NURS 253 PRECEPTOR FEEDBACK WRITTEN PERFORMANCE FEEDBACK OCCURS AT WEEK 7 AND WEEK 15 NOTE: Preceptors complete this written feedback form in Week 7 (Mid-term Evaluation) and Week 15 (Final Evaluation). In Week 4 a discussion of student learning to date occurs; students who ‘Need Development’ or are ‘Unsatisfactory’ in Week 4, 11 or as required, receive written feedback using this form which is submitted to the Professor/Clinical Teacher. LEARNING INDICATORS THAT LEARNING HAS OCCURRED: |/S= SATISFACTORY OUTCOME ND= NEEDS DEVELOPMENT Students will be able U= UNSATISFACTORY to: COMPETENT AND SAFE PRACTICE WITHIN A LEGAL AND ETHICAL WEEK | WEEK | WEEK | WEEK FRAMEWORK 4 oz a 7, Comply with regulatory standards, relevant s s [Ss s 1, Model safe, legislation and the practice setting's policies and competent, procedures. and ethical | |, Actin a professional, responsible, ethical and s s |s s eeapienoe accountable manner. with Iegaland | i, Use the three factor and decision making s s |s s regulatory frameworks to determine strengths and limitations frameworks and when to collaborate and consult with other professionals. iv. Integrate evidence-informed practice anda theory J s | s |S s prere based approach into nursing care. practice v. Assess practices and risk management principles | s | s | s s Setting. and take action to ensure safety of clients, self, and others. Vi. Question and clarify unclear orders or directions s s js s and when uncertain. vii. Question, clarify or challenge questionable orders, | S s |s s decisions or actions by others. vii, Respond in a professional manner to situations in |S s |s s Which there is unsafe, unacceptable or unprofessional behavior. ix. Demonstrate understanding about the role of the s s |s s nurse within health care. CommentLEARNING OUTCOME INDICATORS THAT LEARNING HAS OCCURRED: |S=_ SATISFACTORY Students will be able ND= NEEDS DEVELOPMENT to: Us _ UNSATISFACTORY WEEK | WEEK | WEEK | WEEK ACCURATE AND RELEVANT COMMUNICATION 4 (ca tc 7. Contribute to team sharing and discussions s s s s 2. Communicate li, Document clearly, accurately, concisely in a timely using strategies manner using written and electronic methods. 8 s s s andtechnology || i, Use efectve communication techniques when sisls|s and timely reporting relevant information and providing feedback information to the appropriate members of the interprofessional sharing including | _ heath care team data, research, J iv. Evaluate and refine techniques used to communicate |S s s s and other land share information with clients and the Information. interprofessional health care team. s s v. Ensure privacy and confidentiality $ 3 8 8 vi. Use technology to retrieve information including research and other date and to obtain and forward information both within and outside the practice setting. ‘CommentsTEARNING ‘OUTCOME INDICATORS THAT LEARNING HAS OCCURRED: |S= SATISFACTORY Students will be able ND= NEEDS DEVELOPMENT to: U= _ UNSATISFACTORY WEEK | WEEK | WEEK | WEEK CARING RELATIONAL PRACTICE 4 7 | 1 | 4 7, Estabish therapeutic caring, compassionate, and s |s |s s 3. Engag culturally safe relationships with clients and health relational care team members. practice that is} jj Establish a caring environment that supports clients | ND | S s s comes in meeting their needs and outcomes, managing ‘and respectful their iness, or experiencing a peaceful death Demonstrate therapeutic use of self tofostercient | s | s | S s wellbeing iv, Utlize relational knowledge and skills, and ethical s |s |s s principles to support clients and to interact with health care providers v. Use self-awareness to identty the effects that beliefs, values, and personal experiences haveon | ND | S | S s relational practice. vi. Collaborate with clients, members of the interprofessional and health care teams; and, s | s s s consult appropriately vi, Uphold practices and systems that support the s | s s s diversity of cients and of the interprofessional health care team, vil, Provide effective client education, s |s s s ‘CommentsLEARNING ‘S=__ SATISFACTORY ‘OUTCOME INDICATORS THAT LEARNING HAS OCCURRED: ND= NEEDS DEVELOPMENT ‘Students will be able U= UNSATISFACTORY to: WEEK | WEEK | WEEK | WEEK LEADERSHIP AND ADVOCACY 4 7 1 _| 14 7, Evaluate and refine leadership skill to develop ND s s | S 4, Act as a leader solutions, resolve conflict, create a positive work eee environment and organizational culture, and to Gionte, colt, the strengthen advocacy role. nterprofessional | #= Provide feedback to peers and accept feedback s s s|s health care team from peers and members ofthe interprofessional and to further the | __ health care team. profession. ii, Advocate for clients, self, others, and quality s s s|s practice environment. jv. Support clients’ rights for self-determination and s s s | s choice. v. Respond appropriately to unsafe, unacceptable, s s s | s ‘and unprofessional behaviors. vi. Demonstrate public protection and acting in the ND ND s|s interests of the public through collaboration and consultation with other members of the interprofessional health care teams. vii. Contribute to the creation of quality practice s s s|s strategies and solutions. vill, Assign, supervise, teach as appropriate, and ND s s|s provide feedback to unregulated care providers (UCPs) in collaboration with the interprofessional health care team. CommentsLEARNING OUTCOME INDICATORS THAT LEARNING HAS OCCURRED: ]S= SATISFACTORY Students will be ND= NEEDS DEVELOPMENT able to: U= _ UNSATISFACTORY PLANS OF CARE: MEET CLIENTS’ NEEDS AND MUTUALLY AGREED WEEK | WEEK | WEEK | WEEK EXPECTED OUTCOMES 4 fa a | 14 7, Formulates clinical judgments that meet cients’ ND s | s s 5. Integrate the Unique and changing health needs and priorities, nursing process ‘outcomes, and overall condition and incorporates Into ail sebecte these into evolving plans of care. nursing care : mud eroes ii, Devise evidence-informed plans of care that are J ND s|s s diverse practice holistic and cliont-centred. settings. ii, Use clinical judgment to assess clients, prioritize JS s |s s needs, outcomes, and nursing interventions. iv. Collaborate in the evaluation, refinement and s s|s s ‘modification of plans of care. v. Safely and competently perform treatments and ND s|s s use techniques, and technology autonomously and in collaboration with clients and members of the interprofessional health care team. Vi. Collaborate with the clients across the lifespan ND s|s s and with members of the interprofessional health care team to create a client centered plan of care that is articulated with competence both in writing and orally. vil. Use awareness of own knowledge and skills, the | ND s|s s three factors of nurse, client and environment ‘and the practice decision-making framework to guide practice. vii. Manage workload, time, and physical resources ND s|s s to provide effective, efficient and ethical care. ‘CommentsLEARNING OUTCOME INDICATORS THAT LEARNING HAS OCCURRED: |S= SATISFACTORY. ‘Students will be able ND= NEEDS DEVELOPMENT to: U=_ UNSATISFACTORY COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE. WEEK | WEEK | WEEK | WEEK TEAMS 4 7 11_| 14 7 Collaborate with clients to determine needs, s s s s 6. Collaborate and mutually agreed health outcomes, approaches to consult with care, and to evaluate care. ieeretsesiaeat ii. Contribute as a member of the interprofessional s s s s neal core Seamn' and health care teams to respond to changing client to provide needs and outcomes. comprehensive | i Consult with and seek out assistance from s s s s and holistic members of the interprofessional health care team. health careina | iv, Use teamwork, consensus building, and conflict s s s s complex and resolution and leadership skills to meet expected ending client outcomes. ‘environment. V. Integrate effective, collaborative, and consultative no | no | s s strategies to meet clients’ needs within a changing environment. vi. Respect the unique role and competencies ofall s s s s ‘members of the interprofessional health care team. vi. Collaborate as a member of the interprofessional s s s s health care team to respond to changes in nursing knowledge and practice and in the health care environment, ‘CommentsLEARNING ‘S=_ SATISFACTORY OUTCOME INDICATORS THAT LEARNING HAS OCCURRED: J ND= NEEDS DEVELOPMENT ‘Students will be U= UNSATISFACTORY able: WEEK | WEEK | WEEK QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE 7 | a | 44 7. Actin the best interests of cients and protect clients s s | Ss 7. Engage in from harm through collaboration and consultation Quality with other members of the interprofessional and Assurance | | heath care teams and by through competent and the regulatory safe practice. framework. ‘i. Commit to Quality Assurance practice to identify s s s strengths and areas for professional growth and in ‘accordance with the regulatory framework (CNO). li, Create, implement, and evaluate a learning plan s s | s consistent with the Quality Assurance program (CNO). iv. Assume responsibilty to seek out feedback for s s | s colleagues and peers and learning opportunities that foster professional development. vv. Consistently review nursing research and s s | s information about health care to improve ‘competence and to support clients Vi. Develop professional responses to health care s s |s system changes resulting from advances in research, technology, and changes in societal and political forces. CommentsLEARNING INDICATORS THAT LEARNING HAS OCCURRED: | S= SATISFACTORY. OUTCOME ND = NEEDS DEVELOPMENT Students will be able to: u UNSATISFACTORY ‘USE CRITICAL THINKING, PROBLEM-SOLVING and DECISION-MAKING WEEK | WEEK | WEEK | WEEK EFFECTIVELY 4 7 cu 14 i Use critical thinking to inform decision making } ND s Ss s 8. Use critical in all aspects of nursing care. thinking, problem li, Use clinical judgment to assess and refine ND. s s s solving and assessments in collaboration with the ‘kills to rmost the interprofessional health care team, formulate health care needs nursing diagnoses, plan nursing interventions, and expected and outline evaluative criteria. outcomes of clients. | ii, Evaluate and refine critical thinking, problem J ND | S s s solving, and decision-making skills iv. Integrate knowledge from variety of nursing, s s s Ss health, and other theory into nursing practice to provide safe and competent care. v. Prioritize effectively. ND s s s vi. Demonstrate professionalism, responsibility, s s s s and accountability. vii. Use critical thinking, the practice decision- ND Ss Ss Ss making framework and the nurse-client- environment framework to inform clinical judgments and practice. ‘Comments. MIDTERM During this course of Christinas preceptoring she has been developing in some areas as specified and in some areas has shown satisfactory improvement. As a new graduate challenges are going to be ongoing but with better time management skils, her determination to learn and adapt to the tasks set out for her will prove her strengths and ‘weakness throughout her career. Her mannerism towards being professional, responsible and ethical will demonstrate her knowledge towards being a good nurse within the health care system. FINAL Over the past 14 weeks Christina has developed great strengths and has shown improved confidence and initiative, causing her to carry out her role as a nursing student with minimal supervision using safe work practices. Christina ‘communicated well with others and through written and verbal means keeps appropriate records. She related well with peers and residents alike and functions well as a team member. ‘As her preceptor Christina has done remarkably weji and with time and experience will be well on her way to utilize her skills and knowledge to help others. - . + fpal ds