Professional Documents
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Molly
The purpose of the weekly clinical performance evaluation tool is to provide feedback about achievement of the
course outcomes and competencies and to assist the student to meet the standards of care for nurses in Oregon as
outlined in the Nurse Practice Act.
Explanation of Rating Scale:
(S) Satisfactory = Clinical performance is safe and student adequately demonstrates application of the nursing
process/clinical judgment, required skills, and expected synthesis of learning appropriate to level in the program.
Verified by direct instructor observation.
(NI) Needs Improvement = Indicates that additional learning and attention to detail is required for a particular
item or that the overall performance for the week is at a minimum level. The instructor will write an explanation of
the rating on the comments page.
(U) Unsatisfactory = Clinical performance is unsafe and inadequately demonstrates application of the nursing
process/clinical judgment model, required skills, and expected synthesis of learning appropriate to level in the
program. The instructor will write an explanation of the rating on the comments page.
(NA) Not applicable = Particular item does not apply to the clinical performance.
(NO) Not observed = Instructor did not observe or has no knowledge of the students performance of the activity.
Students with a weekly grade of NI or U will be required to meet with their advisor and clinical instructor and
discuss a plan for change in their behavior before their next clinical experience.
Safety and legal/ethical concepts are considered critical to the profession and will be graded as NI or U if any
violation occurs.
If a student is assigned a U or NI for two weeks, the faculty will review the students clinical performance and
consider the options of either placing the student on probation or dismissing from the program.
In cases of potential failure, notification of the student by the instructor that she/he has been assigned a grade of U
or NI for one week constitutes proper warning of the grade status.
If a student is placed on probation and then receives a weekly grade of U, the faculty will review the students
performance and determine whether or not the student will be dismissed from the program.
Student Name:
Compete
ncy (C)
Course
Outcome
(CO)
C9
CO 1, 2
C1,
CO4
C5,
CO5
C8,
CO6
C4,
Molly
Clinical Week
2
Dates
Attendance: P=Present, A=Absent, T=Tardy
1/14
p
1/28
P
2/4
p
2/11
P
2/18
p
2/25
p
Facility/Unit
BAH
-PSU
1/21
p
BAHMCU
PED
S
BAHRT
BAHMCU
BAHMCU
BAHMCU
BAHREU
ni
ni
ni
ni
10
Makeup
CO7
C6, 7, 8
CO2
C10
C6
s
3
Competen
cy (C)
Course
Outcome
(CO)
C9, CO2
C3
C4
C3
C4
C1
C1
C3
C2
C4
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s
10
Makeup
Instructor Initials
Student Initials
mjs
mjs
mjs
mjs
mjs
mjs
mjs
4
Week
1
Cares for elderly woman with pleural efusion and melena. Identifies top dx and reflects on
need to have actual problem rather than risk for as primary. Improving on assessments and
DAR. Work on reflecting in your care plan. Not just the interventions but how your plan
changed with your patient. Include how you would change goals to be more patient specific
after assessing them------------------------------------------------------------- MSperry MSN RNc
Works with septic patient today- continuing practicing prioritizing your care plan- I did not
see a plan for the infective process. Be sure that your goals and interventions work with your
nursing dxie: if you have a gas exchange problem- focus intervention on respiratory rather
than mobility or pain. If you need help with this please see me or your advisorthis is an
area you are struggling in.--------------------------------------MSperry MSN RNc
First day on REU cares for respiratory failure patient. Be sure to include co-morbidities in
you care prep- Improving in care planning and assessment
documentation------------------------------------------ MSperry MSN RNc
9
Revised 12/09/15sw
5