NURS 3020H

Clinical Evaluation
(Check one) Midterm _____ Final ____________
Student Name: ____Gabrielle Gagnon______
Clinical Instructor: _____Maureen Robinson________
Missed Clinical Hours: _0__

Missed Lab Hours: _0_

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.

Objectives

Progress
Indicators/Evidence

S
x
S

Explain the experience of acute illness in individuals

receiving care in acute setting

-Patient teaching on acute illness

-Week 2: I taught my patient the importance of the sequential
compression devices (SCD) he had on this legs because he would
not wear them. However, once I explained the reasoning and how
these were preventative measures he understood and agreed to
wear them while in bed.
-All weeks: encouraging ambulation in order to promote
healing.
-Answered questions about procedures patients have had
(prostatectomies, below knee amputations) to promote better
understanding of their acute illness experience.

Interpret critical aspects of the persons experience of

acute illness in relation to common signs and symptoms,
responses to treatment, patterns of coping, and impact on
individual and family relationships

-Week 3: identified patient was not coping too well post- In

operatively because I noticed complete lack of motivation progress
S
for self-care. I had to continuously encourage patient to
do things such as shave, bath, go for walks, change gown
and even clean up his suite, which usually patients who
are coping well do without repetitive prompting.

Identify common medical treatments and potential

consequences/complications of selected acute illnesses

-Week 5: Below knee amputation identified possible

complications which may include infection, phantom limb
pain, blood clots, and damage to nerves.
-Week 3&4: Prostatectomy (surgery to removed prostate)
potential consequences blood clots, infections,
rectum/urethra damage, urinary incontinence. Important
to monitor input/output balances, presence of flatus,
bowel sounds, encourage ambulation.

In
progress
S

Demonstrate selected nursing and collaborative

interventions related to clinical pathways, peri-operative
care, IV medication administration, cardiac assessment
and rhythm strips, neurological assessment, wound care,
blood component therapy, TPN and central lines,
pulmonary care including chest tubes and tracheotomy,
initiating IVs, rapidly changing conditions, and
resuscitation

Under the supervision of a Registered Nurse,

demonstrate safe, competent, evidence-based, holistic
nursing practice with clients with acute illness

1.
2.
3.
4.

5.

-Week3: Changed abdominal mepore dressing following

clean/sterile technique.
-Week 3&4: Administered/hung IV medications (i.e
Zantac) with supervision from clinical instructor.
-Week 5: Wound care and packing of below knee
amputation with clinical instructor.
-Week 3&4: Emptying and monitoring Jackson Pratt
drains.
-Week 3: bladder scans.
-Week 3 & 4: PO medications
-Week 2,3,4: discontinuing IVs.
-All weeks: emptying catheters

X
S

In
-Always at clinical on time and prepared (proper uniform
progress
and preclinical completed) (#8)
-Demonstrate accountability by assuming responsibility for
S
my assigned patient and fulfilling all the responsibilities
that this entails (ensuring patient comfort, understanding
Apply relevant nursing models, philosophical
and wellbeing). (#7)
frameworks, theories and evidence
-Week 3,4 &5: advocated for patient pain needs and
Demonstrate therapeutic use of self
Engage with patients in an ethical and culturally management. Patients were in pain and wanted some
treatment, I acknowledged this and talked to the MRN to
safe manner
Understand and anticipate emerging bio-psycho- see what could be done in order to help them. (#6)
-Kings theory of goal attainment applied by working
social needs of persons with acute illness and
within the interpersonal system which focuses on the
apply this knowledge to care:
nurse-client relationship and the transactions that occur
a. Plan appropriate nursing care
between nurse in client in order to attain patient goals. I
b. Predict outcomes of nursing care
c. Evaluate client response to nursing care have applied this theory by forming therapeutic
relationships with my patients and understanding what
Demonstrate health promotion and illness
their goals of care are and tailoring their care plan in
prevention practices
order to best achieve these goals. (#1)
a. Engage with patients and families to
-Every shift, I go in get rapport and along with the MRN
identify health-related situational
and the patient determine what the priority needs are for

each patient and decide on the plan of care. I then apply

this plan and later assess its effectiveness. For example:
create reasonable and effective solutions in week 5 my patients foot was cool to touch and his
pedal pulses very faint. I discussed this with the MRN and
6. Demonstrate patient advocacy
we decided upon putting a warm blanket on the foot.
7. Demonstrate accountability
Later I assessed this and found that the pulses were now
8. Demonstrate reliability
more palpable and the foot was warm to touch again even
following having the blanket removed for a while. (#4)
challenges

b. Work with patients and families to

Critically appraise own practice in relation to nurseclient/family interactions and as a member of the health
care team

-In my own practice my client and family interactions

have been kept professional and respectful. I always listen
to the patients thoughts/concerns/requests and answer
any questions the patient or the family may have. If I am
unsure of the answer I refer them to somebody who can
answer or go inform myself then relay the information.
For example: Once a dressing change had to be done on
one of my patients while a family member was present. I
explained both to the patient and the family the
procedure and what their role as well as mine was going
to be. I answered questions they had about healing, pain
and expectations as well as any other questions about the
specific surgery (prostatectomy).
-I am a good member of the health team I as work
together with not only my peers and my instructor but
also with the other staff on the unit. I assist other nurses
when even when not explicitly asked to and fulfill my
duties as a team member in order to contribute to the
flow and function of the unit.

In
progre
ss

Participate in professional development based on

reflective practice and critical inquiry

-I have participated in reflective practice through

reflective journaling on experiences I have encountered
that have marked me. For example: An experience of

x
S

ethical distress I experienced involving a patient who had

received a kidney transplant but continued to deliberately
expose herself to harmful teratogens such as smoking.
This really made me reflect upon my morals and
understand some of the issues one can come across
throughout their professional career.

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

comment)
Gabrielle, I have given you S in all areas, this is mid-term and there is still lots to learn.
In the next few weeks I would like you to look at blood-work and diagnostics, this will help
you connect the dots.
Keep up the good work!

Signature of Instructor___________________________________________________ Date

_____________________________
Signature of Student_____________________________________________________
____________________________

Date