Self Assessment

2015 - 2015 - Final NURS-151 Course Learning Outcomes

NURS 151 Practical Nursing Practice 2 (PN, 04-May-2015 - 05-Sep-2015)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Period :
Student hours :
Required Hours :
Validated hours :

Raymond Robles
Lucille Brady-Walters
John Stone
Trillium Health Partners/Mississauga Hospital
Agency
3C rehab
04-May-2015 To 02-Aug-2015
168
168
168

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

and procedures.
R.R. : I am satisfactory in this area because I believe I display professionalism at school and my clinical environment. I treat my peers and
clients with respect and I stay within the ethical laws and regulations in my practice.

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

Satisfactory

Satisfactory

R.R. : I am satisfactory in this area because I am able to show professionalism in the clinical setting which include accountability and
ethical action.

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

Satisfactory

Satisfactory

professionals.
R.R. : I am able to determine my strengths and weaknesses and I will not hesitate to ask for assistance when needed.

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

Satisfactory

Satisfactory

R.R. : Through clinical, I was able to practice and implement my nursing skills but I would like to continue to improve.

1. 5 Ensure client safety and a safe environment.

Satisfactory

Satisfactory

R.R. : I remember to always assess the environment to ensure client safety. This includes, tripping obstacles, moisture, patient behaviour,
siderails, patient balance, etc.

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

Satisfactory

Satisfactory

R.R. : I am satisfactory in this area because I do not hesitate to approach my clinical teacher, peers, or other health workers whenever I
need clarity.

1. 7 Identify ethical and unsafe situations and seek appropriate assistance to resolve these.

Satisfactory

Satisfactory

R.R. : I am able to determine unethical and unsafe situations, and I am able to find a way to resolve them myself, with the patient, or with
assistance.

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

Satisfactory

Satisfactory

R.R. : I understand that the role of a student nurse is to grasp the studies and readings learnt in class and simulation and apply it to the
clinical setting. The role of a student nurse is to gain experience and improve various nursing skills, and procedures, as well as developing
therapeutic relationships with clients.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
Raymond has improved significantly and has engaged himself in ongoing learning to sustain and enhance the competencies in delivering
safe and efficacious care to the client and his/her families

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions.

Satisfactory

Satisfactory

R.R. : During post-clinical, I always participate willingly and enthusiastically through group discussions and presentations.

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

Satisfactory

Satisfactory

methods.
R.R. : During clinical, I was able to learn how to document in a time-efficient way. I am able to document relevant information satisfactorily.

2. 3 Report relevant information to the appropriate personnel.

Satisfactory

Satisfactory

R.R. : During clinical, situations in which I had to speak with my assigned nurse or instructor, were completed satisfactorily. An example
would be if a nurse asks me to check and report vitals, I can do so in a quick and efficient manner.

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

Satisfactory

Satisfactory

R.R. : During clinical, I communicated with my patient, peers, instructor, and nursing team verbally, electronically, and through the use of
touch (with the patient).

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

Satisfactory

Satisfactory

Protection Act (PHIPA)

R.R. : I will always remember the trust that exists between patient and nurse. I am able to keep all confidential information private.

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

Satisfactory

Satisfactory

R.R. : I am efficient in quickly looking up relevant information needed in the clinical setting (ie. researching drugs or illnesses)

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

Raymond demonstrated effective communication among his peers, nursing team, and clinical instructor, it is also evident in respecting
confidentiality through sharing pertinent information among nursing staff, sharing information to patients and their families at a level that
they can understand, prompt, and accurate charting.

3. CARING RELATIONAL PRACTICE

3. 1 Utilize effective communication techniques.

Satisfactory

Satisfactory

R.R. : I am satisfactory in this area by verbally contacting with my Clinical teacher and peers during meetings and reporting promptly for
any client situations.

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

Satisfactory

Satisfactory

clients and health care team members.

R.R. : I demonstrate this by striving to advocate for the patient and their families with respect to giving the family members some space
when visiting, and watching for my patients non-verbal cues that may require attention (eg: facial grimacing, increased agitation)

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

Satisfactory

Satisfactory

R.R. : I understand that the manner I present myself to my client affects their well-being. It is important that I approach the client with
confidence, respect and care.

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

Satisfactory

Satisfactory

have on relational practice.

R.R. : I am able to fully respect the needs, beliefs, values, and backgrounds of each client and I understand that these factors may affect
their view on health.

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

Satisfactory

Satisfactory

appropriately.
R.R. : I continue to demonstrate good communication with my clinical team and other health care staff by reporting and seeking
assistance right away when needed.

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

Satisfactory

Satisfactory

inter-professional health care team.

R.R. : I understand the diversity of clients and health care team and I am able to respect my client or peers differences.

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

Satisfactory

Satisfactory

influence clients choices and decisions.

R.R. : I am satisfactory in this area as I remain culturally sensitive to patient and families who make decision based on their different
beliefs with which I respect. For example certain women of other religions may refuse to have a male nurse provide care for them.

3. 8 Provide effective client education.

Satisfactory

Satisfactory

R.R. : I have not yet had many chances to provide in-depth patient education, but there were times during clinical in which I provided small
helpful information to my clients.

Teacher comments for CARING RELATIONAL PRACTICE :

Raymond demonstrated caring by applying the key principles and process of therapeutic communication that enhances practice
relationship. He engaged in a caring relationship with the patient specifically and the family collaboratively, provide health education to
patient and their families and respecting the diversity of all patients individually and collectively

4. LEADERSHIP AND ADVOCACY

4. 1 Recognize conflicts and strategies for resolution.

Satisfactory

Satisfactory

R.R. : I believe I am satisfactory in this area because I am able to come up with numerous ways to resolve a conflict. Conflict in the clinical
setting however has been limited and I have not yet had a chance to resolve any major conflicts.

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

Satisfactory

Satisfactory

R.R. : I believe I am able to lead my peers into study groups and find ways to work and communicate effectively to learn.

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

Unsatisfactory

Satisfactory

Satisfactory

Satisfactory

advocating for client, self, others, and quality practice.

R.R. : I believe I can still improve in this area.

4. 4 Provide feedback to peers and accept feedback from peers and members of the interprofessional health care team.

R.R. : Whether the feedback is positive or negative, I am able to provide feedback and accept feedback from others.

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

Satisfactory

Satisfactory

R.R. : I understand that a client's rights, dignity, respect and integrity must not be abused. A patient has the right to make their decisions if
they feel uncomfortable with certain procedures and medications. I understand that I must not force my will on a client.

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

Satisfactory

Satisfactory

R.R. : 4.6I am satisfactory in this area because I know that I should avoid unsafe, unacceptable and unprofessional behaviour. If a client,
peer or other healthcare worker is behaving in a way that raises potential dangers or harmful practice, I should report it to the appropriate
person.

4. 7 Consult and collaborate when carrying out health care and nursing practices that are in

Satisfactory

Satisfactory

the best interests of the public and protect the public through collaboration and consultation.
R.R. : I believe that when it comes to collaborating with the health care team to carry out nursing procedures and interventions for the
client, I am able to contribute satisfactorily.

Teacher comments for LEADERSHIP AND ADVOCACY :

Raymond demonstrated professionalism in the clinical area while reflecting on developing his individual leadership style. Raymond
advocated for his patients through communication and collaboration with the patient, nursing team, peers and his clinical instructor,
reviewing of medical records, lab results. Raymond takes responsibility for his personal and professional growth and development

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

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

Satisfactory

Satisfactory

care.
R.R. : During clinical, I am able to remember the special needs and preferences of my clients, and include it into my plan of care. For
example, my patient had posterior lumbar decompression and needed assistance mobilizing.

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.

R.R. : I believe I demonstrated a satisfactory care plan that focused on my client's needs.

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

R.R. : I believe I am satisfactory in this area. There is still room for me to improve in this area but I believe I am able to use the knowledge,
skill and judgement I have gained through my studies and clinical in order to assess a client and prioritize his needs and outcomes.

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

R.R. : I am able to determine contributing interventions that can help my client improve.

5. 5 Safely and competently carry out nursing assessments and nursing interventions that are
theory-based and within skill abilities.

R.R. : The neurological, cardiovascular, respiratory, abdominal, and musculoskeletal assessments that I learned prior to this semester
have been practiced in my clinical setting. I believe I am satisfactory in this area however I can still use more practice.

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

Satisfactory

Satisfactory

R.R. : During clinical, I was faced with situations in which a decision was to be made in regards to the client's care. Decisions I made were
based on relevance, client safety, safety for myself and the environment.

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

Satisfactory

Satisfactory

timely manner.
R.R. : Before clinical, I set a goal of what I want to do for my patient. We are required to take the client's vital signs and complete a head to
toe assessment. At the beginning of each shift I communicate with the nurse to see what other procedures still need to be complete for my
patient. I then make a plan to incorporate taking vital signs, the head to toe assessment, feeding, medication, and any other procedures I
need to complete.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
Raymond communicated and collaborated with patients, peers, nursing team, and instructor to provide and promote competent,
comprehensive, and consistency of nursing care while encouraging patient to take an active role in his or her care

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

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.

Satisfactory

Satisfactory

R.R. : During clinical, I demonstrated this regularly by communicating with my clients, peers, and nursing team through verbal
communcation or documentation.

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

Satisfactory

Satisfactory

changing needs and expected outcomes of clients.

R.R. : I believe I am satisfactory in this area because I am able to help the healthcare team respond to the needs of the clients.

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

Satisfactory

Satisfactory

R.R. : I am satisfactory in this area because I recognize my limitations and I understand that there are potential consequences to my
actions if I carry out an unpracticed procedure or skill without assistance. I do not hesitate to ask for assistance from my clinical teacher,
healthcare professionals, or my peers.

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

Satisfactory

Satisfactory

R.R. : I am able to work well with my peers in regards to planning through a conflict and carrying out the plan to meet certain outcomes.
An example of this would be working with my peers while changing a client's briefs, linens, and re-positioning a client.

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

Satisfactory

Satisfactory

a changing environment.
R.R. : During clinical, I am able to work with my peers and nursing team to help clients who are experiencing changes to their environment.
I am able to do this through communicating with my client and assessing what their feelings and needs may be.

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

Satisfactory

Satisfactory

competencies.
R.R. : I am able to communicate with the nursing team and I am able to learn and improve by speaking with them and observing the way
they work.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

Raymond demonstrated collaborative practice by taking accountability for and being respective in the manner in which he communicates
with the patient, nursing staff, peers, and instructor. He demonstrated accountability for his actions, enthusiasm, motivation, and
commitment to the nursing team and among his student group/peers. Actively and happily participated in the nursing team and post
conference discussions

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.
R.R. : In clinical, I collaborate with other healthcare team members to provide safe and competent practice for my patient. I understand that
unsafe or incompetent practice can result in harm or injury to my client, therefore I ensure that my skills, procedures and assessments are
supported by my studies and readings.

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

Satisfactory

Satisfactory

R.R. : Before, during and after clinical, I take the time to reflect on my errors and reflect on why I made those errors and the importance of
correcting those errors. Afterwards, I plan certain ways in which to improve my performance

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

program (CNO).
R.R. : I completed an efficient learning plan that I plan to use before my 3rd semester.

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

R.R. : I understand that the clinical setting is the place to practice and learn. n example of this is when my 2nd patient was on a day pass, I
asked my instructor to assign me another client so I can use all of my time to learn.

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

Satisfactory

Satisfactory

R.R. : Though I have used my past classes, reading, studies, and experiences to further improve my nursing ability, I recognize that I still
need to continuously read and learn more for further improvement.

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

Satisfactory

Satisfactory

R.R. : In clinical, I am able to perform nursing skills and assessments (eg: vitals, wound dressing, head-to-toe assessments, etc.) studied
through my theory, assessment, and practical classes.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

Raymond has improve in the clinical setting on a weekly basis as he demonstrates commitment to continuous competence and quality
improvement through obtaining the knowledge, skill, and judgement from educational materials, practice reflection, peer review, and
instructor feedback while setting and achieving his learning goals

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

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

Satisfactory

Satisfactory

R.R. : During clinical. I was able to listen to my client's needs and assist them through numerous ways until they are satisfied. (ie. repositioning client q2h to assist with skin integrity, then using barrier cream on the necessary areas on client's back)

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

Satisfactory

Satisfactory

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

R.R. : I believe I am able to use problem solving and decision making skills to help my client when needed. I would first determine the
client's need, then find ways to fix or improve the problem.

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

Satisfactory

Satisfactory

skills.
R.R. : After clinical, I take some time to reflect on my performance during my shift. Whenever there are performances I need to correct, I
take the time to come up with ways in which I can improve. This includes ways to improve problem-solving and decision making.

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

Satisfactory

Satisfactory

to provide safe and competent care.

R.R. : Though I have used my past classes, reading, studies, and experiences to further improve patient care, I believe that I still need to
improve in this area. I plan to improve in this area by continuing to read and study the knowledge learnt in my classes and to observe the
healthcare professionals in clinical.

Satisfactory

8. 5 Use prioritization strategies for client care.

Satisfactory

R.R. : I am able to determine which client care is more important and which takes priority over others.

Satisfactory

8. 6 Demonstrate professionalism and accountability.

Satisfactory

R.R. : In clinical, I am always on time and in full uniform. I treat my clients, peers, my clinical teacher and healthcare professionals with
respect and I conduct myself in a hardworking, professional manner.

8. 6 Recognize strengths and limitations and seek appropriate assistance and support.

Satisfactory

Satisfactory

R.R. : I am able to recognize my strengths and limitations and I have no problems seeking assistance when necessary.

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY :
Raymond demonstrated critical thinking by utilizing his knowledge and past experience to assess a situation, make decisions with
guidance from his instructor or assigned nurse and evaluates outcomes. Raymond continues to develop in this area

Student Final Summary with Strategies for Continued Growth

After finishing clinical, I feel confident in my progress as a student nurse. I have practiced many nursing procedures, assessments and documentation
and I have learned that my biggest strengths are my work ethic and willingness to improve. I have experienced many things but I know there are still
lots to learn. My strategies for continued growth are to apply a higher focus on my readings and studies. I will also continue to seek out learning
opportunities in clinical and through observing my peers, instructor, and nursing team.

Teacher Final Summary with Strategies for Continued Growth

Raymond needs to improve on his critical thinking, time management, priority setting. It was a pleasure having Raymond as a student and I was able
to observe his learning growth and on a weekly basis. He is such a pleasant and helpful student and is always willing to go that extra mile and take on
the challenge for his patient. Raymond loves to receive feedback and is committed to make correction or improvement the next time around. I wish
him success on his educational journey.

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

Submitted Date: 03-Aug-2015 23:18