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n3021 Final Evaluation
n3021 Final Evaluation
Midterm:
Satisfactory Progress (SP): The student consistently demonstrates sufficient knowledge, and skill and ability to safely practice
or achieve the objective with an average level of teaching support and guidance; or the level of performance is what the
instructor would expect of an average student at that level and point in time; and the instructor reasonably anticipates that if
the student continues at the current pace of practice and achievement, the student should be able to fully meet the objective
at the end of the course.
Needs Development(ND): The student demonstrates sufficient knowledge and ability to safely practice or achieve the
objective, but requires more teaching support and guidance; or the student demonstrates knowledge but needs more
practice to achieve the competency; or the level of performance is below what the instructor would expect of the average
student at that level and point in time; and the instructor reasonably anticipates that if the student focuses his/her learning in
the required area, and gains sufficient practice, the student has the potential to meet the objective at the end of the course.
Unsatisfactory Progress (UP): The student does not consistently demonstrate sufficient knowledge, or skill, or ability to safely
practice or achieve the objective, even with constant, intensive teaching support and guidance; or the level of performance is
far below what the instructor would expect of the average student at that level and point in time; and the instructor
reasonably anticipates that if the student continues at the current pace of practice and achievement, the student is not likely
to meet the objective at the end of the course.
Final:
Satisfactory (S): The student consistently demonstrates sufficient knowledge, and skill and ability to safely practice or achieve
the objective with an average level of teaching support and guidance; or the level of performance is what the instructor would
expect of an average student at that level.
Unsatisfactory (U): The student does not consistently demonstrate sufficient knowledge, or skill, or ability to safely practice or
achieve expected objectives, even with constant or intensive teaching support and guidance; or the level of performance is far
below what the instructor would expect of the average student at that level.
NURS 3021H Clinical Practice Evaluation
Progress
Course Objective Evidence/Indicators Evidence/Indicators
MIDTERM FINAL
1. Demonstrate accountability and responsibility in Student: Student:
the teaching-learning relationship. - Demonstrated responsibility by - Showed up on time each week
completing the 15 required drug prepared and dressed accordingly in
Progress Midterm Progress Final cards for clinical practice as well scrubs, running shoes, name badge
as additional drug cards for and supplies (ie. stethoscope, cards,
SP S simulation prep and care plans. etc.)
ND U - Researched patients’ diagnosis - Completed pre and post clinicals to
UP and medications prior to arriving the best of my ability containing
to clinical to ensure that I have a information specific to my patients
good understanding of my - Reported to my preceptor/ nurse/
patient and feel prepared. colleagues when I was on break as
- Utilized my fellow students, well as the beginning and end of my
clinical instructor, and other shift
nurses on the floor as guidance. I - Took responsibility for my patents
often asked my peers for and reported concerns to primary
assistance or asked questions nurse and preceptor
about things I was unclear about. -
For example, asking questions
about where supplies are
located, best practice for wound
care, assistance with bathing/
peri-care, etc.
- Had my nurse/ clinical instructor
double check my notes/ charting Clinical Instructor:
to ensure that I am documenting
properly.
- Ensured that clinical instructor or
nurse was present when
completing nursing skills (ie.
wound care, performing
medication administration,
breathing techniques, etc.).
Clinical Instructor:
- Emily has shown professionalism
by being on time and prepared
for clinical.
- Emily has completed the
assignments, pre clinicals, and
post- clinicals
- Emily has taken responsibility for
seeking out further learning
opportunities.
Clinical Instructor:
- Emily has completed head to toe
assessments and vitals on two
patients and completed
electronic charting on patients
with chronic illness
- Emily has participated in post-
conference discussions regarding Clinical Instructor:
palliative and end of life nursing
care.
- Emily has interacted with
patient’s and family members to
better understand the coping
mechanism used by them when
dealing with grieve diagnoses.
4. Identify symptoms and common medical Student: Student:
treatments of selected chronic illness. - Assessed and identified the need - A patient with COPD would have
for pain control in patients on symptoms of increasing
Progress Midterm Progress Final palliative floor. Noted that breathlessness, persistent cough,
breakthrough pain and more frequent chest infections, persistent
SP S rigid control is needed for wheezing and fatigue. Treatment of
ND U comfort care during end-of-life this condition may include
UP stages (Ie. PCA pump). bronchodilators, corticosteroids,
- Thoracentesis was completed at antibiotics, combination inhalers,
the bedside to remove ascites as pulmonary rehabilitation and
a result of cancer. The oxygen therapy.
thoracentesis would have to be - A patient with urospesis would have
completed routinely to remove
the fluid. This became and ethical
issues when it came time to
question how long this procedure
should continue while the patient
is approaching end of life.
- Majority of patients I provided
care for were in pain.
Additionally many of the reasons
for admission and previous
medical history is also related to
pain. A common treatment for
this is readjustments, pain
management and pain control
with pain medications (ie.
Tylenol, hydromorphone,
morphine sulfate, etc.).
- Cancer is a common diagnosis on
the palliative floor. Many symtoms of; either fever or
patients experience pain, fatigue, hypothermia, tachypnea, chills,
and loss of appetite. Some tachycardia along with any symtoms
common treatments include of a UTI which could include
radiation and chemotherapy. delirium. Treatment for this
condition is a possible blood
Clinical Instructor: transfusion, a broad spectrum of
- Emily has completed antibiotics then a narrow antibiotic
assessments on patient to help once culture specimen is conducted.
determine the use of PRN You would treat any symtoms and
medications. avoid further infection, removing
- Emily has completed pre-clinicals any catheters or IVs that may be
to better understand primary infected.
diagnosis of admitted patients - A patient with depression/ anxiety
and identified symptoms may have symptoms of persistent
associated with the patient’s low mood, feeling down, loss of
illness. interest in things they used to love,
feelings of worthlessness, poor
5. Demonstrate select nursing and collaborative Student: Student:
interventions related to caring for the person - Completed bed bath, applied - On two occasions I administered
with chronic illness such as specific lotion to dry skin and applied medication alongside my precentor
assessments, medication administration, protective Mepilex dressings to for my two patients. I looked up any
physical and chemical restraints, enteral patients with redness on heels/ medication I did not know before
feeding & residual volumes, NG tube insertions, coccyx. These dressings will help administering. I completed all
wound care, patient-controlled medication to provide pressure relief and medication and patient checks. I
administration pumps.
avoid pressure wounds from become more comfortable
developing. administering medication in
Progress Midterm Progress Final - Understood that Braden scale is comparison to my last placement. I
assessed on patients on a weekly am starting to become familiar with
SP S
basis. Practiced this assessment some of the common medications
ND U
on patients each Thursday and that PRHC uses.
UP
Friday for more practice. - I had to complete a pain assessment
- Witnessed nurses flush IV lock on many occasions. I would also
sites to ensure that sites were compare assessment pre and post
clean and intact. medication administration. I asked
- Performed medication questions such as; on a scale from 1-
administration with my clinical 10 how bad is your pain? Where is
instructor. Checked medication it? What characteristics does it
dosages, explained use, ensured have? What makes it worse? What
correct med/ patient/ dosage/ makes it better? Is it radiating? Any
time prior to administration. form of pain relief was given, warm
Checked wristbands, confirmed blankets, repositioning or
verbally to ensure patient was medication. I would also document
being provided to right person. effectiveness.
- I also assisted with wound care on
Clinical Instructor: several occasions. I would check the
- Emily has completed head to toe order and gather all necessary
assessments on up to two supplies. Often I would clean the
patients a shift area with normal saline, and clean
- Emily has applied protective with gauze. A medication such as
dressings to prevent pressure iodine, or silver was often placed on
ulcers. top of the wound before placing the
- Emily has completed medication bandage.
administration with supervision
of clinical instructor.
Clinical Instructor:
Clinical Instructor:
Clinical Instructor:
- Emily has use communication
techniques to establish
therapeutic rapports with
patients and family members.
- Emily communication with peers
and within the care team
This section to be filled out by the Student Areas of Strength Student Areas of Strength
student.
1. Adaptability 1. AM/ HS/ peri-care
Emily has had a successful half to her chronic placement in palliative. She has shown great compassion and empathy
when interacting with patients and families. She has been able to build rapports with the staff and report patient findings to
peers and primary nurse. Emily can continue to work on her time management and confidence in skills.
Shift 1 Shift 2
Week 1 12 12
Week 2 12 12
Week 3 12 12