Carroll Community College

NURS 233 – Nursing Concepts 3

Weekly Student Clinical Performance Evaluation

Student Saidu Fofanah Date 10/8/19 Week # 5 Faculty Professor Schroeder

S = Satisfactory N = Needs Improvement U = Unsatisfactory NA = Not applicable (*) Critical behavior
Students who meet any of the following criteria will be given a remediation plan and may be placed on probation.
Failure to progress in these areas may result in failure of the course.
-One unsatisfactory grade in a critical behavior -Two needs improvements in a critical behavior
-Two unsatisfactory grades in a non-critical behavior -Four needs improvements
Student Instructor
Self- Eval of
Outcome 1 Eval Student
Analyze the effectiveness of the plan of care (CO1) S/N/U S/N/U
1. *Prioritizes patient care based on assessment with faculty as a resource s s
2. *Demonstrates accurate patient assessment skills s s
3. Analyzes and incorporates data from the patient’s medical record in the provision of care s s
4. Uses patient assessment data to implement individualized plan of care with faculty as a
resource s s
5. Establishes appropriate nursing priority list based on collected evidence and patient
assessment with faculty as a resource s s
6. Establishes measurable patient outcomes based on nursing priority with faculty as a
resource s s
7. Establishes appropriate nursing interventions based on assessment with faculty as a
resource s s
8. Evaluates patient response to care and revises plan as needed with faculty as a resource s s
Student Instructor
Self- Eval of
Outcome 2 Eval Student
Seek opportunities that promote professional growth (CO2) S/N/U S/N/U
9. Demonstrates professional behavior and appearance s s
10. Seeks input from patient, instructor, and healthcare team in the delivery of patient-
centered care s s
11. *Demonstrates accountability and accepts responsibility for own actions and attitudes s s
12. *Adheres to attendance policy s s
13. Participates actively in all clinical experiences s s
14. Engages in self-reflection and communicates learning needs to instructor s s
15. Completes assignments as required and submits on time s s
16. Demonstrates initiative in assisting peers and healthcare team members in the clinical setting s s
Student Instructor
Self- Eval of
Outcome 3 Eval Student
Provide patient-centered care with faculty as a resource (CO3) S/N/U S/N/U
17. *Implements appropriate infection control precautions s s
18. Provides culturally sensitive care s s
19. Documents patient care accurately s s
20. Uses therapeutic communication skills s s
21. Follows through with all patient care s s
22. Demonstrates knowledge of medications for assigned patients n/a n/a
23. *Administers medication safely using six rights of medication administration n/a n/a
24. Demonstrates caring behaviors s s
25. Uses SBAR effectively s s
26. Acts as an advocate for patients and families s s
27. *Demonstrates physical and mental competence s s
28. *Identifies safety concerns and notifies instructor and appropriate healthcare team s s

Approved 12/4/14. Revised 12/10/2014; 01/2015; 3/16/18

 Carroll Community College
NURS 233 – Nursing Concepts 3
Weekly Student Clinical Performance Evaluation

members
29. Demonstrates time management techniques s s
30. Implements patient and family education and evaluates effectiveness of teaching s s
31. *Updates instructor and healthcare team regarding changes in the patient’s condition s s
32. *Provides nursing care based on the policies and procedures of the facility s s
33. *Provides nursing care in accordance with the Maryland Nurse Practice Act s s
34. *Adheres to HIPAA guidelines s s
35. *Provides care according to ANA Scope and Standards of Nursing Practice s s
Student Instructor
Self- Eval of
Outcome 4 Eval Student
Implement nursing care based on scientific evidence (CO4) S/N/U S/N/U
36. Incorporates evidence-based rationale that supports the patient’s plan of care s s
Student Reflection (Thoroughly answer all questions)
What did you learn this week that has contributed to your growth as a nurse? Please explain.

I learned a lot about diabetes from the diabetic nurse and how to manage diabetes specific to the patient’s
needs. I learned about giving the options of the many ways to control diabetes to the patient and giving the
patient the preference of what they would like to do. They could take pills or use short acting insulin or use
long acting insulin.

Which objective did you accomplish this week? How did you do it?

I accomplished participating actively in all clinical experience because I did am care for one of my patient. My
other patient was independent and could do am care on their own. I participated in a consult with the diabetic
nurse. I transferred my patient to the med-surg floor and handed him off to his new nurse. I also participated in
post conference as well

Do you have any concerns about your performance? If so, what are your plans for improvement?
Please explain.

My concern is using the skills I learned in the lab on the floor. I didn’t give any medications or perform any
skills this week but I’m scheduled to give medications next week. My plan is to go into the lab this week and
practice some more.

Faculty Comments/ Student Learning Goals (Goals must be established even if performance is satisfactory.
If an item was identified as N or U, narrative comments are necessary to clarify student performance along
with goals to improve performance).

Saidu,
Nice reflection above.
This week you were able to give me a brief report at the start of the day and verbalize your focus. SBAR was
complete on both patients. Charting was done on both patients and was accurate.
You skipped lunch to stay and hear about diabetic teaching. That is great. I looked for you later and did not
find you on the unit. Did you get a chance to go to lunch? I never had time to ask on Tuesday.
In the future when or if you leave the unit please let me know. You may have been in the bathroom.
I hope you do revisit the skills lab and practice before tomorrow.

Approved 12/4/14. Revised 12/10/2014; 01/2015; 3/16/18

 Carroll Community College
NURS 233 – Nursing Concepts 3
Weekly Student Clinical Performance Evaluation

We could not give meds this day for 2 students had not yet given medications at all during this rotation.
We will give meds tomorrow if things go according to my plan. Be prepared at 0830 to discuss the medications
and their effect on the patient. I hope to find an IV and SC insulin in addition to oral medications for us to give.

Student Signature: Sfofanah Date: 10/8/19

Instructor Prof. Jane Schroeder,
Signature: MSN, RN Date: 10/14/2019

Approved 12/4/14. Revised 12/10/2014; 01/2015; 3/16/18