NURS 3020H: Clinical Practice Focused on Acute Care Student Participant Number: _____9654_______ Week _4___

CO # Course Objectives Full Alignment with Moderate Alignment with Poor Alignment with Course Objective
Course Objective Course Objective

Check the Rating that Applies 5 3 2 1

1 Prepared to provide nursing care that
includes comprehensive, collaborative
assessment, evidence-informed
interventions and outcome measures.
Critically assesses the
individuals health status.
Identifies priority health
needs.
Uses evidence to inform
nursing care decisions.
Partially assesses the
individuals health status.
Identifies some priority health
needs
Inconsistently uses evidence to
inform nursing care decisions.
Poorly assesses the individuals health status.
Often fails to identify key priority health needs.
Often fails to uses evidence to inform nursing care
decisions.

Rating Justification

When doing my assessments I had forgot to check the patients heel and sacrum for skin breakdown. This is important to prevent the patient from acquiring any ulcers.

Opportunities for improvement

On my next assessment I will make sure to assess patient for skin break down. This can be accomplished by reviewing the checklist of assessment components before entering the
room.

Check the Rating that Applies 5 3 2 1

2 Establishes and maintains therapeutic, caring Communication results in: Communication results in: Communication results in:
and culturally safe relationships through Team members fully Team members partially Team members often failing to comprehend patient
effective communication. comprehending patient status comprehending patient status status and required nursing care
and required nursing care and required nursing care

Often failing to establish a therapeutic nurse patient
A therapeutic nurse patient Partially establishing a relationship.
relationship. therapeutic nurse patient
relationship.

Rating Justification

I was able to maintain a therapeutic relationship with the client, this was accomplished by thoroughly explaining what medication she was to take and the effects of the drug. I also
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 NURS 3020H: Clinical Practice Focused on Acute Care
expressed that I will answer any questions that she had. I also explained to the patient my experience with medication that she was using, and the side effects that had occurred.

Opportunities for improvement

Get a more precis evaluation on the mobility status of the patient by actively communicating about what the patient is capable of doing with assist or by herself.

Check the Rating that Applies 5 4 3 2 1

3 Applies the four ways of knowing and Identifies and applies interventions Partially Identifies and applies Often fails to Identify and
informational technologies to effectively care for through effective integration of the interventions through effective apply interventions through
diverse, acutely ill patients. four ways of knowing integration of the four ways of effective integration of the
knowing four ways of knowing

Rating Justification

When doing my assessment I noticed that the patient had a red color on her leg. I didnt realize at first that this was part of the aseptic technique that the surgeon used before surgery
that gave it that color. I had to double check with my clinical instructor to make sure that it was actually an aseptic technique and not a problem with her leg. I eventually washed off
the excess on her leg.

Opportunities for improvement

Become more aware of the procedures with aseptic techniques that the surgeons use.

Check the Rating that Applies 5 4 3 2 1

 NURS 3020H: Clinical Practice Focused on Acute Care
4 Adheres to professional practice standards and Anticipates, identifies and Partially anticipates, identifies and Often fails to anticipate,
organizational polices to contribute to a culture of responds to risks to enhance safety responds to risks to enhance safety identify and respond to risks
safety. in the delivery nursing care. in the delivery nursing care. to enhance safety in the
Advocates for client health and delivery nursing care.

well being Sometimes advocates for client
health and well being Often fails to advocate for
client health and well being

Rating Justification

When transferring the patient from the bed to the chair I had ensured that she had her shoes on to prevent falls. When responding to a call bell a patients IV pump was beeping. I
ensured everything was clear of occlusion and started it up again.

Opportunities for improvement

Ensure better instructions for patients transferring from the bed to the chair. This can include better motivational language to encourage the patient that she is progressing well.

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Check the Rating that Applies 5 4 3 2 1

5 Exercises leadership to enhance patient care, and Embodies professional Partially embodies Often fails to embody
support professionalism in practice. standards. professional standards. professional standards.

Supports the development Sometimes supports the Often fails to support
of professional standards development of professional the development of
in others. standards in others. professional standards
in others.
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Rating Justification

When providing AM care with a patient, I causally explained the importance of calf pumping to prevent blood clotting. The patient was very receptive to the advice and seemed to

value to advice to prevent blood clots.

Opportunities for improvement

Think of more innovative ways to incorporate patient teaching into practice.

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