Self Assessment

2017 - 2017 - NURS 151 Practical Nursing Practice 2 Final (201508)

NURS 151 Practical Nursing Practice 2 (PN, 09-Jan-2017 - 30-Apr-2017)
Student : Cathy Phong
Clinical Teacher/Preceptor : Mercelies McHugh
Program Coordinator : Vasanthy Harnanan
Location : Hawthorn Woods Care Community - Sienna Senior
Living
Placement Setting : Agency
Unit/Office/Clinic : LTC
Period : 09-Jan-2017 To 30-Apr-2017
Student hours : 168
Required Hours : 168
Validated hours : 156
Teacher comment for validated hours:
Was ill for 12 hours.

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

Satisfactory Satisfactory
1. 1 Comply with regulatory standards, relevant legislation and the practice setting’s policies and

procedures.

C.P. : I was able to comply with regulatory standards, relevant legislation and the practice setting’s policies and procedures by familiarizing myself

with the rules and regulations of the long term care home.

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

C.P. : I acted in a responsible, ethical, and accountable manner at the long term care home.

Satisfactory Satisfactory
1. 3 Determine strengths and limitations and when to consult and seek assistance from other

professionals.

C.P. : I was able to determine my strengths and weaknesses by creating a learning plan that included peer feedback and a self-evaluation.

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

C.P. : I used a theory-based approach to care by following my textbooks whenever needed to perform effective care to the residents.

Satisfactory Satisfactory
1. 5 Ensure client safety and a safe environment.

C.P. : I always ensured client safety because their safety is the most important.

Satisfactory Satisfactory
1. 6 Ask relevant questions to clarify understanding of the plan of care and whenever uncertain.

C.P. : I ask relevant questions to clarify understanding of the plan of care and whenever uncertain.
 Satisfactory Satisfactory
1. 7 Identify ethical and unsafe situations and seek appropriate assistance to resolve these.

C.P. : I was able to witness an unprofessional behaviour that a staff member did and because of it, there was a near-miss incident. There was a lot of

miscommunication as well as misunderstanding so the clinical teacher, and the students on the one side of the unit got together and had a small

meeting to discuss these issues. We were able to resolve them. Thus, I identified ethical and unsafe situations and seek appropriate assistance to

resolve these.

Satisfactory Satisfactory
1. 8 Demonstrate understanding about the role of the student nurse.

C.P. : I demonstrated the understanding about the role of the student nurse.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :

Cathy was able to practice safely and develop her level of competency through ongoing research, asking questions when in doubt and
seeking guidance with unfamiliar procedures. Her level of preparation for practice was satisfactory. Was consistent in having her medical
diagnosis and medication research done.

2. ACCURATE AND RELEVANT COMMUNICATION

Satisfactory Satisfactory
2. 1 Participate in team sharing and discussions.

C.P. : I participated actively in group discussions by sharing my thoughts, ideas, and events that I experienced during my day at the long term care

home.

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

C.P. : I was able to document clearly, accurately, and concisely in a timely manner using written and electronic methods by signing off medications

on the eMAR and updating the vital signs on the residents' profile.

Satisfactory Satisfactory
2. 3 Report relevant information to the appropriate personnel.

C.P. : I consistently reported relevant information to the appropriate personnel. For example, whenever there was something going on with a resident,

I would ask the in charge nurse or PSW about it because they know the resident more than I do.

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

C.P. : I communicated with the residents and health care team effectively and was able to use many communication strategies to the residents who

were non-verbal.

Satisfactory Satisfactory
2. 5 Maintain privacy and confidentiality according to the Personal Health Information Protection Act

(PHIPA)

C.P. : I have maintained privacy and confidentiality according to the Personal Health Information Protection Act and I will continue to do so.

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

C.P. : I utilized technology to retrieve information including research, data, and other information about the several different kinds of medications.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

Has demonstrated a satisfactory ability to communicate clearly and accurately and in a timely manner. Through weekly practice is better
able to do a FDARE note, document vital signs and medication administration. She is able to proficiently articulate her ideas. Willing
participates in group discussion and is able to spontaneously communicate with the staff, her clients and their families. She is an active
listener.

3. CARING RELATIONAL PRACTICE

Satisfactory Satisfactory
3. 1 Utilize effective communication techniques.

C.P. : I communicated with the residents and health care team effectively and was able to use many communication strategies to the residents who

were non-verbal.

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

and health care team members.

C.P. : I was able to demonstrate therapeutic caring, compassionate, and culturally safe relationships with clients and health care team members.

Satisfactory Satisfactory
3. 3 Apply knowledge of therapeutic use of self and identify its effect on client well-being.

C.P. : In order to develop therapeutic relationships, one must know how to do so and know the effect that it has on the client. I was able to do that

because I applied my knowledge on it.

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

relational practice.

C.P. : I used self-awareness to identify the effects that beliefs, values, and personal experiences have on relational practice.

Satisfactory Satisfactory
3. 5 Interact with clients and members of the inter-professional health care team; and, consult

appropriately.

C.P. : I was able to interact with clients and members of the inter-professional health care team; and, consult appropriately by using effective

communication strategies.

Satisfactory Satisfactory
3. 6 Apply knowledge of practices and systems that support the diversity of clients and the inter-

professional health care team.

C.P. : I was able to support the residents as well as the health care team by applying my knowledge of practices and systems.

Satisfactory Satisfactory
3. 7 Apply knowledge of clients’ cultural, religious, and other beliefs and values as these influence

clients’ choices and decisions.

C.P. : Within the world, there are several different cultures and religions. I know that everyone is different and have different beliefs that allows them

to make decisions based off of their religion/culture.

Satisfactory Satisfactory
3. 8 Provide effective client education.

C.P. : I was able to teach the client with what to do regarding their situation. For example, I was

Teacher comments for CARING RELATIONAL PRACTICE :

Cathy demonstrates a caring sensitive attitude when relating to her clients. Always goes down to their level, making the very important eye
contact and when appropriate using the therapeutic touch to convey the message of, I care and I do understand. Shows respect for clients'
choice. For example: will defer care if clients were to refuse.

4. LEADERSHIP AND ADVOCACY

Satisfactory Satisfactory
4. 1 Recognize conflicts and strategies for resolution.

C.P. : I was able to witness an unprofessional behaviour that a staff member did and because of it, there was a near-miss incident. There was a lot of

miscommunication as well as misunderstanding so the clinical teacher, and the students on the one side of the unit got together and had a small

meeting to discuss these issues. We were able to resolve them. Thus, I recognized conflicts and was able to come up with strategies for resolution.

Satisfactory Satisfactory
4. 2 Demonstrate leadership skills that foster group work and a positive learning environment.

C.P. : I performed leadership skills that allowed me to encourage group work and a positive learning environment by supporting my peers.

Satisfactory Satisfactory
4. 3 Identify opportunities to improve health care service and nursing interventions by advocating for

client, self, others, and quality practice.

C.P. : I have identified opportunities to improve health care service and nursing interventions by advocating for client, self, others, and quality

practice.

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

professional health care team.

C.P. : I provided feedback to my peers and accepted feedback from them as well as the people around me when we were doing our learning plans.

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

C.P. : I was able to support the residents' self-determination and decisions. There was one time when a resident was getting up for breakfast, me and

this other student were helping her get into her wheelchair from her bed but it took her a while to get up so we were very patient with her because she

was determined to get up, and eventually she was able to get up with our assistance.

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

C.P. : I was able to witness an unprofessional behaviour that a staff member did and because of it, there was a near-miss incident. There was a lot of

miscommunication as well as misunderstanding so the clinical teacher, and the students on the one side of the unit got together and had a small

meeting to discuss these issues. We were able to resolve them. Thus, I responded to unsafe, unacceptable, and unprofessional behaviours.

Satisfactory Satisfactory
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.

C.P. : When giving out health care and nursing practices, I consulted and collaborated very well with the inter professional health care team as well

as the ones that are in the best nterests of the public and protect the public.

Teacher comments for LEADERSHIP AND ADVOCACY :

Demonstrates a caring sensitive attitude when relating to her clients and their families. Always goes down to their level, making the very
important eye contact and when appropriate uses the therapeutic touch to convey the message of, I care and I do understand. Shows
respect for clients' choice. For example: will defer care if clients refuse. Demonstrates an unhurried approach to caring. This was very
relevant and appropriate for some of the less able clients.
5. PLANS OF CARE: MEET CLIENTS’ NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES

Satisfactory Satisfactory
5. 1 Incorporate the unique needs and expected outcomes into individual clients’ plans of care.

C.P. : I followed the different residents' daily routines and was able to incorporate their needs and expected outcomes of their care plans.

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

competently in writing and orally.

C.P. : I was able to develop theory-based plans of care that are holistic and client centered and are articulated competently in writing and orally by

creating concept care maps and discussed them with my clinical teacher.

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

C.P. : When creating concept care maps and FDARE documentation, I was able to use my knowledge, skill, and judgment to assess clients in order

to prioritize their needs and determine outcomes.

Satisfactory Satisfactory
5. 4 Provide information that contributes to the evaluation and refinement of plans of care.

C.P. : When creating concept care maps, I was able to provide information that contributes to the evaluation and refinement of plans of care based

on the residents.

Satisfactory Satisfactory
5. 5 Safely and competently carry out nursing assessments and nursing interventions that are theory-

based and within skill abilities.

C.P. : I safely and competently carry out nursing assessments and nursing interventions that are theory-based and within skill abilities; performing

head to toe assessments whenever necessary.

Satisfactory Satisfactory
5. 6 Carry out nursing care that reflects the practice decision-making framework.

C.P. : I was able to carry out nursing care that reflects the practice decision-making framework.

Satisfactory Satisfactory
5. 7 Complete nursing care responsibilities and nursing interventions in an organized and timely

manner.

C.P. : I accomplished nursing care responsibilities and nursing interventions in an organized and timely manner by setting my priorities.

Teacher comments for PLANS OF CARE: MEET CLIENTS’ NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :

With time Cathy improved her approach. She showed an increasing initiative and a sense of responsibility, for example, upon receiving her
assignment, she takes the time to review her clients’ care plans and also consulted with the staff regarding care. With guidance, was able
to perform and complete care in a responsible manner. She was engaged in creating concept care plans, which became more holistic and
meaningful. She is continuing to develop and perfect this ability. She is encouraged to be more consistent and thorough in performing
head to toe assessment, as this is the fundamental in identifying clients’ unique needs.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

Satisfactory Satisfactory
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.

C.P. : I was able to cooperate 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
6. 2 Contribute as a member of the inter-professional health care team to respond to the changing

needs and expected outcomes of clients.

C.P. : I provided information in order to contribute as a member of the health care team to respond to changing needs and expected outcomes for the

residents.

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

C.P. : Whenever needed, I always looked out for assistance by consulting the members of the inter-professional health care team.

Satisfactory Satisfactory
6. 4 Use teamwork, consensus building, and conflict resolution skills.

C.P. : I was able to use my teamwork, consensus building, and conflict resolution skills by performing them whenever needed.

Satisfactory Satisfactory
6. 5 Describe effective, collaborative, and consultative strategies to meet client’s needs within a

changing environment.

C.P. : In order to meet the residents' needs within a changing environment, I described effective, collaborative, and consultative strategies.

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

C.P. : I showed everyone at the long term care placement with respect by interacting with members of the health care team respecting their unique

role and competencies.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

The experience at the long term care did provide the opportunity to see and understand the value of team work, as many of the clients
needed care by at least two person assistance. Team sharing discussions are very valuable in identifying clients’ needs and evaluating
care. This was lacking on the units, however the post conference discussions bore out the importance of this level of collaboration. On a
weekly basis was engaged in updating the nurse in charge of assessment findings and concerns. For example: holding the relevant
medication for clients with abnormal heart rate and or blood pressure.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

Satisfactory Satisfactory
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.

C.P. : I have acted in the best interests of residents and protect them from harm through collaboration and consultation with members of the inter-

professional health care team and through competent and safe practice.

Satisfactory Satisfactory
7. 2 Participate in self-reflection to identify strengths, areas for improvement.

C.P. : When carrying out the learning plan, I determined what my strengths were and my weaknesses.

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

(CNO).
C.P. : I was able to create, implement, and evaluate a learning plan consistent with the Quality Assurance program (CNO) that would be effective and

beneficial to the residents.

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

integrate these into practice.

C.P. : I always went after every opportunity there was to learn. With doing so, my peers gave me feedback that encouraged professional

development and integrated these into practice.

Satisfactory Satisfactory
7. 5 Utilize nursing, health and other theory and literature to improve nursing practice.

C.P. : In order to improve my nursing practice, I was able to utilize nursing, health, as well as my knowledge from theory to improve nursing practice

to provide effective, safe, and competent care.

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

C.P. : I was able to use my knowledge and further that by critically thinking to use a theory-based approach and evidence-informed practice.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

Cathy has gained much, however needs to continue to develop her knowledge and skills in becoming more competent. Cathy is
encouraged to be more aggressive in seeking out new learning opportunities. However, has benefited by the meaningfulness of her
questions. Her plan moving forward is to enhance her assessment skills and knowledge, her time management, and leadership skills.
Problem solving and critical thinking needs to be further developed. Will benefit greatly from being more voluntarily accepting of extra
responsibilities, when the time allows.

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

Satisfactory Satisfactory
8. 1 Utilize problem-solving skills to inform decision making in all aspects of nursing care.

C.P. : Although I wrote in my learning plan that I need to develop my problem-solving skills, I was able to use my problem solving skills to inform

decision making in all aspects of nursing care satisfactorily.

Satisfactory Satisfactory
8. 2 Use problem-solving and decision-making skills to assess clients and to determine nursing

diagnoses, expected outcomes, nursing interventions, and evaluative criteria.

C.P. : I was able to Use problem-solving and decision-making skills to assess clients and to determine nursing diagnoses, expected outcomes,

nursing interventions, and evaluative criteria; putting this information on concept care maps.

Satisfactory Satisfactory
8. 3 Use self-reflection to design a plan to improve problem-solving and decision-making skills.

C.P. : Within my learning plan, I used self-reflection to design a plan to improve problem-solving and decision-making skills.

Satisfactory Satisfactory
8. 4 Utilize knowledge from variety of nursing, health, and other theory into nursing practice to

provide safe and competent care.

C.P. : In order to provide safe, quality, and competent care, I was able to use my knowledge from variety of nursing, health, and other theory into my

nursing practice.

Satisfactory Satisfactory
8. 5 Use prioritization strategies for client care.
C.P. : I organized my priorities to provide safe, effective, competent care for the residents.

Satisfactory Satisfactory
8. 6 Demonstrate professionalism and accountability.

C.P. : I was able to demonstrate professionalism and accountability by always being on time in my uniform.

Satisfactory Satisfactory
8. 7 Recognize strengths and limitations and seek appropriate assistance and support.

C.P. : When carrying out the learning plan, I determined what my strengths were and my weaknesses. Whenever necessary, I asked for assistance

and support.

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

Her ability to problem -solve and think critically is evidently developing, however needs to work on further enhancing these very important
skills. Consistently creating care maps is a good platform for developing these kills.

9. SIM number of hours

9. 1 SIM number of hours

C.P. : 8

M.M. : 8

Teacher comments for SIM number of hours :

Satisfactory.

Student Final Summary with Strategies for Continued Growth

Stated in my learning plan to further develop my critical thinking skills, my drug/medication research to know the basics of them, as well as plan,
organize, and set my priorities to provide safe, quality care.

Teacher Final Summary with Strategies for Continued Growth

Cathy has been more consistent in her effort to accomplish a satisfactory grade for this course. Her participation and questions reflect research and a
satisfactory development of her knowledge. She is better able to plan and organize her care delivery, however there is room for further development.
She has gained much experience in managing GT feeds and medication admin station. Was able to care for two residents and at the same time
safely administer medication for both. Demonstrated the value of reporting concerns as this was always done in a timely manner.

Ongoing knowledge development through research is encouraged. Needs to continue to work on being more thorough and consistent in doing her
assessment. Enhancing the quality of her documentation, further developing her problem solving and critical thinking are learning goals.

Grade Satisfactory Unsatisfactory

Referred to Clinical Excellence Committee (CEC)

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

Although I missed one day of clinical due to illness, I enjoyed every moment I spent at the long term care home. I will work on areas that I need to
develop based on my learning plans and accomplish those goals.