriate infection control precautions s s 18, Provides culturally sensitive care s S 19. Documents patient care accuratel s s 20. Uses therapeutic communication skills Ss Ss 21. Follows through with all patient care Ss S| 22. Demonstrates knowledge of medications for assigned patients Ss Ss 23. “Administers medication safely using six rights of medication administration NA NA ‘Approved 12/4/14, Revised 12/10/2014; 01/2015Carroll Community College Division of STEM, Nursing and Allied Health Department of Nursing NURS 233 - Nursing Concepts 3 ‘SUMMATIVE Student Clinical Performance Evaluation 24, Demonstrates caring behaviors 25. Uses SBAR effectively 26. Acts as an advocate for patients and families 27. ‘Demonstrates physical and mental competence 728. “Identifies safety concerns and notifies instructor and appropriate healthcare team members 29. Demonstrates time management techniques '30. Implements patient and family education and evaluates effectiveness of teaching 31. “Updates instructor and healthcare team regarding changes in the patient's condition. 32. “Provides nursing care based on the policies and procedures of the facility '33. “Provides nursing care in accordance with the Maryland Nurse Practice Act 34, “Adheres to HIPAA guidelines 35, “Provides care according to ANA Scope and Standards of Nursing Practice 0\o|olo aalalala|a|a| a|a|a|a|a! 2 |on len fon J feo |z |e» Student | Instructor sell | Evalof Outcome 4 Eval ‘Student Implement nursing care based on scientific evidence (CSLO4) _ SINIU_| SIN 36_Incor evidence-based rationale that supports the patient's plan of care_ Ss Student Reflection (Thoroughly answer all questions) How has this clinical rotation helped to define your role as a nurse? Please explain. This clinical rotation was my first experience interacting and caring for psychiatric patients. | learned a lot and was able to improve on my communication skills. I also was able to define my role as a nurse and educator during my focused interaction and group leadership. Which objective did you accomplish during this rotation? How did you do it? During this rotation | was able to apply what | had learned in class about psychiatric nursing to the clinical setting. | completed focused mental health assessments for my patients, which was utilized by the staff on the unit. What are your goals for your next clinical rotation? My goal for my next clinical rotation is to implement what I have learned on the psych floor of Carroll Hospital. ‘Where-ever I go in nursing there will be psychiatric patients. It is important to utilize the same techniques such as therapeutic communication and calming measures in any setting. ee ne el "Faculty Comments/ Student Learning Goals (Goals must be established even if performance is satisfactory. fan item was identified as N or U, narrative comments are necessary to clarify student performance along | with goals to improve performance). | Alex did a good job in clinical. Her assignments were on time, very detailed, and above and beyond thorough. | she needed to be pushed to be more assertive with patients at times but she was able to complete her | Approved 1214/14 Revised 1211072014; 01/2015f. Carroll Community College Division of STEM, Nursing and Allied Health Department of Nursing NURS 233 - Nursing Concepts 3 SUMMATIVE Student Clinical Performance Evaluation assessments, She was engaged and asked good questions and had good insight during pre and post conference. Student Signature: _| Alexandra Mace Date: 14/17/16 Instructor Signature: Amy Dinaburg, RN Date: 11/20/2016 Approved 12/4/14, Revised 12/10/2014; 01/2015