Self Assessment

2015 - 2015 - Final NURS-151 Course Learning Outcomes

NURS 151 Practical Nursing Practice 2 (PN, 13-Jan-2015 - 30-Jun-2015)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Period :
Student hours :
Required Hours :
Validated hours :

Monique Traezann Hall

Karlyne Reid
John Stone
Trillium Health Partners/Mississauga Hospital
Agency
ComplexCC
23-Mar-2015 To 24-Apr-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

Satisfactory

Satisfactory

and procedures.
M.T.H. : All of the above were adhered to each week in clinical by obeying rules of the hospital.

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

M.T.H. : As a student nurse I made sure I act in a responsible and accountable manner at my clinical setting. Examples of how this is
doneincludes: punctuality, performing three checks of medications, six rights, and documentation.

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

Satisfactory

Satisfactory

professionals.
M.T.H. : Areas of strength that i take the initiative to do are suctioning, administering medications via G-tube, gathering vital signs, and
performing hygienic care. I seek assistance when doing intake and output documentation.

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

M.T.H. : Information from different textbooks were utilize to carry out assessments.

1. 5 Ensure client safety and a safe environment.

M.T.H. : During clinical to ensure safety for clients: beds are always placed in the lowest position, side rails raised, call bell and all other
needed equipments are placed in patient's reach.

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

Satisfactory

uncertain.
M.T.H. : Relevant questions about patient care are directed to primary nurse in charge and clinical teacher

Satisfactory

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

Satisfactory

Satisfactory

M.T.H. : I identified a situation that seemed unsafe and consulted with the inter-professional team but it was later resolved. For example A
patient who's chart stated that the patient was allergic to a drug but it was still being administered. Nurse was consulted and it was
resolved.

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

Satisfactory

Satisfactory

M.T.H. : I demonstrated understanding of a student nurse by staying within my scope of practice and consulting with my clinical instructor
on matters that I am unsure.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
she acts in a resible manner by asking questions and clarifying the plan of care regarding medication allergies or calculating lequid
gravol for her patient

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions.

Satisfactory

Satisfactory

M.T.H. : At each post conference i participated by talking about my experiences and discussed with my peers what i could have done
better.

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

Satisfactory

Satisfactory

methods.
M.T.H. : My documentation skill has been improving at every clinical settings. I made sure i document between client care so i don't have
to rush at the end of my shift and make mistakes.

2. 3 Report relevant information to the appropriate personnel.

Satisfactory

Satisfactory

M.T.H. : All pertinent data such as a change in a client status are always reported to the primary nurse or charge nurse and my clinical
instructor.

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

Satisfactory

Satisfactory

M.T.H. : Whenever my clients are feeling exhausted to communicate. I verbalized and ask them to nod their heads in agreement or
disagreement. If they able to write things down, I ask them to write it down.

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

Satisfactory

Satisfactory

Protection Act (PHIPA)

M.T.H. : Privacy is maintained at all time when caring for clients. Curtains are drawn or doors closed. During care only the area that is
being cleansed is exposed. Information about clients are not given to outsiders.

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

Satisfactory

M.T.H. : During my research of my clients diagnosis, I use computers to help me to understand my patient condition.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

Satisfactory

She is very quiet but communicate well with the staff and her clients, she document her findings on the computer system in order of
contunity of care for her clients.

3. CARING RELATIONAL PRACTICE

3. 1 Utilize effective communication techniques.

Satisfactory

Satisfactory

M.T.H. : Open ended and close ended questions are use to facilitate effective communication. Non verbal communication such as
squeezing hands, blinking of the eyes and writing were also used.

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

Satisfactory

Satisfactory

clients and health care team members.

M.T.H. : I demonstrated a good client relationship on a therapeutic level in clinical settings with all patients. This was done by introducing
myself, referring to patient by using their preferred name. I also respect each patient culture and their beliefs.

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

Satisfactory

Satisfactory

M.T.H. : My knowledge about how to maintain a therapeutic relationship in a nurse client relationship was proven to be effective on client
well being. It was less stressful for the client when I carry out care in a compassionate manner while being respectful.

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

Satisfactory

Satisfactory

have on relational practice.

M.T.H. : Clients' are treated in a respectful manner, the same way i would want to be treated if I was in the same position.

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

Satisfactory

Satisfactory

appropriately.
M.T.H. : Interaction are done with clients when providing care or even when passing their room to check on them. I consult with interprofessional team to provide effective care.

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

Satisfactory

Satisfactory

inter-professional health care team.

M.T.H. : I applied knowledge of practice from conducting head-to-toe assessment and resources such as textbooks to support the
diversity of clients and inter-professional team.

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

Satisfactory

Satisfactory

influence clients choices and decisions.

M.T.H. : When providing care clients' cultural, religious, and other beliefs and values are all taken into account.

3. 8 Provide effective client education.

Satisfactory

Satisfactory

M.T.H. : Client education are conducted when giving medications.

Teacher comments for CARING RELATIONAL PRACTICE :

She is respectful and demonstrate sensitivity and a respectful relationship with her clients especially wher the clients wants part of his
medication to be given by his wife.

4. LEADERSHIP AND ADVOCACY

4. 1 Recognize conflicts and strategies for resolution.

Satisfactory

Satisfactory

M.T.H. : During clinical one of the conflict that arises was a patient who refused his medication including a schedule insulin. After
providing health teaching the nurse was contacted.

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

Satisfactory

Satisfactory

M.T.H. : Leadership skills were demonstrated when I was team leader for the day in clinic. This was done by checking PO medications for
my peers and helping anyone who needed help.

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

Satisfactory

Satisfactory

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

M.T.H. : Opportunities to improve health care service can be done through evaluation and reflection of shift and what was done and also
what could be improved. As student nurse in order to advocate for myself, clients and others I have to make sure stay up to date with new
researches.

4. 4 Provide feedback to peers and accept feedback from peers and members of the inter-

Satisfactory

Satisfactory

professional health care team.

M.T.H. : Feedback to peers are provided on a daily basis and also a formal submission was given to one peer that identified their areas of
strength and areas that needs improvement.

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

Satisfactory

Satisfactory

M.T.H. : Clients' rights and decisions are supported provided i conducted health teaching that gives the client enough information to make
decisions.

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

M.T.H. : I responded appropriately by maintaining a calm and assertive tone.

4. 7 Consult and collaborate when carrying out health care and nursing practices that are in
the best interests of the public and protect the public through collaboration and consultation.

M.T.H. : Collaboration are done with primary nurse and other nurses on the unit and clinical instructor to ensure that care being provided
is in the best interest of the public.

Teacher comments for LEADERSHIP AND ADVOCACY :

She has demonstrated leadership on April fourteen in that she acted as a team leader in which she assisted her peers with medication
administration and provides feedback.

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
care.

Satisfactory

Satisfactory

M.T.H. : Care plans that were created were used to help provide care to clients. This care plan involved achievable goals. Care plans were
then utilized to make sure that outcomes were met. They were then evaluated to see the effectiveness of care plans.

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

Satisfactory

Satisfactory

articulated competently in writing and orally.

M.T.H. : Plan of care are created based on theory from textbooks and researched done on clients' diagnosis. This information is then
integrated into practice to provide care that is client-centered.

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

Satisfactory

Satisfactory

M.T.H. : Knowledge from textbooks, patient charts, progress notes and lab results were use to prioritize clients' needs and outcomes. For
example: Each time when giving warfarin i have to make sure i check the patient's lab results for INR. The INR was then assess to see if it
was safe to administer the medication.

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

Satisfactory

Satisfactory

M.T.H. : I provided information that contributes to the evaluation and refinement of plan of care. This includes re-assessing care plan to
see if outcomes were met.

5. 5 Safely and competently carry out nursing assessments and nursing interventions that are

Satisfactory

Satisfactory

theory-based and within skill abilities.

M.T.H. : When carrying out head to toe assessments on clients a safe practice that was incorporated was privacy and correct positioning
of the bed. Nursing interventions such as suctioning a patient is done in a safely manner such as ensuring the i maintained sterility of the
first six inches of the suctioning catheter to avoid contamination. Patient is given oxygen in between suctioning to keep their oxygen from
becoming low.

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

Satisfactory

Satisfactory

M.T.H. : I carry out nursing care that reflects the practice decision-making framework. Our Nursing Theory 1 class taught us how to carry
out practice decision-making framework. There is 3 alternatives for the practice of decision-making framework.

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

Satisfactory

Satisfactory

timely manner.
M.T.H. : As a student nurse on the unit all my responsibilities such as head to toe assessments, gathering vital signs, giving medications,
providing hygienic care, feeding, were all done in a timely and organized manner. For example: vitals were the first thing to be done when i
start my shift.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
She has practice using the knowledge, skills and judgment that she has gain in classroom and in the clinical area to carry out her head to
toe assessment each week on her clients, and has done well.

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

M.T.H. : While caring for patients in clinical all health care personnel are consulted to ensure clients expected outcomes were met.

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.

M.T.H. : I contributed to the inter-professional team by reporting changes about clients', reporting after my shift about overall health of
client.

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

Satisfactory

Unsatisfactory

M.T.H. : Consultation were done on a daily basis in clinical to ensure that care is centered around the client. For example: A patient was
not supposed to regularly suctioned but the nurse who was in charged had not completed documentation as to how long a go was the
patient suctioned, so I consulted to make sure it was okay for me to suction the patient. Another example was when i was changing a
different kind of inner cannula, I seek assistance from my teacher to guide me and make sure i was doing it correctly.

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

Satisfactory

Satisfactory

M.T.H. : I partnered with one of my peers to help with client care such as repositioning and changing of patients.

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

Satisfactory

Satisfactory

a changing environment.
M.T.H. : During the start of clinical it was still winter months. I offered warm blankets to make sure patients are comfortable, windows were
closed to maintain a room temperature. When it got warmer I asked patients if they wanted the windows opened.

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

Satisfactory

Satisfactory

competencies.
M.T.H. : While interacting with health care team i take into account their positions and competencies making sure I do not act in a
disrespectful manner.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

She collaberate well with the health care team to collect information in her report to effectively administer care to her clients.

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.
M.T.H. : Satisfactory in this area because I made sure i leave beds in the lowest position and raised said side rails. Call bell is always
within reach and any unsafe equipments that could pose a threat to patient are out of reach, and all necessary items that patient need are
also within reach. If I am unsure about doing something for a patient such as giving patient tylenol for pain i consult with the nurse.

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

Satisfactory

Satisfactory

M.T.H. : Self reflection was done to help identify and improve area that needed further development such as documenting intake and
output.

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

program (CNO).
M.T.H. : A learning plan was created and submitted to clinical instructor.

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

M.T.H. : I seek out learning opportunities such as asking to insert a in and out catheter for urine specimen. This was a great learning
opportunity. Feedback was then asked from my clinical instructor and nurse that was present to help with my development in this area.

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

Satisfactory

Unsatisfactory

M.T.H. : The way some of the nurses and my clinical teacher carry out their nursing practice were use as guide to help me develop my
nursing skill such as time management. Patient health were asses each week to improve or maintain optimal health. Information from our
theory class were also use to improve my nursing practice.

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

Satisfactory

Satisfactory

M.T.H. : I read about practice standard and guidelines from the College of nurses of Ontario website to get evidence-informed practice that
would allow me acquire knowledge needed to approach my client and provide care.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

She engage in an ongoing reflective practice by submitting her learning plan and identifying ares for growth in the future.

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

M.T.H. : I utilized problem solving skills to inform decision making in all aspects of nursing care. For example I had two patients who have
medications that needed to be taken at the same time. I assessed both patients medications and then decide to administer anti-diabetic
medications first.

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.

M.T.H. : I used objective and subjective information gathered about a client. After researching the patient's diagnosis I use my problem
solving skills to figure out how to care for that patient.

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

skills.
M.T.H. : Self reflection was used to identify areas that needed improvement.

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

M.T.H. : I make use of textbooks and notes from my nursing classes. Theses readings were incorporated in my practice at clinical to
provide safe and competent care.

Satisfactory

8. 5 Use prioritization strategies for client care.

Satisfactory

M.T.H. : During clinic when i was assigned two patients I made a list of priorities for each patient that i adhered to when carrying out care.
For example: when giving medications I gave the patient on diabetic medication before my other patient.

Satisfactory

8. 6 Demonstrate professionalism and accountability.

Satisfactory

M.T.H. : This was done by showing up on time and fully dressed. Acting a respectable manner when speaking to interprofessional team,
peers, clinical instructor and clients.

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

Satisfactory

Satisfactory

M.T.H. : I recognized my strength on the unit when it comes to patient care. My strengths involves suctioning, administering medications
via Gtube, feeding both orally and by feeding tub. I seek assistance from clinical instructor if something is not within my scope of practice.

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY :
Monique ids interlarding knowledge from a variety of nursing health and other theory in into her nursing practice to to provide a safe
and competent care for her clients
Critical thinking is a continuous learning ability therefore she wil need to contunie practicing this skill

Student Final Summary with Strategies for Continued Growth

Clinical was a great opportunity. Continuous practice is needed in critical thinking. I will continue to educate myself by reading and applying
knowledge to case studies and real life situation.

Teacher Final Summary with Strategies for Continued Growth

Mobnque has demonstrated through this semester that she has gain enough knowledge and experience to administer efficient care to two acutely ill
client with tracheotomy, She can administer care and medication to both clients with minimum assistance . she build a caring relationship with her
clients and work well the nursing team.
Very good semester all the best in your future career.

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