Self Assessment

2016 - 2016 - NURS 151 Practical Nursing Practice 2 Final (201508)

NURS 151 Practical Nursing Practice 2 (PN, 12-Jan-2016 - 07-May-2016)
I declare that this is my original work and the sources used are acknowledged.
Student : Jisha John
Clinical Teacher/Preceptor :
Program Coordinator :
Location : William Osler Health Centre/Brampton Civic Hospital
Placement Setting : Agency
Unit/Office/Clinic : N3 ACE
Period : 12-Jan-2016 To 07-May-2016
Student hours : 156
Required Hours : 168
Validated hours : 156
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 and
procedures.
Satisfactory Satisfactory
J.J. : I practice proper and standard care for all of patients. First of all, Safety and quality of care
is very important for patient care. As a student nurse
I follow the protocol and policies by being in full uniform, being on time, and giving meds on
time and follow assessments care.
1. 2 Act in a responsible, ethical and accountable manner. Satisfactory Satisfactory
J.J. : I show responsibility, ethical and accountability by being on time for clinical, doing
medication research prior to clinical, doing concept map prior
to clinical, and by giving appropriate patient care. I also participate in discussion with clinical
groups and in class. I help my colleagues with ADLs, vital
signs and medication.
1. 3 Determine strengths and limitations and when to consult and seek assistance from other
professionals.
Satisfactory Satisfactory
J.J. : I review my strength and weakness every week through K4Y and try to improve the
following week in clinical. When I have any concerns I talk
to my clinical teacher to make sure that i am giving proper care for my patient and also for my
knowledge. For example, when one of patient had high
Blood pressure even when i give the blood pressure medication and I talked with Zaynab to
make sure whether the results were normal or abnormal.
1. 4 Use evidence informed practice and a theory-based approach to care. Satisfactory
Satisfactory
J.J. : I use evidence informed practice and theory-based approach to care and studying. I used
health assessments (Jarvis) and potter and perry for
information prior to clinical. I use Mosby drug guide for my research for medication, prior to
clinical. I use theory based information both in class and
in clinical.
1. 5 Ensure client safety and a safe environment. Satisfactory Satisfactory
J.J. : I create safe environment for all my patient in clinical. I ensure that by making sure that the
bed is in the lower position, side rails are up when
my patients are in bed, have assistance device near by, call be near by, and even walking with my
patient to make sure they don't injure them self. I
also make sure the the side table is near by the patient and have their belongings near by such as:
phone and bible. I also make sure that I wear
gloves and use hand hygiene before entering the room.
1. 6 Ask relevant questions to clarify understanding of the plan of care and whenever uncertain.
Satisfactory Satisfactory
J.J. : I ask relevant question to clarify my understanding for better care for my patient. For
example, one of my patient had low temp was low so i told
me primary nurse because I was concerned. My nurse told me to put on couple of warm blankets,
and when i re-checked the vitals in the afternoon
the temp was normal.
1. 7 Identify ethical and unsafe situations and seek appropriate assistance to resolve these.
Satisfactory Satisfactory
J.J. : I had an interesting experience in week 12 of clinical with my patient, and I talked to my
clinical teacher and she told me to talk to patient about
it. I ended up talking to my patient and clarify everything. Another example, is when I let my
primary nurse know that I am not allowed to give IV and
insulin medication, so that the nurse will give the meds on time and the patient will be safe.
1. 8 Demonstrate understanding about the role of the student nurse. Satisfactory Satisfactory
J.J. : As a student nurse in clinical for first time I practice along side my primary nurse every
week. I practice my vital signs, head to toe assessment,
medication, and ADLs. I also had the chance to do g-tube feeding, inhaling medication, rectal
medication and dressing. As i progressed learning I was
able to do change the dressing for stage 2 coccyx ulcer by myself.
Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL,
LEGAL, AND ETHICAL FRAMEWORK :
Jisha was present and prompt for all clinical dates. Jisha ensured she complied by the guidelines
stated in the handbook. She was prompt,
in uniform and prepared to the best of her abilities. Jisha submitted assignments in a timely
manner and completed K4Y on time. Jisha
took responsibility for her own actions and asked questions accordingly. She understands her role
and responsibility as a student nurse
with respect to practice limitations, documentation and reporting. When able, Jisha used theory
to guide her learning. She ensured a save
environment for her patients by ensuring the bed was always in the lowest position, call bell was
within reach and the patient had their
belongings within reach. When Jisha provided care she used evidence-based researched to
provide the care (i.e. following the rights and
routes of medication administration, changing dressings, etc).
2. ACCURATE AND RELEVANT COMMUNICATION
2. 1 Participate in team sharing and discussions. Satisfactory Satisfactory
J.J. : I participate in group discussion and team sharing at clinical. I participated both in class and
at clinical. In post confreres I participate by
answering question and discussing about the day, and how collaborative care impact each one of
our patient. During clinical when i am unsure of
some something such as abnormal vital signs i consult with my teacher before entering it into
meditech. Another example, when we had post
conference we discuss what other collaboration can be used for each of our patient.
2. 2 Document clearly, accurately, concisely in a timely manner using written and electronic
methods. Satisfactory Satisfactory
J.J. : I had some trouble with time management prior to midterm and I improved and managed
my time ever since. I also document vital signs, sign
medication, document, head to toe assessment, and ADLs clearly and accurately. I am more
comfortable with documenting all the information to
meditech than I was in week 6. I also let my primary nurse know of the vital signs when there is
a shift change.
2. 3 Report relevant information to the appropriate personnel. Satisfactory Satisfactory
J.J. : I report relevant information to the appropriate personnel such as my clinical teacher and
my primary nurse. In week 11 my primary nurse
wanted to make sure the respiration count, so we both counted the respiration together. Also in
week 12 there was a shift change for my primary
nurse and I had to discuss my afternoon vitals with the new primary nurse during shift change.
2. 4 Utilize communication techniques with the client and inter-professional health care team.
Satisfactory Satisfactory
J.J. : I utilize communication techniques with the client and inter-professional health care team.
In week 12 of clinical I had to talk to clinical teacher
the proper way to talk to my client, and with my teachers help I knew how to talk to my client
and i ended my day with a good conversation with my
client. I also talk with my primary nurse during shift report and I let the nurse know who my
patient is and everything I am assigned to do. I also greet
and introduce myself to my patient every morning and check on them though out the day.
2. 5 Maintain privacy and confidentiality according to the Personal Health Information
Protection Act
(PHIPA)
Satisfactory Satisfactory
J.J. : I maintain privacy and confidentiality by making sure that I don't talk about my patients
personal information with others outside of clinical. I also
don't leave any of my patients information lying around. I also make sure when i do any
procedures I close the curtnes. I also don't share my patients
information with my friends in other clinical groups.
2. 6 Use technology to retrieve information including research, data and other information.
Satisfactory Satisfactory
J.J. : I use technology to retrieve information including research, data and other information. I
use technology prior to clinical to look up medication
and also my patients problems and abbreviation. I also check my patients history at clinical, and
also double check all the medication. I also do
research for my classes as well as clinical to make sure i have the right information.
Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :
Jisha has done a good job at communication throughout this clinical. Jisha worked well with
others and actively participated in group
discussions, sharing her experiences and thoughts. She understands the importance of
communication and documentation. She
documents accurately and thoroughly, with minimal assistance. She communicates well with
staff and patients, often demonstrating great
patience when the patient does not understand. Jisha ensures all of her findings, particularly
things out of norm (i.e. vital, blood work
results, patients current attitude, etc) is documented and shared with the appropriate persons. She
is cognizant of her surroundings and
the importance of maintaining patient privacy and confidentiality (i.e. not sharing information
about patients in front of other, discussing
patients in the elevators or hallways). She used technology to find research to support her care
and research medications.
3. CARING RELATIONAL PRACTICE
3. 1 Utilize effective communication techniques. Satisfactory Satisfactory
J.J. : I utilize effective communication techniques with clients. I always talk to client and make
sure they are comfortable. When i take vital signs I
always let them know of their blood pressure. I also encourage my patients for example in week
12, my client was totally capable of walking, however,
my client preferred to stay in bed. I told my client that walking and movement is good for the
body. I also listen to my clients needs.
3. 2 Demonstrate therapeutic caring, compassionate, and culturally safe relationships with clients
and health care team members.
Satisfactory Satisfactory
J.J. : I demonstrate therapeutic caring, compassionate, and culturally safe relationships with
client and health care team members. I demonstrate
therapeutic care through good communication. I listen to my patients and I also talk to them
while I do any procedures. For example, one of my patient
wanted to walk and I walked with him to make sure that he doesn't fall. I make sure that i always
introduce my self to my patients and say good bye
when i leave.
3. 3 Apply knowledge of therapeutic use of self and identify its effect on client well-being.
Satisfactory Satisfactory
J.J. : I apply knowledge of therapeutic use of self and identify its effect on client well-being by
making sure that their needs are meet and teaching
them to use the call button when they need anything. For example, one of my client wanted me
to use shower gel and location that his family provided
him with, and I used what he wanted me to use.
3. 4 Use self-awareness to identify the effects that beliefs, values, and personal experiences have
on
relational practice.
Satisfactory Satisfactory
J.J. : I use self awareness to identify the effects that beliefs, values, and personal experience have
on my relational practice. I had few clients that
prayed and read religious books, while i check on my patients, knowing that i try not to disturb
my clients quality time. I also had a client that taught
me a word in his language and i used it few times when I checked on him and he was very happy.
3. 5 Interact with clients and members of the inter-professional health care team; and, consult
appropriately.
Satisfactory Satisfactory
J.J. : I interact with clients and members of the inter professional health care team, and consult
appropriately. The first thing I do when I enter my
clients room is introduce my self by saying my name and my title. I interact with my clients
through out the day to get to know them as well as taking
care of them. I also interact with other health care team members such as: physiotherapist, family
and nurses. One of my client had to work with the
physiotherapist and I had the chance to talk to the physio and give his vital signs. I had the
chance to see some of the family members and while
doing any procedures such as vital signs I talk to my clients and family. I work with nurses every
week and I let them know what I am assigned to do
for that day.
3. 6 Apply knowledge of practices and systems that support the diversity of clients and the
interprofessional
health care team.
Satisfactory Satisfactory
J.J. : I apply knowledge of practice and systems that support the diversity of clients and the inter-
professional health care team. For example, one of
my patient wanted to take a bath and she wasn't comfortable with another nursing student
helping me because other student was a guy. Also, one of
my patient was not comfortable with eating the chicken soup because she wasn't sure if it was
halal, so I talk to me primary nurse and resolved it.
3. 7 Apply knowledge of clients cultural, religious, and other beliefs and values as these
influence
clients choices and decisions.
Satisfactory Satisfactory
J.J. : I apply knowledge of client's culture, religion, and other beliefs and values as these
influence clients' choice and decisions. For example, when i
check on my patients i have seen few of my patients read religious books and i respect it and
give them the privacy they need. I also had couple of
patients that preferred to wear scarfs on their head, because of their culture and religion. I also
helped my clients to put on the scarf.
3. 8 Provide effective client education. Satisfactory Satisfactory
J.J. : I provide effective client education. For example, one of my client was fully capable of
walking, but every time i asked him would you like to sit
on a chair or take a walk. My client preferred to stay in bed. I did talk to him, and told him that
moving and walking is good for his body and that he will
gain more strength. My patient was willing to walk and go to the patient shower room and even
took the shower by himself.
Teacher comments for CARING RELATIONAL PRACTICE :
Jisha has been a caring professional. She has always respected the culture of others and has an
appreciation of how that can effect ones
choice. When providing care Jisha is aware of her own values and beliefs and makes sure they do
not interfere with the care she is
providing. As she had the opportunity to work with patients with different cultural backgrounds,
experiencing difference diagnosis, Jisha
was able to appreciate how difference patients required different methods of care. For example:
An aphasic patient who was still able to
communicate using physical signs, or a patient who was only able to communicate with her eyes,
etc. When caring for a patient who was
aphasic, had left sided paralysis and had only 5% movement to her right side, Jisha made sure
she continued to engage the patient and
explained to her everything she was doing. She treated every patient with respect, despite the
level of care they required (independent
versus total care). In addition, she provided effective patient education during feeding,
medications, diagnosis, the importance of
ambulation, etc.
4. LEADERSHIP AND ADVOCACY
4. 1 Recognize conflicts and strategies for resolution. Satisfactory Satisfactory
J.J. : There was an incident were one of my colleague's patient had a dressing for necrosis. My
friend actually did the dressing with the help of
Zaynab, and the family was present (all the nursing students was watching the dressing). After
the dressing was complete the family wanted the
dressing to be removed and the Doctor debride necrotic tissue. Also, the family wanted the
patient to be transferred to another hospital and also
wanted maggot treatment. The doctor, wound nurse, and even my clinical teacher tried to teach
the family about the risk of the necrosis and how it
can lead to infection and the patients life can be on risk. That amputating below knee will be one
of the best choice for the patient, however it was the
families decision.
4. 2 Demonstrate leadership skills that foster group work and a positive learning environment.
Satisfactory Satisfactory
J.J. : One of my patient was behaving inappropriately, and I reported that to Zaynab. After
sharing it with Zaynab I talk to my patient and explained
that I am a nurse providing care and it is just therapeutic relationship. I felt confident after the
discussion with my patient, because I clarified what was
happening before with my patient and me. Also, there was an understanding. I also help my
colleagues when they need help which include: ADLs and
re-positioning the patient.
4. 3 Identify opportunities to improve health care service and nursing interventions by
advocating for
client, self, others, and quality practice.
Satisfactory Satisfactory
J.J. : I find opportunities to improve health care service and nursing interventions by advocating
for client, self, others, and quality practice. One of my
patient wanted to whether the food had any halal in it. I first checked the menu that my patient
received. Since, the menu doesnt explain if the food is
halal or not, I contacted my primary nurse, because I wanted to make sure that my patients
culture preference is being valued. However, my primary
nurse was not sure if the soup was halal, so we told the client and my primary nurse made sure
that she will mention it to the people who take the
order for food. Another example will be attending the infection control in service for the better
outcomes for patient safety.
4. 4 Provide feedback to peers and accept feedback from peers and members of the
interprofessional
health care team.
Satisfactory Satisfactory
J.J. : I provide feedback to peers and accept feedback from peers and members of the inter-
professional health care team. During this semester we
were required to do peer/self review, I wrote three of my strength and weakness. Of of my wrote
their opinion on my performance as well. I also get
feedback from Zaynab through K4Y, it indicate things i am doing good and things i need to
improve on. I gladly accept the comments improved in
clinical.
4. 5 Support clients rights for self-determination and choice. Satisfactory Satisfactory
J.J. : I support clients' rights for self- determination. For example, I had a client who refused to
let my primary nurse and me to take vital signs in the
morning, because he was sure that another nurse took it. We tried to teach him and told him that
it was just to make sure everything is normal, but he
still refused. However, when we checked to see the vitals there was no reports. However, when i
went in to check his vitals in the afternoon he let me
do it. Another example is when one of my patient wanted to take a walk and I supported his
decision by assisting him while walking.
4. 6 Respond appropriately to unsafe, unacceptable, and unprofessional behaviours. Satisfactory
Satisfactory
J.J. : I respond to unsafe, unacceptable, and unprofessional behaviours appropriately. Like
mentioned before I had a patient that was behaving
inappropriately and I first reported it to my teacher and talked with my patient and make sure
that there is an understanding, and that my patient
understand that it is just therapeutic relationship. Also, I have seen patients that are not
positioned properly on the bed, so I ask one of my friends to
help me, so that I make sure my patient is safe.
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.
Satisfactory Satisfactory
J.J. : I consult and collaborate with my primary nurse. I share my patients vital signs with the
primary nurse and I also inform what as a student nurse
i can do in the unit. In week 13 we had a presentation with the pharmacist on how the pharmacy
and pharmacist collaborate with other health
professional. I also had a opportunity to talk to the physiotherapist, because one of my patient
had collaborative care with physio.
Teacher comments for LEADERSHIP AND ADVOCACY :
Jisha has demonstrated good leadership skills. She advocates for clients when she feels she needs
too (i.e. with medications, nutrition,
wound care, etc). Jisha supports the choices a client makes when she is positive they have
enough information to make an informed
decision. When caring for patients who require close contact (i.e. helping with peri-care, have a
strong cough), Jisha protects herself,
others in the organization and the public by ensuring she wears gloves, wears a mask, and
completes hand hygiene appropriately. Jisha is
always supportive of her peers. She provides assistance when they require it. Jisha also provides
feedback to others in a non-judgemental
way. She accepts feedback graciously, and attempts to make changes to her practice accordingly.
5. PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED
OUTCOMES
5. 1 Incorporate the unique needs and expected outcomes into individual clients plans of care.
Satisfactory Satisfactory
J.J. : I incorporate the unique needs and expected outcomes into individual clients' plans of care.
For example, I make a concept map prior to clinical
and when I do my head to toe assessment I refer it to my interventions. I also look up my patients
past history and admitting diagnosis, so that i can
use the information while i care for my patient. For example, one of my patient had respiratory
problems, so few of my intervention was auscultating
lungs and checking for shortness of breath and respiration, and i use concept map as my guide.
5. 2 Develop theory-based plans of care that are holistic and client centered and are articulated
competently in writing and orally.
Satisfactory Satisfactory
J.J. : I use theory-based plans of care that are holistic and client centered are articulated
competently in writing and orally. When i do head to toe
assessment i prioritize and do the assessment based on my patients past history, admitting
diagnosis, and medication. I do research prior to clinical
that helps me while i take care of my patient. I document all my findings accurately and
communicate with my patient while doing any procedure. I
also communicate my finding with my primary nurse.
5. 3 Use knowledge, skill and judgment to assess clients, prioritize needs and outcomes.
Satisfactory Satisfactory
J.J. : I use knowledge, skills and judgment to assess clients, prioritize needs and outcomes. For
example, when I receive patient assignment I
research both past medical history and admitting diagnosis, so that I have a clear idea of how I
can prioritize my assessments and care for my patient.
I also make the connection between the medications and health conditions.
5. 4 Provide information that contributes to the evaluation and refinement of plans of care.
Satisfactory Satisfactory
J.J. : I provide information that contributes to evaluation and refinements of plans of care.
Communication is a key for the better outcome for the
patient. For example, in week 13 my patient had aphasia and dysphasia, so I used both verbal and
non-verbal communication. The patient was able
to point and say few words me. I also talk to my patients and encourage them while i do
assessments on them, so they can also participate in the
care.
5. 5 Safely and competently carry out nursing assessments and nursing interventions that are
theorybased
and within skill abilities.
Satisfactory Satisfactory
J.J. : I do research prior to clinical that helps me through out my clinical day. I use concept map
and assessment check list for my patient care. When
i do research i look for information that nurses are allowed to do and practice. Potter and Perry,
Mosby, Jarvis are some of the reading and research I
do to help with my clinical. I made changes to the way i practice. For example, week 6 was the
fist clinical day for me and the way i did my
assessments were different I try to do so much and had trouble prioritizing, but now I look at my
concept map and the patients history and know which
assessment i should start with and why i have that intervention for.
5. 6 Carry out nursing care that reflects the practice decision-making framework. Satisfactory
Satisfactory
J.J. : According to Potter and Perry decision making is the result of critical thinking that focuses
on problem solving. I focus on my clients diagnosis
and initiate my care based on the findings. When I do any procedures I constantly think of
prioritizing and how I should do it and what I should start
with. For example, when I am at clinical I check vital signs twice and one of my patient had
respiratory problem and I knew that his respiration is high
because of his condition.
5. 7 Complete nursing care responsibilities and nursing interventions in an organized and timely
manner.
Satisfactory Satisfactory
J.J. : I compete nursing care responsibilities and nursing interventions in an organized and timely
manner. Although, I had some issues with time
management prior to mid-term, I focused on my time management and completed all my
assessments on time accurately and with care. I also
document all my findings after any care. I also helped some of my friends with ADLs as well.
For example, one of my friend had a patient with
Parkinson's disease and i helped her while she give a bath for her patient.
Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY
AGREED EXPECTED OUTCOMES :
Jisha has worked exceptionally well at following a care plan and meeting the patients needs.
Jisha is aware that all patients are different
and they have different needs. She ensures her care is patient specific. She completes accurate
and thorough head to toe assessments.
Her assessments are specific to the patient and she often focuses on the system related to their
clinical diagnosis. Jisha is aware of her
limitations as a student nurse and only implements nursing interventions which she knows and
understands how too. When there are any
changes to the patient, she reports this to the primary nurse or myself so the care plan can be
changed accordingly. She has improved
over the term in completing nursing responsibilities and interventions in a time manner. She
administered medication confidently via all
routes except for intravenous. Overtime, Jisha has also improved on creating concept maps
which are specifically related to the patient's
diagnosis and their current health state.
6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM
6. 1 Work 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
J.J. : I work with clients and members of the inter-professional health care team to assess clients,
determine health needs, and to achieve mutually
agreed expected outcomes. I worked with one of my colleague while checking vital signs and
assessments. I helped few of my colleagues with ADLs
and with re-positioning as well. In week 13 my patients temp was low, so I talked to my primary
nurse, and I applied couple of warm blankets on my
patients .
6. 2 Contribute as a member of the inter-professional health care team to respond to the changing
needs and expected outcomes of clients.
Satisfactory Satisfactory
J.J. : In week 13 my client needed dextrose 50% injection because the clients blood sugar was
low, and my primary nurse explained the protocol and
I watched her while she give the IV and i also timed her. After the IV my primary nurse checked
the blood sugar, and it was elevated.
6. 3 Seek out assistance and consult with members of the inter-professional health care team.
Satisfactory Satisfactory
J.J. : In week 12, Zaynab checked all my medications with me, and i had the chance to
administer it by my self and one of my colleague watched me
while giving the medication. After administering the medication I informed Zaynab and made
sure both of us signed the document. I also ask other
nursing students when I need any help with my clients such as: moving the patient and complete
bed bath.
6. 4 Use teamwork, consensus building, and conflict resolution skills. Satisfactory Satisfactory
J.J. : I use teamwork, consensus building, and conflict resolution skills. For example, when my
colleagues help I always help them. I usually help with
bath/shower, mobility, and vitals. Another example was when one of my patient was being
inappropriate with me, so i talked to my clinical teacher and
had a talk with my patient and confronted him and made sure that there was an understanding
between us.
6. 5 Describe effective, collaborative, and consultative strategies to meet clients needs within a
changing environment.
Satisfactory Satisfactory
J.J. : I make concept map every week to help me guide how I treat my patient and to prioritize
the treatment. In the the morning i look my patients
chart and make changes changes to the assignments. I also participate in the end of shift report to
know more information on my patient and how it
effect the treatment for the better outcome of the client.
6. 6 Interact with members of the health care team respecting their unique role and competencies.
Satisfactory Satisfactory
J.J. : I interact with member of the health care team and respect their unique role and
competencies. In week 13, we had the pharmacist talk to us
about what they do and how they collaborative other health care members. We also had in-
service with the infection control to how to limit infection
around the hospital and patient to patient. I also got the opportunity to work with the
physiotherapist, because one of my patient needed help with
mobility.
Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH
CARE TEAM :
Jisha has collaborated well with members of the healthcare team throughout the semester. She
actively contributed as a member of the
healthcare team by caring out all nursing interventions within her limits. Jisha has good team
work skills. She worked will with her peers
and with other members. She assisted other nurses as they required assistance. She has
knowledge of and appreciates the various
members of the healthcare team. Although, she was not able to collaborate directly with them,
Jisha was able to discuss which members of
the healthcare team she would consult in her patients care and why.
7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE
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.
Satisfactory Satisfactory
J.J. : I act in the best interests of clients and protect clients from harm through collaboration and
consulting with members of the inter-professional
health care team and through competent and safe practice. Every week in clinical i get a primary
nurse along with my clinical teacher and i
communicate with both when I am I need help with anything or when I find any abnormal results
in my patient. I also let my primary nurse know what I
am allowed to do as a first year student. For example, I had a patient with low temperature and I
was concerned, so i talk to my primary nurse and she
told me i just have to put extra layers of blankets.
7. 2 Participate in self-reflection to identify strengths, areas for improvement. Satisfactory
Satisfactory
J.J. : I participate in self-reflection to identify strength, areas for improvement. For example,
every week I receive a feedback from Zaynab on how i
worked in the unit and with my patient. when i need to improve on anything i usually work on it
and improve the following week of clinical. I also
participated on student reflection where students state 3 strength and weakness and I improved
on it while at clinical.
7. 3 Create, implement, and evaluate a learning plan consistent with the Quality Assurance
program
(CNO).
Satisfactory Satisfactory
J.J. : In nursing and theory based approach I use CNO documents to support my treatments and
findings. I also participate in Knowledge 4 You to
weekly assignment and student evaluation to improve my work at clinical and also to know what
am I am doing right.
7. 4 Seek out learning opportunities and feedback that foster professional development; and,
integrate these into practice.
Satisfactory Satisfactory
J.J. : I seek out learning opportunities and feedback that foster professional development, and
integrate these into practice. For example, I got to give
an inhalation medication, and it was my first time. My clinical teacher showed it to me first and i
tried it in the morning. Afternoon, i was able to do it by
myself with no assistance. I also seen ostomy care, narcosis dressing change, g-tube feeding,
rectal medication, infection control in service etc at
clinical sitting.
7. 5 Utilize nursing, health and other theory and literature to improve nursing practice.
Satisfactory Satisfactory
J.J. : I utilize nursing, health and other theory and literature to improve nursing practice. For
example, prior to clinical i do all the research that helps
me while i am at clinical such as: looking at abbreviation, pathophysiology, medication, and
nursing diagnosis (NANDA). I also use theory notes and
Potter and Perry to do my weekly concept map and to get accurate information.
7. 6 Use a theory-based approach and evidence-informed practice. Satisfactory Satisfactory
J.J. : I use theory-based approach and evidence-informed practice. I use Potter and Perry, Lewis,
Mosby, Jarvis to do research prior to clinical, and it
gives me a theory based information which I use to write my concept map. My concept map help
with the assessments and care every week.
Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE
COMPETENCE :
Throughout the term Jisha has demonstrated ongoing competence. She participated in in-services
and sought opportunities which came
up with her peers (i.e. insertion and removal of a foley catheter, watching complex wound care,
etc). Jisha reflects well honestly on her
practice and progress both verbally and written. Her learning plan was accurate and she honestly
highlighted her areas of strengths and
weaknesses. All of the care that Jisha provided was supported by theory she had previously
acquired.
8. USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING
EFFECTIVELY
8. 1 Utilize problem-solving skills to inform decision making in all aspects of nursing care.
Satisfactory Satisfactory
J.J. : I utilize problem-solving skills to inform decision making in all aspects of nursing care. For
example, one of my patient was concerned about the
food she got in the hospital, regarding her cultural preference. So I made sure i talked with the
primary nurse to resolve her problem. Another example
is when a client who was not my patient was asking me when she was allowed to go home,
because she was not my patient and I didn't know who
her nurse was i talked to her and i pressed her call button, so that her nurse can talk to her.
8. 2 Use problem-solving and decision-making skills to assess clients and to determine nursing
diagnoses, expected outcomes, nursing interventions, and evaluative criteria.
Satisfactory Satisfactory
J.J. : I use problem solving and decision-making skills to assess clients and to determine nursing
diagnoses, expected outcomes, nursing
interventions, and evaluative criteria. For example, every week we are required to do concept
map prior to clinical, and doing so when i do head to toe
assessments i prioritize the information and assess the client. I follow the information on my
concept map for interventions.
8. 3 Use self-reflection to design a plan to improve problem-solving and decision-making skills.
Satisfactory Satisfactory
J.J. : I use self-reflection to design a plan to improve problem-solving and decision-making
skills. I do weekly evaluation on knowledge 4 you and
utilize my clinical teachers comments and improve the following week. For example, I had
trouble with time management and my teacher commented
"needs improvement" for time management. So the following week onwards I improved and
finished all the assessments on time and documented on
time as well.
8. 4 Utilize knowledge from variety of nursing, health, and other theory into nursing practice to
provide safe and competent care.
Satisfactory Satisfactory
J.J. : I utilize knowledge from variety of nursing, health, and other theory into nursing practice to
provide safe and competent care. I refer to my
textbooks, notes, drug guide, NANDA, and videos prior to clinical and classes. I also utilize
academic journals and articles to look up at abbreviations
and pathophysiology. For example, when I have a patient that has G-tube, I watch the videos on
how to give meds through g-tube.
8. 5 Use prioritization strategies for client care. Satisfactory Satisfactory
J.J. : Like mentioned before I prioritize the assessments depending on the patients condition. For
example, if the patient have cardiac problem then I
auscultate the heart, count apical pulse rhythm and rate, capillary refill etc. Another example will
be a patient who has hypertension, when giving
medication I will give the blood pressure medication first lower the b/p.
8. 6 Demonstrate professionalism and accountability. Satisfactory Satisfactory
J.J. : I demonstrate professionalism and accountability through my performance, communication,
and being punctual. I always come in early to
clinical so that I am look at my patients meds to make sure that I have the the list right. Every
week i continue to improve and learn as much as i can.
For example, I got to do a coccyx dressing for stage 2 ulcer by my self in week 13, and also i got
to see the insertion of foley catheter in clinical
setting. I practice good communication with my patient. For example, my patient in week 13 had
past history of stroke which caused aphasia and
dyspepsia, so her communication is poor, however I used non-verbal communication (thumps
up) and she was able to yeah and nod her head.
8. 7 Recognize strengths and limitations and seek appropriate assistance and support.
Satisfactory Satisfactory
J.J. : I recognize my strength and limitations and seek appropriate assistance and support. In
clinical when I think i performed bad in any situation i
take it as an opportunity for me to improve and learn. For example, time management and
confidence was something i needed to improve on, and I
started to improve on it as soon as i can in clinical. Another example was concept map, in week 6
I was not sure how to do a concept map, but I know
i exactly how to do it, and i use to guide my practice.
Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-
MAKING EFFECTIVELY :
Throughout the semester, Jisha has been professional and demonstrated accountability for her
own learning. Jisha is aware of her
strengths and weaknesses. She asks for help when needed, and develops learning plans as she
requires them. She has drawn on
knowledge acquired from other courses and previous life experiences. Jisha ensures her practice
is guided by theory, and demonstrates
professionalism when practicing as a student nurse. As the semester progressed, Jisha has
improved on prioritizing patients care (i.e.
continuing a assessment versus addressing pain). As Jisha continues to practice, it is evident her
confidence is increasing.
9. SIM number of hours
9. 1 SIM number of hours
J.J. : 6
Z.P. : 6
Teacher comments for SIM number of hours :
6
Student Final Summary with Strategies for Continued Growth
Through out my clinical experience I have learned a lot. I perform safe practice, legal, and
ethical framework for all my clients and also interprofessional
team. I am able to communicate with my clients and inter-professional team, and able to
communicate relevant information with other
members of the health for he better outcome of the client. I was able to promote therapeutic care
for all my clients, and also respect my clients culture
and religious belief. I was able to demonstrate safe practice for my clients and for inter-
professional team. I was able to reach better outcomes for my
patient and meet my clients needs. I was able to interact with inter-professional team with my
patient care. I was able to do work prior to clinical and
also work throughout clinical. I improved and developed better critical thinking skills, problem-
solving and decision-making skills as well. All in all, I
was able to improve every week of clinical and learn and find learning opportunity to further
expand my knowledge and also for my clients.
I reason why I have 156 hours is because there was no clinical due to Good Friday.
Teacher Final Summary with Strategies for Continued Growth
As the semester progressed Jisha became a more competent and confident student nurse. She
continued to adhere to the guidelines set by Humber
College and the practice facility. She demonstrated professionalism with her patients, her peers,
and other staff. She competently completed head to
assessments and documented her findings into Meditech. She advocated for her patients and
demonstrated leadership by supporting her peers. Jisha
accepted feedback provided to her and made changes to her practice whenever she was able too.
Jisha administered medications through a variety
of routes (PO, SC injections, inhalation, nebulizers, rectal and Peg-Tube). When administering
medications, Jisha was prepared and was almost
always able to make the connections between the medication and the patient's diagnosis and past
medical history. To maintain her success, in the
upcoming semester, Jisha needs to continue to practice her head to toe assessments skills. This
will maintain her competence and help hone her
skills. She should explore other resources (i.e. peer-reviewed journals, videos, and text-books) to
broaden her knowledge base, deepen her
understanding of concepts, and ensure her practice is evidence-based. Jisha should maintain
familiarity with the CNO practice standards to ensure
her practice is up to par. She should also ensure she seizes new opportunities and continue to
challenge herself, as this will further increase her
confidence and competence enabling her to provide better patient care. Furthermore, it is
important for Jisha to engage in on-going self reflection to
recognize her strengths and weakness, and seek assistance accordingly. Lastly, Jisha needs to
ensure when administering medications it is critical to
understand why this patient is receiving this particular medication, and what the nurse should
monitor pre and post (i.e lab work).
It has been a pleasure having Jisha as a student nurse for this clinical rotation. I wish her the best
of luck in the upcoming year.
**Missed 12 hrs due to Good Friday**
Student's References
Referred to Clinical Excellence Committee (CEC)
Potter and Perry textbook
Jarvis Health Assessment textbook
Pharmacology for the Canadian Health Care Practice textbook
Mosby drug guide
Mosby video
Simulation
Grade Satisfactory Unsatisfactory
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
Student Comment
It was a great experience and I learned a lot