Self Assessment

2015 - 2015 - Final NURS-151 Course Learning Outcomes

NURS 151 Practical Nursing Practice 2 (PN, 13-Jan-2015 - 30-Jun-2015)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Description :
Period :
Student hours :
Required Hours :
Validated hours :

Nirjhari Chhaya

Trillium Health Partners/Credit Valley Hospital

Agency
151-7
1E Complex Continuing Care
13-Apr-2015 To 24-Apr-2015
168
168
156

Teacher comment for validated hours:

Student missed 12 hours due to to clinical teacher being ill.
I declare that this is my original work and the sources used are acknowledged.

Abilities and Outcomes / Learning Outcomes

Student Rating

Teacher Rating

1. COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK
1. 1 Comply with regulatory standards, relevant legislation and the practice settings policies

Satisfactory

Satisfactory

and procedures.
N.C. : I have complied with regulatory standars, relevant legislation and the practice setting's policies and procedures throughout my
clinical experience while performing care for my patients. For example, I make sure that I stay close to the nursing station while
documenting my narrative charting.

1. 2 Act in a responsible, ethical and accountable manner.

Satisfactory

Satisfactory

N.C. : I acted in a responsible, ethical and accountable manner throughout my clinical practice by making sure to inform my instructor
when I was going to administer medication and to make sure that she double checks with me so I adminiater the correct medication to the
correct patient.

1. 3 Determine strengths and limitations and when to consult and seek assistance from other

Satisfactory

Satisfactory

professionals.
N.C. : I determined strengths and limitations and when to consult and seek assistance from other professionals throughout my clinical
practice by asking questions when ever I was unsure about something.

1. 4 Use evidence informed practice and a theory-based approach to care.

Satisfactory

Satisfactory

N.C. : I used evidence based practice and a theory-based approach to care throghout my clinical when i was performing patient care
including bed baths, medication administration, and other nursing care.

1. 5 Ensure client safety and a safe environment.

Satisfactory

Satisfactory

N.C. : I ensured client safety and a safe envrironment throughout the clinical when I made sure to leave the side rails up as needed and to
leave the bed in the lowest position possible and by ensuring that I left the environment clutter free.

1. 6 Ask relevant questions to clarify understanding of the plan of care and whenever

Satisfactory

Satisfactory

uncertain.
N.C. : I asked relevant questions to clarify understanding of the plan of care or whenever uncertain throughout my clinical experience to
ensure proper care was provided to my patients.

1. 7 Identify ethical and unsafe situations and seek appropriate assistance to resolve these.

Satisfactory

Satisfactory

N.C. : I identified ethical and unsafe situations and sought appropriate assistance to resolve these when we needed to transfer a patient
from the bed to the chair with the Hoyer lift and I made sure that there was a nurse or my instructor present. I also sough assistance when
I realized that my client was depressed and I felt it was unsafe for him to be alone.

1. 8 Demonstrate understanding about the role of the student nurse.

Satisfactory

Satisfactory

N.C. : I demonstrated understanding about the role of the student nurse while performing care for my patients and making sure that my
instructor was aware of what was going on.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
Student consistently demonstrated accountability in nursing practice. Student able to consistently demonstrate preparedness for practice,
assumes responsibility for learning, and actively participate in learning. Weeks 11- 14: Student able to care for clients independently;
medication, morning routine, ADL needs, and documentation.

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions.

Satisfactory

Satisfactory

N.C. : I participated in team sharing and discussions throughout the semester both in class and in the clinical setting.

2. 2 Document clearly, accurately, concisely in a timely manner using written and electronic

Satisfactory

Satisfactory

methods.
N.C. : I documented clearly, accurately. concisely in a timely manner using written and electronic methods throughout the clinical
experience.

2. 3 Report relevant information to the appropriate personnel.

Satisfactory

Satisfactory

N.C. : I reported relevant information to the appropriate personnel when ever there was a need to do so. For example, when my client
complained that he was having trouble breathing and swallowing after drinking think liquids I let my nurse know and she acted on it
accordingly.

2. 4 Utilize communication techniques with the client and inter-professional health care team.

Satisfactory

Satisfactory

N.C. : I utilized communication techniques with the client and inter-professional health care team throughout the semester whenever I
conversed with my patient or a member of the health care team.

2. 5 Maintain privacy and confidentiality according to the Personal Health Information

Satisfactory

Satisfactory

Protection Act (PHIPA)

N.C. : I maintained privacy and confidentiality according to the Personal Health Information Protection Act by not sharing any of my
clients' information outside the clinical setting.

2. 6 Use technology to retrieve information including research, data and other information.

Satisfactory

Satisfactory

N.C. : I used technology to retrieve information including research, data and other information when I used the computers on the unit to
obtain lab values for my patients. I also used technology to gain a better understanding of my patients' diagnoses and medications.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

Student communicates clearly, concisely, and correctly in the written, spoken, and visual forms that meet the needs of the clients.
Also responds to relevant information in a manner that ensures effective communication.

3. CARING RELATIONAL PRACTICE

3. 1 Utilize effective communication techniques.

Satisfactory

Satisfactory

N.C. : I utilized effective communication techniques while communicating with my patients as well as the health care professionals.

3. 2 Demonstrate therapeutic caring, compassionate, and culturally safe relationships with

Satisfactory

Satisfactory

clients and health care team members.

N.C. : I demonstrated therapeutic caring, compassionate, and culturally safe relationships with clients and health care team members by
taking into consideration that everyone has different values and beliefs and that their decisions are affected by their values and beliefs.

3. 3 Apply knowledge of therapeutic use of self and identify its effect on client well-being.

Satisfactory

Satisfactory

N.C. : I applied knowledge of therapeutic use of self and identified its effects on client well-being when I realized that my client was
depressed and I was talking to him to distract him and cheer him up.

3. 4 Use self-awareness to identify the effects that beliefs, values, and personal experiences

Satisfactory

Satisfactory

have on relational practice.

N.C. : I used self-awareness to identify the effects that beliefs, values, and personal experiences have on relational practice when I realized
how my values and beliefs affected the way I care for an elderly person.

3. 5 Interact with clients and members of the inter-professional health care team; and, consult

Satisfactory

Satisfactory

appropriately.
N.C. : I interacted with clients and members of the inter-professional health care team; and consulted appropriately whenever there was a
need to do so.

3. 6 Apply knowledge of practices and systems that support the diversity of clients and the

Satisfactory

Satisfactory

inter-professional health care team.

N.C. : I applied knowledge of practices and systems that support the diversity of clients and the inter-professional health care team by
recognizing how no two people are the same and everyone has different experiences to share and learn from.

3. 7 Apply knowledge of clients cultural, religious, and other beliefs and values as these

Satisfactory

Satisfactory

influence clients choices and decisions.

N.C. : I applied knowledge of clients' cultural, religious, and other beliefs and values as these influence clients' choices and decisions
when one of my clients asked for a cotton ball to put in her ear and keep it warm to get rid of her ear ache.

3. 8 Provide effective client education.

Satisfactory

Satisfactory

N.C. : I provided effective client education when I talked to my patient about why she needed to have a bowel movement even when she
did not want to go.

Teacher comments for CARING RELATIONAL PRACTICE :

Student able to establish sound relationships with peers, staff, clients, and teacher. Student consistently utilized well
developed communication and interpersonal skills.

4. LEADERSHIP AND ADVOCACY

4. 1 Recognize conflicts and strategies for resolution.

Satisfactory

Satisfactory

N.C. : I recognized conflicts and strategies for resolution when my client did not have a bowel movement for 2 days and I asked the nurse
what we should do about this and I was asked to administer a suppository.

4. 2 Demonstrate leadership skills that foster group work and a positive learning environment.

Satisfactory

Satisfactory

N.C. : I demonstrated leadership skills that foster group work and a positive learning environment when my partner and I were giving our
patient a bed bath.

4. 3 Identify opportunities to improve health care service and nursing interventions by

Satisfactory

Satisfactory

advocating for client, self, others, and quality practice.

N.C. : I identified opportunities to improve health care services and nursing interventions by advocating for client, self, others, and quality
practice when my client was experiencing shortness of breath and difficulty swallowing and I told my nurse and they decided to take him
off of thin liquids.

4. 4 Provide feedback to peers and accept feedback from peers and members of the inter-

Satisfactory

Satisfactory

professional health care team.

N.C. : I provided feedback to peers and accepted feedbacl from peers and members of the inter-professional health care team throughout
the semester.

4. 5 Support clients rights for self-determination and choice.

Satisfactory

Satisfactory

N.C. : I supported client's right for self-determination and choice when my client did not want me to help himgo to the washroom and I
listened to him.

4. 6 Respond appropriately to unsafe, unacceptable, and unprofessional behaviours.

Satisfactory

Satisfactory

N.C. : I responded appropriately to unsafe, unacceptable, and unprofessional behaviurs when I made sure that my partner and I do not
leave the room without taking our PPE off.

4. 7 Consult and collaborate when carrying out health care and nursing practices that are in

Satisfactory

Satisfactory

the best interests of the public and protect the public through collaboration and consultation.
N.C. : I consulted and collaborated 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 by asking questions to make sure I was performing care correctly and by
asking for help when needed.

Teacher comments for LEADERSHIP AND ADVOCACY :

Student able to demonstrate leadership skills related to peer interactions. Consistently demonstrated
professional nursing behavior.

5. PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES
5. 1 Incorporate the unique needs and expected outcomes into individual clients plans of

Satisfactory

Satisfactory

care.
N.C. : I incorporated the unique needs and expected outcomes into individual clients' plans of care by performing assessments on clients
based on their needs and acting on the information accordingly. For example, when my patient was having trouble breathing I performed a
respiratory assessment on him and told my nurse about my findings.

5. 2 Develop theory-based plans of care that are holistic and client centered and are

Satisfactory

Satisfactory

articulated competently in writing and orally.

N.C. : I developed theory-based plans of care that are holistic and client centered and are articulated completely in writing and orally while
discussing my plan of care with my instructor.

5. 3 Use knowledge, skill and judgment to assess clients, prioritize needs and outcomes.

Satisfactory

Satisfactory

N.C. : I used knowledge, skills and judgment to assess clients, prioritize needs and outcomes by performing care according to my client's
care plan and making sure that I perform vital signs and administer medication on time.

5. 4 Provide information that contributes to the evaluation and refinement of plans of care.

Satisfactory

Satisfactory

N.C. : I provided information that contributes to the evaluation and refinement of plans of care when my patient complained of trouble
breathing and swallowing and I told my nurse and the dietician changed his diet to a no thin liquids diet.

5. 5 Safely and competently carry out nursing assessments and nursing interventions that are

Satisfactory

Satisfactory

theory-based and within skill abilities.

N.C. : I safely and completely carried out nursing assessments and nursing interventions that are theory-based and within skill abilities
while performing nursing care for my patients. For example, I performed a respiratory assessment on patients with tracheostomies and
suctioned the trach when there was a lot of secretion.

5. 6 Carry out nursing care that reflects the practice decision-making framework.

Satisfactory

Satisfactory

N.C. : I carried out nursing care that reflects the practice decision-making framework by abiding by the framework while performing
nursing care.

5. 7 Complete nursing care responsibilities and nursing interventions in an organized and

Satisfactory

Satisfactory

timely manner.
N.C. : I completed nursing care responsibilities and nursing interventions in an organized and timely manner when one of my patient's had
a physiotherapy appointment at 1000 hrs and I had to make sure she had her breakfast, give her a bed bath and get her ambulated to her
wheelchair by 1000hrs.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
Practiced within the ethical guidelines of the care facility, expectations of Humber College, and the CNO.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

6. 1 Work with clients and members of the inter-professional health care team to assess

Satisfactory

Satisfactory

clients, determine health needs, and to achieve mutually agreed expected outcomes.
N.C. : I worked with clients and members of the inter-professional health care team to assess clients, determine health needs, and to
achieve mtually agreed expected outcomes when I worked with the nurse to decide what should be done for my patient who had trouble
swallowing and breathing. We came to the conclusion that he needed to be put on a no thin liquid diet.

6. 2 Contribute as a member of the inter-professional health care team to respond to the

Satisfactory

Satisfactory

changing needs and expected outcomes of clients.

N.C. : I contributed as a member of the inter-professional health care team to respond to the changing needs and expected outcomes of
clients when I administered a suppository to promote a bowel movement in my client.

6. 3 Seek out assistance and consult with members of the inter-professional health care team.

Satisfactory

Satisfactory

N.C. : I sought out assistance and consulted with members of the inter-professional health care team whenever I had a question or when I
was unsure about something.

6. 4 Use teamwork, consensus building, and conflict resolution skills.

Satisfactory

Satisfactory

N.C. : I used teamwork, consensus building, and conflict resolution skills while working with my team members and providing care tot he
patients.

6. 5 Describe effective, collaborative, and consultative strategies to meet clients needs within

Satisfactory

Satisfactory

a changing environment.
N.C. : I described effective, collaborative, and consltative strategies to meet clienr's needs within a changing environment when my patient
did not have a bowel movement for 2 days and i consulted the nurse to discuss the interventions that could be taken to meet the client's
needs.

6. 6 Interact with members of the health care team respecting their unique role and

Satisfactory

Satisfactory

competencies.
N.C. : I interacted with members of the health care team respecting their unique role and competencies throughout my clinical experience.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

Student is developing strong relationships both with peers, hospital staff, teacher, and clients. Student utilizes effective interpersonal
skills and therapeutic communication.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

7. 1 Act in the best interests of clients and protect clients from harm through collaboration

Satisfactory

Satisfactory

and consultation with members of the inter-professional health care team and through
competent and safe practice.
N.C. : I acted in the best interests of clients and protected clients from harm through collaboration and consultation with members of the
inter-professional health care team and through cometent and safe practice when I performed the three medication checks to make sure
that I gave the right medication to the right patient.

7. 2 Participate in self-reflection to identify strengths, areas for improvement.

Satisfactory

Satisfactory

N.C. : I participated in self-reflection to identify strengths, areas for improvement by making a learning plan and by consulting the interprofessional team, my instructor, and my peers on what I am doing right and on what I could improve in.

7. 3 Create, implement, and evaluate a learning plan consistent with the Quality Assurance

Satisfactory

Satisfactory

program (CNO).
N.C. : I created, implemented, and evaluated a learning plan consistent with the quality assurance program for my time management skills,
prioritizing care skills, and body mechanics.

7. 4 Seek out learning opportunities and feedback that foster professional development; and,

Satisfactory

Satisfactory

integrate these into practice.

N.C. : I sough out learning opportunities and feedback that foster professional development; and, integrates these into practice throughout
my clinical experience by sadowing the nurses and asking questions.

7. 5 Utilize nursing, health and other theory and literature to improve nursing practice.

Satisfactory

Satisfactory

N.C. : I utilized nursing, health and other theory and literature to improve nursing practice while researching the different diagnoses and
medications my patients had and while working on my care plan.

7. 6 Use a theory-based approach and evidence-informed practice.

Satisfactory

Satisfactory

N.C. : I used a theory-based approach and evidence-informed practice throughout the clinical while providing care for my clients.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

Student consistently sought knowledge and provided evidence based rational for decisions. Student gradually increasing utilization of step
1 & 2. Student able to use acquired knowledge and apply it to practice. Student increased ability to organize and prioritize related to client
care.

8. USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY

8. 1 Utilize problem-solving skills to inform decision making in all aspects of nursing care.

Satisfactory

Satisfactory

N.C. : I utilized problem-solving skills to inform decision making in all aspects of nursing care. For example, when my patient was having
throuble breathing I elevated the head of his bed and informed the nurse about his situation.

8. 2 Use problem-solving and decision-making skills to assess clients and to determine

Satisfactory

Satisfactory

nursing diagnoses, expected outcomes, nursing interventions, and evaluative criteria.

N.C. : I used problem-solving and decision-making skills to assess clients and to determine nursing diagnoses, expected outcomes,
nursing interventions, and evaluative criteria while making my care plan for my patient.

8. 3 Use self-reflection to design a plan to improve problem-solving and decision-making

Satisfactory

Satisfactory

skills.
N.C. : I used self-reflection to design a plan to improve problem-solving and decision-making skills when I needed to work on making sure
that I completed my assessments before the end of the day. For example, when I had a patient with a g-tube I was not able to complete the
assessmet before the end of the day and from then on I made sure that I performed an abdominal assessment and checked for bowel
sounds the next time I had a patient with a g-tube.

8. 4 Utilize knowledge from variety of nursing, health, and other theory into nursing practice

Satisfactory

Satisfactory

to provide safe and competent care.

N.C. : I utilized knowledge from variety of nursing, health, and other theory into nursing practice to provide safe and competent care
throughout the clinical experience. For example, I used the knowledge to understand the different diagnoses my patients had and while
providing care for these patients.

8. 5 Use prioritization strategies for client care.

Satisfactory

Satisfactory

N.C. : I use prrioritizing strategies for client care in terms of performing vital signs and giving medications.

8. 6 Demonstrate professionalism and accountability.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

N.C. : I demonstrated professionalism and accountability throughout the clinical experience.

8. 6 Recognize strengths and limitations and seek appropriate assistance and support.

N.C. : I recognized strenths and limitations and sought appropriate assestance and support thrughout the clinical experience.

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY :
Successfully cared for 2 clients per day for several weeks. Able to apply analytical, interpersonal, and technical skills to implement a
safe effective plan of care.

Student Final Summary with Strategies for Continued Growth

I have improved over the course of the semester, but there is alwas room for further improvement. I was to work on my problem-solving skills so when
the situation calls for it I am better able to handle the situation and provide correct care. I also want to improve my time management skills so I can
complete all the nursing care by a certain time especially for the morning care. I also need to learn how to better prioritize my plan of care. I have
developed a learning plan to work on improving theses skills. I will continue to review my notes and medications, so I am better prepared for next
semester. I will also continue to implement all the feedback that my instructor and peers have provided. I will continue to improve my nursing skills and
work towards becoming a better nurse.

Teacher Final Summary with Strategies for Continued Growth

You did an awesome job in clinical keep up the great work! Please continue to practice your nursing skills, develop your critical thinking by reading
your nursing theory books, and improve on your problem solving skills by communicating with the inter-professional team. Well Done!

Grade

Satisfactory

Unsatisfactory

Referred to Clinical Excellence Committee (CEC)

Grade

Satisfactory

Program Coordinator Feedback

The Program Coordinator has reviewed the evaluation

Yes

No

Student Sign Off

I met with my Clinical Teacher/Preceptor and discussed my evaluation

Yes

No

In general this evaluation accurately reflects my performance

Yes

No

Student Comment
Thank you. I will continue to work on my critical thinking skills and clinical decision making for successful patient outcomes. I will work on improving
all my skills for next semester and the future.