NURSING 3020 Clinical Evaluation

Clinical Evaluation Process Nursing 3020

Instructions

The Mid-Term Evaluation will be completed by students at the mid-point of the clinical placement to assist students to take
inventory of their current development and assist them to make plans for future clinical practice. The student will use a
reflective process to help assess progress in meeting established program, year, and course objectives. The student will submit
an electronic copy of the Mid-Term Evaluation document to the clinical instructor prior to the formal mid-term student
evaluation. Because the document is to be completed electronically, the student and instructor can take as much space as
they need to provide appropriate evidence and feedback.

After receiving the student’s Mid-Term Evaluation, the clinical instructor will complete the comment section providing
feedback and evaluation of the student’s progress. The clinical instructor will provide suggestions for improvement. The
instructor will place a check in the “S” column if progress is satisfactory, and in the “U” column if progress is unsatisfactory. If
a student demonstrates unsatisfactory progress at mid-term, the student and instructor will develop a Learning Plan outlining
strategies in which the student will engage, along with clear expectations that must be met for the successful completion of
the course. The course professor may be involved in developing the learning plan.

The student and instructor should save and print a copy of the mid-term evaluation. Printed copies must be submitted to the
course professor within a week of completion.

At the end of the rotation, students will complete a Final Evaluation. Students will use a new copy of the evaluation template
to archive their achievements and areas for future development. The student will submit an electronic copy of their final
evaluation to the instructor; this will help the instructor complete an assessment of the student.

In order to complete the final evaluation, the clinical instructor will provide additional evidence by completing the comment
section, providing feedback and evaluating the student’s progress. The clinical instructor will collect evidence in the form of
the student self-assessment, comments of the health care team members, patient input, student submissions (including
portfolios) and observations. A summary of achievement as well as implications for future learning should be included in this

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document. The attendance section and record of completed hours is to be filled in completely. The completed document is to
be printed, shared with the student and signed. The signed copy must be returned to the TFSON within 10 days.

The Year Lead, lab instructor, and/or course professor will assess the completion of the Learning Center Component, if
applicable.

Students and instructors will complete both the mid-term and final clinical evaluation
documents electronically. An electronic copy of the completed (student and instructor) final
evaluation should be submitted to the course professor within 48 hours of the final evaluation
delivery. A printed and signed copy should follow within 10 days of the evaluation meeting.

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NURS 3020H

Clinical Evaluation
Midterm

Student Name: Laura Brooks

Clinical Instructor: Mary Kunga

Missed Clinical Hours: 0 Missed Lab Hours: 0

Medication Test: 1/1

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Program Goals
Graduates are generalists entering a self-regulating profession in situations of health and illness.

Graduates are prepared to work with people of all ages and genders (individuals, families, groups, communities and populations) in a
variety of settings.
Graduates continuously use critical and scientific inquiry and other ways of knowing to develop and apply nursing knowledge in their
practice.
Graduates will demonstrate leadership in professional nursing practice in diverse health care contexts.

Graduates will contribute to a culture of safety by demonstrating safety in their own practice, and by identifying, and mitigating risk for
patients and other health care providers
Graduates will establish and maintain therapeutic, caring and culturally safe relationships with clients and health care team members based
upon relational boundaries and respect.
Graduates will be able to enact advocacy in their work based on the philosophy of social justice.

Graduates will effectively utilize communications and informational technologies to improve client outcomes.

Graduates will be prepared to provide nursing care that includes comprehensive, collaborative assessment, evidence-informed
interventions and outcome measures.

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NURSING 3020 Clinical Evaluation
Objectives
1 Prepared to provide
nursing care that includes
comprehensive,
collaborative assessment,
evidence-informed
interventions and
outcome measures.
2 Establishes and maintains
therapeutic, caring and
culturally safe
relationships through
effective communication.
Progress
Developing Needs Does not meet
Indicators/Evidence as expected Improvement expectations
- During my short time at PRHC, I have done many small
tasks for my primary nurses to solidify our basic nursing
skills we have learned throughout our last 3 years.
- I have taken off and applied dressing changes with sterile
technique that I have learned from lab, my instructor and
the nurses on the floor which are evidence-based
interventions.
- Inserted a male catheter with sterile technique
- Ambulated patients to void and have a bowel
movement, or just have a small and slow walk to get the
bowels moving.
- Performed Bed baths
- Performed morning care with VS, and head to toe
assessments.
- Helped a nurse change a Pick line dressing with sterile
technique.
- Helped admit a patient into the unit, helping him get
ready for surgery (VS, fluids, placing him on stretcher)
- Throughout my placement, I have maintained
therapeutic relationships with my patients. On my down
time, I make sure to stop in and start a conversation with
them about their families, or hobbies, educate them
upon discharge about home care.
- I make sure to always ask my patient before I leave the
room if they need anything else, that their water and call
bell are in reach. Making sure the patient’s bed is down
at the lowest point, call bell is in place, and making sure
if side rails are up.
- I communicate to my primary RN, about any abnormal
signs with my patient, and what I have completed
including any bowel movements, voiding, wound
changes, self-care, catheter insertion.
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3 Applies the four ways of Ethical: I showed ethical practice towards my patients by
knowing and performing hand hygiene and wore the proper PPE with patients
informational on isolation to reduce further illnesses are spread for my
technologies to patients, other HCP or visitors.
effectively care for
diverse, acutely ill Aesthetic: I applied aesthetic pattern of knowing by building
patients. rapport with my patients and with my primary RN. I try to
remember each, and every patient has a different story, and I
love to listen to their story, and make sure they know I care
about them, and want to five them the best care possible. I try
to build trust and respect with my primary RN. I try to make sure
they can count on me, and hopefully they can take time out of
their day to help in any situation I am struggling in

Empirical: I use empirical knowledge, each and every time I

come to clinical. Once I receive the information from our clinical
instructor about our patients the night before, I make sure to
look up their diagnosis, surgery, medications, weight bearing
status etc. to make sure I am prepared and use that knowledge
to give the best possible empirical care to my patients.

Personal: I have personal knowledge from my past degree in

kinesiology, which I can heavily relate to my orthopedic floor.
We thoroughly learned about every bone, joint, ligaments
muscle and how the body moves. When I am changing a patient
position in bed or ambulating them, I use my previous
knowledge on how they should be moving, how quickly or
slowly they should be moving in order to heal properly. In
kinesiology we also learned about basic surgeries like the
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NURSING 3020 Clinical Evaluation
gamma nail hip replacement, which adds extra comfort to work
with my patients.
4 Adheres to professional
practice standards and
organizational polices to
contribute to a culture of
safety.
5 Exercises leadership to
enhance patient care, and
support professionalism
in practice.
- Implemented PRHC organizational policies including
Deep vein thrombosis prophylaxis, by ambulating the
patient and making sure they have an anti-coagulant.
- Recognizing abnormal vital signs and informing my nurse
or clinical instructor.
- Advocating for my patients for pain medications, if more
than a 4.
- Identifying signs of infection with wound care, using
empirical knowledge from our 3020 labs.
- Provided patient education on the importance of
ambulating, getting up and moving will improve their
mobility and healing rate.
- Initiating any work that the nurses need to do for
example picking out things in a patient chart I can do
with my instructor like removing of a catheter and
making sure I stay busy and always ask my nurse if I can
help with their other patients.
- Speaking in a professional manner to my peers, RN’s on
the floor, instructor and especially my patients.
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NURSING 3020 Clinical Evaluation

Clinical Instructor Comments (All areas marked as unsatisfactory must have a comment)

Signature of Instructor___________________________________________________ Date _____________________________

Signature of Student Laura Brooks Date February 5th, 2019

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NURSING 3020 Clinical Evaluation

NURS 3020H

Clinical Evaluation
Final Evaluation

Student Name: __________________________________

Clinical Instructor: ____________________________

Missed Clinical Hours: ______ Missed Lab Hours: ______

Final Grade (circle): (S=Satisfactory; U=Unsatisfactory)

Clinical component S U
Lab component S U
Simulation component S U

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NURSING 3020 Clinical Evaluation

Program Goals
Graduates are generalists entering a self-regulating profession in situations of health and illness.

Graduates are prepared to work with people of all ages and genders (individuals, families, groups, communities and populations) in a
variety of settings.
Graduates continuously use critical and scientific inquiry and other ways of knowing to develop and apply nursing knowledge in their
practice.
Graduates will demonstrate leadership in professional nursing practice in diverse health care contexts.

Graduates will contribute to a culture of safety by demonstrating safety in their own practice, and by identifying, and mitigating risk for
patients and other health care providers
Graduates will establish and maintain therapeutic, caring and culturally safe relationships with clients and health care team members based
upon relational boundaries and respect.
Graduates will be able to enact advocacy in their work based on the philosophy of social justice.

Graduates will effectively utilize communications and informational technologies to improve client outcomes.

Graduates will be prepared to provide nursing care that includes comprehensive, collaborative assessment, evidence-informed
interventions and outcome measures.

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NURSING 3020 Clinical Evaluation

Progress
Objectives Satisfactory Unsatisfactory
Indicators/Evidence
1 Prepared to provide
nursing care that includes
comprehensive,
collaborative assessment,
evidence-informed
interventions and
outcome measures.

2 Establishes and maintains

therapeutic, caring and
culturally safe
relationships through
effective communication.

3 Applies the four ways of

knowing and
informational
technologies to
effectively care for
diverse, acutely ill
patients.

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NURSING 3020 Clinical Evaluation

4 Adheres to professional
practice standards and
organizational polices to
contribute to a culture of
safety.

5 Exercises leadership to
enhance patient care, and
support professionalism
in practice.

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NURSING 3020 Clinical Evaluation

Clinical Instructor Comments (All areas marked as unsatisfactory must have a comment)

Signature of Instructor___________________________________________________ Date _____________________________

Signature of Student_____________________________________________________ Date ______________________________

Attendance

Thurs Fri Thurs Fri

Week 1 Week 6
Week 2 Week 7
Week 3 Week 8
Week 4 Week 9
Week 5 Week 10

Total number of clinical hours completed_____________

Clinical Component Satisfactory Unsatisfactory

(Please circle the appropriate outcome)

Clinical Learning Center Completed Not completed

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NURSING 3020 Clinical Evaluation

Signature of Instructor____________________________________ Date_______________________________

Signature of Student______________________________________ Date________________________________

Student Areas of Strength

1.

2.

3.

Student Areas for Future Development

1.

2.

3.

Clinical Instructor Comments (All areas marked as unsatisfactory must have a comment)

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