Student: _Lindsey Zolynsky______________

Course outcome / behavioral objectives

NURS 452 Med-Surg Weekly Evaluation

SubAveraged behavioral objective score
Score
1) Implement nursing care using leadership, communication, and
decision making skills to provide safe, quality care as part of an
interprofessional team.
a. Recognizes hazards encountered in everyday practice that would
Student Comments:
a) I warned other care providers about a cord
make a substantial impact on patient safety.
that was in their walking path in a patients
b. Identifies solutions to problems that require addressing
room.
fundamental issues of interdisciplinary communication and teamwork.
b) I communicated with pharmacy about a
c. Integrates tools that improve technical processes and
medication change from pill form to liquid
organizational relationships.
form for an intubated
d. Adapts care with emphasis on safety as an organizational priority to
c) Communication is key to integration so I
improve patient outcomes.
made sure to communicate with my nurses
and to document efficiently
e. Supports cost reduction of medical care by carefully managing
d) I made sure that patients were in
resources (supplies and/or equipment).
comfortable safe positions with side rails up
f. Data collection and documentation is accurate and timely.
e)
f)

and beds in the lowest position

I tried not to increase waste by using only
what I needed when I needed it
I documented two assessments one in the
morning and one in the afternoon. I tried to
stay up on vitals and such, but I was with a
nurse and her orientee so things were a little
confusing at times.

Faculty Comments
2) Create an environment that contributes to safe care and quality
patient outcomes.
a. Demonstrates comforting techniques with patient and family.
b. Demonstrates therapeutic communication skills with patient and
families.
c. Selects evidence based nursing interventions to manage common
problems and needs of patients.
d. Begins to develop effective strategies to manage issues related to
families of patients.
e. Communicates effectively with clients, families, and the
interprofessional team.

Student Comments:
a) Our patients family was very
worked up and concerned about
that patient so we spent much of
the day comforting and explaining
things to the patient and the family.
b) It was challenging to communicate
effectively with the family because
some of the questions were hard to
answer, but I did my best to answer
things therapeutically as to not
escalate the situation.
c) We gave the patient an incentive
spirometer after extubation so they
could fill their lungs and increase
positive outcomes after intubation
d) I felt uncomfortable with all the
questions coming from the patients
daughter that was a nurse in
Chicago, but I made sure to be in
the room often to alleviate worry
and make up for what I was lacking
in answers
e) As stated above I did the best I
could to be effective. If there were
questions that I was unable to
answer, I found someone who could
Faculty Comments

3) Integrate knowledge of regulatory policies, socio-cultural, and

political factors in provision of quality care in the clinical setting.
a. Begins to show clinical reasoning skills in adapting priorities with 2-

Student Comments

4 patients throughout the day.

b. Interprets assessment data accurately.
c. Identifies changes in patient status and reports promptly.
d. Performs medication administration and clinical procedures safely.
e. Able to solve simple/complex (circle one and give example) patient
care issues.

a) I was able to care for two patients,

and luckily one of them was doing
well or it would have been super
challenging because my other
patient had a lot of family that was
very needy
b) Im getting better at listening to lung
sounds and assessing pedal
pulses, those are two things I
struggled with in the past and feel
are very important in the care of
critical patients.
c) I noticed that one of our patients IV
had gone bad during my
assessment and informed the nurse
so that we could place a new line
d) I am becoming much more
confident with medication
administration, and I feel this
increases safety for myself and the
patient.
e) I feel confident solving simple
patient care issues. My patient
accidently pooped the bed, so I was
able to help him get cleaned up.
Faculty Comments

4) Support the use of safety and quality care improvements in the

clinical setting.

a. Actively collaborates with the healthcare team.

b. Demonstrates non-judgmental attitude, is courteous and
cooperative, honest, tactful and discrete.
c. Accepts and utilizes constructive criticism to initiate
professional growth and development.
d. Recognizes clinical practices needing improvement.
e. Embraces cultural sensitive care.
f. Demonstrates compliance with clinical safety and quality
standards.

Student Comments:
a) I called the resident to request a
medication change for our intubated
patient
b) As taxing as my patients family
was, I tried to be empathetic of the
situation they were in and do my
best to ease tension
c) I appreciate being told when Im
doing something wrong. I was
about to draw up dilaudid without a
filter needle and the nurse
corrected me. Ill most likely not do
that again
d) I have multiple areas I need to
improve on. I need to be more
confident so I dont get intimidated
and shine in the health care setting
e) I had to embrace the fact that my
patients daughter was a nurse and
that she was going to have a lot to
say about his care and the way we
were doing things
f) I did my best to perform safe quality
care. I feel uneasy in the critical
care setting, but am sure to ask for
help when I dont know how to do
something.
Faculty Comments

Instructor signature: ______________________________ Date: ____________________

Student signature: _______________________________ Date: ____________________

Weekly Goals Report

Goals must be well thought-out and appropriate for clinical site and clinical course. To meet goals student should
provide evidence of having:
used appropriate resources
identified own learning needs
sought out new learning experiences
My goals for next week are:
To have a nice experience at simulation, and to learn more about the pumps and devices that we use in the care
of critical care patients. The week after that my goal is to clearly state what I am able to do as a student nurse to
be sure that the nurse allows me to care for the patient rather than taking over on everything.

How I met my goals from last week:

I was able to learn more about medication administration and care of multiple patients in the critical care setting.
I feel I should have been more aggressive at the start of the shift, but felt a bit intimidated and awkward in the
morning, but things began to improve as the day progressed, and Ill be sure to state what we are able to do at
the start of my shift next time as to not run into issues in the future.

Insights gained:
I learned how to better manage care of two patients. I watched a patient be extubated, and learned how to answer
questions about the process. The family members of a patient were having trouble getting along, so I learned how to
manage a situation like that, and feel the nurse had a lot of great insight on what to do in those types of situations. We
communicated clearly to both members that that type of behavior was not beneficial to the patients healing and that they
would be asked to leave if they continued their behavior.