COLLEGE OF NURSING EVALUATION TOOL General Ward

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General Ward
Instruction: Place the actual score (A) if the behavior/Skill was demonstrated. If it was not

demonstrated, include remarks in the space provided. Behavior/Skill 1. Establishes a nurse client relationship 1.1 Introduces self and addresses patients/clients, other individuals as they prefer to be addressed 1.2 Treats one another with respect regardless of background 1.3 Maintains confidentiality of patient/client and staff 1.4 Safeguards the individuals right to privacy 1.5 Prevents and /or manages problems related with specific phase of the nurse-client relationship 2. Applies the nursing process in the care of the patient 2.1. Demonstrates therapeutic communication skills 2.2. Assesses the clients health status based on: Nursing history Measures vital signs accurately Physical assessment Diagnostic/laboratory examination 2.3. Analyzes clients data utilizing the appropriate concepts 2.4. Defines the nursing diagnosis 2.5. Prioritizes the nursing diagnosis 2.6. Formulates plan of care Identifies goals/objectives Specifies appropriate nursing interventions Defines evaluation criteria 2.7. Implements Interventions Provides health-promoting/illness-preventing measures e.g. promoting healthy lifestyle Provides restorative/rehabilitative measure e.g. Dietary regimen, prescribed exercises, lifestyle modification. Provides psychological interventions to total care Consider biobehavioral strategies Performs procedure correctly/systematically with case and confidence Practices appropriate after care Provides appropriate health education Observes principles of safety, privacy and comfort when providing care Gives full attention to patient/client when giving care Provides nursing care based on the individuals needs irrespective of personal characteristics Adapts to environment to make it conducive for healing/pleasing to the patient. SCORE D A 1 1 1 1 1 1 2 2 3 2 3 2 2 2 3 2 3 3 2 2 2 2 1 3 1 3 3 2 2 2 Remarks

UC-VPAA-CON-FORM-13 JUNE 2012 REV 00

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BEHAVIOR/SKILLS 3. Demonstrates accuracy and honesty in recording and reporting 4. Demonstrates the attributes of a nurse practitioner and leader 4.1. Displays self-direction and self-discipline Reports for duty on time Submits requirements on time Finishes work on time Shows initiative in activities Demonstrates effective time management 4.2. Values excellence in nursing practice as evidenced by: Maintaining standards of care Using an updated review of literature in: 1. Developing the nursing care plan 2. Ward conference/case presentation 4.3. Shows leadership in caring for patients by: Collaborating with members of the health team involved in client care Proposing possible solutions/options to problems/issues identified. Initiating activities or interventions to promote/ maintain health or prevent illness Supporting the rights of others, suggests alternatives to the plan of care. 5. Demonstrates positive attitudes by: 5.1. Observing bedside manners and courtesies 5.2. Respecting clients spiritually, culture and gender needs 5.3. Reports for duty on time 5.4. Demonstrating compassion, genuine concern for patients welfare and caring not only for the patient but also the family/support system 5.5. Presenting self ion a manner that promotes the image of nursing Well groomed Pleasant disposition Total Score Grade Equivalent
Remarks:

SCORE D A 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 2 3 4 2 2 100

REMARKS

Decalan, Rina B.

Surgery Ward (West) - BGHMC

Name Level: ____3____ Section: ___2____Group:___C____

Clinical Area
January 06-08, 2014

Inclusive Date of Experience

UC-VPAA-CON-FORM-13 JUNE 2012 REV 00

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