Evaluationpsychnursing

Logged in as: BFORTNER Fortner, Brooke
Evaluations - > Evaluation Review

Evaluations Mental Health Nursing Clinical Eval FINAL
Evaluations NUR3535L.001F16STJ-SBN (11/1/2016)
Experience
Fortner, Brooke (bfortner@health.usf.edu)
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Evaluator: Wood, Norma (burrellandnorma@verizon.net)
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Students must achieve a 3 or higher in each component of the safety standard to achieve an S
5=Excellent
4=Very Good
3=Satisfactory
2=Fair
1=Poor
N/A=Not Applicable
Professional Identity: Adheres to policies regarding clinical attendance, promptness,

and attire as specified by faculty, agency, and syllabus.
5 (Comment Required) Excellent
4 Very Good
3 Satisfactory
2 (Comment Required) Fair
1 (Comment Required) Poor
N/A Not Applicable
Always professional.
Professional Identity: Written assignments demonstrate application of didactic

material to clinical setting and are timely and complete.
4 Very Good
3 Satisfactory
N/A Not Applicable
Professional Identity: Demonstrates an ongoing self-assessment of progress and
personal growth/ issues impacted by patient and family care.
4 Very Good
3 Satisfactory
N/A Not Applicable
Professional Identity: Demonstrates attitudes and behaviors compatible with

accepted norms of professional decorum as defined by CON handbook, faculty, and
facility.
4 Very Good
3 Satisfactory
N/A Not Applicable
Is a role model to patients and other students.
Patient-centered care: Provide patient-centered care with sensitivity and respect for
the diversity of human experience.
4 Very Good
3 Satisfactory
N/A Not Applicable
Patient-centered care: Engage patients in active partnerships that promote health,

safety, well-being, and self-care management.
4 Very Good
3 Satisfactory
N/A Not Applicable
Patient-centered care: Demonstrate an organized assessment of a patients mental

status.
4 Very Good
3 Satisfactory
N/A Not Applicable
Patient-centered care: Develops, implements, and evaluates at least one patient

educational activity.
4 Very Good
3 Satisfactory
N/A Not Applicable
Patient-centered care: Incorporates legal, ethical, and client rights parameters of

practice into actions.
4 Very Good
3 Satisfactory
N/A Not Applicable
Patient-centered care: Utilizes nursing process to develop plan of care for patient.
4 Very Good
3 Satisfactory
N/A Not Applicable
Patient-centered care: Demonstrates judgment in decision-making and priority

setting.
4 Very Good
3 Satisfactory
N/A Not Applicable
Patient-centered care: Demonstrates understanding of therapeutic value of

community support groups.
4 Very Good
3 Satisfactory
N/A Not Applicable
Patient-centered care: Initiates, maintains, and terminates nurse-client relationship

using principles of therapeutic communication.
4 Very Good
3 Satisfactory
N/A Not Applicable
Patient-centered care: The student examines the impact of culture, ethnicity, gender,
age, and other identifiers in the patients illness and recovery.
4 Very Good
3 Satisfactory
N/A Not Applicable
Especially demonstrates skill in dealing with pediatric patients.
Teamwork and collaboration: Assume role of team member of leader based on the
situation.
4 Very Good
3 Satisfactory
N/A Not Applicable
Teamwork and collaboration: Contribute to team knowledge through active

participation in post conference discussion, adapting own style of communicating to
needs of the team and situation.
4 Very Good
3 Satisfactory
N/A Not Applicable
Evidence-based practice: Applies material from theory course and evidence-based

literature to critically appraise patient care issues as demonstrated by participation in
post conference discussions.
4 Very Good
3 Satisfactory
N/A Not Applicable
Evidence-based practice: Utilizes evidence-based literature in development of

teaching project.
4 Very Good
3 Satisfactory
N/A Not Applicable
Dress Code (Comment Required)
Conduct (Comment Required)
Attendance (Comment Required)
Punctuality (Comment Required)
Academic/Grades (Comment Required)
Other (Comment Required)
Quality improvement: Identify gaps between local and best practices during post
conference discussion.
4 Very Good
3 Satisfactory
N/A Not Applicable
Safety: Maintains confidentiality of patients at all times.

4 Very Good
3 Satisfactory
N/A Not Applicable
No breaches of confidentiality, accidental or otherwise.
Safety: Reports errors/incidents promptly to the faculty member and appropriate

agency staff.
4 Very Good
3 Satisfactory
N/A Not Applicable
Safety: Contacts faculty if there are any problems that inhibit the learning process.
4 Very Good
3 Satisfactory
N/A Not Applicable
Safety: Maintains a patient care area free from physical or environmental hazards at
all times.
4 Very Good
3 Satisfactory
N/A Not Applicable
Shows concerns for safety, especially when entering or leaving unit.
Safety: Recognizes and reports changes in patient's health status promptly to

preceptor and/or faculty.
4 Very Good
3 Satisfactory
N/A Not Applicable
Brooke Fortner has reviewed the above evaluation on 11/11/2016 and has provided the
following comment:
Thank you, Mrs. Wood for the very thoughtful and valued evaluation!
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Logged in as: BFORTNER Fortner, Brooke

Evaluations - > Evaluation Review

Professional Identity: Adheres to policies regarding clinical attendance, promptness,

Professional Identity: Written assignments demonstrate application of didactic

Professional Identity: Demonstrates attitudes and behaviors compatible with

Patient-centered care: Engage patients in active partnerships that promote health,

Patient-centered care: Demonstrate an organized assessment of a patients mental

Patient-centered care: Develops, implements, and evaluates at least one patient

Patient-centered care: Incorporates legal, ethical, and client rights parameters of

Patient-centered care: Demonstrates judgment in decision-making and priority

Patient-centered care: Demonstrates understanding of therapeutic value of

Patient-centered care: Initiates, maintains, and terminates nurse-client relationship

Teamwork and collaboration: Contribute to team knowledge through active

Evidence-based practice: Applies material from theory course and evidence-based

Evidence-based practice: Utilizes evidence-based literature in development of

Safety: Maintains confidentiality of patients at all times.

No breaches of confidentiality, accidental or otherwise.

Safety: Reports errors/incidents promptly to the faculty member and appropriate

Safety: Recognizes and reports changes in patient's health status promptly to

172.31.7.190/projectnurse_usf_prod APP v4.44.6383.25831 DB v4_44 6/28/2017 APPUSER:BFORTNER

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