BSN Outcome: Clinical Performance Evaluation

Student Name: Clinical Site:

BSN Outcome Objectives NRSG361
Leader
REQUIRED: Continues to demonstrate Level 1 (NRSG 360) indicators.
Demonstrates understanding of own unique role in the provision of high quality nursing
care, aligning self with the patient care initiatives on the clinical unit and the
missions/values/philosophy of the institution at large.
Recognizes and seeks to emulate nurses and other staff who provide quality, patient-
centered care.
Collaborates with the interdisciplinary health care team in the provision of care to his/her clie
Demonstrates initiative by integrating feedback from faculty and staff to improve clinical decis
making, collaboration, and communication in the care of his/her client(s).
Presents an evidence-based, nursing research article during clinical conference, including its
impact on the care of his/her client(s).
Assumes a leadership role in discussions during clinical conference on more than one
occasion.
Applies nursing assessments pertaining to continuous quality improvement initiatives (e.g.
fall risk, central line audits, functional assessment) to improve the quality/safety of care
given to his/her client(s).
Additional Comments (This section should be used to document any additional examples of
student work that support meeting this objective; a brief summary statement of the students
general performance in this area should also be included here; your response is limited to the
space provided).
(Choose a rating for the students performance in this area from the selections below)
Excellent Exceeds
Expectations
Satisfactory Needs
Improvement
Unsatisfactory


Sabrina Fernandez Emory Midtown-- Maternity: Spring 2014

BSN Outcome Objectives NRSG361

Scholar
REQUIRED: Continues to demonstrate Level 1 (NRSG 360) indicators.
Identifies sources for current, clinical practice guidelines (e.g. AHRQ, AACN, JCAHO).
Formulates formal questions regarding evidence-based practice.
Performs self-assessment and reflection of clinical practice, identifying areas requiring
growth.
Uses appropriate texts, internet sources, and journal articles to find current research
relevant to clinical practice setting and population.
Discusses with faculty and peers the applicability of research findings to specific clinical
situations.
Prepares a plan of care for his/her client(s) that is evidence-supported, reality-based, and
takes into account patient preferences.
Utilizes library and/or internet resources to seek answers to unclear or unknown
information regarding patient care.
Explains rationale for nursing action which demonstrates understanding and application of
course content.
Additional Comments (This section should be used to document any additional examples of
student work that support meeting this objective; a brief summary statement of the students
general performance in this area should also be included here; your response is limited to the
space provided).
(Choose a rating for the students performance in this area from the selections below)
Excellent Exceeds
Expectations
Satisfactory Needs
Improvement
Unsatisfactory

BSN Outcome Objectives NRSG361

Socially Responsible Provider
REQUIRED: Continues to demonstrate Level 1 (NRSG 360) indicators.
Observes and constructively evaluates the quality of health care services provided in the
clinical practice setting.
Identifies resources available to vulnerable populations (e.g., language interpretation,
social workers, clergy, discharge planners, nursing leadership).
Prepares plan of care that is patient/ family-centered and health promotional, taking into
account patients learning needs, socioeconomic/cultural influences, behavioral patterns,
and age.
Demonstrates awareness of cost containment issues in the delivery of nursing care.
Evaluates ways to prevent gaps in care created by transitions between providers, units,
levels of care and/or discharge from current care setting.
Demonstrates understanding of how own culture, values and beliefs influence behavior.
Demonstrates respect for client's different cultural values and beliefs and their right to
make health care decisions.
Continues to develop self awareness and uses constructive criticism to improve
performance.
Identifies and discusses with faculty individual learning needs and goals.
Actively seeks learning experiences.

Additional Comments (This section should be used to document any additional examples of
student work that support meeting this objective; a brief summary statement of the students
general performance in this area should also be included here; your response is limited to the
space provided).
(Choose a rating for the students performance in this area from the selections below)
Excellent Exceeds
Expectations
Satisfactory Needs
Improvement
Unsatisfactory

BSN Outcome Objectives NRSG361
Ethical Clinician
REQUIRED: Continues to demonstrate Level 1 (NRSG 360) indicators.
REQUIRED: Meets core clinical competencies for Professional Accountability.
Performs nursing care that is respectful of clients privacy and adherent to ethical/legal
requirements for confidentiality.
Demonstrates awareness of patient goals for health, which are based on the patients own
values, beliefs and right to participate in their own health care decisions.
Practices in a nondiscriminatory manner, regardless of patient ethnicity, gender, age,
wealth, or religious belief.
Reflects on the influence of own values, culture and religion on clinical decision-making.
Reports real and potential clinical practice errors honestly and immediately.
Initiates discussion with appropriate individuals when ethical issues arise.
Additional Comments (This section should be used to document any additional examples of
student work that support meeting this objective; a brief summary statement of the students
general performance in this area should also be included here; your response is limited to the
space provided).
(Choose a rating for the students performance in this area from the selections below)
Excellent Exceeds
Expectations
Satisfactory Needs
Improvement
Unsatisfactory

BSN Outcome Objectives NRSG361

Critical Thinker
REQUIRED: Continues to demonstrate Level 1 (NRSG 360) indicators.
Demonstrates beginning use of patient information, standard of practice and evidence-
based literature in making decisions for nursing care.
Identifies critical thinking behaviors in self and others.
Asks pertinent questions in clinical to aid understanding.
Demonstrates clinical judgment and questioning of assumptions at a beginning level.
(e.g.,holding medication until appropriate lab results return, prioritizing pain medication
over scheduled medications).
Care plans and case presentations demonstrate logical and prioritized thinking.
Demonstrates analysis of clients problem list and prioritization of care.
Additional Comments (This section should be used to document any additional examples of
student work that support meeting this objective; a brief summary statement of the students
general performance in this area should also be included here; your response is limited to the
space provided).
(Choose a rating for the students performance in this area from the selections below)
Excellent Exceeds
Expectations
Satisfactory Needs
Improvement
Unsatisfactory

BSN Outcome Objectives NRSG361
Clinician
REQUIRED: Continues to demonstrate Level 1 (NRSG 360) indicators.
REQUIRED: Meets core clinical competencies for safety and universal precautions.
Demonstrates increasing independence in the performance of technical skills and
documentation.
Demonstrates awareness of limitations and seeks assistance and validation to assure safe
practice.
Notifies faculty or RN immediately of any significant change in clients health status and
begins to formulate an appropriate plan.
Arrives for clinical practice promptly, prepared with working knowledge of patient-specific
data, unit-specific policies and general literature regarding the patients health history and
current medical condition.
Elicits client and family values, preferences and needs when planning and implementing
care.
Reports to multidisciplinary team in carrying out nursing care for the client.
Identifies and evaluates strengths and limitations of teamwork in self and other team
members.
Begins to practice appropriate delegation to assistive personnel.
Begins to report to multidisciplinary personnel in carrying out nursing care for the client.
Demonstrates increased independence with the use of patient care technologies (e.g.
monitors, pumps, medication administration system).
Additional Comments (This section should be used to document any additional examples of
student work that support meeting this objective; a brief summary statement of the students
general performance in this area should also be included here; your response is limited to the
space provided).
(Choose a rating for the students performance in this area from the selections below)
Excellent Exceeds
Expectations
Satisfactory Needs
Improvement
Unsatisfactory

Understanding of nursing care and pathophysiology related to the maternal
client.

Competent in giving shots, IM and SQ

Competent in starting IV fluids and medicines
Competency in starting new IV sites
Assisted with PICC placement in NICU
Observed 2 c-sections
Observed vaginal delivery
Competency with care of infant post c-section and delivery
Foley catheter insertion
Competency in mother-baby assessment

BSN Outcome Objectives NRSG361

Educator
REQUIRED: Continues to demonstrate Level 1 (NRSG 360) indicators.
Relates patient education to the patients current level of knowledge and motivation to
change.
Involves client & family in plan of care including identification of desired outcomes.
Relates to client & family the rationale for interventions, medications and/or treatments.
Incorporates discharge needs into the weekly nursing care plan.
Evaluates clients learning needs and selects a health promotional teaching topic.
Presents teaching topic to one or more clients utilizing a variety of teaching methods.
Additional Comments (This section should be used to document any additional examples of
student work that support meeting this objective; a brief summary statement of the students
general performance in this area should also be included here; your response is limited to the
space provided).
(Choose a rating for the students performance in this area from the selections below)
Excellent Exceeds
Expectations
Satisfactory Needs
Improvement
Unsatisfactory

BSN Outcome Objectives NRSG361
Effective Communicator
REQUIRED: Continues to demonstrate Level 1 (NRSG 360) indicators
REQUIRED: Meets core clinical competency for communication.
Interacts in a professional manner with clients and members of health care team.
Consults multidisciplinary staff when questions arise regarding patient care, including any
language and/or cultural barriers identified.
Verbally presents an individual client in a comprehensive and organized fashion to peers in
clinical conference in a format similar to medical rounding.
Demonstrates accurate documentation of assessment findings, nursing care and client
response to nursing care, medication and treatments using the electronic medical record
and/or according to hospital procedure.
Performs shift-to-shift and situational report utilizing SBAR communication format.
Written work exemplifies scholarly, grammatically correct, clear, and organized thought
processes
Additional Comments (This section should be used to document any additional examples of
student work that support meeting this objective; a brief summary statement of the students
general performance in this area should also be included here; your response is limited to the
space provided).
(Choose a rating for the students performance in this area from the selections below)
Excellent Exceeds
Expectations
Satisfactory Needs
Improvement
Unsatisfactory



Educated patients well on various topics: breastfeeding, care of infant birth
control methods

Effectively communicated with nursing staff, assistive personnel, faculty, and

classmates

Comments: (This section must include an overall summary of the students performance during the clinical experience stated in objective, measurable terms. Include examples of how the student
met or did not meet the clinical objectives for this experience. This summary should be based upon ongoing, documented feedback the instructor has provided to the student. This section should
also include a list of 3 area of strength and 3 areas for growth developed collaboratively by the instructor and student. This page of The assessment should be shared by the student with the
students instructor in the next clinical experience of the program).

Overall Summary of Student Performance:










Areas of Strength:










Areas for Growth:










I have reviewed the above evaluation and worked collaboratively with my instructor to develop my list of strengths and areas for growth.

Student Signature: ______________________________________________ Date:__________ Instructor Signature: ________________________________________________Date: __________

Excellent = Consistently exceeds performance expectations for beginning practitioner, independent thinker, takes initiative
Exceeds Expectations = Occasionally exceeds performance expectations for beginning practitioner, independent thinker, takes initiative
Satisfactory = Meets performance expectations for beginning practitioner, requires minimum guidance
Needs Improvement = Performance adequate but requires guidance
Unsatisfactory = Performance not improved in spite of guidance and feedback
Sabrina has comfortably mastered the requirements and skills relevant to this clinical rotation. As a expectant parent herself it has given her the added characteristic
of empathy; while exposing her to the real arena of "What to expect while your expecting". As she is Cultural diverse and Bilingual she is an asset and can meet the
demands of our growing diverse population of clients.
Competent in nursing skills and technical care
Patient advocate.
Cultural Diverse; Bilingual.

Continued work in communicating with staff .
Continued work on leadership skills
Ability to advocate for self regarding exposure to additional clinical experiences.