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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 :

Paige Lacy
Jackie Hutchinson
Judy Martin
Toronto East General Hospital
Agency
B3 Medicine
06-Sep-2015 To 31-Dec-2015
144
168
144

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

and procedures.
P.L. : I practice and follow the setting policies and procedures.

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


P.L. : While in the clinical setting I act in a responsible, ethical and accountable manner.

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

P.L. : I have determined how the three factor and practice decision-making frameworks influence client care. I review the client, the nurse
and the environment framework document on the CNO website to ensure I practice my decision -making skills when caring for my patients
in the clinical setting.

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

Satisfactory

Satisfactory

P.L. : While in the clinical setting I have used evidence informed practice and a theory-based approach to care by reviewing my textbook
before placement every week to ensure I have the appropriate evidence and theory.

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

Satisfactory

Satisfactory

and a safe environment.


P.L. : I ensure to provide safe practice and a safe environment for my patients and nursing staff. I ensure to clean my equipment when
finished with it, and that the environment around me is always safe.

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

Satisfactory

Satisfactory

P.L. : During my time at the hospital, I ensure to clarify any issues regarding my plan of care, unclear ideas or directions, When i as caring
for my patient the doctor changed a medication order suddenly, so to make sure it was correct, I clarified the order with my primary nurse
before administering the medication.

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

Satisfactory

Satisfactory

unsafe,
unacceptable and/or unprofessional behavior.
P.L. : I have not been in a situation where there has been an unsafe, unacceptable or unprofessional behaviour, to prepare myself for an
event like that I have reviewed documents and policies to ensure I know what to do if this occurs.

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

Satisfactory

Satisfactory

P.L. : I demonstrate understanding about the role of a nurse in the health care setting.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
Paige demonstrate competent and safe practice within a professional, legal and ethical framework for her clients.

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions.

Satisfactory

Satisfactory

P.L. : I always participate in team sharing and discussions by sharing my input with others on situations and concerns. During post
conference I participate in group discussions and ask appropriate questions.

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

Satisfactory

Satisfactory

methods.
P.L. : I have documented clearly and accurately about my patient and finished them in a timely manner.

2. 3 Report relevant information to the appropriate personnel.

Satisfactory

Satisfactory

P.L. : I have ensured to report any information to the appropriate person when it is required to be reported. I always make sure to let my
primary nurse know updates and important information that is required.

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

Satisfactory

Satisfactory

team.
P.L. : I communicate with the clients in a respectful manner and communicate appropriately to the health care team.

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Protection Act (PHIPA).


P.L. : I always ensure to provide privacy and confidentiality according to the PHIPA.

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

P.L. : When available I use technology to find and share information on research to help me understand information given to me and
questions being asked by classmates and the health care team.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :


Paige communicates professionally in accordance to the CNO therapeutic nurse client relationships to her clients.

3. CARING RELATIONAL PRACTICE

3. 1 Use effective communication techniques.

Satisfactory

Satisfactory

P.L. : I believe that I use effective communication skills while in the health care setting and I am always willing and looking for ways to
improve this skill.

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

Satisfactory

Satisfactory

and health care team members.


P.L. : I have ensured to establish caring, compassionate and culturally safe relationships with my clients and health care team. I will
continue to do as in my practice.

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

Satisfactory

Satisfactory

P.L. : I demonstrate therapeutic use of self to foster client well-being in the clinical setting. I will also continue to grow with this skill.

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

Satisfactory

Satisfactory

have on relational practice.


P.L. : I use self-awareness to identify the effects that beliefs, values and personal experiences have to relational practice in the clinical
setting

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

Satisfactory

Satisfactory

consult appropriately.
P.L. : I collaborate with clients and members of the health care team and consult appropriately. I ensure to communicate with both the
client and the health care team in the clinical setting.

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

P.L. : I support the diversity of clients and the health care team in the clinical setting

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

P.L. : I display sensitivity and respect for clients cultural, religious and other beliefs and values influencing their choices and decisions in
the clinical setting.

3. 8 Provide effective client education.


P.L. : I ensure to provide effective client education when it is required in the clinical setting

Satisfactory

Satisfactory

Teacher comments for CARING RELATIONAL PRACTICE :


During this clinical rotation Paige had a caring approach and was respectful to all her client's. Paige communicated professionally with the
nursing staff and the inter-professional team.

4. LEADERSHIP AND ADVOCACY

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

Satisfactory

Satisfactory

P.L. : I have not been in a situation where i need to use conflict resolution skills with therapeutic client interactions but I have reviewed
documentation and textbooks on conflict resolution to ensure I have the right knowledge if I encounter this situation.

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

Satisfactory

Satisfactory

environment.
P.L. : I evaluate and refine leadership skills to develop solutions and create a positive environment by working together with the health
care team and reviewing leadership skills in CNO documentation and textbooks. I have gained leadership skills this semester by providing
a positive work environment with my clients and health care team by being confident in myself and my work habits.

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

Satisfactory

Satisfactory

professional health care team.


P.L. : When asked I provide feedback to my peers as well as accept feedback from my peers and people within the health care setting
when in the clinical placement.

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

Satisfactory

Satisfactory

P.L. : I always ensure to advocate for clients, self and others when I am in the health care setting. By ensuring my patients get the best
care and what would benefit them the most.

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

Satisfactory

Satisfactory

P.L. : I always support the clients rights for self-determination and choice by always listening to the family and their choices.

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

Satisfactory

Satisfactory

P.L. : I have not been in a situation where there has been unsafe, unacceptable and unprofessional behaviours in the clinical setting. To
ensure I am prepared for this situation I have reviewed documents about unsafe and unprofessional behaviours.

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.
P.L. : I collaborate and consult with my patients and their families to help them in their best interests for themselves and the public while in
the health care setting.

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

Satisfactory

Satisfactory

P.L. : I contribute to the creation of quality practice solutions and strategies in the clinical setting by working with the health care team and
the patients.

Teacher comments for LEADERSHIP AND ADVOCACY :


Paige ensured a leadership approach when caring and advocating for her client's.

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

Satisfactory

Satisfactory

centred plans of
care.
P.L. : I incorporate the patients needs and expected plans of care in the health care setting

5. 2 Develop theory-based plans of care that are holistic and client centered and are
articulated competently in writing and orally.

P.L. : I develop theory based plans of care in writing and orally by using textbooks and research in the clinical setting.

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

Satisfactory

Satisfactory

P.L. : I always use my knowledge, skill and judgement to assess my clients to organize and recognize what outcomes I need to achieve.

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

Satisfactory

Satisfactory

P.L. : I talked with the doctor about the plan of care for my patient as well as helped with the evaluation of the modifications we needed to
make to meet the needs of 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.


P.L. : I safely and competently implement and evaluate nursing assessments and nursing interventions in a manner that demonstrates
knowledge and skill. I will always work safely and perform my nursing assessments and interventions in the clinical setting.

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

Satisfactory

Satisfactory

P.L. : I use the three factor and decision making frameworks to guide me in my practice in the clinical setting.

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

Satisfactory

Satisfactory

physical
resources.
P.L. : I am able to prioritize my nursing care and nursing interventions to manage my workload, time and physical resources.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
Paige would implement plans of care that was individualized and met the clients needs. She would collaborate with the primary nurses as
the need arises related to client care.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

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.

Satisfactory

Satisfactory

P.L. : I collaborate with my patients and the health care team when assessing my patients to determine the needs of my patients to ensure
the proper outcome is implemented.

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.


P.L. : I contribute as a member in the health care team when responding to change in needs and expected outcomes of patients when
necessary.

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

Satisfactory

Satisfactory

P.L. : When I am unsure of a task or order I make sure to seek assistance from the health care team to understand the procedure before it
is implemented.

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

Satisfactory

Satisfactory

outcomes.
P.L. : I use teamwork, building and conflict resolution skills when setting my patients expected outcomes in the clinical placement.

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

Satisfactory

Satisfactory

changing
environment.
P.L. : I use effective and collaborative strategies to meet the clients needs with a changing environment by always assessing the patients. I
ensure they are comfortable and consulting with the patients family and the health care team.

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

Satisfactory

Satisfactory

competencies.
P.L. : at the clinical placement I interact with members of the health care team while respecting their roles, techniques and competencies.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :


When applicable Paige would collaborate with the nursing staff and inter-professional health care team members regarding the care of her
clients'

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.
P.L. : I ensure to act in the best interest for my patients and to ensure no harm is causes through collaboration and consultation with
members of the health care team by providing safe practices.

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

Satisfactory

Satisfactory

integrate feedback into practice.


P.L. : I engage in ongoing reflective practice to identify strengths and areas for improvement through feedback in practice. I am always
open for feedback to enhance my skills and assessments and will always be improving my skills though clinical placement.

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

Satisfactory

Satisfactory

program (CNO).
P.L. : I create, implement and evaluate a learning plan with the quality assurance program through the CNO and continue to use care plans
in my practice.

7. 4 Seek out learning opportunities and feedback that foster professional development; and,

Satisfactory

Satisfactory

integrate these into practice.


P.L. : I am always seeking new learning opportunities and feedback from the health care team and peers so that I can use that feedback
through practice in the clinical setting.

7. 5 Use nursing research to foster professional development.

Satisfactory

Satisfactory

P.L. : I use nursing research suck as textbooks and technology to foster professional development in the clinical setting

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

Satisfactory

Satisfactory

P.L. : I use a theory based approach and evidence informed practice through my knowledge from textbooks and CNO research.

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

Satisfactory

Satisfactory

these affect nursing practice.


P.L. : I apply knowledge of changes to the health care system, technology and in the society as these affect nursing practice, by keeping
up to date with new changes within the health care setting.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :


When providing care to her clients' Paige would plan implemented and evaluated ongoing care which is consistent with the Quality
Assurance program (CNO).

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.
P.L. : I use critical thinking and problem solving skills to inform decision making in all aspects of nursing care in the clinical setting.

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.
P.L. : I use my decision making, problem solving and critical thinking skills to assess clients and to determine my nursing diagnoses,
plans and outcomes for my patients.

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

Satisfactory

to improve
these.
P.L. : I use critical thinking, problem solving and decision making skills and design a plan to improve them.

Satisfactory

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

Satisfactory

Satisfactory

practice to provide safe and competent care.


P.L. : I integrate knowledge from a variety of nursing, health and other theory into nursing practice to provide safe and competent care in
the clinical setting.

8. 5 Prioritize effectively.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

P.L. : I prioritize my workload effectively within the health care setting.

8. 6 Demonstrate professionalism and accountability.


P.L. : I demonstrate professionalism and accountability within the health care setting.

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


and guide practice.

P.L. : I use the practice decision making and the nurse client environment frameworks to inform and guide my practice. I use the CNO
documents to ensure I use the appropriate practice.

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


Paige demonstrates critical thinking, problem solving and decision making when planning, implementing and evaluating her plan of care
for all her clients.

Student Final Summary with Strategies for Continued Growth


I believe many of my nursing skills improved over this semester in clinical setting. I feel confident in my work and have developed leadership skills.

Teacher Final Summary with Strategies for Continued Growth


Paige provided competent care to all her clients. She maintained professionalism and confidentiality on client information. Paige has cared for more
than one client where she focused on time management skills.

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