Self Assessment

2015 - 2015 - 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 :

Nirjhari Chhaya

Trillium Health Partners/Credit Valley Hospital

Agency
1E
06-Sep-2015 To 31-Dec-2015
168
168
168

I declare that this is my original work and the sources used are acknowledged.

Abilities and Outcomes / Learning Outcomes

Student Rating

Teacher Rating

1. COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK
1. 1 Comply with regulatory standards, relevant legislation and the practice settings policies

Satisfactory

Satisfactory

and procedures.
N.C. : I complied with regulatory standards, relevant legislation and the practice setting's policies and procedures throughout the
semester. For example, while providing care to clients I would ensure their privacy by closing the curtains.

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

Satisfactory

Satisfactory

N.C. : I acted in a responsible, ethical and accountable manner throughout the semester by asking questions when I was unsure about
something and by letting the nurses know about the care I provided and any significant data that I collected through my assessments.

1. 3 Determine how the three factor and practice decision-making frameworks influence client

Satisfactory

Satisfactory

care.
N.C. : I determined how the three factor and practice decision-making frameworks influence client care throughout the semester. For
example when I had a client who's oxygen saturation and pulse were abnormal. I realized that the complexity and risk of negative outcomes
for this patient were out of my level of care, so I informed my clinical instructor of the situation, to ensure that the client received optimal
care.

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

Satisfactory

Satisfactory

N.C. : I used evidence informed practice and a theory-based approach to care throughout the semester while performing care such as bedbaths, medication administration, etc.

1. 5 Carry out safety-based practices and risk management principles to ensure client safety
and a safe environment.

Satisfactory

Satisfactory

N.C. : I carried out safety-based practice and risk management principles to ensure client safety and a safe environment by ensuring I put
the side rails up and lower the bed to the lowest position before leaving the room. I also make sure that I monitor the clients who have a
risk of falls and have fallen before and I tell them to use the call-bell when they need something.

1. 6 Ask questions and clarify the plan of care, unclear orders or directions, and whenever

Satisfactory

Satisfactory

uncertain.
N.C. : I asked questions and clarified the plan of care, unclear orders or directions, and whenever uncertain throughout the semester. For
example, when I was unsure of the wound care for my patient so I clarified the plan of care with my nurse to ensure that I provide my
client with correct care.

1. 7 Demonstrate professional behavior by seeking assistance in situations in which there is

Satisfactory

Satisfactory

unsafe,
unacceptable and/or unprofessional behavior.
N.C. : I demonstrated professional behaviour by seeking assistance in situations in which there was unsafe, unacceptable and/or
unprofessional behaviour when I had to transfer a patient using a Hoyer lift and I made sure the nurse was with me to guide me through the
process and to make sure there were no negative outcomes for the client.

1. 8 Demonstrate understanding about the role of the nurse within health care.

Satisfactory

Satisfactory

N.C. : I demonstrated understanding about the role of the nurse within health care throughout the semester while adapting to providing
care for patients as well as while working with the inter-professional team.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
Student consistently demonstrated accountability in nursing practice. Student was able to consistently demonstrate preparedness for
practice, assumed responsibility for learning, and actively participated in learning. Weeks 11- 14: Student was able to care for 2
clients independently; medication, morning routine, wound dressing changes, ADL needs, and documentation.

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions.

Satisfactory

Satisfactory

N.C. : I participated in team sharing and discussions throughout the semester while debriefing with my instructor, my clinical group
members, as well as the inter-professional team members.

2. 2 Document clearly, accurately, concisely in a timely manner using written and electronic

Satisfactory

Satisfactory

methods.
N.C. : I have improved my documentation skills throughout the semester. I document clearly, accurately, concisely in a timely manner
using both written and electronic methods.

2. 3 Report relevant information to the appropriate personnel.

Satisfactory

Satisfactory

N.C. : I reported relevant information to the appropriate personnel, including the inter-professional team, the families, and my instructor,
throughout the semester. For example, when my client's oxygen saturation and pulse were abnormal I told my instructor and the nurse.

2. 4 Use communication techniques with the client and the inter-professional health care
team.

Satisfactory

Satisfactory

N.C. : I used communication techniques with the client and the inter-professional health care team throughout the semester while
providing care, while asking questions, and while performing assessments.

2. 5 Ensure privacy and confidentiality according to the Personal Health Information

Satisfactory

Satisfactory

Protection Act (PHIPA).

N.C. : I ensured privacy and confidentiality according to the Personal Health Information Protection Act (PHIPA) by ensuring that I close
the curtains while providing care and by ensuring that I do not discuss any patient information with a person who is not involved in the
care.

2. 6 Use technology to retrieve and share information including research, data and other

Satisfactory

Satisfactory

information.
N.C. : I used technology to retrieve and share information including research, data and other information throughout the semester while
researching clients' diagnoses, medical history, and medications as well as while looking up patient information in the hospital including
lab data.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

Student communicated clearly, concisely, and correctly in the written, spoken, and visual forms that met the needs of the clients. Also,
student responded to relevant information in a manner that ensured effective communication.

3. CARING RELATIONAL PRACTICE

3. 1 Use effective communication techniques.

Satisfactory

Satisfactory

N.C. : I used effective communication techniques throughout the semester while communicating with my clients and the inter-professional
team.

3. 2 Establish therapeutic caring, compassionate, and culturally safe relationships with clients

Satisfactory

Satisfactory

and health care team members.

N.C. : I established therapeutic caring, compassionate, and culturally safe relationships with clients and health care team members
throughout the semester by ensuring I took into consideration the different values and beliefs each individual has when communicating
with them and while forming a relationship with them.

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

Satisfactory

Satisfactory

N.C. : I demonstrated therapeutic use of self to foster client well-being when I encouraged my patient to eat when she was not eating her
meal.

3. 4 Use self-awareness to identify the effects that beliefs, values, and personal experiences

Satisfactory

Satisfactory

have on relational practice.

N.C. : I used self-awareness to identify the effects that beliefs, values, and personal experiences have on relational practice when I would
care for an elderly client and realize how my values and beliefs affected my care for them.

3. 5 Collaborate with clients and members of the inter-professional health care team and
consult appropriately.

Satisfactory

Satisfactory

N.C. : I collaborated with clients and members of the inter-professional health care team and consulted appropriately throughout the
semester. For example I would ensure that I include my clients in there care while performing assessments on them and providing care. I
also collaborated with the health care team by asking them questions when I was unsure about something as well as just letting them
know how the patient was doing.

3. 6 Support the diversity of clients and the inter-professional health care team.

Satisfactory

Satisfactory

N.C. : I supported the diversity of clients and the inter-professional health care team throughout the semester by taking into consideration
the different backgrounds and cultures people have.

3. 7 Display sensitivity and respect for clients cultural, religious, and other beliefs and values

Satisfactory

Satisfactory

influencing their choices and decisions.

N.C. : I displayed sensitivity and respect for clients' cultural, religious, and other beliefs and values influencing their choices and decisions
throughout the semester. For example when a patient asked me to close her curtain while she was eating, I respected her wishes and closed
the curtains.

3. 8 Provide effective client education.

Satisfactory

Satisfactory

N.C. : I provided effective client education when my patient refused to get out of bed and do physical activity and I informed him of the
benefits of getting up and performing physical activity while respecting his choices.

Teacher comments for CARING RELATIONAL PRACTICE :

Student was able to establish sound relationships with peers, staff, clients, and teacher. Student consistently utilized well developed
communication and interpersonal skills.

4. LEADERSHIP AND ADVOCACY

4. 1 Apply appropriate conflict resolution skills in therapeutic client and other interactions.

Satisfactory

Satisfactory

N.C. : I applied appropriate conflict resolution skills in therapeutic client and other interactions when I asked questions if I was unsure
about a certain task I had to perform.

4. 2 Evaluate and refine leadership skills to develop solutions and create a positive work

Satisfactory

Satisfactory

environment.
N.C. : I evaluated and refined leadership skills to develop solutions and create a positive work environment throughout the semester while
working with my partners and other health care team members.

4. 3 Provide feedback to peers and accept feedback from peers and members of the inter-

Satisfactory

Satisfactory

professional health care team.

N.C. : I provided feedback to peers and accepted feedback from peers and members of the inter-professional health care team throughout
the semester.

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

Satisfactory

Satisfactory

N.C. : I advocated for clients, self, others, and quality practice environment when one of my clients was in the negative pressure room ans
she started having a headache and sore throat because her room was too cold.

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

Satisfactory

Satisfactory

N.C. : I supported clients' rights for self-determination and choice when my client was not eating well and I encouraged her to eat more of
her food. She ate a little more, but then she couldn't eat anymore so I respected her choice and did not force her to eat anymore.

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

Satisfactory

Satisfactory

N.C. : I responded appropriately to unsafe, unacceptable, and unprofessional behaviours when one of my colleagues was removed the
PPE in the wrong order and I reminded my colleague the correct way of removing PPE.

4. 7 Collaborate and consult when implementing health care and nursing practices that are in

Satisfactory

Satisfactory

the best interests of the public and protect the public through collaboration and consultation.
N.C. : I collaborated and consulted when implementing health care and nursing practices that are in the best interests of the public and
protect the public through collaboration and consultation throughout the semester while working with my colleagues and the interprofessional health care team.

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

Satisfactory

Satisfactory

N.C. : I contributed to the creation of quality practice solutions and strategies when my patient's room was too cold and she got a
headache and had a sore throat because of that. I gave her PRN pain medications, gave her a warm blanket, and informed the nurse about
the room being too cold so we could get someone to change the temperature in her room.

Teacher comments for LEADERSHIP AND ADVOCACY :

Student was able to demonstrate leadership skills related to peer interactions. Student Consistently
demonstrated professional nursing behavior.

5. PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES
5. 1 Incorporate the clients unique needs and expected outcomes into holistic and client-

Satisfactory

Satisfactory

centred plans of
care.
N.C. : I incorporated the clients' unique needs and expected outcomes into holistic and client-centered plans of care by understanding
each individual client's diagnosis and understanding what each client needs to receive the best possible care.

5. 2 Develop theory-based plans of care that are holistic and client centered and are

Satisfactory

Satisfactory

articulated competently in writing and orally.

N.C. : I developed theory-based plans of care that are holistic and client centered and are articulated competently in writing and orally
while developing the concept maps for my patients.

5. 3 Use knowledge, skill and judgment to assess clients, prioritize needs and outcomes.

Satisfactory

Satisfactory

N.C. : I used knowledge, skill and judgment to assess clients, prioritize needs and outcomes while performing routine care for my clients
including vital signs, medication administration, hygiene care, etc.

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

Satisfactory

Satisfactory

N.C. : I collaborated in the evaluation and modification of plans of care when I realized my client's oxygen saturation and pulse were
abnormal and I informed my instructor and she administered oxygen to the patient.

5. 5 Safely and competently implement and evaluate nursing assessments and nursing

Satisfactory

Satisfactory

interventions in a manner that demonstrates knowledge and skill.

N.C. : I safely and competently implemented and evaluated nursing assessments and nursing interventions in a manner that demonstrated
knowledge and skill throughout the semester by completing a head-to-toe assessment in the morning and assessing and implementing
interventions as needed throughout the day.

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

Satisfactory

Satisfactory

N.C. : I used the three-factor and practice decision-making frameworks to guide practice throughout the semester by assessing if I was
capable of doing the tasks I was assigned and asking for help when I didn't feel comfortable with performing certain tasks.

5. 7 Prioritize nursing care and nursing interventions in order to manage workload, time, and

Satisfactory

Satisfactory

physical
resources.
N.C. : I prioritized nursing care and nursing interventions in order to manage workload, time, and physical resources throughout the
semester. I would ensure that I planned my care and wrote down all the assessments and care I needed to perform for the patient
and ensured that I got everything done in time.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
Student practiced within the ethical guidelines of the care facility, expectations of Humber College, and the CNO.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

6. 1 Collaborate with clients and members of the inter-professional health care team to assess

Satisfactory

Satisfactory

clients, determine health needs, and to achieve mutually agreed expected outcomes.
N.C. : I collaborated with clients and members of the inter-professional health care team to assess clients, determined health needs, and to
achieve mutually agreed expected outcomes throughout the semester. For example, while I communicated with the nurse, the occupational
therapist, the patient, and the daughter of the patient to assess the client and determine the health needs and what we could do to achieve
these needs.

6. 2 Contribute as a member of the inter-professional health care team to respond to the

Satisfactory

Satisfactory

changing needs and expected outcomes of clients.

N.C. : I contributed as a member of the inter-professional health care team to respond to the changing needs and expected outcomes of
clients throughout the semester. For example when my client's oxygen saturation and pulse were abnormal.

6. 3 Seek out assistance and consult with members of the inter-professional health care team.

Satisfactory

Satisfactory

N.C. : I sought out assistance and consulted with members of the inter-professional health care team throughout the semester when I was
unsure about any task I had to perform to ensure I provide my clients with optimal care.

6. 4 Use teamwork, consensus building, and conflict resolution skills to meet expected client

Satisfactory

Satisfactory

outcomes.
N.C. : I used teamwork, consensus building, and conflict resolution skills to meet expected client outcomes throughout the semester. For
example when my parted and I gave out patients fleet enemas, we would work together to ensure the patients were cleaned thoroughly.

6. 5 Use effective, collaborative, and consultative strategies to meet clients needs within a

Satisfactory

Satisfactory

changing
environment.
N.C. : I used effective, collaborative and consultative strategies to meet client's needs within a changing environment when, for example,
my clients oxygen saturation and pulse were abnormal.

6. 6 Interact with members of the health care team respecting their unique role and

Satisfactory

Satisfactory

competencies.
N.C. : I interacted with members of the health care team respecting their unique role and competencies throughout the semester while
communicating with different members of the health care team.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

Student developed strong relationships both with peers, hospital staff, teacher, and clients. Student utilized effective interpersonal
skills and therapeutic communication.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

7. 1 Act in the best interests of clients and protect clients from harm through collaboration

Satisfactory

Satisfactory

and consultation with members of the inter-professional health care team and through
competent and safe practice.
N.C. : I acted in the best interests of clients and protected clients from harm through collaboration and consultation with members of the
inter-professional health care team and through competent and safe practice throughout the semester. For example, when my client's
oxygen saturation and pulse were fluctuating.

7. 2 Engage in ongoing reflective practice to identify strengths, areas for improvement; and,

Satisfactory

Satisfactory

integrate feedback into practice.

N.C. : I engaged in ongoing reflective practice to identify strengths, areas for improvement; and, integrated feedback into practice
throughout the semester. For example, through the weekly feedback my instructor provided.

7. 3 Create, implement, and evaluate a learning plan consistent with the Quality Assurance

Satisfactory

Satisfactory

program (CNO).
N.C. : I created, implemented, and evaluated a learning plan consistently with the quality assurance program. I submitted the learning plan
to my instructor.

7. 4 Seek out learning opportunities and feedback that foster professional development; and,
integrate these into practice.

Satisfactory

Satisfactory

N.C. : I sought out learning opportunities and feedback that fostered professional development; and, integrated these into practice
throughout the semester by asking questions, watching the nurses, and performing new tasks under supervision.

7. 5 Use nursing research to foster professional development.

Satisfactory

Satisfactory

N.C. : I used nursing research to foster professional development throughout the semester by researching the different diagnostic tests
conducted on my patients and understanding the results of those tests. Also by researching my patients' diagnoses and medications.

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

Satisfactory

Satisfactory

N.C. : I used a theory-based approach and evidenced-informed practice throughout the semester while providing routine care to my
clients.

7. 7 Apply knowledge of changes to the health care system, technology, and in society as

Satisfactory

Satisfactory

these affect nursing practice.

N.C. : I applied knowledge of changes to the health care system, technology, and in society as these affect nursing practice throughout the
semester while learning how to use new equipment and adapting to the work environment.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

Student consistently sought knowledge and provided evidence based rational for decisions. Student was able to use acquired
knowledge and apply it to practice. Student increased ability to organize and prioritize related to client care.

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

8. 1 Use critical thinking and problem-solving skills to inform decision-making in all aspects

Satisfactory

Satisfactory

of nursing care.
N.C. : I used critical thinking and problem-solving skills to inform decision-making in all aspects of nursing care throughout the semester.
For example, when my patient was showing me some verbally aggressive behaviour and I gave him his time and told him I would come
back later.

8. 2 Use critical thinking, problem-solving and decision-making skills to assess clients and to

Satisfactory

Satisfactory

determine nursing diagnoses, expected outcomes, nursing interventions, and evaluative

criteria.
N.C. : I used critical thinking, problem-solving and decision-making skills to assess clients and to determine nursing diagnoses, expected
outcomes, nursing interventions, and evaluative criteria, throughout the semester, while caring for my patients and developing concept
maps for them.

8. 3 Evaluate critical thinking, problem-solving, and decision-making skills and design a plan
to improve
these.

Satisfactory

Satisfactory

N.C. : I evaluated critical thinking, problem-solving, and decision-making skills and designed a plan to improve these throughout the
semester. I made a template for myself to organize my patient care where I would write everything I need to do and check it off as I do it
throughout the day. While researching the diagnoses and medications, I would connect the information I found to understand why my
patients were on certain medications depending on their diagnoses. I also identified the things I need to assess my patients for in order to
administer certain medications.

8. 4 Integrate knowledge from a variety of nursing, health, and other theory into nursing

Satisfactory

Satisfactory

practice to provide safe and competent care.

N.C. : I integrated knowledge from a variety of nursing, health, and other theory into nursing practice to provide safe and competent care
throughout the semester while providing patient care.

8. 5 Prioritize effectively.

Satisfactory

Satisfactory

N.C. : I prioritized effectively while providing care by deciding what was the most important and what was least important and by looking at
how much time I had to perform the tasks. For example, I prioritized my day by starting with the most important task of attaining vital signs
and doing a head-to-toe assessment and then I prioritized my care depending on whether my patients had any appointments and what time
there medications needed to be administered. If the patient needed their blood sugar to be taken I would do that as part of my morning
assessment and prior to insulin administration throughout the day.

8. 6 Demonstrate professionalism and accountability.

Satisfactory

Satisfactory

N.C. : I demonstrated professionalism and accountability throughout the semester by taking responsibility for the care I provide and
working on any feedback given to me by my instructor, fellow nursing students, and the inter-professional health care team.

8. 7 Use the practice decision-making and the nurse-client-environment frameworks to inform

Satisfactory

Satisfactory

and guide practice.

N.C. : I used the practice decision-making and the nurse-client-environment frameworks to inform and guide practice throughout the
semester. I used these frameworks to understand how the different factors can effect the care of a client as well as the healing process of
the client. These principles were also used to make decisions for how to provide therapeutic care to the different clients I had depending
on things like the environment, their personal life, and their attitude towards nurses.

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

Student successfully cared for 2 clients for several weeks. Student was able to apply analytical, interpersonal, and technical skills to
implement a safe effective plan of care.

Student Final Summary with Strategies for Continued Growth

As the semester comes to an end I can see that I have grown and improved in my practice and clinical skills. My analytical skills have improved as
well and I am better able to put concepts together and into perspective. I am better able to manage my time and prioritize my care. I have also
improved in my assessments and documenting over the course of the day and correctly. However, there is always room for improvement in this
profession. One thing that I need to work on for the future are my delegation skills and assessing when I need to delegate. I developed a learning plan
on delegation skills as well and narrative documentation skills and problem-solving skills. I have worked on these and improved, however I still need to
work on some of these skills. I want to continue to develop my critical thinking and problem-solving, so I will continue to review my notes and practice
my skills. I will incorporate the feedback I have received from my clinical instructor, my peers, and the inter-professional team on the unit to improve
my care for my future practice. I am looking forward to next semester. It was a pleasure having you as my instructor again Grace, thank you for all
your help, support, and feedback.

Teacher Final Summary with Strategies for Continued Growth

You did an awesome job in clinical keep up the great work! Please continue to practice your nursing skills, develop your critical thinking by reading
your nursing theory books, and improve on your problem solving skills by communicating with the inter-professional team. Well Done!

Grade

Satisfactory

Unsatisfactory

Referred to Clinical Excellence Committee (CEC)

Grade

Satisfactory

Program Coordinator Feedback

The Program Coordinator has reviewed the evaluation

Yes

No

Student Sign Off

I met with my Clinical Teacher/Preceptor and discussed my evaluation

Yes

No

In general this evaluation accurately reflects my performance

Yes

No