QA Program Learning Plan form Collection of Porsonal information ‘The College of Nurses of Ontario (the College) collects the information inthe Learning Pian for Practice Assessment under the general authority ofthe Regulated Health Professions Act, 191, 5.0. 1901, c. 18, the Nursing Act, 1091, §.0. 1981, c. 32, and its regulations, ad the Colage’s bylaws. The College collects the information for the purpose ot assessing your continuing competence through ts Quality Assurance Program. Appropriate measures are taken io safoguar the ‘contidetaliy of the personal intormation you provide, and all documents become the property ofthe Calg. you have any questons about the colecton, use andor disclosure ofthis information contact the Manager ol Information Management, College of Nurses of ‘Ontario, 101 Davenport Ril, Torani, ON, MSR 3P1, 416 926-0900 o tall-ee in Ontario 800 387-5526. snore ee eee eee Name ‘Registration Number GaVear Cass Carrent Practice Setting lent Population Learning Needs Havent done Practice Reflection yet? Commmntcotion Use the Practice Reflection worksheet to help you identity your stengths and learning needs. Voeties pet ion Learning Goal #1 Wat do | want to fearn? Which practice document does my goal relate to? Need help creating a goal? Review the Wous YO Lommunwote more e ct ively] Paonia SMART Leaning Gon gui os may Peer© end ober like || Yourleaming goa! mist be based on | your current practice setting and one of the College's practice documents. Goal #1: Activities and Timeframes How gigs ny sna | By bocliepating Mor «C gee vachubeop Volurtus | SemiGe 1h uy Ss . werlleads ond Kekdows Om Ov Ongorng Soars Hoar g hela wl Studies Qe wv |