NURSING 3020 Clinical Evaluation

NURS 3020H

Clinical Evaluation
Final Evaluation

Student Name: Melissa Friskney

Clinical Instructor: Eni Abiola

Missed Clinical Hours: 0 Missed Lab Hours: 0

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Program Goals
Graduates are generalists entering a self-regulating profession in situations of health and illness.

Graduates are prepared to work with people of all ages and genders (individuals, families, groups, communities and populations) in a
variety of settings.
Graduates continuously use critical and scientific inquiry and other ways of knowing to develop and apply nursing knowledge in their
practice.
Graduates will demonstrate leadership in professional nursing practice in diverse health care contexts.

Graduates will contribute to a culture of safety by demonstrating safety in their own practice, and by identifying, and mitigating risk for
patients and other health care providers
Graduates will establish and maintain therapeutic, caring and culturally safe relationships with clients and health care team members based
upon relational boundaries and respect.
Graduates will be able to enact advocacy in their work based on the philosophy of social justice.

Graduates will effectively utilize communications and informational technologies to improve client outcomes.

Graduates will be prepared to provide nursing care that includes comprehensive, collaborative assessment, evidence-informed
interventions and outcome measures.

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Progress
Objectives Satisfactory Unsatisfactory
Indicators/Evidence
1 Prepared to provide  Arrives to Clinical each day on time and in uniform. X
nursing care that includes  Comes to clinical prepared with Pre-clinical complete, supplies required
comprehensive, and research completed about my patient for the week.
collaborative assessment,  Hands in Post-clinical on time and completed to the best of my ability.
evidence-informed
 Prepare myself to provide nursing care by completing all readings and
interventions and
Pre-clinical learning centre activities for lab each week.
outcome measures.
 Attends and participates in lab each week to develop my skills and have a
greater understanding of why/how we do certain skills.
 Uses theories learned in previous classes and applies them to my practice
each week in my post-clinical.
 Uses knowledge learned from previous classes about different diseases,
body functions and medications and applies them to my patient and their
conditions and health history.
 Upon every shift, a full head-to-toe assessment is performed on patients.
 Provide background information on the drugs my patients are taking to
understand why they are taking these drugs based on their DX and HX. As
well as being able to explain to the patient the reason for the drug so they
can understand.
 Preform a full head-to-toe assessment of each of my patients at the start
of shift to have patient’s baseline so I can decide on the appropriate
interventions and collaborate with my assigned nurse.
 When unsure of a patient’s condition or how to handle situations I
collaborate with my instructor, peers and nurses on the floor to ensure
patients are receiving the best possible care.
 Tracks and gathers information correctly by always using the right forms
of documentation

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2 Establishes and maintains
therapeutic, caring and
culturally safe
relationships through
effective communication.
3 Applies the four ways of Personal way of knowing:
knowing and
informational
technologies to
effectively care for
diverse, acutely ill
patients.
 During the first few weeks of Clinical I have been able to establish and X
maintain therapeutic relationships with all patients. With each of my
patients I have found out who they are as people by talking with them
about their careers, families and lives in general.
 Communicated effectively with clients by communicating VS to them and
explaining procedures.
 Developed culturally-safe relationships with patients by asking for their
consent before doing something. For example, when helping clients with
AM care they are asked if they need help washing their back instead of
just washing their back.
 Therapeutic relationships with patients are maintained because even
when I am not their nurse they say hi to me and want to stop and talk to
me and vice versa.
 When entering my patient’s room in the morning their whiteboard is
updated with the current date, my name and their nurse’s name so the
patient will be orientated and aware of who is taking care of them.
 Maintains a therapeutic, culturally-safe and caring relationship with
patients by introducing myself to the patient and their family and
updating their whiteboard each day.
 Creates relationships with patients by asking them about their life, such as
their family and career, to build a rapport and gain their trust.
 Checks in with assigned nurse and instructor to communicate how
patients are doing and to update other members of the health care team
on their condition.
X
 Participates in reflective practice by completing Post-clinical each week,
doing reflective journaling and talking about my day in Post-clinical.
 Uses knowledge from my previous Clinical experience and apply it to my
current placement.
 Aware of when I need assistance mobilizing a patient and collaborating
with peers to get tasks done that I know I cannot do on my own.
 Able to perform skills such as catheter removal/insertion, full bed baths,
medication administration, performing vitals, trache care, enema, O2
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therapy, AM care, dressing changes/wound care, blood sugars, IV

monitoring/programing, injections and insulin therapy, etc.
 Developed therapeutic relationships with clients.
 Observed several procedures including a vac-dressing change, catheter
removal, admission assessment, blood sugar test, medication
administration and the ETOH assessment tool.
Empirical way of knowing:
 Performs skills and care for patients such as AM care, VS, head-to-toe
assessment, blood sugar reading, dressing changes, brief changes,
catheter removal, vac-dressing change under conscious sedation,
administered medications, mobilized and turned patients.
 Use nursing interventions with evidence-based practice to improve
patient outcomes.
 Able to reflect on and apply knowledge I have learned from articles and
research and apply to my patient and their condition.
 Able to interpret lab values and understand the results in relation to my
patient’s condition.
 Use my knowledge from NURS 3000 and apply it to real life situations
with my patients.
Ethical Way of Knowing:
 Maintains privacy and confidentiality by closing curtains and not sharing
patient information.
 Promote and respect informed decision making.
 Provide safe care to all my patients.
 Only providing care that is within my scope.
 Being accountable by documenting all my care in the patient’s chart and
alerting my preceptor if a mistake is made.
 Assist my peers by helping them care for their patients and being able to
voice what I think the right thing to do is when they require assistance.
Aesthetic way of knowing:
 Views patients as more than their disease. Does this by taking time to get
to know them as a person.
 Has a caring attitude towards patients, demonstrated by asking if I can get
them anything, getting them fresh water, making their bed and helping
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them with their meals.

 Listens to patient about what preferences they would like such as which
arm they like their BP done on, door open or closed, light on or off and ice
in water or no ice.
 Takes time to talk to patient’s family and listen to them about their
concerns and preferences to ensure they also feel comfortable in the
hospital. For example, when of my peer’s patient was having trouble
breathing, the husband was in the hall looking worried so I went and
talked to him and brought him a cup of water.

4 Adheres to professional  Maintains confidentiality by keeping the curtain closed and not disclosing X
practice standards and patient information to people that are not a part of their team.
organizational polices to  Asks preceptor or nurse when unsure how to perform a certain skill.
contribute to a culture of  Contributes to a culture of safety by waiting for a nurse or my preceptor
safety. to use a mechanical lift.
 Demonstrates safety by getting help from other students to turn, readjust
or lift patients that require more than a one person assist.
 When giving medications always triples checks to ensure the right patient
is receiving the right drug, at the right time.
 Uses patient identity to ensure I have the correct patient when
performing care and procedures.
 Always leaves patient with call bell in reach.
 Adheres to professional practice standards and organizational polices
ensuring safe and ethical practice.
 When I am learning how to do a new skill I have my instructor supervise
to ensure my patient is receiving the safest and best possible care.
 Follows proper PPE measures when caring for patient’s in isolation.
 Ensures bed alarms are turned on for patients who require them and
patient’s are turned/repositioned every 2 hours.
 Documents correctly when medications are administered.

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5 Exercises leadership to  Maintain professionalism by wearing a clean, proper uniform and showing X
enhance patient care, and up on time to Clinical.
support professionalism  Demonstrates leadership by teaching other students in my Clinical group
in practice. how to perform skills such as blood sugar and how to properly perform a
bed bath.
 Demonstrates professionalism in practice by being kind and respectful to
patients, families, peers and the health care providers on the floor.
 Returns from break and lunch on time and ready to learn and care for my
patients.
 Works well as a team with my peers to preform care for our patients that
we feel we cannot perform on our own.
 Demonstrated leadership by advocating for my patient by notifying their
primary nurse that their potassium was low so they can receive the
proper treatment
 Shows leadership by trying new skills with nurses ask me if I want to
perform the skill and always being open to try new tasks to build my
nursing skills.

Clinical Instructor Comments (All areas marked as unsatisfactory must have a comment)

Signature of Instructor___________________________________________________ Date _____________________________

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NURSING 3020 Clinical Evaluation

Signature of Student_____________________________________________________ Date ______________________________

Attendance

Thurs Fri Thurs Fri

Week 1   Week 6  
Week 2   Week 7  
Week 3   Week 8  
Week 4   Week 9 STRIKE STRIKE
Week 5   Week 10 STRIKE  (SIM)

Total number of clinical hours completed_____________

Clinical Component Satisfactory Unsatisfactory

(Please circle the appropriate outcome)

Clinical Learning Center Completed Not completed

Signature of Instructor____________________________________ Date_______________________________

Signature of Student______________________________________ Date________________________________

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Student Areas of Strength

1. Forming therapeutic relationships with my patients and their families.

2. Asking questions and seeking clarification when I am unsure about a certain skill or task required for my patient’s care.

3. Eager to learn new skills and build my hands-on nursing skills by observing nurses performing skills and always taking the
opportunity to perform skills when asked if I want to try.

Student Areas for Future Development

1. Improve my knowledge on different drugs and the reasons why patients are taking certain medications.

2. Being more confident in my nursing skills and knowledge of my patients and not being afraid to speak up when I feel
something needs to be done to ensure my patient is receiving the best possible care.

3. Being able to identify the required supplies needed for procedures and ensuring I have them all at the bed side before
staring the task.

Clinical Instructor Comments (All areas marked as unsatisfactory must have a comment)