HUMBER ITAL

PRACTICAL NURSING DIPLOMA PROGRAM

CNO Clinical Teacher/Student Feedback Tool
STUDENT:
STUDENT NUMBER:
Teachers Name: Joanne Bailey

CNO Standard (Examples of

learning outcomes provided below. For
more learning outcomes please look to
course outline)

S
at

N
D

Uns
at

820668499

NURS 261

Teachers Comments

DATES: July 29th 2013

Student Comments

Professional
responsibility and
accountability
Demonstrates evidence of

review of past learning and

preparation prior to and during
clinical/lab experience.
Dresses appropriately for
clinical each week.
Punctual and present in
clinical each week
Evaluates the effectiveness of
nursing care provided
Invests time and effort to
improve clinical performance
Listens to peer, staff, and
faculty feedback
Provides evidence-informed
rationale for all decisions and
practices
Increases knowledge of
anatomy/physiology and
nursing theory as it is applied
to practice in the clinical
setting

s
a
t

s
a
t
s
a
t
s
a
t

not only the care I give residents, but

the care others give as well
-improvement can always be beneficial
for the clinical setting
always dressed in proper Humber attire
constantly reviewing anatomy within
school, along with theory and applying
it to my clinical
Takes time to practice assessments at
home

s
a
t
s
a
t

Assesses clients using

evidence-based tools,
s
including theoretical
a
framework, increasing
t
knowledge, etc...
Recognizes that client
problems need to be prioritized
States expected outcomes of
basic nursing care

Always uses each situation as a

learning experience
shares found techniques with others

Ethical practice
Produces documentation that

is clear, accurate, and concise

Reports relevant client
information to appropriate
personal
Is honest and fair

s
at

Always documenting with as much detail

as possible

s
at

informs staff after assisting residents

(vitals, bath, morning care etc.)

s
at
Self regulation
Respect the rights of others
s
Advocates for patients, family, at
self, peers, and the nursing
s
profession
at
Resolves conflict positively
Acts in a respectful manner by
being courteous, polite, and
s
honest
at
s
at

-respectful for all residents

-knows what is acceptable in regards to
treatment
-If conflict did arise it would be dealt
with positively
-Always professional

Service to public
Utilizes therapeutic verbal and s
nonverbal communication
at
Recognizes the impact of their
own behavior on others
s

at

-must be able to communicate with

different elderly residents in various
ways
(language, motions, writing)

Additional Teacher/Student Comments:

Overall, Kristin shows professionalism within her practice. She utilizes a therapeutic communication with residents of Malton Village
and is seen to provide the residents with respect and confidentiality. Kristin attends clinical in full Humber specific uniform and
arrives earlier than as to be expected. She accepts all feedback and uses it as a tool to help her grow and move forward throughout this
clinical process. Kristin jumps at all learning opportunities and is willing to assist wherever needed. Documentation skills need to be
worked on, try not to include too much irrelevant data in documentation.
Future Recommendations/Strategies for Success:
Student Signature _______Kristin carter_________________
Faculty / Clinical Teacher Signatur__Joanne Bailey________
Date __________________July 29th /13_______________

Satisfactory: Student is meeting course outcome.

Needs Development: Student needs development in particular course outcome
Unsatisfactory: The student is not meeting requirements in specific course outcome
Please note that CNO Teacher/Student Clinical Feedback tool may be used for PN PAT purposes.

MC/CNOClinicalFeedbackTool/rev.Sept.2012