UNIVERSIDAD DE ZAMBOANGA

School of Allied Medicine Department of Nursing

Main Campus, Don Toribio St., Tetuan Zamboanga City
Name: Year & Section: Rotation Number: Date:

RLE EVALUATION CRITERIA

Tetuan Lying-in Health Center Legend 5 4 3 2 1 Performs the task excellently Performs the task very satisfactorily Performs the task satisfactorily Performs the task fairly Performs the task poorly

RATING SCALE (SKILLS 60%)

ASSESSMENT 1. Collects individual/family health information utilizing various techniques. 2. Obtains complete, accurate and relevant assessment data.

1 2 3 4 5

3.

Identifies family responses to illness in terms of physiological psychological, and spiritual 4. Identifies individual/familys coping mechanisms and coping abilities. 5. Analyzes individual/familys responses to health promotion, prevention curative and rehabilitative based on scientific and document standards. 6. Formulates correct statement of health problem and family nursing problem. PLANNING 1. Formulates a comprehensive health teaching/family nursing care plan for promotion, prevention, curative and rehabilitative care. 2. Plans nursing care according to priority problems/needs. 3. Plans in collaboration with other members of the health team. 4. Considers family and community resources in case planning. IMPLEMENTATION 1. Provides safe, effective promotive and preventive, curative, and rehabilitative care as a health educator/care giver. 2. Involves family members in carrying out promotive and preventive, curative and rehabilitative nursing measures. 3. Utilizes available resources in the family and community. 4. Coordinates with other members of the health team in the care of a family. EVALUATION 1. Identifies significant changes in the clients/familys behaviour and responses after nursing intervention. 2. Records effects of promotive, preventive, curative and rehabilitative. 3. Identifies constraints to effective family care as basis to modify care plan. NURSING ROLES 1. Demonstrates self direction on different tasks and other activities.

2.

Performs nursing tasks with precision, accuracy and correct aseptic techniques like: Admission/consultation/recording, Prenatal/Immunization, Health Education. 3. Demonstrates good interpersonal skills. DOCUMENTATION 1. Records pertinent data accurately on patients record. 2. Observes the following in recording: brevity, legibility, no erasures and affixing signature. OTHERS

UNIVERSIDAD DE ZAMBOANGA
School of Allied Medicine Department of Nursing
Main Campus, Don Toribio St., Tetuan Zamboanga City
1. Formulates specific learning objectives of related learning experience correctly. 2. Submits requirements on time and presentable TOTAL: 120

RATING SCALE (ATTITUDE 10%)

1. Courteous and works harmoniously with Clinical Instructor, Health Personnel and Dutymates. 2. Helps in other tasks not assigned to him/her as the need arises. 3. Reports to the area with complete uniform, neat and tidy. 4. Reports to duty with complete paraphernalia. 5. Reports to the area on time. 6. Identifies own limitations and capabilities. 7. Accepts suggestions and criticisms constructively. 8. Observes health center policies and regulations. 9. Demonstrates qualifies as honestly, respect, self-directed interest, diligence and responsibility. 10. Utilizes appropriate resources to prepare self for related learning experience. TOTAL: 50

1 2 3 4 5

RATING SCALE (KNOWLEDGE 10%) CASE PRESENTATION

1. Shows mastery of the subject matter/topic 2. Organizes the subject matter/topic well 3. Discusses thoroughly the pathophysiology of the condition/disease process. 4. Discusses comprehensively the nursing care management according to priority. 5. Stresses out areas of nursing concerns thoroughly. 6. Focuses on significant needs/problems that affect the health status of the client. 7. Discusses appropriately the pharmacotherapy, treatment and diagnostic examination. 8. Discusses the current issues/updates to the subject matter/topic well. 9. Interacts/answers questions related to the subject matter. 10. Uses of instructional materials: visual aids, etc. 11. Demonstrates preparedness in case presentation. 12. Shows good communication skills. TOTAL: 60

I.

COGNITIVE (Knowledge) 30% REPORT PRESENTATION: ___________(10%)= _____________ SHIFTING EXAM: ___________(20%)= _____________ PSYCHOMOTOR (Skills) 60% PERFORMANCE: ____________(60%)= ____________ AFFECTIVE(Attitude): 10% ____________(10%)= ____________ TOTAL =

II. III.

UNIVERSIDAD DE ZAMBOANGA
School of Allied Medicine Department of Nursing
Main Campus, Don Toribio St., Tetuan Zamboanga City

Prepared By: Rhoselfine Noreen R. Nain, RN

CLINICAL INSTRUCTOR LEVEL III