Self Assessment

2017 - 2017 - NURS 151 Practical Nursing Practice 2 Final (201508)

NURS 151 Practical Nursing Practice 2 (PN, 09-Jan-2017 - 30-Apr-2017)
Student : Hamzah Teli
Clinical Teacher/Preceptor : Lucille Brady-Walters
Program Coordinator : Vasanthy Harnanan
Location : West Park Healthcare
Placement Setting : Agency
Unit/Office/Clinic : 3EC
Period : 09-Jan-2017 To 30-Apr-2017
Student hours : 168
Required Hours : 168
Validated hours : 168
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 setting’s policies and

procedures.

H.T. : I have met the practice setting’s policies and procedures by completing specific learning modules, the immunization prosses, and police check.

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

H.T. : I come prepared to class with learning materials and equipment. I also research about my patient's diagnosis to provide them with proper care.

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

professionals.

H.T. : I direct questions to my teacher and to nurses I am shadowing when I am not clear with certain procedures and concepts.

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

H.T. : I use proper technique when performing procedures. For example lifting with my knees.

Satisfactory Satisfactory
1. 5 Ensure client safety and a safe environment.

H.T. : I ensure there are no obsticles in the patient's way when moving walking around.

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

H.T. : I directed questions to my assigned nurse when I was unclear why a certain medication was administered.

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

H.T. : I wore personal protective gear when required for mine and the patient's safety.
 Satisfactory Satisfactory
1. 8 Demonstrate understanding about the role of the student nurse.

H.T. : I consult my teacher before administering medications

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

Hamzah knows and understand his role as a student nurse and the unique role of other allied and medical staff that network to provide
safe and effective care for patients and their families. He adhere to the policies and procedures of the assigned agency, CNO and the
college standards. He ask relevant questions when he is not sure or when he needs to learn more.

2. ACCURATE AND RELEVANT COMMUNICATION

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

H.T. : Reflecting on my clinical experience allows me to improve and my skills by learning from others.

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

H.T. : Documenting vital signs and medication administration using the electronic method is very quick, clear and easy.

Satisfactory Satisfactory
2. 3 Report relevant information to the appropriate personnel.

H.T. : I notified my assigned nurse when I was done taking vital signs and done documenting.

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

H.T. : worked around the schedule of the OT to avoid conflict with time management.

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

(PHIPA)

H.T. : I kept the patient's information confidential and only consulted with nurses and family of the patient.

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

H.T. : I used the computer documentation system to retrieve data from the patients past vital signs to compare with the normal rates.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

Hamzah communicates and collaborates with the patient and families, nursing and allied staff to provide efficacious nursing care.Hamzah
research patient diagnosis and medication , collect pertinent data from kardex and patient chart on a weekly basis. He documented
medication administration, vital signs, and nursing interventions in a timely manner. Narrative notes are done in a timely manner. Hamzah
ensures patient privacy during nursing care and nursing interventions. He reported off to the nurse before taking breaks and gave patient
report to the upcoming nursing staff.

3. CARING RELATIONAL PRACTICE

Satisfactory Satisfactory
3. 1 Utilize effective communication techniques.

H.T. : I speak in a clear voice when explaining things to patients

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

and health care team members.

H.T. : Having a safe environment to work can make it easier to work and live at the facility

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

H.T. : I incorporate what the client wants into my care plan.

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

relational practice.

H.T. : Identifying that all patients can have different beliefs can better prepare you to treat a patient

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

appropriately.

H.T. : Gave time for the OT to stay on time with their schedule and completing appointments on time.

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

professional health care team.

H.T. : Using techniques that the OT suggested for the patient

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

clients’ choices and decisions.

H.T. : Making sure there are no contradictions with the culture of the patient before the procedure

Satisfactory Satisfactory
3. 8 Provide effective client education.

H.T. : Educated client of the risk of fall and encourage to call for help when in need.

Teacher comments for CARING RELATIONAL PRACTICE :

Hamzah had difficulty expressing himself initially, now he is more confident expressing himself. He build therapeutic and caring nurse
patient relationship and is able to disconnect from the relationship after learning the clinical setting. He provided client education before an
intervention or prior to medication administration.

4. LEADERSHIP AND ADVOCACY

Satisfactory Satisfactory
4. 1 Recognize conflicts and strategies for resolution.

H.T. : I make sure to share vital signs machines and computers with my peers

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

H.T. : Helped peer to locate equipment and get familiar with vital signs equipment
 Satisfactory Satisfactory
4. 3 Identify opportunities to improve health care service and nursing interventions by advocating for

client, self, others, and quality practice.

H.T. : Client was at risk for fall so the client was educated on how to prevent falls and how to ask for help.

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

professional health care team.

H.T. : I gave feedback to my peer on how they used the vital signs machine. Receiving feedback is a way for you to improve your skills as a nurse.

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

H.T. : Client independently made decisions on hygiene and eating meals

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

H.T. : cleaned up spills when they occur.

Satisfactory Satisfactory
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.

H.T. : when admitting a patient they have to be consulted with to gather information to provide proper care. I observed my assigned nurse interview a

new client.

Teacher comments for LEADERSHIP AND ADVOCACY :

Hamzah is very helpful to his peers with shower and bed making. He is willing to lend a hands when needed and gave feedback to his
peers. He always ask permission from patients before providing care to include his patient in the plan of care. He ensured his patients are
medicated, dressed , and is on time for their scheduled appointments.

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

Satisfactory Satisfactory
5. 1 Incorporate the unique needs and expected outcomes into individual clients’ plans of care.

H.T. : Each patient has different needs and should be thought of when making care plans. A stroke patient will need assistance due to the lack of

sensation on one side of the body.

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

competently in writing and orally.

H.T. : client teaching helps the patient understand how to reduce risks

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

H.T. : when my patient was feeling nauseous the priority was to make sure they were not feeling any other pain then to reduce nausea.

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

H.T. : Information that contributes to the evaluation and refinement of care plans is how the patient is reacting to the plan (is it working, is it helping).

teaching my patient to ask for help helped with the risk of falls.
 Satisfactory Satisfactory
5. 5 Safely and competently carry out nursing assessments and nursing interventions that are theory-

based and within skill abilities.

H.T. : Taking vital signs provides the nurse with information of the patient's current state.

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

H.T. : I did a bladder scan on a patient to make sure they were not retaining fluids

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

manner.

H.T. : completing nursing responsibilities allows for the interprofessional care to take place. the OT has specific appointments for each patient.

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

Hamzah gather pertinent information from kardex, MAR, clinical notes, morning report and from his assessment of his patient to provide
and meet clients mutually agreed expected outcome. He provides documentation in a timely manner . He encourages his patient to ask for
help when needed and ensures call bell are in reach and the bed is in its lowest position. He performed bladder scan on his patient to
determined if he needed to perform catheterization.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

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

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

H.T. : consulting with OT's and PT's to see how much activity can be tolerated by the patient helps the nurse.

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.

H.T. : encouraging the patient to use techniques that the OT/PT suggested will help with outcomes. the clients can stand up with only limited

assistance.

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

H.T. : when the client needed to wear an ankle brace that neither be or my assigned nurse knew how to put on, assistance was need from the PT.

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

H.T. : working with the OT's and PT's will allow the patient to follow time lines set to reach certain goals

Satisfactory Satisfactory
6. 5 Describe effective, collaborative, and consultative strategies to meet client’s needs within a

changing environment.

H.T. : have the client ready to leave the facility to go to a off site appointment

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

H.T. : notify team members if some plans are not working and ask if plans can be changed
Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

Hamzah communicated and collaborated with the nursing and allied teams to provide safe and effective nursing care. He followed through
with direction from allied team i.e. PT / OT to enhance patient newly learned techniques to achieve intended goals. That being said, he
ensures his patients do not miss any scheduled therapy appointments.

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.

H.T. : allowing the patient to influence the care plan will provide satisfaction for the patient

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

H.T. : realizing what you are doing wrong can only help you get better.

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

(CNO).

H.T. : making learning plans helps you set and reach goals.

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

integrate these into practice.

H.T. : I felt the nurse I was assigned to provided me with many learning opportunities which allowed me to further develop many skills.

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

H.T. : knowing why you are doing something and know the rationale behind it helps you improve your skills

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

H.T. : using proper technique will help you do procedure more efficiently

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

Hamzah has improved significantly in the clinical setting and towards, few week in the clinical setting he learned how to be self directed
and need minimal assistance from instructor to provide care for his patients. He seeks learning opportunities to enhance his clinical
performance i.e. bladder scan. He utilized theoretical knowledge and education materials to continue to provide safe and effective nursing
care. He followed the standards of CNO, BPG, and the polices and procedures of the assigned agency to improve his competence and
confidence in the clinical setting.

8. USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY

Satisfactory Satisfactory
8. 1 Utilize problem-solving skills to inform decision making in all aspects of nursing care.

H.T. : problem-solving is a very important skill in nursing

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

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

H.T. : using ADPIE is one way to approach a problem

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

H.T. : realizing what mistakes you a making is how you fix them

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

provide safe and competent care.

H.T. : using knowledge will help me provide safe care. gaining knowledge is life long and you can always learn something new.

Satisfactory Satisfactory
8. 5 Use prioritization strategies for client care.

H.T. : prioritizing a patient who is haveing trouble breathing.

Satisfactory Satisfactory
8. 6 Demonstrate professionalism and accountability.

H.T. : letting the patient know what procedures you will be performing and letting them know what their results mean help with accountability.

Satisfactory Satisfactory
8. 7 Recognize strengths and limitations and seek appropriate assistance and support.

H.T. : taking vital signs is a strength of mine

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

Hamzah is developing his critical thinking on a weekly basis through educational materials, past experience and clinical experience. He is
developing and improving on his prioritizing, time management, and organizational skills. He takes accountability for his actions through
documentation and reporting to the incoming staff.

9. SIM number of hours

9. 1 SIM number of hours

H.T. : 8

L.B. : 8

Teacher comments for SIM number of hours :

student completed the required SIM hours

Student Final Summary with Strategies for Continued Growth

Nursing is a life long process and you can learn something new every day. Always be open to input from others.

Teacher Final Summary with Strategies for Continued Growth

Hamzah had a successful semester, willing and curious to learn new things He needs to continue to develop his critical thinking, time management,
organization, patient assessment skills.

Student's References
cno.org

Grade Satisfactory Unsatisfactory

Referred to Clinical Excellence Committee (CEC)

Program Coordinator Feedback

The Program Coordinator has reviewed the evaluation Yes No

Student Sign Off

I met with my Clinical Teacher/Preceptor and discussed my evaluation Yes No

In general this evaluation accurately reflects my performance Yes No