Self Assessment

2014 - 2015 - Final NURS-151 Course Learning Outcomes

NURS 151 Practical Nursing Practice 2(PN,13-Jan-2015-02-May-2015)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Period :
Student hours :
Required hours :
Validated hours :

Tenzin Lektsok
Grace Jose
John Stone
Trillium Health Partners/Credit Valley Hospital
Agency
1D Acute Rehab/Geriatric
18-Apr-2015
168
168
168

To 02-May-2015

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 and

Satisfactory

Satisfactory

Satisfactory

Satisfactory

procedures.
T.L. : I have followed college policies, code of conducts and standards and guidelines.

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

T.L. : I always respect and appreciate the different cultural beliefs, values and attitudes. I am accountable for any actions that I have done.

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

professionals.
T.L. : When I consult and seek assistance from other professionals, I develop my knowledge and skills.

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

T.L. : I used obtained vital signs and assessment of physical and mental conditions of patient for care.

1. 5 Ensure client safety and a safe environment.

T.L. : I used the railing and provide assistive device for client and place call bell at reach to ensure the safety and safe environment.

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

T.L. : I make sure about the medication if I am uncertain about it.

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

T.L. : I am concerned about my patient who are put under physical restraint.

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

Satisfactory

Satisfactory

T.L. : By providing proper care and taking proper assessments of the patient. For instance, taking vital signs, following the instructions of nurse and
instructor

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
Student consistently demonstrated accountability in nursing practice. Student able to consistently demonstrate preparedness for practice,
assumes responsibility for learning, and actively participate in learning. Weeks 11- 14: Student able to care for clients independently;
medication, morning routine, ADL needs, and documentation.

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions.

Satisfactory

Satisfactory

T.L. : I discussed with my peers about the wound care and how to give injections. i taught my peers about how to give insulin injection.

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

Satisfactory

Satisfactory

T.L. : While documenting, I always write about the significant things that I noted during my client care and assessment, I try my best to document
clearly and accurately in a timely manner and always do a final check with my instructor before writing on patient chart.

2. 3 Report relevant information to the appropriate personnel.

Satisfactory

Satisfactory

T.L. : After i have taken the vitals and assessment of patient, i always inform my nurse or either write it on the white board in the patient's room.

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

Satisfactory

Satisfactory

T.L. : I have used my non verbal communication to patient who doesn't understand English and can't hear properly.

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

Satisfactory

Satisfactory

(PHIPA)
T.L. : I haven't disclosed any information of my clients to other people who are not related to my patient's care plan.

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

Satisfactory

Satisfactory

T.L. : i have used hospital's computer to retrieve my clients information and my laptop to do research on the medications and diseases.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

Student communicates clearly, concisely, and correctly in the written, spoken, and visual forms that meet the needs of the clients. Also
responds to relevant information in a manner that ensures effective communication.

3. CARING RELATIONAL PRACTICE

3. 1 Utilize effective communication techniques.

Satisfactory

Satisfactory

T.L. : i have been good listener and done my best to understand the needs of my client using verbal and nonverbal communication technique

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

Satisfactory

Satisfactory

and health care team members.

T.L. : i respected other cultures and their beliefs, values and attitudes. i have always shown my caring attitude towards all clients without any
discrimination.

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

Satisfactory

Satisfactory

T.L. : i listened my patient's past experiences from them and given company when they are bit depressed.

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

Satisfactory

Satisfactory

relational practice.
T.L. : I have realised that individual from different background has their own beliefs and values. it is very important to respect them to have effective
therapeutic care.

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

Satisfactory

Satisfactory

appropriately.
T.L. : i kept good professional relationship with client and members of the inter professional health team( nurses, physiotherapist...) and i consulted
them whenever the situation required me to.

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

Satisfactory

Satisfactory

professional health care team.

T.L. : I understand the existence of diversity in both client and the health care team, and I also apply my both theoretical and practical knowledge
that support the diversity of the health care population. For example I try my best to deliver culturally sensitive care.

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

Satisfactory

Satisfactory

clients choices and decisions.

T.L. : Since I speak 3 different language, I talked with my client in their language to make them more comfortable.

3. 8 Provide effective client education.

Satisfactory

Satisfactory

T.L. : i have educate and encourage my client to eat their food to have proper nutrition. I advised them to use their assistive device.

Teacher comments for CARING RELATIONAL PRACTICE :

Student able to establish sound relationships with peers, staff, clients, and teacher. Student consistently utilized well developed
communication and interpersonal skills.

4. LEADERSHIP AND ADVOCACY

4. 1 Recognize conflicts and strategies for resolution.

Satisfactory

Satisfactory

T.L. : i think about the diversities in cultural beliefs and values so that it does not create conflict and helps me to resolves it.

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

Satisfactory

Satisfactory

T.L. : I demonstrated my leadership skills by helping and directing my peers in giving proper bed bath and transferring of clients by Hoyer lift.

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

Satisfactory

Satisfactory

client, self, others, and quality practice.

T.L. : I have recognised that special attention should be given to patient who don't have family and social isolated.

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

Satisfactory

Satisfactory

professional health care team.

T.L. : I have given positive and negative feedback to my peers to improve there nursing skills and I have accepted their feedback as positive thing for
me to improve.

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

Satisfactory

Satisfactory

T.L. : I have taken consent from client before providing any care or services. For instance, asking about which cloth they want to wear today and
respecting there choices and preferences.

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

T.L. : So far I have not faced unacceptable and unprofessional behaviours from peers and nurses.

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.

T.L. : I always collaborate and consult appropriate healthcare member( instructor, nurses) when carrying out health care and nursing practices that
are in the best
interests of public

Teacher comments for LEADERSHIP AND ADVOCACY :

Student able to demonstrate leadership skills related to peer interactions. Consistently demonstrated
professional nursing behavior.

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

T.L. : I have learnt about different client's impairment (respiration , hearing, vision, unconscious cognitive, etc). for instance, trach patient, effective
airway breathing is expected outcome because of excessive sputum in the airways.

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

Satisfactory

Satisfactory

competently in writing and orally.

T.L. : We have written care plan twice for the patient where i have considered the care from all the perspectives.

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

Satisfactory

Satisfactory

T.L. : I applied my knowledge I learnt from my textbooks and in classroom. For eg, how to take blood pressure, assess there skin during bath,
prioritizing there needs according to heir diagnosis.

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

Satisfactory

Satisfactory

T.L. : I have taken the vital sign's measurement and blood glucose level to evaluate and refinement of care plan.

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

Satisfactory

Satisfactory

based and within skill abilities.

T.L. : I have done Braden scale as nursing assessment and repositioned my client every two hours to prevent any pressure ulcers.

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

Satisfactory

Satisfactory

T.L. : While providing nursing care, I have made decisions based on patient assessment and acted on them.

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

Satisfactory

Satisfactory

manner.
T.L. : I have done three check before giving medication and had administered it at right time. I have followed the 8 medication rights.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
Practiced within the ethical guidelines of the care facility, expectations of Humber College, and the CNO.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

determine health needs, and to achieve mutually agreed expected outcomes.

T.L. : I worked with my instructor to assess the wound and done the wound dressing properly as needed.

6. 2 Contribute as a member of the inter-professional health care team to respond to the changing
needs and expected outcomes of clients.

T.L. : i have gathered relevant subjective and objective data and informed gathered information to the appropriate team member.

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

T.L. : I always seek for help if I need any help. For instance, ambulating the client.

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

T.L. : I am always ready and willing to offer and accept help whenever needed, I welcome ideas and suggestions from my peers as a positive thing.

6. 5 Describe effective, collaborative, and consultative strategies to meet clients needs within a
changing environment.
T.L. : By providing proper care at proper time.

Satisfactory

Satisfactory

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

Satisfactory

Satisfactory

T.L. : Regarding medication, I consulted my clinical instructor or registered nurse in charge if I am not sure about it.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

Student is developing strong relationships both with peers, hospital staff, teacher, and clients. Student utilizes effective interpersonal skills
and therapeutic communication.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

consultation with members of the inter-professional health care team and through competent and safe
practice.
T.L. : I worked with nurse and peers to transfer client to prevent him from any injury and harm.

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

T.L. : I do meditation sometimes for self reflection to identify my strengths and weakness.

7. 3 Create, implement, and evaluate a learning plan consistent with the Quality Assurance program
(CNO).
T.L. : Every time, at the end of the care, I evaluate if the care is carried effectively and efficiently.

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

T.L. : I seek proper guidelines from nurses and instructor. For eg, setting up feeding pump and giving injections .

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

T.L. : I referred textbooks, nursing videos and check lists of nursing practical class.

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

T.L. : I used the methods mentioned in the Roy's model care of patients.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

Student consistently sought knowledge and provided evidence based rational for decisions. Student gradually increasing utilization of
step 1 & 2. Student able to use acquired knowledge and apply it to practice. Student increased ability to organize and prioritize related to
client care.

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.
T.L. : I used my critical thinking in problem solving and decision making skills.

Satisfactory

Satisfactory

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

Satisfactory

Satisfactory

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

T.L. : I referred client's diagnosis to take appropriate interventions. for eg, referring there blood pressure before administering their hypertensive
medication.

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

Satisfactory

Satisfactory

T.L. : I have given extra effort to write proper care plan to improve problem solving and decision making skills.

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

Satisfactory

Satisfactory

provide safe and competent care.

T.L. : I always us e my textbook knowledge and clinical skills taught in the class to provide safe and competent care.

8. 5 Use prioritization strategies for client care.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

T.L. : I take vital signs at the beginning of shift to begin any interventions.

8. 6 Demonstrate professionalism and accountability.

T.L. : I demonstrated my professionalism and accountability by arriving hospital on the time , addressing the client by proper name, informing client
about the procedure before starting and obtaining the consent before any interventions.

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

Satisfactory

Satisfactory

T.L. : I helped my peers which I am good at and i also asked for help when i am not sure and don't know about the thing. For instance, I asked for
help from nurse to set up the feed pump machine and do the wound dressings.

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY :
Successfully cared for 2 clients per day for several weeks. Able to apply analytical, interpersonal, and technical skills to implement a safe
effective plan of care.

Teacher Final Summary with Strategies for Continued Growth

You did an awesome job in clinical keep up the great work! Please continue to practice your nursing skills, develop your critical thinking by reading
your nursing theory books, and improve on your problem solving skills by communicating with the inter-professional team. Well Done!

Student Final Summary with Strategies for Continued Growth

It was such a wonderful experience for me and I have learned a lot from my clinical. I'll do more self reflection and critical thinking for my continues
growth. I'll review what I have learnt so far in the college and hospital during summer break.

Grade

Referred to CEC

Satisfactory

Unsatisfactory

Submitted Date: 19-Apr-2015 14:15