Self Assessment

2015 - 2016 - Final NURS - 208 Course Learning Outcomes (201509)

NUR 208 Practical Nursing Practice 4(PN,06-Sep-2015-31-Dec-2015)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Period :
Student hours :
Required hours :
Validated hours :

Malissa Harris
Christina Benjamin
Judy Martin
Trillium Health Partners/Mississauga Hospital
Agency
ComplexCC
06-Sep-2015
168
168
156

To 31-Dec-2015

Teacher comment for validated hours:

156

Student Rating

1.

Teacher Rating

COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND

ETHICALFRAMEWORK
Satisfactory

Satisfactory 1. 1

Comply with regulatory standards, relevant legislation and the practice settings policies and procedures.
M.H. : i follow all relevant legislation regarding my practice settings policies and procedures. For example it is the setting's policy that we as students
are not allowed to take blood sugars, or use the hoyer lift. At my time at Trillium I did not check blood sugars or use the hoyer life unattended.

Satisfactory

Satisfactory

1. 2 Act in a responsible, ethical and accountable manner.

M.H. : I always act in a responsible, ethical and accountable manner by always being on time, and by acting in a professional manner. I think it
especially important to act in a responsible, ethical and accountable manner in this sort of setting.

Satisfactory

Satisfactory

1. 3 Determine how the three factor and practice decision-making frameworks influence client care.
M.H. : The three factor client frame work effects client care by influencing what is avaliable to treat the patient, what kind of patient is being cared for
and who is caring for the patient. The three factor framework include client, nurse and envirnoment.

Satisfactory

Satisfactory

1. 4 Use evidence informed practice and a theory-based approach to care.

M.H. : Both evidence and theory-based approach care is essential to provide quality care for all patients. This helps the nurse provide
knowledgeable, quality care.

Satisfactory
Carry out safety-based practices and risk management principles to ensure client safety and a safe environment.

Satisfactory 1. 5

M.H. : Client safety is the number one priority in providing care for a patient. To provide safe quality care it is important to look at all contributing
factors that may influence the safety of a patient including; envirnoment, client condition, knowledge and skill of caregivers and anything else that may
influence the patient's well-being.

Satisfactory

Satisfactory

1. 6 Ask questions and clarify the plan of care, unclear orders or directions, and whenever uncertain.
M.H. : Whenever I am unclear about any action I go to my peers, my clinical teacher, other nurses, or any other individuals equipped with the
knowledge and skills to assist me.

Satisfactory Satisfactory 1. 7
Demonstrate professional behavior by seeking assistance in situations in which there is unsafe, unacceptable and/or unprofessional behavior.
M.H. : I know what procedures are safe for me to follow through with. I also know when it is appropriate for me to seek assistance in order to ensure
the safety of my patient and I.

Satisfactory

Satisfactory

1. 8 Demonstrate understanding about the role of the nurse within health care.
M.H. : The nurses role is to provide health care to families, communities and individuals. The health care provided is to promote health, prevent
illness and help achieve optimal recovery.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
Malissa works within the scope of practice of an rpn student. She provides safe, ethical care.

2. ACCURATE AND RELEVANT COMMUNICATION

Satisfactory

Satisfactory

2. 1 Participate in team sharing and discussions.

M.H. : I get along well with my peers and participate openly in discussions. I contribute and listen to peoples ideas, and I assist with skill and
knowledge building.

Satisfactory

Satisfactory

2. 2 Document clearly, accurately, concisely in a timely manner using written and electronic methods.
M.H. : Over the semester I have gotten many opportunities to improve and work on my documenting skills. I believe that I have developed skills in
documenting clearly, concisely and all in a timely manner using electronic methods. I have not gotten many opportunities to practice written
documenting however I do have the knowledge to provide written documentation.

Satisfactory

Satisfactory

2. 3 Report relevant information to the appropriate personnel.

M.H. : I know what information to present to who. For example a patient of mine had something unusual presenting so I went to the nurse who was
providing care for that patient and told them about what I had assessed on the client. From there we decide what intervention to do.
Satisfactory
2. 4 Use communication techniques with the client and the inter-professional health care team.
M.H. : I communicate with all my client in an effective way, and persons of the inter-professional health care team alike.

Satisfactory

Satisfactory
2. 5 Ensure privacy and confidentiality according to the Personal Health Information Protection Act (PHIPA).

Satisfactory

M.H. : Patient confidentiality and privacy is very important, and I know not to break this confidence between nurse and client.

Satisfactory

Satisfactory

2. 6 Use technology to retrieve and share information including research, data and other information.
M.H. : In my facility I have learned how to access relevant information pertaining to my client, medications and diagnosis. I learned how to use the
different documents and programs available at my facility.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

Malissa charts as per THP policy is able to report abnormal findings promptly to the appropriate staff. She also has participated in
palliative rounds.

3. CARING RELATIONAL PRACTICE

Satisfactory

Satisfactory

3. 1 Use effective communication techniques.

M.H. : I believe I communicate effectively with my team members, teachers and nurses. This is very important skill in order to communicate
information regarding patients and their conditions.

Satisfactory Satisfactory 3. 2
Establish therapeutic caring, compassionate, and culturally safe relationships with clients and health care team members.
M.H. : I alwasy try to be caring an compassionate while interacting with individuals of the health care team and clients. This is important in order to
establish a foundation of trust with these individuals .

Satisfactory

Satisfactory

3. 3 Demonstrate therapeutic use of self to foster client well-being.

M.H. : I use my skills, knowledge and compassion to foster the well-being of my clients. All are important and unique and therefore my skill must be
used uniquely for each situation in order to provide a therapeutic care.

Satisfactory
Use self-awareness to identify the effects that beliefs, values, and personal experiences have on relational practice.

Satisfactory 3. 4

M.H. : All people have unique beliefs, values and personal experiences making each individual unique. They are unique in their thoughts, ideas and
wants. Therefore it is important to treat every person uniquely based on these values, beliefs and personal experiences.

Satisfactory

Satisfactory 3. 5

Collaborate with clients and members of the inter-professional health care team and consult appropriately.
M.H. : When necessary I collaborate with clients and members inter-professionally through out the health care team. This helps in initiating safe and
quality care.

Satisfactory

Satisfactory

3. 6 Support the diversity of clients and the inter-professional health care team.
M.H. : I have cared for a variety of different clients and individuals all ranging in diverse cultures, ethnicities, beliefs and values. It is important to
support these diversities so the patient feels safe and comfortable.

Satisfactory Satisfactory 3. 7
Display sensitivity and respect for clients cultural, religious, and other beliefs and values influencing their choices and decisions.

M.H. : I know that not everyone has the same beliefs, religions and culture and that is why it is important to keep in mind the diversity of patients and
these qualities. It is important to incorporate these ideas into patients individual care plans.

Satisfactory

Satisfactory

3. 8 Provide effective client education.

M.H. : I have had little practice in this skill, however I belief I have the knowledge to produce effective client education. I think I just need to work on
my confidence providing client education.

Teacher comments for CARING RELATIONAL PRACTICE :

Malissa shows a grateful caring attitude towards her pts and their families as this was expressed in her care of her palliative pts.

4. LEADERSHIP AND ADVOCACY

Satisfactory

Satisfactory

4. 1 Apply appropriate conflict resolution skills in therapeutic client and other interactions.
M.H. : I think I am good in dealing with conflict I know how to devert away from the situation and produce an effective outcome.

Satisfactory

Satisfactory 4. 2

Evaluate and refine leadership skills to develop solutions and create a positive work environment.
M.H. : A positive work envirnoment is important I supporting team member in their work. Leadership and problem solving are important skills in
providing a positive work envirnoment.

Satisfactory
Provide feedback to peers and accept feedback from peers and members of the interprofessional health care team.

Satisfactory 4. 3

M.H. : I participated in the peer evaluation, and provided effective feedback to peers, while also accepting feedback back from them. Also I accept
and provide peer feedback while in the practice setting.

Satisfactory

Satisfactory

4. 4 Advocate for clients, self, others, and quality practice environment.

M.H. : Being an advocate is an important part of being a nurse and it is our job to ensure we advocate for clients, selves, others and quality practice
envirnoment.

Satisfactory

Satisfactory

4. 5 Support clients rights for self-determination and choice.

M.H. : Clients all have the right to choose for themselves if they are capable. I support these client choice everyday in my practice.

Satisfactory

Satisfactory

4. 6 Respond appropriately to unsafe, unacceptable, and unprofessional behaviours.

M.H. : When unsafe, unacceptable and unprofessional behavior take place, depending on the situation I know to approach the situation and try and
change it to be safe and acceptable. If this is not able I can go to someone of authority to assist me in resolving the unsafe unprofessional situation.

Satisfactory Satisfactory 4. 7
Collaborate and consult when implementing health care and nursing practices that are in the best interests of the public and protect the public
through collaboration and consultation.

M.H. : Collaboration and consultation are very important in providing quality care and advocating for effective health care. It is with in the client's and
public's best interest that we as nurses collaborate inter-professionally with the health care team.

Satisfactory

Satisfactory

4. 8 Contribute to the creation of quality practice solutions and strategies.

M.H. : I try my best to contribute my ideas and thoughts in order to support quality practice solutions and strategies.

Teacher comments for LEADERSHIP AND ADVOCACY :

Malissa radiates a positive att attitude even with an increased work load. She is advocate for her pts as evidenced by her speaking with
staff about changing pain meds that were not effective for her pt.

5.

PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED

EXPECTEDOUTCOMES
Satisfactory
Incorporate the clients unique needs and expected outcomes into holistic and client-centred plans of care.

Satisfactory 5. 1

M.H. : Each client is unique and it is important to twerk all individual's care plan to support their unique and changing needs, to support their holistic
well-being.

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. : Care plans are improtant in developing the well-being of clients and in promoting their optimal health. In order to provide a holistic care plan
that is effective for patient nurses must articulate competently theory based plans of care in written and oral way

Satisfactory

Satisfactory

5. 3 Use knowledge, skill and judgment to assess clients, prioritize needs and outcomes.
M.H. : When assess patient I think I have a good skill and knowledge set in order to prioritize needs in order to produce optimal outcomes.

Satisfactory

Satisfactory

5. 4 Collaborate in the evaluation and modification of plans of care.

M.H. : It is important to collaborate in care plans in order to ensure patients are provided the most holistic and individualize care plan based on their
present conditions and needs.

Satisfactory Satisfactory 5. 5
Safely and competently implement and evaluate nursing assessments and nursing interventions in a manner that demonstrates knowledge
and skill.
M.H. : I have a knowledge and skill set to effectively evaluate my nursing assessments and implement interventions competently with reason.

Satisfactory

Satisfactory

5. 6 Use the Three-Factor and practice decision-making frameworks to guide practice.

M.H. : The three factor framework include client, nurse and envirnoment. Each of these criteria play a role in decision making about clietn care. Each
have an effect on the care plan and each need to be considered.

Satisfactory
Prioritize nursing care and nursing interventions in order to manage workload, time, and physical resources.

Satisfactory 5. 7

M.H. : I think I have developed good skill in prioritizing nursing care and interventions, in an effective timely manner. I utilize my time, workload and
physical resources effectively.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
Malissa works with her pts and their families to provide care and provides care quality of life for her palliative pts.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

Satisfactory Satisfactory 6. 1
Collaborate with clients and members of the inter-professional health care team to assess clients, determine health needs, and to achieve
mutually agreed expected outcomes.
M.H. : I collaborate with health care professionals in order to asses clients need and to achieve a mutually agreed outcomes. This is important in
ensuring the client receives quality, holistic care.

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. : Participating inter-professionally is essential in health care, this provides varying members of the health care information to provide and
establish a care plan that is effective for patients. Care plans that ill provide optimal outcomes.

Satisfactory

Satisfactory

6. 3 Seek out assistance and consult with members of the inter-professional health care team.
M.H. : I seek out assistance with care when I am unsure or feel unsafe performing a skill by myself. I know what I am comfortable and capable of.

Satisfactory

Satisfactory 6. 4

Use teamwork, consensus building, and conflict resolution skills to meet expected client outcomes.
M.H. : Team work is crucial in healthcare. Without team work collaboration and consultation are ineffective. Without team work client will lack in the
quality of care they are being received. Clients benefit from professionals participating in teamwork, consensus building and conflict resolution.

Satisfactory
Use effective, collaborative, and consultative strategies to meet clients needs within a changing environment.

Satisfactory 6. 5

M.H. : Healthcare is forever changing and that is why it is important to seek assistance with others in the healthcare team. We seek assistance by
collaborating and consulting with individuals in order to meet client's needs.

Satisfactory

Satisfactory

6. 6 Interact with members of the health care team respecting their unique role and competencies.
M.H. : Every member of the health care team hold their individual roles and competencies. I respect every individual's role in the healthcare
envirnoment and know they are all crucial in providing holistic care in order to provide optimal outcomes for clients.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

Malissa works well within the HCT on the complex/palliative care unit.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

Satisfactory Satisfactory 7. 1
Act in the best interests of clients and protect clients from harm through collaboration and consultation with members of the inter-professional
health care team and through competent and safe practice.
M.H. : Consultation and collaboration are important in providing quality care and advocating for effective health care. It is with in the client's and
public's best interest that we as nurses collaborate inter-professionally with the health care team.

Satisfactory Satisfactory 7. 2
Engage in ongoing reflective practice to identify strengths, areas for improvement; and, integrate feedback into practice.
M.H. : I engage in reflecting about my strengths and weaknesses after every experience I have in my clinical placement. I have also participated in
QA in order to develop core areas of strengths and improvements, and developed ways in ordered to improve in my weaknesses. I also participated
in peer feedback where I had a peer identify my strength and weaknesses.

Satisfactory

Satisfactory 7. 3

Create, implement, and evaluate a learning plan consistent with the Quality Assurance program (CNO).
M.H. : I participated in my learning plan consistent with the QA CNO provides. I developed three different learning goals, and illustrated how to
accomplish and measure these goals.

Satisfactory
Seek out learning opportunities and feedback that foster professional development; and, integrate these into practice.

Satisfactory 7. 4

M.H. : I seek out learning opportunities when ever I am able. This is important in developing my experiences as a nursing student and in developing
my knowledge and skill sets.

Satisfactory

Satisfactory

7. 5 Use nursing research to foster professional development.

M.H. : Professional development is important in the nursing profession. I use research to foster my development and learning path as a nurse. I
combine research, skill, and experience to develop my nursing practice.

Satisfactory

Satisfactory

7. 6 Use a theory-based approach and evidence-informed practice.

M.H. : Both evidence and theory-based approach care is essential to provide quality care for all patients. This helps the nurse provide
knowledgeable, quality care.

Satisfactory
Apply knowledge of changes to the health care system, technology, and in society as these affect nursing practice.

Satisfactory 7. 7

M.H. : It is important to incorporate the changes in health care into nursing practice. Because nursing is surrounded by societal and technological
changes that we as nurses should keep up with.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

Malissa is eager to learn and expand her skill set. I encourage her to continue to be prepared.

8. USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING

Satisfactory

Satisfactory 8. 1

Use critical thinking and problem-solving skills to inform decision-making in all aspects of nursing care.
M.H. : Critical thinking and problem-solving are crucial in nursing practice in order to develop quality care plans for patient that will be most effective
for varying individuals.

Satisfactory Satisfactory 8. 2
Use critical thinking, problem-solving and decision-making skills to assess clients and to determine nursing diagnoses, expected outcomes,
nursing interventions, and evaluative criteria.
M.H. : Problem- solving and decision- making skill are crucial in developing and determining appropriate nursing diagnosis, interventions and
outcomes. These are important in providing quality and holistic care for the public.

Satisfactory

Satisfactory 8. 3

Evaluate critical thinking, problem-solving, and decision-making skills and design a plan to improve these.
M.H. : I doing my peer evaluation and self evaluation I had the opportunity to evaluate and think about my problem-solving, and decision- making
skills. I developed ideas to accomplish learning goals that stem from these necessary skills.

Satisfactory Satisfactory 8. 4
Integrate knowledge from a variety of nursing, health, and other theory into nursing practice to provide safe and competent care.
M.H. : I am able to combine my knowledge from a variety of sources including, classes, lectures, textbooks, personal experiences and much more in
order to provide client's with safe, competent and quality care.
Satisfactory

Satisfactory

Satisfactory

Satisfactory

8. 5 Prioritize effectively.
M.H. : I believe I have effective time management skills that help me prioritize needs for my patients.

8. 6 Demonstrate professionalism and accountability.

M.H. : I demonstrate professionalism and accountability by being respectful of those around me, and being respectful of the envirnoment I am in. I
demonstrate accountability by being responsible and always being accountable for my own actions.

Satisfactory
Use the practice decision-making and the nurse-client-environment frameworks to inform and guide practice.

Satisfactory 8. 7

M.H. : Each of these criteria play a role in decision making about client care. Each have an effect on the care plan and each need to be considered.

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING :

Malissa is able to walk through scenarios and apply the best action.

Student Final Summary with Strategies for Continued Growth

I look forward to my upcoming experiences as a practicing nursing student. I have enjoyed my semester at Trillium and believe I have had many new
experiences. I have developed my skills in G feeds, trach care, medications, bowel protocols, injections and so much more. I think this experience will
provide me with a great foundation for my future practices.

Teacher Final Summary with Strategies for Continued Growth

It has been a pleasure working with Malissa and watching her be able to care for 2 complex pts. I encourage her to come prepared and use her
resources. I wish her best of luck.

Student's References
Myself

Referred to Clinical Excellence Committee (CEC)

Grade

Satisfactory

Program Coordinator Feedback

The Program Coordinator has reviewed the evaluation

No

Yes
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