Practical Nursing Diploma Program

Mid-term/Final Clinical Evaluation Form

Student: Romayne Hinds

Student Number: 805930278

Course: Nurs

Section 51

Dates:

261

May 2014 to August 2014

S: Satisfactory

ND: Needs Development

Summary of Areas of
Practice
Competent and safe practice
in a professional, legal and
ethical framework

Communication

Caring relational practice

Leadership and advocacy

Plans of care: Meeting

Clients Needs and Mutually
Agreed Expected Outcomes
Collaborative Practice

Quality Assurance

Critical Thinking, Problem

Solving and Decision Making

U: Unsatisfactory

Student Comments: Summary of

clinical experience
S: * ND:
U:
I have demonstrated safe practices
and professionalism throughout my
clinical experience and in accordance
with CNO standards.
S: * ND:
U:
I have developed and exhibited
therapeutic communication with
residents, staff and family members.
S: * ND:
U:
I have demonstrated caring,
compassionate and respectful
relationships with my residents, staff
and family members.
S: * ND: U:
I have demonstrated leadership skills
and advocated for my residents.
S: * ND:
U:
I have provided resident centered care
and my outcomes were favorable.
S:
ND:
U:
*
I have been given the opportunity to
demonstrated collaborative care for
the residents, with the nurse, PCAs,
dietary, activation therapist
S: * ND:
U:
I have demonstrated quality assurance
and collaborative care with the
interprofessional team, for my
residents.

S:
ND:
U:
*
I have demonstrated professionalism
in my decision making and problem
solved, however, more opportunities
would result in achieving this skill.

Faculty Comments: Summary of

clinical Experience
S:
ND:
U:
Romayne provides care in a safe and
competent manner consistent with CNO,
Humber, and agency guidelines
S:
ND:
U:
Romayne communicates well with her
residents and staff. Maintains privacy as
per PHIPA
S:
ND:
U:
Romayne builds caring and therapeutic
relationships especially with her residents
and also with staff
S:
ND:
U:
Romayne was able to advocate on her
residents behalf to make dietary changes.
Romayne has natural leadership qualities
S:
ND:
U:
Romayne uses knowledge, skill, and
judgment to assess clients and prioritize
needs. Manages workload and time well
S:
ND:
U:
While not much opportunity for
collaborative practice, Romayne has
attended physician rounds and
collaborated with dietician for her resident
S:
ND:
U:
Reflects on practice and attempts to
improve on practice. Is aware of areas of
development and should work on these.
Demonstrated professionalism and
accountability by coming prepared to
clinical
S:
ND:
U:
Has improved in problem-solving skills as
pertains to RPN role. Has potential to
grow and develop these skills

I have read and understand this form and its contents

1

Student Signature:

Date:

Faculty Signature:

Date: