Self Assessment

2016 - 2016 - Final NURS - 208 Course Learning Outcomes (201509)

NUR 208 Practical Nursing Practice 4 (PN, 06-Sep-2016 - 09-Dec-2016)
Student : Alyssa Dela Cruz
Clinical Teacher/Preceptor : Grace Jose
Program Coordinator : Judy Martin
Location : Halton Healthcare/Oakville Trafalgar Memorial Hospital
Placement Setting : Agency
Unit/Office/Clinic : 5C Nephrology
Period : 06-Sep-2016 To 09-Dec-2016
Student hours : 196
Required Hours : 196
Validated hours : 184
Teacher comment for validated hours:
12 hours missed due to Thanksgiving holiday.

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

Satisfactory Satisfactory
1. 1 Comply with regulatory standards, relevant legislation and the practice settings policies and

procedures.

A.D.C. : I always follow the regulatory standards, relevant legislation and the practice setting policies and procedures, by following orders and

policies in the facility. I always keep in mind to ask questions about the hospitals policy whenever I am making an action either related to my patient or

to my job as a nurse.

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

A.D.C. : I always try my best to act in a responsible, ethical and accountable manner by making sure that all the procedures and or medications are
appropriate for my patient according to their situation. I always follow the rules given to me when learning nursing of ethics in school and of course

follow the CNO guidelines, this guidelines help me to become responsible, ethical and accountable to my job as a nurse.

Satisfactory Satisfactory
1. 3 Determine how the three factor and practice decision-making frameworks influence client care.

A.D.C. : Making effective decisions to match with client needs involves considering three factors of

equal importance: the client, the nurse and the environment, and deliberating on how they apply to the situation. I am also learning to be more aware

to situations, where I have to be more prepared such as remembering to wear proper PPE in isolation rooms and to not spread infections from patient

to patient. I am more careful now and I always keep in mind to do proper hand hygiene, how to use proper body mechanics and very careful when

moving patients, because I am accountable and responsible for whats best for my client.

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

A.D.C. : I always use evidence informed practice and theory-based approach when treating/caring for my clients by using all the knowledge I got from

my lectures, notes and my teachers. when I am not sure about something I always make sure to look for answers first before I come forward working

on my way. I do not feel comfortable working on something that I am not sure of, therefore I always make sure that I always come prepared for work.
 Satisfactory Satisfactory
1. 5 Carry out safety-based practices and risk management principles to ensure client safety and a

safe environment.

A.D.C. : I always carry out my safety-based practices and risk management principles to ensure client safety and a safe environment. for example,
making sure doing hand hygiene and cleaning my equipments after and before it is being used to the patients and also how when doing transferring I

always make sure i will assess how can I manage the situation by my self and if can not manage it on my own I will make sure to ask for help because

i can risk my patient's safety and my own safety.

Satisfactory Satisfactory
1. 6 Ask questions and clarify the plan of care, unclear orders or directions, and whenever uncertain.

A.D.C. : I always ask revelant questions to clarify out the understanding of the care of plan to my patient especially when I am unsure of the drug that

I am going to administer. Medications a very important to know and understand according to the patient's diagnosis to get a the treatment that they

need.

Satisfactory Satisfactory
1. 7 Demonstrate professional behavior by seeking assistance in situations in which there is unsafe,

unacceptable and/or unprofessional behavior.

A.D.C. : i always demonstrate my professional behaviour by seeking assistance in situations in which there is unsafe, unacceptable and/or

unprofessional behaviour. I have not encountered a situation that is unsafe, or unacceptable behaviour, but I always make sure that I know who to ask

for help when it gets to a point when this kind of situation happens.

Satisfactory Satisfactory
1. 8 Demonstrate understanding about the role of the nurse within health care.

A.D.C. : I always make sure that I demonstrate my understanding about my role as a nurse within the health care team. for example by making sure

the medications of a patient is safe to give by collecting data and making sure they are in the right parameters. another example is trying to

collaborate with the health care team because you can't do all the care alone.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :

Student consistently demonstrated accountability in nursing practice. Student was able to consistently demonstrate preparedness for
practice, assumed responsibility for learning, and actively participated in learning. Weeks 9- 14: Student was able to care for 2 clients
independently; medication administration (teacher supervising), morning routine, ADL needs, and documentation.

2. ACCURATE AND RELEVANT COMMUNICATION

Satisfactory Satisfactory
2. 1 Participate in team sharing and discussions.

A.D.C. : During post conference in our placements, I always make sure I participate in any group discussions and sharings to have a broader

understanding to other concepts of nursing and to also know what other situations can happen from the stories and views of my other classmates. not

only that I am also learning to to my best using the SBAR when discussing patients to other healthcare providers in the team.

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

A.D.C. : I always document everything right away when i do assessments to my patients by using an electronic method. I always make sure that they

are always right on time, to make sure that the plan of care is done in a timely manner. it is always the best to document as soon as possible so that

when there is something unusual to the patient, it can be resolve as quick as possible or can be determine right away.

Satisfactory Satisfactory
2. 3 Report relevant information to the appropriate personnel.
A.D.C. : I always report revelant information to my preceptor firsts and as well as the other nurses working on the floor when there is a problem on
the floor or with the patients before taking an action especially if I'm not sure of. when there is something unusual with my patient I aways make sure i

come on contact with the patient's primary nurse before taking an action, because first of all I do not have all the answers, and second the primary

nurse sometimes knows a lot about the patient, because they were been the primary nurse of the patient before.

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

A.D.C. : I aways try to give my client's to speak up during their care, and tell me what they want to provide respect, and to provide a great client nurse

relationship as well. Having a good communication with the right people in the team and with the patient will provide a good client-centered care and it

will make sure that the client's choices are met. Communicating with the family is also done to promote health teaching and to make sure that they are

also aware to the patient's plan of care.

Satisfactory Satisfactory
2. 5 Ensure privacy and confidentiality according to the Personal Health Information Protection Act
(PHIPA).

A.D.C. : I will always keep in mind to give some privacy and confidentiality for my patients, during their care especially during their morning care

when they are all naked while getting dressed. I always keep in mind that my patients are the same person like me, who gets embarrassed and have

feelings to deal with when they wanted to hide something from themselves. I always try to think about their feelings if that would have happen to me to

give their dignities and to give respect.

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

A.D.C. : I use technology to retrive any important informations for any important questions I have during the clinical settings. I try to use my e books

and my other handy books to follow up some of the uncertain things based on the nursing topics I have. but I should always keep in mind to research
before clinical to save time.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

Student communicated clearly, concisely, and correctly in the written, spoken, and visual forms that met the needs of the clients. Also,
student responded to relevant information in a manner that ensured effective communication.

3. CARING RELATIONAL PRACTICE

Satisfactory Satisfactory
3. 1 Use effective communication techniques.

A.D.C. : From working in the hospital from the beginning till now, I have found myself improved in my communication skills. by having a primary nurse

taking care for my other patients, I also have learned to use the SBAR in the facility at some points, when talking to nurses, occupational therapists,

speech therapists and doctors. it is a bit overwhelming but good practice will make me better at it.

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

health care team members.

A.D.C. : In my first few weeks in the hospital I have demonstrated therapeutic care for my patients, I am compassionate about my work and I tried to

be as culturally aware with my clients and to health care team members, so that I can have a great relationship with them. By doing this, I can create a

great bond with the team and as well as have a good nurse-client relationship. Until now I am still therapeutically caring compassionate and culturally

safe with my patients while I provide care and treatment.

Satisfactory Satisfactory
3. 3 Demonstrate therapeutic use of self to foster client well-being.
A.D.C. : I always try to demonstrate the use of self to foster client well-being. I always try to check myself before I act to provide therapeutic use of
my self and my identity to the patients for an effect on client well-being. I use my knowledge from the things learned in my theory class and to use

some of Orem's theory of self.

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

relational practice.

A.D.C. : I use self awareness to the effects that beliefs, values and personal experiences in relation to my practice. Being self aware is going to

provide great work for my practice and I will be able to provide a better nurse client relationships, because if you are not self aware it my effect your

work as a nurse. knowing my strengths and weakness in the beginning will make me a better nurse so I can improve more to the things I need to

improve on.

Satisfactory Satisfactory
3. 5 Collaborate with clients and members of the inter-professional health care team and consult
appropriately.

A.D.C. : I have not consulted to any of the inter-professional health care team yet but If there is a situation where it is in need to consult I will try to

collaborate with the members of the health team by using the SBAR and to make sure to do it appropriately. I do somehow did use it in times where

nurses, and other care providers ask me questions about an specific patient; But by doing this I also have to make sure that the person who I am

sharing the information to is the proper personnel, because I do not want to break the privacy and confidentiality.

Satisfactory Satisfactory
3. 6 Support the diversity of clients and the inter-professional health care team.

A.D.C. : I always support the diversity of any of my clients and the inter-professional health care team, because as a team we have to support each

other to make the care plan work for us and especially for the patient. Sometimes support is the only thing you can do to specific patients depending
on their situations because there are time where they cannot be cured or cannot go back to their old lives anymore, that is why supporting your clients

is very important.

Satisfactory Satisfactory
3. 7 Display sensitivity and respect for clients cultural, religious, and other beliefs and values

influencing their choices and decisions.

A.D.C. : To provide client-centred care I always try to incorporate my client's wishes with their care because I want them to feel comfortable while

they are being taking cared for. From the CNO guidelines I have to value their wishes and decisions with their care to provide client-centred care.

From this I can build trust between me and the client and have a good nurse-client relationship, but there are also limitations that I have to follow.

Satisfactory Satisfactory
3. 8 Provide effective client education.

A.D.C. : During my care for my patient, from assessment to evaluatation I always provide some client education according to their health and
treatment. Providing client education by explaining them simple and understandable meanings of their treatment will somehow make them more

cooperative with their treatment. That's is why it is very important to provide them information on how to do a procedure, on how to eat well and etc.

When the patient's family is in the room make sure that you talk to them as well and let the know what is happening and as well educate them so that

the stress and feeling worried to their love ones lessen.

Teacher comments for CARING RELATIONAL PRACTICE :

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

4. LEADERSHIP AND ADVOCACY

 Satisfactory Satisfactory
4. 1 Apply appropriate conflict resolution skills in therapeutic client and other interactions.

A.D.C. : Whenever there is conflict in situations I always make sure that I seek for guidance first especially to the situations that I am not sure of.

However in the future, I should be able to strategize because I can't always depend on my peers and preceptor in my career, therefore as a novice
nurse I will seek guidance first before acting.

4. 2 Evaluate and refine leadership skills to develop solutions and create a positive work Satisfactory Satisfactory

environment.

A.D.C. : I am not really a good leader who leads, but I always make time to help out my peers and work out things together whenever something is

not looking good. By doing this it can also help me improve my communication skills and can create a positive working environment.

Satisfactory Satisfactory
4. 3 Provide feedback to peers and accept feedback from peers and members of the inter-

professional health care team.

A.D.C. : During sim labs and post conferences I always try to participate and give out feedback a with my fellow nursing students and accept

feedback from my preceptors, health care team members and peers to help me improve my skills. I use this feedback to see my weakness and help
me improve them. We also have done some peer feedback forms given out to our peers to provide them what their strengths and weakness are, from

this it can provide them some information on what to develop on to further their skills in nursing.

Satisfactory Satisfactory
4. 4 Advocate for clients, self, others, and quality practice environment.

A.D.C. : I always advocate for my clients, self and others and the quality environment. by doing so, this will create a positive learning environment for

me the clients and my other colleagues. By advocating for my clients, it will help them to understand certain things and help them have broader

mindset. It will also help them make decisions about their health with a deeper understanding about their health.

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

A.D.C. : I always try to incorporate and support clients needs and choices to help them out with their therapy. Because it is very tough for a client to

try and become healthy if their needs are not met especially if it doesn't get some good support. By providing support to your client it will also give a
good nurse-client relationship, it will also develop trust and understanding with the patient.

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

A.D.C. : Whenever I encounter some unsafe, unacceptable and unprofessional behaviours I always seek for guidance and support or let someone

know about it right away, so that i can prevent it in the future. If I have witness something that is unsafe, unacceptable or and unprofessional, I make

sure that I will confront that person first before making assumptions.

Satisfactory Satisfactory
4. 7 Collaborate and consult when implementing health care and nursing practices that are in the

best interests of the public and protect the public through collaboration and consultation.

A.D.C. : I make sure that I always collaborate with the health care teams for any nursing practices for the public and also for my clients as well. By

using collaboration it will help nurses to figure out what types or interventions and medications the can provide to the patient. it also helps to see how
the patient is responding to the treatment and care, if he or she is getting improvement or not.

4. 8 Contribute to the creation of quality practice solutions and strategies. Satisfactory Satisfactory
A.D.C. : I try to contribute to the creation of quality practice solutions and strategies during my clinical settings. I contribute to create quality practice
solutions and strategies by finding strategies what's best for the patient first, working with the team and talk about the strategy that has been used if

we can keep using it or not.

Teacher comments for LEADERSHIP AND ADVOCACY :

- Student was able to demonstrate leadership skills related to peer interactions. Student Consistently demonstrated
professional nursing behaviour.

5. PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES

Satisfactory Satisfactory
5. 1 Incorporate the clients unique needs and expected outcomes into holistic and client-centred

plans of

care.

A.D.C. : As a student nurse I always make sure that I met the unique needs for my clients, because they have the choice to do what they want for
their treatment. It is helpful for me and the client to get the possible outcomes of what we want from their treatment, when they get to have that

support from us and have the needs that they want.

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

competently in writing and orally.

A.D.C. : I always try my best to develop a theory-based care plans for my patient by researching their diagnosis and their medications first and trying

to organize and make things clearer for me to understand. By making a concept map, it will help me figure out the risks and goals that I can work with

my patients.

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

A.D.C. : By creating a concept map, which is a tool to organize and set priorities for the patient's needs to achieve their goals. I use this tool by using
my theory based knowledge to judge my client's treatments based on their assessments and from this it will create a better learning for me and a

good nursing care for my client.

Satisfactory Satisfactory
5. 4 Collaborate in the evaluation and modification of plans of care.

A.D.C. : I always try to collaborate with the other nurses in the pod for the plans of care for my patient, especially if there is some changes in the care

and and if it needs to be modified. I make sure that I always talk to the team for help and advice for my patients

Satisfactory Satisfactory
5. 5 Safely and competently implement and evaluate nursing assessments and nursing interventions

in a manner that demonstrates knowledge and skill.

A.D.C. : I try my best to safely and competently carry out nursing assessments and nursing interventions with theory based practice by the use of my

nursing textbooks especially the Heath assessment textbook and the fundamentals of nursing textbook.

Satisfactory Satisfactory
5. 6 Use the Three-Factor and practice decision-making frameworks to guide practice.

A.D.C. : As a novice student nurse I always try to do my interventions and assessments based on the situation of the client. I will also take this in a

safely manner and keep this based on theory.

Satisfactory Satisfactory
5. 7 Prioritize nursing care and nursing interventions in order to manage workload, time, and physical

resources.
A.D.C. : I always try to prioritize any of my nursing care for each patient and nursing interventions in order to manage workload, time, and physical
resources, by using the team who I have on the floor especially if need to do a wound care or If I have to do positioning to a patient who I can not

manage alone.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :

Student practiced within the ethical guidelines of the care facility, expectations of Humber College, and the CNO.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

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

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

A.D.C. : Before my shift starts, I always make sure I come in on time to get the night shift reports from the night shift nurses and because of this

collaboration it will help me to determine the needs of my client and achieve the goals that is set for that day. Organization and working collaboratively

with the health care team is really an asset because as a nurse you can not do it all alone.

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

A.D.C. : As a team member of the inter-professionla health care team I make sure I try helping the other nurses with their needs and reach goals for

their clients and I make sure I let the nurses know of any changes in the patient's health and also to let them know when the expected outcome is

being reach or if the care is working to improve the patient's state.

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

A.D.C. : I always seek out some assistance whenever it is appropriate for the situation. I consult with my peers and other health care team members

so that there is another opinion, and from that we can collaborate and choose the right move. Collaboration is very helpful to situations that are very

difficult.

Satisfactory Satisfactory
6. 4 Use teamwork, consensus building, and conflict resolution skills to meet expected client
outcomes.

A.D.C. : teamwork is the key to help out clients to get their goals. One nurse can't handle all the job so collaboration with the health care team is very

ideal in situations in the hospital. I always ask for help when needed, and collaborate with the team based on my nursing theory.

Satisfactory Satisfactory
6. 5 Use effective, collaborative, and consultative strategies to meet clients needs within a changing

environment.

A.D.C. : whenever the patient needs to consult with anyone in the heath care team due to their situation, I will try to help them arrange that according

to their schedule. I will have to talk to the therapist or who ever they need, so that they know some the patient's baselines and health histories, so we

can work together and meet the client's goals.

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

A.D.C. : As a team member I want to get treated the same way I treat others and that is the same to the other team members. I respect any of the

team members and treat them equally to have a nice working environment for us and also for the clients. PSW's, senior nurses, doctors, and other

care providers are all the same people and they needed to be treated in a respecting manner even though we have different roles and even though

our levels are not the same, because we are a team.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

Student developed strong relationships both with peers, hospital staff, teacher, and clients. Student utilized effective interpersonal skills
and therapeutic communication.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

Satisfactory Satisfactory
7. 1 Act in the best interests of clients and protect clients from harm through collaboration and
consultation with members of the inter-professional health care team and through competent and safe

practice.

A.D.C. : I always act with my best interest whenever I am caring for my clients for them so see that I am interested helping them. I will always try to

give them their privacy and confidentiality whenever I collaborate and consult with other team members. I always offer them the support and protect

them from harm through collaboration and consultation with the members of the health care team to help them get to their goals.

Satisfactory Satisfactory
7. 2 Engage in ongoing reflective practice to identify strengths, areas for improvement; and, integrate

feedback into practice.

A.D.C. : I always self-reflect after my clinical to identify what were my accomplishments and my weakness throughout the day to identify the places
where can I improve on. I also have wrote my self reflection for my clinical from these pass few weeks. I also ask my colleagues to give me feedback

when I perform any nursing skills so i can improve next time i have ti do it.

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

(CNO).

A.D.C. : I always make sure that I create a consistent learning plan before make some plans with my client to have our goals met. a learning plan

organizes the treatment for the day and can able to focus on the first priorities. especially when planning for their medication administration.

Satisfactory Satisfactory
7. 4 Seek out learning opportunities and feedback that foster professional development; and,

integrate these into practice.

A.D.C. : I always want to encourage myself to seek out opportunities that can help me out with my practice. I sometimes ask my peers what feedback
they can give me from the things that they have witness me do, in order to find out the things that I have missed or did we'll on.

7. 5 Use nursing research to foster professional development. Satisfactory Satisfactory

A.D.C. : I use nursing research to foster my professional development, such as going to the CNO practice guidelines online and reading case studies

that can happen to me in the future so that I have at least have an Idea on what to do in a situation that I haven't encountered from just reading.

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

A.D.C. : I always use my theory based approach and evidence-informed practice by organizing my work. By using my books, my knowledge, skills,

judgement and the help of my teachers helps me to accomplish everything in my practice. I always make sure to incorporate everything that I have

learned since day 1, from the basics till now; by using assessments, checking on lab works and making sure they are all incorporated together,

knowing all the normals and abnormals so that you can recognize unusual things. these approaches are all important to see everything as a whole in
the nursing career and that is what use in my practice.

7. 7 Apply knowledge of changes to the health care system, technology, and in society as these Satisfactory Satisfactory

affect nursing practice.

A.D.C. : I usually apply my knowledge from previous clinical experience and school lectures to the health care system, technology, and in society as
these affect nursing practice, and I feel that I have improved my thinking based on the situations i have every clinical.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

Student consistently sought knowledge and provided evidence based rational for decisions. Student was 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

Satisfactory Satisfactory
8. 1 Use critical thinking and problem-solving skills to inform decision-making in all aspects of nursing

care.

A.D.C. : I have found myself improved using my critical thinking and problem-solving skills to decision-making in my clinical placement. whenever I
am in clinical i have been finding ways and solutions to improve my care plan for my patients, on how the schedule of their day going to be like, how

the medications will effect their day how and how will it affect them. I also have found myself improve working with two patients since after midterm.

Satisfactory Satisfactory
8. 2 Use critical thinking, problem-solving and decision-making skills to assess clients and to
determine nursing diagnoses, expected outcomes, nursing interventions, and evaluative criteria.

A.D.C. : Like said from above, I also have found myself improve on critical thinking, problem solving and decision making skills when assessing

clients. I found that when I make concept maps every week I, it really helps to determine what priorities i have in each nursing diagnoses. it helps me

to figure out what are my priority interventions and helps me to plan my day out by knowing what should be done first according to my patient's

diagnoses.

Satisfactory Satisfactory
8. 3 Evaluate critical thinking, problem-solving, and decision-making skills and design a plan to

improve

these.

A.D.C. : my critical thinking, problem solving and decision making has improved throughout my clinical experience. in the beginning I thought that I

would not be able to do it, but with so much practice doing the skills and the concept map making, it made me a better nurse compare to when I was

starting in this hospital.

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

provide safe and competent care.

A.D.C. : I always try to combine all of my knowledge from each one of my nursing classes to provide safe and competent care for my patients. It is

important to integrate everything because all of it is very important in every situation.

Satisfactory Satisfactory
8. 5 Prioritize effectively.

A.D.C. : Prioritizing is definitely one of the most important factors in nursing, I have learned to developed my prioritizing skills during my clinical
weeks. every time I get different patients, they usually get a variety of nursing assessments and interventions, these interventions and assessment

have to be prioritized because you can not do all off it at once. by having different patients I have learned to prioritize what comes first and whats best

first for each of my patients.

Satisfactory Satisfactory
8. 6 Demonstrate professionalism and accountability.
A.D.C. : I always demonstrate my professionalism during my practice, from how I communicate and with my actions. I always make sure that my
actions are made to provide a good nursing care. I know that I am always accountable in my practice so I make sure that i document every care i have

done with the patient.

Satisfactory Satisfactory
8. 7 Use the practice decision-making and the nurse-client-environment frameworks to inform and

guide practice.

A.D.C. : I always practice decision-making and use the three framework to inform and guide my practice. Every week I always make sure to plan

everything before I start caring for may patients, and every plan has to come up with a decision. the decision that I come up with always depends on

the patient's diagnosis, mental and physical health, and environmental factors, So I make sure to make my decisions according to these factors to

make the care and treatment the best I can.

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING :

Student successfully cared for 2 clients for several weeks. Student was able to apply analytical, interpersonal, and technical skills to
implement a safe effective plan of care.

Student Final Summary with Strategies for Continued Growth

Overall, since Day one working in the nephrology unit I have seen myself grow, I have learned so many things compared to when I was in the long
term care facility. in the beginning I even thought that I have not going to survive this semester, but I have, I have finished it. I learned a lot of of
nursing skills, Learned a lot more medications, I have learned to communicate better by using my SBAR, I have learned how to prioritize and make
decisions in different situations, I have been exposed, not a lot but just enough.I know that there is a lot more space for continuation of growth, my
adventure has not finished yet and it will still continue. I believe that in my next clinical placement, I have to make sure to always practice handling
more patients, keep doing concept maps, keep practicing on my organization skills, critical thinking skills and decision making skills. I will try to be
more prepared, I will review everything all over again so I can do the best that I can, because I want to be the best nurse that I can.

Teacher Final Summary with Strategies for Continued Growth

Congratulations in finishing your clinical! You did a great job in meeting your objectives and presenting yourself in a professional manner. I suggest
you continue to focus on your documentation, communication, critical thinking, and nursing skills. All of these take time but, the more you are
prepared and exposed to different situations you will become proficient in these areas. Good Luck for next semester!

Student's References

Nursing Lectures, CNO guidelines.

Lewis, S. L., Heitkemper, M. M., Dirksen, S. R., & OBrien, P. G. (current ed.). Medical - Surgical Nursing in Canada: Assessment and Management of
Clinical Problems (current ed.). Toronto: Mosby Elsevier.
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