Self Assessment

2015 - 2015 - Final NURS - 208 Course Learning Outcomes (201509)

NUR 208 Practical Nursing Practice 4 (PN, 06-Sep-2015 - 31-Dec-2015)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Period :
Student hours :
Required Hours :
Validated hours :

Amanda Da Silva
Simone Reid
Judy Martin
Sunnybrook Health Sciences Centre/St. John's
Rehabilitation
Agency
A2 Trauma, Burns, Complex Care
06-Sep-2015 To 31-Dec-2015
168
168
156

Teacher comment for validated hours:

Clinical teacher was absent on Week 13.
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

1. 1 Comply with regulatory standards, relevant legislation and the practice settings policies

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

and procedures.
A.D.S. : I follow the standards set by CNO and the policies of the facility.

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

A.D.S. : I act in accordance with CNO's practice standards and always put my patients first.

1. 3 Determine how the three factor and practice decision-making frameworks influence client
care.

A.D.S. : I understand how the decisions I make as a health care provider directly affect the patients and that the decisions should always
be made in the patients best interest.

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

Satisfactory

Satisfactory

A.D.S. : I use the evidence I gather from assessments on the patient to make decisions regarding their well-being.

1. 5 Carry out safety-based practices and risk management principles to ensure client safety

Satisfactory

Satisfactory

and a safe environment.

A.D.S. : I make sure my practice is always safe and the patient has a safe environment, for example always leaving the bed in the lowest
position.

1. 6 Ask questions and clarify the plan of care, unclear orders or directions, and whenever

Satisfactory

Satisfactory

uncertain.
A.D.S. : I make sure I get answers to any questions I have so I can carry out patient care to the best of my ability.

1. 7 Demonstrate professional behavior by seeking assistance in situations in which there is

Satisfactory

Satisfactory

unsafe,
unacceptable and/or unprofessional behavior.
A.D.S. : I act in a professional manner and seek assistance in situations that are unsafe, for example when having a violent patient I
seemed out assistance for the staff when he became aggressive.

1. 8 Demonstrate understanding about the role of the nurse within health care.

Satisfactory

Satisfactory

A.D.S. : I understand my role in the health care system and that my duties are to provide health care for the patients.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
Amanda has satisfactory met the above standards. Amanda has demonstrated understanding about the role of the nurse within health
care. She is punctual for all clinical shift, she contracts effectively with her teacher, her patient and her buddy staffs at all times. She
performs all skills within her scope of practice [i.e. wound care, head to toe assessments, vital signs, medication administration etc]. She is
familiar with her patient medication prior to administration by researching the reason for use, side effects and patient health teachings.

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions.

Satisfactory

Satisfactory

A.D.S. : I always take part in team sharing and discussion, such as sharing what I learned when I sat in on an SLP session.

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

Satisfactory

Satisfactory

methods.
A.D.S. : I am able to document in a clear and accurate manner, making sure to include all relevant information and use an organized
system in starting to document from the head of the patient to their toes.

2. 3 Report relevant information to the appropriate personnel.

Satisfactory

Satisfactory

A.D.S. : I report relevant information to the appropriate personnel, for example when in report I make sure the nurse gets all information
she needs, and the doctor is informed of what he needs to know as well.

2. 4 Use communication techniques with the client and the inter-professional health care

Satisfactory

Satisfactory

Satisfactory

Satisfactory

team.
A.D.S. : I communicate clearly and directly with the patients and the health care team.

2. 5 Ensure privacy and confidentiality according to the Personal Health Information

Protection Act (PHIPA).

A.D.S. : I always make sure the patient has privacy and confidentiality by only sharing information with their health cafe providers and not
with others outside their health care team.

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

Satisfactory

Satisfactory

information.
A.D.S. : I use technology such as the computers to retrieve information when I need clarification on something.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

Amanda has met all the above learning outcomes satisfactory. She is a team player and she actively participates during pre and post
conferences. Amanda ensures that she documents her patient's medication administration after administration and not before. She also
charts the care provided to her patient on a daily basis . She maintains the patients privacy by using initial only and not their full names.
Amanda is able to document independently on her own.

3. CARING RELATIONAL PRACTICE

3. 1 Use effective communication techniques.

Satisfactory

Satisfactory

A.D.S. : I use effective communication techniques such as the SBAr, the doctors communication binder, and the documentation in the
patients chart.

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

Satisfactory

Satisfactory

and health care team members.

A.D.S. : I established therapeutic relationships with the patients and halt care team and always respected everyone.

3. 3 Demonstrate therapeutic use of self to foster client well-being.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

A.D.S. : I demonstrate therapeutic use of myself and this helps to preform client well-being.

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

A.D.S. : I am aware that different people have different values and view and I respect everyones own views and do not try to inflict my own
view on others.

3. 5 Collaborate with clients and members of the inter-professional health care team and

Satisfactory

Satisfactory

Satisfactory

Satisfactory

consult appropriately.
A.D.S. : I work with the patients and health care team to help the patients healthy journey.

3. 6 Support the diversity of clients and the inter-professional health care team.

A.D.S. : I respect the diversity of the patients and health care professionals and treat everyone with respect.

3. 7 Display sensitivity and respect for clients cultural, religious, and other beliefs and values

Satisfactory

Satisfactory

influencing their choices and decisions.

A.D.S. : I respect the different cultures on the unit and understand that each client has the right to choose their treatment.

3. 8 Provide effective client education.

Satisfactory

A.D.S. : I provide client education, for example when patients ask what they need their medication for.

Satisfactory

Teacher comments for CARING RELATIONAL PRACTICE :

Amanda has met all the above learning outcomes satisfactory. Amanda demonstrates a therapeutic caring and compassionate relationship
with the patients and the healthcare team. She ensures that her patient's care is completed in a timely manner, AM care is provided [
Patient is neatly dressed in clean clothes, hair combed, mouth-care provided and assistance with setup during breakfast, lunch and
dinner].

4. LEADERSHIP AND ADVOCACY

4. 1 Apply appropriate conflict resolution skills in therapeutic client and other interactions.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

A.D.S. : I resolve conflict appropriately and professionally.

4. 2 Evaluate and refine leadership skills to develop solutions and create a positive work
environment.
A.D.S. : I take leadership with my patients and work together with my buddy nurse.

4. 3 Provide feedback to peers and accept feedback from peers and members of the interprofessional health care team.
A.D.S. : I provide feedback to peers in post conference.

4. 4 Advocate for clients, self, others, and quality practice environment.

A.D.S. : I advocate for patients by speaking to the doctor when the patient has a concern.

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

A.D.S. : I support the patients decisions and understand each patient has the right to refuse.

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

A.D.S. : I respond appropriately to unsafe behaviours and take actions accordingly.

4. 7 Collaborate and consult when implementing health care and nursing practices that are in
the best interests of the public and protect the public through collaboration and consultation.
A.D.S. : I practice in the best interest of the public and make sure my practice is always safe.

4. 8 Contribute to the creation of quality practice solutions and strategies.

A.D.S. : I work with my patients and their health care team to strategize ways to better their health care.

Teacher comments for LEADERSHIP AND ADVOCACY :

Amanda has met all the above learning outcomes satisfactory. Amanda supports her patients' right to self-determination by allowing them
to select the clothing that they would like to wear for the day and also by allowing the client to do what they can do for themselves [ie
comb their hair]. Amanda was observed on several occasion stocking up PPE's outside of patient room. She advocates for her client by
ensuring that pain medications are administered before there OT/PT appointment.

5. PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES

5. 1 Incorporate the clients unique needs and expected outcomes into holistic and client-

Satisfactory

Satisfactory

centred plans of
care.
A.D.S. : I understand each patient is different and everyone has different needs, so I take this into consideration when providing care.

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

articulated competently in writing and orally.

A.D.S. : I incorporate the whole person when providing care to a patient, not just their injury.

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

A.D.S. : I use my knowledge on the patients health stays and injuries to determine what my priorities will be when providing care.

5. 4 Collaborate in the evaluation and modification of plans of care.

Satisfactory

Satisfactory

A.D.S. : I modify my plan of care as the shift progresses depending on what changes throughout the day.

5. 5 Safely and competently implement and evaluate nursing assessments and nursing

Satisfactory

Satisfactory

interventions in a manner that demonstrates knowledge and skill.

A.D.S. : I always do my head to toe assessment when doing vital signs in the morning to make sure my patients stays have not changes.

5. 6 Use the Three-Factor and practice decision-making frameworks to guide practice.

Satisfactory

Satisfactory

A.D.S. : I consider the client factors, nurse factors, and environmental factors when providing care.

5. 7 Prioritize nursing care and nursing interventions in order to manage workload, time, and

Satisfactory

Satisfactory

physical
resources.
A.D.S. : I start to prioritize when I get my patient assignments to organize myself and manage my time.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
Amanda has met all the above learning outcomes satisfactory. Amanda 's DOPs are completed prior to providing patient care, she is
familiar with the patient's diagnosis, co-morbidity and medications. Amanda completes a daily plan of care for the patient she is assigned
to. Amanda performs all nursing care [ie. head to toe, medication assessment, feeding etc] in a timely manner.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

6. 1 Collaborate with clients and members of the inter-professional health care team to assess

Satisfactory

Satisfactory

Satisfactory

Satisfactory

clients, determine health needs, and to achieve mutually agreed expected outcomes.
A.D.S. : I collaborate with the health care team and patient to determine the patients needs.

6. 2 Contribute as a member of the inter-professional health care team to respond to the

changing needs and expected outcomes of clients.

A.D.S. : I respond to the changing needs of the clients and adjust my priorities according to their needs.

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

Satisfactory

Satisfactory

A.D.S. : I seek out assistance with members of the health care team when needed and to clarify things.

6. 4 Use teamwork, consensus building, and conflict resolution skills to meet expected client

Satisfactory

Satisfactory

outcomes.
A.D.S. : I use teamwork, for example when haloing another student who needs assistance with patient care.

6. 5 Use effective, collaborative, and consultative strategies to meet clients needs within a

Satisfactory

Satisfactory

Satisfactory

Satisfactory

changing
environment.
A.D.S. : I use strategies to meet the clients needs when there is a change.

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

A.D.S. : I interact with members of the health care depending on who needs to be notified, for example the social workers, PT, OT, nurses
or physicians.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

Amanda has met all the above learning outcomes satisfactory. Amanda is a very effective member within the multidisciplinary team. She
accepts positive and constructive feedback in a respectful way. Amanda is also very helpful towards her peers and the staff on the unit.
Amanda, continue to keep up the good work.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

7. 1 Act in the best interests of clients and protect clients from harm through collaboration

Satisfactory

Satisfactory

and consultation with members of the inter-professional health care team and through
competent and safe practice.
A.D.S. : I act in the best interest of my patients and make sure the care provided is always to benefit the patient.

7. 2 Engage in ongoing reflective practice to identify strengths, areas for improvement; and,

Satisfactory

Satisfactory

integrate feedback into practice.

A.D.S. : I identify areas for improvement and ways to strengthen those areas, and welcome feedback from my peers.

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

program (CNO).
A.D.S. : I create a learning plan that is consistent with CNO's Quality Assurance program.

7. 4 Seek out learning opportunities and feedback that foster professional development; and,
integrate these into practice.

A.D.S. : I seek out learning opportunities, for example sitting in on an SLP session.

7. 5 Use nursing research to foster professional development.

Satisfactory

Satisfactory

A.D.S. : I use research to develop as a nursing student because it helps me have more knowledge on different topics.

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

A.D.S. : I use the theory I learn in my classes to foster my practice at placement.

7. 7 Apply knowledge of changes to the health care system, technology, and in society as
these affect nursing practice.

A.D.S. : I apply the knowledge of the health care system and technology to my practice, fr example the new capillary glucose monitors.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

Amanda has actively participated in her learning goal through self-reflection and her learning plan. Overall, Amanda has demonstrated a
great deal of knowledge on the above learning outcomes and is strongly encouraged to continue to build on her existing learning goals
and her nursing care plans throughout the upcoming semesters.

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

8. 1 Use critical thinking and problem-solving skills to inform decision-making in all aspects

Satisfactory

Satisfactory

of nursing care.
A.D.S. : I use critical thinking and problem solving skills to make decisions that are best for my patients.

8. 2 Use critical thinking, problem-solving and decision-making skills to assess clients and to

Satisfactory

Satisfactory

determine nursing diagnoses, expected outcomes, nursing interventions, and evaluative

criteria.
A.D.S. : I use my skills to assess clients and determine the most appropriate nursing diagnoses and expected outcomes so that I can know
what my plan of care will be.

8. 3 Evaluate critical thinking, problem-solving, and decision-making skills and design a plan

Satisfactory

Satisfactory

Satisfactory

Satisfactory

to improve
these.
A.D.S. : I evaluate my skills to find ways that I can improve them to better my practice.

8. 4 Integrate knowledge from a variety of nursing, health, and other theory into nursing
practice to provide safe and competent care.

A.D.S. : I use my knowledge from my classes and readings to foster my practice and provide safe and effective care for my patients.

8. 5 Prioritize effectively.

Satisfactory

Satisfactory

A.D.S. : I prioritize and use my time management skills so that I am able to assist my patient with anything they need and always have a
plan in my head when I receive my patient assignments.

8. 6 Demonstrate professionalism and accountability.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

A.D.S. : I am professional and accountable, for example arriving on time each day.

8. 7 Use the practice decision-making and the nurse-client-environment frameworks to inform

and guide practice.

A.D.S. : I use decision making as my framework to guide my practice because if I understand what is going on with my patient I can make
an informed decision that will benefit their care.

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

Amanda has met this standard satisfactory. Amanda is able to connect her theory to her practice as evident by her active participation
during post conferences in connecting her patient's diagnosis with the past medical history and their current medications. She continues
to remain professional towards her teacher, peers, patients and staff at the facility.

Student Final Summary with Strategies for Continued Growth

I would like to continue to grow with my time management because I feel this is an area that will always have room for improvement and always be
important to prioritize. To continue to grow in this area I will always collect my report on my patients after receiving my patients, as well as check their
files for any new notes. I will also start to prioritize after this so that I will use my time effectively and can have time to provide the care and attention all
my patients need.

Teacher Final Summary with Strategies for Continued Growth

Amanda is encouraged to work on her time management skills by having a plan of care on a daily basis and also prioritizing the care she provides to
her patient. Amanda is a great student, she is encouraged to continue to provide excellent patient care. She is encouraged to continue to review her
learning objectives and be prepared to take on any clinical assignment within her scope of practice. She is encouraged to continue to build on all the
learning experiences that she gained during her clinical experience at St John's Rehab. Amanda, continue to belief in yourself, I am confident that you
will make a great nurse, Good Luck!.

Student's References
http://www.cno.org

Grade

Satisfactory

Unsatisfactory

Referred to Clinical Excellence Committee (CEC)

Grade

Satisfactory

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