Professional Documents
Culture Documents
Malissa Harris
Mercelies McHugh
John Stone
Westbury Long Term Care
Agency
6
Long Term Care
19-Apr-2015
168
168
168
To 02-May-2015
Student Rating
Teacher Rating
Satisfactory 1. 1
Comply with regulatory standards, relevant legislation and the practice settings policies and procedures.
M.H. : I always comply with the standards of the practice setting's policies and standards. I respect and understand the conditions illustrated in the
clinical setting's policies.
Satisfactory
Satisfactory
Satisfactory
Satisfactory 1. 3
Determine strengths and limitations and when to consult and seek assistance from other professionals.
M.H. : I know my limits in the clinical setting and I know what my knowledge and skills limit me to do at the present time. If I need assistance with any
given situation or event I know to consult and speak to either a nurse, a PSW, a peer or my instructor.
Satisfactory
Satisfactory
Satisfactory
Satisfactory
Satisfactory
Satisfactory
1. 6 Ask relevant questions to clarify understanding of the plan of care and whenever uncertain.
M.H. : Whenever I am uncertain about anything I will always ask people who are available to me at the time, or I will research for the answers on my
own time.
Satisfactory
Satisfactory
1. 7 Identify ethical and unsafe situations and seek appropriate assistance to resolve these.
M.H. : When a situation is unsafe I know when it is appropriate to seek out assistance in order to resolve an issue. I also am aware of who would be
appropriate to confront with a conflict at any given time.
Satisfactory
Satisfactory
Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
Is responsible and complies with the standards of practice laid out by the College and the placement facility.
Satisfactory
Satisfactory
Satisfactory
2. 2 Document clearly, accurately, concisely in a timely manner using written and electronic methods.
M.H. : I have been practicing documenting using point click care at my placement. I have accurately and professionally documented a variety of
client's vital signs, as well as documented notes regarding client's conditions.
Satisfactory
Satisfactory
Satisfactory
Satisfactory
2. 4 Utilize communication techniques with the client and inter-professional health care team.
M.H. : I communicate with the health care team in a inter-professional and appropriate way. I ask relevant questions and share relevant concerns
with the health care team.
Satisfactory
Maintain privacy and confidentiality according to the Personal Health Information Protection Act (PHIPA)
Satisfactory 2. 5
M.H. : I understand the to maintain the privacy and confidentiality according to PHIPA. I know not to speak about clients outside of the
interprofessional health care team, and not to release any information regarding a client.
Satisfactory
Satisfactory
2. 6 Use technology to retrieve information including research, data and other information.
M.H. : I use my e textbooks, online resources and any other resources to retrieve appropriate and accurate data and information. Each week I
preform diagnosis and drug research to prepare me for my clinical days using a variety technology to retrieve this information.
Satisfactory
Satisfactory Satisfactory 3. 2
Demonstrate therapeutic caring, compassionate, and culturally safe relationships with clients and health care team members.
M.H. : I always try to demonstrating caring and therapeutic relationships with clients and health care team. I do this by being friendly and always
willing to help anyone. I am culturally safe by being aware of individual's differences and respecting their wishes and life styles.
Satisfactory
Satisfactory
3. 3 Apply knowledge of therapeutic use of self and identify its effect on client well-being.
M.H. : The effects of therapeutic care are great in health care and client well-being. They can help a client feel safe and comfortable. There are
different therapeutic effects that can be use on a client-nurse bases and all are effective depending on the client.
Satisfactory
Use self-awareness to identify the effects that beliefs, values, and personal experiences have on relational practice.
Satisfactory 3. 4
M.H. : The understanding of others beliefs, values and personal experiences have to be respected and acknowledged in order to provide quality
health care for all individuals and clients.
Satisfactory
Satisfactory 3. 5
Interact with clients and members of the inter-professional health care team; and, consult appropriately.
M.H. : I interact with all persons related to the health care team while in my clinical. I speak with the nurse for concerns related to clients and ask any
relevant questions, I also speak with the PSWs regarding these issues as well.
Satisfactory Satisfactory 3. 6
Apply knowledge of practices and systems that support the diversity of clients and the interprofessional health care team.
M.H. : All clients are individual and must be cared for by their individual needs, values and beliefs. Based on these aspects all clients must be cared
for uniquely.
Satisfactory Satisfactory 3. 7
Apply knowledge of clients cultural, religious, and other beliefs and values as these influence clients choices and decisions.
M.H. : All clients will have different decisions and choices regarding their health care. It is priority that as a nursE I respect and understand all
individuals's and choices.
Unsatisfactory
Satisfactory
Satisfactory
M.H. : When there are issues that need resolution I have the knowledge base and skills to strategize a conflict
resolution.
Satisfactory
Satisfactory
4. 2 Demonstrate leadership skills that foster group work and a positive learning environment.
M.H. : Being a leader it is very important to foster and support a positive learning environment. For nurses this is an important aspect when dealing
with clients and other team members.
Satisfactory Satisfactory 4. 3
Identify opportunities to improve health care service and nursing interventions by advocating for client, self, others, and quality practice.
M.H. : I know when it is appropriate to support and advocate for others in the health care setting to improve nursing interventions and the overall
health care.
Satisfactory
Provide feedback to peers and accept feedback from peers and members of the interprofessional health care team.
Satisfactory 4. 4
M.H. : I effectively provide feedback to peers and others in the health care setting. For example I recently filled out a peer feedback for one of my
classmates, and I effectively presented my feedback for her. She also gave me feedback regarding my practice and her observations.
Satisfactory
Satisfactory
Satisfactory
Satisfactory
Satisfactory Satisfactory 4. 7
Consult and collaborate when carrying out health care and nursing practices that are in the best interests of the public and protect the public
through collaboration and consultation.
M.H. : I know how to carry out a professional, helpful and therapeutic practice that will be beneficial for the public health care. I understand the
importance of the public's beliefs and desires to be cooperated
Satisfactory
5. 1 Incorporate the unique needs and expected outcomes into individual clients plans of care.
M.H. : Each client is individual and unique, same as there needs. Therefore, a client's plans of care will be unique for each client. I incorporate these
needs into my care plans.
Satisfactory Satisfactory 5. 2
Develop theory-based plans of care that are holistic and client centered and are articulated competently in writing and orally.
M.H. : When I create my care plans weekly, I incorporate all parts of the client, not just the physical but the emotional aspects aswell. In the care
plans I have incorporated physiology and psychosocial aspects.
Satisfactory
Satisfactory
5. 3 Use knowledge, skill and judgment to assess clients, prioritize needs and outcomes.
M.H. : I demonstrate these skills when making the second part of my care plan. I use my knowledge, skills and judgement to prioritize my client's
needs and outcomes to create an effective care plan.
Satisfactory
Satisfactory
5. 4 Provide information that contributes to the evaluation and refinement of plans of care.
M.H. : The information I collect when assessing my clients I use to better evaluate and refine my care plans so it is effective for the individual client.
Satisfactory Satisfactory 5. 5
Safely and competently carry out nursing assessments and nursing interventions that are theorybased and within skill abilities.
M.H. : I have not gotten the opportunity to carry out any nursing interventions I myself have created. I do understand how to create an effecting
nursing intervention appropriate to all clients.
Satisfactory
Satisfactory
5. 6 Carry out nursing care that reflects the practice decision-making framework.
M.H. : I always carry out nursing care that is reflective of the practice decision-making framework. I understand the importance of following this
framework to provide quality and safe care.
Satisfactory
Satisfactory 5. 7
Complete nursing care responsibilities and nursing interventions in an organized and timely manner.
M.H. : I think my time management skills have improved recently in performing my vital signs and carrying out other priority nursing interventions. I
also think I do it in a safe and organized manner.
Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
Ongoing practice in creating care plans, both Step 1 & 2 is encouraged. Care delivery is safe and competent. Documentation which is vital,
is usually done in a timely manner.
Satisfactory Satisfactory 6. 2
Contribute as a member of the inter-professional health care team to respond to the changing needs and expected outcomes of clients.
M.H. : I collectively contribute as a member in the inter- professional health care team to the response in the changing needs in the health care
environment and expected outcomes for individual clients.
Satisfactory
Satisfactory
6. 3 Seek out assistance and consult with members of the inter-professional health care team.
M.H. : I seek out assistance when needed. I can understand and appreciate the help from others weather I ask them for it or they just willingly
providing me with their assistance. I knoe when it is appropriate to ask for help and who from.
Satisfactory
Satisfactory
Satisfactory
Describe effective, collaborative, and consultative strategies to meet clients needs within a changing environment.
Satisfactory 6. 5
M.H. : It is always good to speak with clients, clients family and other health care providers associated with the client in order to meet their their
changing needs in a collaborative and effective way.
Satisfactory
Satisfactory
6. 6 Interact with members of the health care team respecting their unique role and competencies.
M.H. : There are many different roles in health care, each with their individual importance and roles. I respect all individuals and their roles in the
team work environment.
Satisfactory
Satisfactory
Satisfactory
Satisfactory 7. 3
Create, implement, and evaluate a learning plan consistent with the Quality Assurance program (CNO).
M.H. : I have recently completed a QA learning plan for myself. My learning plan is in need of some expansion, but it touches on my weaknesses and
explains how I work to improve them.
Satisfactory
Seek out learning opportunities and feedback that foster professional development; and, integrate these into practice.
Satisfactory 7. 4
M.H. : I seek out feedback from peers and instructors and use them to help me better my practice and help myself have a better understanding of
quality care.
Satisfactory
Satisfactory
7. 5 Utilize nursing, health and other theory and literature to improve nursing practice.
M.H. : There are many resources used to improve my nursing practice. This includes e textbooks, CNO, classes, instructors, other resource available
to the public.
Satisfactory
Satisfactory
Satisfactory
8. 1 Utilize problem-solving skills to inform decision making in all aspects of nursing care.
M.H. : Problem solving and decision making skills both go hand in hand, especially while developing quality nursing care.
Satisfactory Satisfactory 8. 2
Use problem-solving and decision-making skills to assess clients and to determine nursing diagnoses, expected outcomes, nursing
interventions, and evaluative criteria.
M.H. : I have practice in making and developing nursing diagnosis, expected outcomes, nursing intervention and evaluation over the course of these
14 weeks. Problem solving and decision making skills were used while developing these assessments.
Satisfactory
8. 3 Use self-reflection to design a plan to improve problem-solving and decision-making skills.
Satisfactory
M.H. : Decisions making and problem solving are crucial skills in nursing practice, and for this reason it is very important to develop and improve on
these skills. Improvement of this skills can be incorporated into my QA learning plan.
Satisfactory Satisfactory 8. 4
Utilize knowledge from variety of nursing, health, and other theory into nursing practice to provide safe and competent care.
M.H. : There are many places to collaborate knowledge from to incorporate into my nursing practice. I get this information from classes, instructors,
my clinical placement, e textbooks and many other online resources.
Satisfactory
Satisfactory
Satisfactory
Satisfactory
Satisfactory
8. 6 Recognize strengths and limitations and seek appropriate assistance and support.
M.H. : I know where my strengths and weaknesses are in my practice. I know and appreciate my limitations and the fact that I am not yet fully skilled
to practice safely in all aspects with out assistance and support.
Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY :
Is developing satisfactorily. Ongoing daily client assessment and analysis are encouraged.
Student's References
Just me
Grade
Satisfact
ory
No
Yes
Program Coordinator comment
Needs to continue with their development and increasing knowledge level
Student Sign-off
I met with my Clinical Teacher/Preceptor and discussed my evaluation
No
Yes
In general this evaluation accurately reflects my performance
No
Yes
Student Comment
I agree that there is a need to continue to develop my knowledge and skill level.