361 Final Evaluation

1
NURS Final Clinical Evaluation

Student Name (Printed): _Sandeep Grewal___ Student Number: _820-302-743______Professor / Clinical Teacher: __Lucille Brady-Walter_____________
S = Satisfactory ND = Needs Development U = Unsatisfactory
COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK
I.
Practice safely, competently, ethically, in compliance with legal and regulatory frameworks and the policies and procedures
of the practice setting.
II.
III.
IV.
V.
VI.
VII.
VIII.
IX.
Comply with regulatory standards, relevant legislation and the practice settings policies and procedures.
Act in a responsible, ethical and accountable manner.
Determine strengths and limitations and when to consult and seek assistance from other professionals.
Use evidence informed practice and a theory-based approach to care.
Ensure client safety and a safe environment.
Ask relevant questions to clarify understanding of the plan of care and whenever uncertain.
Identify ethical and unsafe situations and seek appropriate assistance to resolve these.
Demonstrate understanding about the role of the student nurse.
Student Comments
I complied with all policies and procedures by keeping confidentiality for my

patient in practice setting.
I acted in a responsible and accountable manner by coming to clinical at least
25 minutes earlier and submitted all my work on time .
I know my strengths and limitations and seek assistance from instructors and
colleagues. E.g. I asked the instructor or nurses for assistance , when I was not
confidence about the IV medication and trach suctioning.
I used evidence informed practice and a theory-based approach by reading the
text book and watching the nursing skills videos before and after practice.
I ensured client safety and a safe environment by keeping the side rail up, having
proper hand hygiene and call bell is beside the pt. or within their reach..
I asked relevant questions to clarify understanding of the plan of care and
whenever uncertain about some procedure in clinical setting.
When there are ethical or unsafe situations I seek appropriate assistance from
instructor or nurses to resolve these.
I demonstrated understanding about the role of the student nurse by doing
proper care and never crossing the line of nursing student.
Signature and Date:
Faculty Comments
S
Students need to work on researching organization policy
prior to performing a procedure. Student is very calm and
meticulous in the delivery of patient care. Student is very
professional, compassionate and pleasant. She seeks
clarification when she is unsure or needs to learn more
Signature and Date:
Client: Individuals, families, groups or entire communities across the lifespan who require nursing expertise. In some clinical settings, the client may be referred to as a patient or resident.
1
(seeGlossary,Entry-to-Practice Competencies for Ontario Registered Practical Nurses, 2011).
Note:The learning outcomes and their indicators have been numbered as a point of reference; numbering does not imply prioritization, sequencing, or weighting of significance. Learning outcomes are interrelated and interactive with each other. The indicators describe the learning outcomes, are inter-related, and incorporate the Entry-to-Practice Competencies for Ontario Registered Practical Nurses (2011).
2
Student Name (Printed): ___Sandeep Grewal____ Student Number: 820-302-743_______Professor / Clinical Teacher: Lucille Brady-Walter __-___
ACCURATE AND RELEVANT COMMUNICATION
2. Communicate using strategies and technology to document, report, and share information.
i.
ii.
iii.
iv.
v.
Participate in team sharing and discussions.

Document clearly, accurately, concisely in a timely manner using written and electronic methods.
Report relevant information to the appropriate personnel.
Utilize communication techniques with the client and inter-professional health care team.
Maintain privacy and confidentiality according to the Personal Health Information Protection Act (PHIPA).
Use technology to retrieve information including research, data and other information.
vi.
Student Comments
I share my knowledge and experience in team sharing

discussions.
I always document clearly, correctly and timely by using
electronic method.
Prior to procedure, I explain the need and step of procedure
to the pt.
Can use SBAR techniques with doctor when situation arise.
I maintained privacy and confidentiality by closing the curtain
or closing the door whenever doing care.
Faculty Comments S
Student participated in team sharing and post conference
discussions. Document in a clear and concise manner in a
timely manner. Student continues to report relevant information
to the appropriate individuals. Maintains privacy and
confidentiality. Student have mastered the use of the computer
system to retrieve information to care for her patients
Use computer to print and view pt. present and past

medical history.
I always report all relevant information to my peer and
nurse before go on break
Signature and Date:
Signature and Date:
Client: Individuals, families, groups or entire communities across the lifespan who require nursing expertise. In some clinical settings, the client may be referred to as a patient or resident. (see
Glossary, Entry-to-Practice Competencies for Ontario Registered Practical Nurses, 2011).
Note:The learning outcomes and their indicators have been numbered as a point of reference; numbering does not imply prioritization, sequencing, nor weighting of significance. Learning outcomes
are inter-related and interactive with each other. The indicators describe the learning outcomes, are inter-related, and incorporate the Entry-to-Practice Competencies for Ontario Registered Practical
2
Nurses (2011).
3
Student Name (Printed): __Sandeep Grewal_______ Student Number: _820-302-743___Professor / Clinical Teacher: __: Lucille Brady-Walter _____________
S = Satisfactory ND = Needs Development
U = Unsatisfactory
CARING RELATIONAL PRACTICE
3. Develop relationships with clients that are caring, compassionate and respectful.
i.
ii.
iii.
iv.
v.
vi.
vii.
Utilize effective communication techniques.

Demonstrate therapeutic caring, compassionate, and culturally safe relationships with clients and health care team members.
Apply knowledge of therapeutic use of self and identify its effect on client well-being.
Use self-awareness to identify the effects that beliefs, values, and personal experiences have on relational practice.
Interact with clients and members of the inter-professional health care team; and, consult appropriately.
Apply knowledge of practices and systems that support the diversity of clients and the inter-professional health care team.
Apply knowledge of clients cultural, religious, and other beliefs and values as these influence clients choices and decisions.
Provide effective client education.
viii.
Student Comments S
Use close ended question and picture cues while caring
aphasic pt.
I demonstrated therapeutic caring, compassionate, and

culturally safe relationships with clients by answering all their
question, they really concerned about.
I interact well with teammates.
I respect the clients and members of the inter-professional
health care team; and, consult appropriately.
while providing the care, treat every pt. as individual by

respecting the pt.s cultural, religious values and plan
the care according to their choices
I provided education to the clients by demonstration and

explaining the patients the importance of certain medication
and the perfect time to take eg Fe pill empty stomach.
Signature and Date:
Faculty Comments
S
Student builds caring, therapeutic, compassionate relationship
with her patients. Communicate and collaborates with the
multidisciplinary team, peers, and clinical instructor to provide
safe and effective patient care.
Students educate patients and their families. Eliminate
communication barrier between patients and her peers by
providing language translation.
Signature and Date:
Note:The learning outcomes and their indicators have been numbered as a point of reference; numbering does not imply prioritization, sequencing, or weighting of significance. Learning outcomes are
inter-related and interactive with each other. The indicators describe the learning outcomes, are inter-related, and incorporate the Entry-to-Practice Competencies for Ontario Registered Practical
Nurses (2011).
4
Student Name (Printed): Sandeep Grewal____ Student Number: __820-302-743______Professor / Clinical Teacher__: Lucille Brady-Walter ______
S = Satisfactory ND = Needs Development
U = Unsatisfactory
LEADERSHIP AND ADVOCACY
4. Support and advocate for clients, self, others, and for a quality practice environment.
i.
ii.
iii.
iv.
v.
vi.
Recognize conflicts and strategies for resolution.

Demonstrate leadership skills that foster group work and a positive learning environment.
Identify opportunities to improve health care service and nursing interventions by advocating for client, self, others, and quality practice.
Provide feedback to peers and accept feedback from peers and members of the inter-professional health care team.
Support clients rights for self-determination and choice.
Respond appropriately to unsafe, unacceptable, and unprofessional behaviours.
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.
vii.
Student Comments
I am able to take the necessary step to resolve the conflict regarding care
by negotiating with patient.
I demonstrate leadership skills by participate in study group, inservices
and increase learning efficiency.
Identify opportunities to improve health care service and nursing
interventions by advocating for client, self, others, and quality practice.
I provided feedback to peers and appreciate for the feedback from peers,
instructor and the nurses which help me improving the care.
I support client right of choice by allowing them to participate and

give preference in the care, they will receive.
I responded appropriately to unsafe, unacceptable, and unprofessional

behaviors.
Consult and collaborate when carrying out health care and nursing
practices that are in the best interests of the pt. and protect the pt.
through collaboration and consultation.
Signature and Date:
Faculty Comments
S
Provide culturally sensitive care to patients
and their families. Advocate on patients
behalf for continuity of safe care. Student
provides feedback to peers and received
positive feedback from colleague.
Student is able to connect theory with practical
skills. Formulates nursing diagnosis and
initiate nursing interventions
Signature and Date:
4 are
Note:The learning outcomes and their indicators have been numbered as a point of reference; numbering does not imply prioritization, sequencing, or weighting of significance. Learning outcomes
Nurses (2011).
5
Student Name (Printed): Sandeep Grewal_____ Student Number: _820-302-743_______Professor / Clinical Teacher: Lucille Brady-Walter _____
PLANS OF CARE:
MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES
5. Use the nursing process to maintain, promote, and restore health, prevent illness, support rehabilitation, and
provide palliation.
Incorporate the unique needs and expected outcomes into individual clients plans of care.
Develop theory-based plans of care that are holistic and client centered and are articulated competently in writing and orally.
Use knowledge, skill and judgment to assess clients, prioritize needs and outcomes.
Provide information that contributes to the evaluation and refinement of plans of care.
Safely and competently carry out nursing assessments and nursing interventions that are theory-based and within skill abilities.
Carry out nursing care that reflects the practice decision-making framework.
Complete nursing care responsibilities and nursing interventions in an organized and timely manner.
i.
ii.
iii.
iv.
v.
vi.
vii.
Student Comments
Diagnose the pt. problem and needs. Make therapeutic care

plan to receive the expected outcome
for immobile pt., Repositioned timely and clean and dry their
skin properly to prevent the risk of pressure ulcer
I incorporate the unique needs of patients into their expected
outcome for the day eg my client with neck injury and tracheotomy
by keeping them properly positioned to prevent future injury.
I used my skill and judgment to assess clients, prioritize needs and
outcomes.
I provided information to the charge nurse regarding change in any
behavior of patient which can contributes to the plans of care.
I complete interventions in an organized, timely and in safe manner
Signature and Date:
Faculty Comments
S
Communicates with patient and family to provide holistic
care. Involve patients and family in their care.
Demonstrate professionalism and accountability via
timely and clear document . Administer medication in a
safe manner via varied routes. Assessment skills are
improving very well/.
Signature and Date:
Client: Individuals, families, groups or entire communities across the lifespan who require nursing expertise. In some clinical settings, the client may be referred to as a patient or resident. (see
Glossary, Entry-to-Practice Competencies for Ontario Registered Practical Nurses, 2011).
Nurses (2011).
6
Student Name (Printed): __Sandeep Grewal_____Student Number: _820-302-743___Professor / Clinical Teacher: Lucille Brady-Walter _________
COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM
6.Participate as a functioning member of the inter-professional health care team.
i.
ii.
iii.
iv.
v.
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.
Contribute as a member of the inter-professional health care team to respond to the changing needs and expected outcomes of clients.
Seek out assistance and consult with members of the inter-professional health care team.
Use teamwork, consensus building, and conflict resolution skills.
Describe effective, collaborative, and consultative strategies to meet clients needs within a changing environment.
vi.
Interact with members of the health care team respecting their unique role and competencies.
Student Comments
I worked with team to provide care for the clients and to meet
expected outcomes.
I contributed as a member of the inter-professional health care
team by reporting the client mental status changed and get proper
written order from doctor regarding medication changed..
I believe in teamwork, consensus building, and seek assistance
from other staff when needed
Faculty Comments
S
Communicated with the multidisciplinary team and
colleagues to provide continuity of safe and effective
care.
For immobile pt, collaborate with physiotherapist and

occupational therapist for developing and executing an
exercise program to maintain and improve muscle strength.
Interact with members of the health care team, learn and
ask for relevant question or answer respecting their unique
role and competencies.
Signature and Date:
Signature and Date:
Nurses (2011).
6
7
Student Name (Printed): _Sandeep Grewal___ Student Number: _820-302-743
Professor / Clinical Teacher: Lucille Brady-Walter _________

QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE
7. Demonstrate safe, competent care by using reflective practice and Quality Assurance practices.
i.
Act in the best interests of clients and protect clients from harm through collaboration and consultation with members of the interprofessional health care team and through competent and safe practice.
Participate in self-reflection to identify strengths, areas for improvement.
Create, implement, and evaluate a learning plan consistent with the Quality Assurance program (CNO).
Seek out learning opportunities and feedback that foster professional development; and, integrate these into practice.
Utilize nursing, health and other theory and literature to improve nursing practice.
Use a theory-based approach and evidence-informed practice.
ii.
iii.
iv.
v.
vi.
Student Comments
By doing self-reflection to identify strength, I find myself

better in ADLs , assessment and medication given by
different routes but catherization and IV meds
calculations is the one ,where I need to improve myself
I created, implemented, and evaluated the first year learning

plan consistent with the Quality Assurance program (CNO).
I seek out learning opportunities by helping nurses and ask
their feedback, and integrate these into practice.
I assess pharmaco-therapeutics and non pharmaco
therapeutics method to improve nursing practice.
I used a theory-based approach and evidence-informed
practice buy using rationales to support care.
Signature and Date:
Faculty Comments
S
Practice within the CNO standards and guidelines.
Practice according the William Osler Health
System (WOHS) guidelines.
Initiate and seek out her learning opportunities.
Manage and care for trach, G feeds, and
Intravenous
Signature and Date:
Nurses (2011).
7
8
Student Name (Printed): _Sandeep Grewal______ Student Number: __820-302-743___Professor / Clinical Teacher : Lucille Brady-Walter _____
USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY
8. Use problem-solving skills to address the needs and expected outcomes of clients.
i.
ii.
iii.
iv.
v.
vi.
Utilize problem-solving skills to inform decision making in all aspects of nursing care.
Use problem-solving and decision-making skills to assess clients and to determine nursing diagnoses, expected outcomes, nursing
interventions, and evaluative criteria.
Use self-reflection to design a plan to improve problem-solving and decision-making skills.
Utilize knowledge from variety of nursing, health, and other theory into nursing practice to provide safe and competent care.
Use prioritization strategies for client care.
Demonstrate professionalism and accountability.
Recognize strengths and limitations and seek appropriate assistance and support.
vii.
Student Comments S
I demonstrated critical thinking when assessing my
clients and determining which intervention might be
most appropriate.
provide client-centered holistic care by making the
professional boundaries and responsible for taking
action in situation n where pt. safety and well being are
compromised and if situation occurs should bring it to
higher authorities and look for possible solution and
reason.
Prorities my day and clients care according to their
needs , situation and life threatening symptom.
I demonstrate professionalism and are accountable for
my actions
Signature and Date:
Faculty Comments
S
Student is able to apply theory to practice. Assess and
diagnose patient and implement nursing interventions.
Student is able to priories effectively and has improved in her
time management skills
Signature and Date:
8
Nurses (2011).

361 Final Evaluation

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1

NURS Final Clinical Evaluation

I complied with all policies and procedures by keeping confidentiality for my

Signature and Date:

Signature and Date:

Participate in team sharing and discussions.

I share my knowledge and experience in team sharing

Use computer to print and view pt. present and past

Signature and Date:

Signature and Date:

Utilize effective communication techniques.

I demonstrated therapeutic caring, compassionate, and

while providing the care, treat every pt. as individual by

I provided education to the clients by demonstration and

Signature and Date:

Signature and Date:

Recognize conflicts and strategies for resolution.

I support client right of choice by allowing them to participate and

I responded appropriately to unsafe, unacceptable, and unprofessional

Signature and Date:

Signature and Date:

Diagnose the pt. problem and needs. Make therapeutic care

Signature and Date:

Signature and Date:

For immobile pt, collaborate with physiotherapist and

Signature and Date:

Signature and Date:

Student Name (Printed): _Sandeep Grewal___ Student Number: _820-302-743

Professor / Clinical Teacher: Lucille Brady-Walter _________

S = Satisfactory ND = Needs Development U = Unsatisfactory

By doing self-reflection to identify strength, I find myself

I created, implemented, and evaluated the first year learning

Signature and Date:

Signature and Date:

Signature and Date:

Signature and Date:

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