NUR 420 Practicum Midterm Practicum Progress Document

The Scarborough Hospital

Student Name: Brooke Gagnon Agency and Type of Unit: General Site – CP3

Student Number: 119264174 Date: February 12, 2019

Number of days or hours missed: 0 Number of Days Late: 0

Midterm Progress: Progressing Well ☐ Collaborative Success Plan Required ☐

Clinical Supervisor: Maria Isorena

Clinical Supervisor Signature: Students Signature:

Date Midterm Review Discussed: Copy Given to Student:

Additional Information Attached:

Defining Characteristics/Performance Indicators Midterm Progress
Progressing well ☐
Learning Outcome #1
Required areas of focus ☐
Establish caring-healing relationships with Clinical Supervisor Comments:
culturally diverse clients and their
families.
1. Use a variety of ways of knowing to
explore the lived experiences of clients
and families (Independently)
2. Demonstrate use of empathy, honesty and
respect for others. Consistently
acknowledge the dignity, worth, and rights
of all individuals (Independently)
3. Adjust own communication style to suit
the current situation and to accommodate
diversity (Independently) Student Comments: I believe that I have being progressing well in establishing
4. Identify client situations where advocacy caring-healing relationships with culturally diverse clients and their families
is required (With assistance) because I demonstrate empathy, honesty, and respect for others. I demonstrated
5. Demonstrate an attitude of openness and this when I stayed by my patient’s side and reassured her while she was
a willingness to change in order to experiencing pain before her medication kicked in.
develop self in the role of the nurse
(Independently)
6. Demonstrate a positive attitude towards
learning and in all interactions with others
(Independently)
7. Abides by student scope of practice and
student conduct guidelines to ensure
patient safety.
 Defining Characteristics/Performance Indicators Midterm Progress
Progressing well ☐
Learning Outcome #2
Required areas of focus ☐
Provide client-centered care for individuals with Clinical Supervisor Comments:
complex health conditions. Demonstrate clinical
decision-making and critical thinking informed by
current evidence and nursing theory.
1. Demonstrate effective critical thinking, critical inquiry
and clinical decision-making. Identify priority issues
within each nursing situation and consider the
options and alternatives (With assistance).
2. Identify specific findings related to assigned client’s
health situation and be able to discuss the
significance of these findings. (For example,
recognize ‘normal” expected findings versus
“abnormal” results).
3. Conduct on-going holistic assessments of clients,
gathering information about client’s medical
Student Comments: I believe that I have being progressing well in
conditions, diagnostic tests, medications,
treatments, procedures and be able to discuss the providing client-centered care for individuals with complex health
significance of this information (With assistance). conditions and demonstrating clinical decision-making and critical
4. Identify determinants of health and other factors thinking informed by current evidence and nursing theory because I
contributing to the client’s health situation, including identify specific findings related to my patient’s health situation and am
physical, emotional, cognitive, developmental, able to discuss the significance of these findings. I have demonstrated
cultural and spiritual domains. (Independently) this by identifying and documenting significant findings during vital signs
5. Demonstrate ability to apply nursing knowledge and and head-to-toe assessments.
skills. Provide a rationale, based on nursing
knowledge, for all client care provided (With
assistance).
6. Abide by student scope of practice and student
conduct guidelines in order to ensure patient safety.
 Defining Characteristics/Performance Indicators Midterm Progress
Progressing well ☐
Learning Outcome #3
Required areas of focus ☐
Demonstrate professional responsibility and Clinical Supervisor Comments:
accountability in classroom and practicum
settings
1. Prepare for Practicum each week by reviewing and
researching nursing knowledge, skills, procedures,
and pertinent client information (Independently).
2. Recognize clinical or client situations that are
beyond current level of competency and seek
assistance immediately from the most appropriate
and qualified person (Independently)
3. Maintain strict confidentiality regarding any
information or issues encountered during practicum
experiences (Independently)
4. Demonstrate application of the CNO standards of
practice and be able to discuss the significance of Student Comments: I believe that I have been progressing well in
these (With assistance) demonstrating professional responsibility and accountability in classroom
5. Design and implement a personal learning plan. and practicum settings because I have come to clinical prepared by
Identify areas where personal growth is needed reviewing and researching nursing knowledge, skills, and procedures
and begin to address those areas (With prior to clinical. I demonstrated this by practicing manual blood pressure
assistance).
and reviewing head-to-toe assessment skills prior to clinical. I have also
6. Consistently demonstrate professionalism by
implemented a personal learning plan where I have identified areas
being prepared for Practicum, by following
where personal growth is needed.
instructions, by arriving on time, by adhering to the
dress code and by completing assignments that
are well done and submitted on time
(Independently).
7. Abide by student scope of practice and student
conduct guidelines to ensure patient safety.
8. Demonstrates good attendance
 Defining Characteristics/Performance
Midterm Progress
Indicators
Progressing well ☐
Learning Outcome #4
Required areas of focus ☐
Differentiate the nurse’s role from Clinical Supervisor Comments:
other health care professional roles
through nursing theoretical
knowledge.
1. Collaborate with multidisciplinary
team members to develop and
implement effective heath care plans
for assigned clients (With
assistance)
2. Demonstrate effective use of
relational skills, critical thinking and
critical inquiry (With assistance)
3. Demonstrate growth in ability to
synthesize the subjective (client’s Student Comments: I believe that I have been progressing well in differentiating the
lived experience and perceptions) nurse’s role from other health care professional roles through nursing theoretical
with the objective (facts about knowledge because I demonstrate use of reflection and correction by looking back on
client’s current health situation) in my errors and working to correct them. I demonstrated this by reviewing my head-to-
each nursing situation (With toe assessment skills after the second clinical day prior to the third clinical day.
assistance)
4. Demonstrate use of “reflection and
correction” to expand own angular
view (Independently)
5. Abide by student scope of practice
and student conduct guidelines to
ensure patient safety.
Defining Characteristics/Performance Indicators Midterm Progress
Progressing well ☐
Learning Outcome #5
Required areas of focus ☐
Demonstrate skillful application of simple Clinical Supervisor Comments:
nursing therapeutics that meet the current
CNO Entry to Practice Competencies.
1. Collaborate with others (including teacher,
staff, client and family) to develop effective,
comprehensive and individualized health care
plans for each client assigned (With
assistance)
2. Carry out appropriate assessments for
assigned clients and demonstrate ability to
discuss the significance of the findings (Basic
nursing skills - independently)
3. Clearly articulate rationale to support all
nursing interventions (Basic nursing skills - Student Comments: I believe that I have been progressing well in
independently) demonstrating skillful application of simple nursing therapeutics that meet
4. Carry out appropriate nursing care for the current CNO Entry to Practice Competencies because I carry out
assigned clients in a responsible and timely appropriate nursing care for my patient in a responsible and timely manner.
manner (Basic nursing skills - independently) I have demonstrated this by completing and documenting vital signs at the
5. Demonstrate time-management and beginning of my shift.
organizational skills and the ability to prioritize
interventions (Basic nursing skills -
independently)
6. Demonstrate application of selected CNO
(2009) Entry to Practice Competencies in the
clinical area (With assistance)
7. Abides by student scope of practice and
student conduct guidelines to ensure patient
safety.