PRACTICUM EVALUATION TOOL TEMPLATE

DEPARTMENT OF NURSING
JAMES MADISON UNIVERSITY
Student:

Casey Hughes

Name of Preparer:

Nancy Puffenbarger

Practicum Site:

Sentara RMH 3 West Medical-Surgical/Oncology

Course #: NSG 356

Section #: 11

Date:

4/28/15

CLINICAL HOURS

Direct Patient Care:72

Simulation: 2 hours

Observation:

4 Hours of Skills

Missed Clinical Hours:

Precepted:

Other: 12 hours pre-planning

Total Clinical Contact Hours: 90

Grade

Criteria: Students must achieve a passing rating in every outcome in order to pass a practicum course

Pass

Demonstrates satisfactory development of knowledge and skills. Objectives are met consistently and comprehensively, with progressive
independence and self-direction. Shows insight into strengths and areas for growth.

Fail

Mastery of skills and objectives inconsistent. Conduct is unsafe, unprofessional, offensive, or fails to maintain therapeutic alliance with clients
or resource personnel. Fails to construct or submit documentation in a professional or timely manner.
Outcomes/Objectives

Health Promotion/Illness Care: Provide health protection and promotion, risk reduction, disease prevention, illness
care, rehabilitation, and end of life care to diverse populations within a holistic framework in a variety of settings.

Rating
Pass/Fail

1.

Course Objectives: (course specific)

Examine the nursing process as a clinical reasoning and decision making framework (SLO 1, 2,3,7).

2. Critical Thinking: Synthesize knowledge, skills, and technology from the established practice and science of nursing,
the biological and psychosocial sciences, and the humanities to engage in critical thinking, clinical reasoning and the
nursing process in the care of clients.
Course Objectives: (course specific)

Independently demonstrate competence, safety, ethical, and evidence based practice in the application of nursing skills and
technologies in care of adults with acute and chronic illness, and their families (SLO 5).

3. Therapeutic Relationships: Develop caring culturally competent relationships with clients that are sensitive to diverse
personal, socio-cultural, and environmental characteristics, which encourage clients to assume primary responsibility for
health care decisions, and in which the nurse functions as advocate and advisor.
Course Objectives: (course specific)

Utilize the nursing process and knowledge of human responses to illness to plan culturally competent nursing interventions for
adults and families experiencing health alterations (SLO 1,2,3,6,7).

4. Communication: Use effective communication and information technology to communicate interpersonal and health
care information.
Course Objectives: (course specific)

Integrate communications and collaboration within the interprofessional team in providing care (SLO 3, 4,5).

Student Name: ___________________________________________

NSG Section ____

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5. Professional Role Development: Enhance professional role development.

Course Objectives: (course specific)

Incorporate health promotion and prevention that considers each patients continuum of health and illness (SLO 1).

6. Ethical and Professional Values: Engage in activities to promote self-awareness, self-growth, ethical accountability,
and legal responsibility in the practice of nursing.
Course Objectives: (course specific)

Utilize the nursing process and knowledge of human responses to illness to plan culturally competent nursing interventions for
adults and families experiencing health alterations (SLO 1,2,3,6,7)

7. Scholarship: Contribute to excellence in nursing care by scholarly contributions through discovery, integration,
application, and teaching. Contribute to excellence in nursing practice by identifying and critiquing research evidence
and integrating it with clinical practice, patient preference, cost-benefit, and existing resources.

Course Objectives: (course specific)

Demonstrate knowledge of physiologic and pathophysiologic processes associated with health alterations (SLO 1, 2,7).

Final Course Grade

Areas of strength: Casey developed a good understanding of pathophysiology and is able to relate pathophysiology
to the nursing diagnosis she has identified for her patient in addition to their labs. She provides care in a nonjudgmental manner. She is able to identify patients needs and meets their needs physically, psychosocially and
culturally. She is also very respectful of her patients and their families and provides care that is sensitive to meeting
their needs. She understands the importance of maintaining patient confidentiality. She demonstrated excellent time
management skills. She safely administered all medications. Casey is a team player and worked well with the nurses
on the medical-surgical/oncology unit as well as with fellow classmates. Casey participates in post-conference. She
arrived to clinical on time, was always prepared and willing and eager to learn. Casey was a pleasure to work with in
clinical. She received 90%, 97.5% and 97% on her graded SimCharts.

Areas for growth: Continue to work on charting hourly in meditech. Work on making goals measurable and specific.
Skills performed (if applicable): Accuchecks, observed placement of NG tube, administered IV antibiotics, Insulin,
administered po, IV and subQ medications, observed dialysis, observed wound vac placement, discontinued INT,
rounded with wound/ostomy nurse.
MCAST Grade: A:88, B:100%

Pass