ss National Management Office | 3005 Highland Parkway, DownersUNIVERSITY
Grove, IL 60515 | 888.556.8226 |
Please visit for location specific address, phone and fax information.
CLINICAL LEARNING EVALUATION – LEVEL 2 CLINICAL
COURSES
Student Name: Christopher Aldrich Student D#: 41054533 Date: 2/7/21 PAGE 1 OF 6
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Designated Faculty Names: Kimberly Palma & Dusty Pickering
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Course Coordinator Signature: Final Review Date:
Course Number and Name: NR226 Fundamentals Care
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Session/Year: Jan 2021 Campus Location: PHX If other, please list:
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Total Hours Completed: Date(s) Tardy: Date(s) Absent:
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Simulation-Based Experience (SBE) Completion #1: Pre-briefing Simulation Participation De-briefing Simulation-Based Experience (SBE) Completion #2: Pre-briefing Simulation Participation
De-briefing Simulation-Based Experience (SBE) Completion #3: Pre-briefing Simulation Participation De-briefing
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Final Evaluation: SATISFACTORY UNSATISFACTORY
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• Student Learner (SL): Place self-assessment in the “SL” column • S=Satisfactory • NI=Needs Improvement
Performance Rating Criteria:
• Designated Faculty (DF): Place assessment of the student’s performance in the “DF” column (Meets or to Meet
Evaluate Using One of
• If the student learner does not have a satisfactory rating, complete the Formative Comments section with specific Exceeds) • NA=No
These Four Options
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recommendations for improvement to meet the expectation. Additional comments are encouraged even when • U=Unsatisfactor Opportunity for
expectations are met y (Fails to Evaluation
co rc Meet)
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Nursing Skills Record of Return Demonstrations Faculty Signature and Initials for Return Demonstrations
Return Return
Demonstration Demonstration Faculty Initials
(1st Attempt) (2nd Attempt) Signature
Skil
er res
l Date/Faculty Date/Faculty
Initials Initials
S U S U
eH y
rs udt
ss
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12- ©2019 Chamberlain University LLC. All rights 0119pflcpe
, National Management Office | 3005 Highland Parkway, Downers Grove, IL 60515 | 888.556.8226 |
Please visit for location specific address, phone and fax information.
CLINICAL LEARNING EVALUATION – LEVEL 2 CLINICAL
COURSES
PAGE 2 OF 6
Student Name Christopher Aldrich Student D#: 41054533
a
vi
Performance Rating Criteria: Evaluate Using One of These Performance Rating
Clinical Learning Competencies Four Options (S/U/NI/NA)
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(CLCs) & Performance Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8
• S=Satisfactory (Meets or • NI=Needs Improvement to meet
Descriptors
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exceeds) • NA=No opportunity for SL DF SL DF SL DF SL DF SL DF SL DF SL DF SL DF
• U=Unsatisfactory (Fails to evaluation
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meet)
Prioritize appropriate nursing care based on theories and principles of nursing. (PO 1)
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• Demonstrates appropriate knowledge, skills and attitudes required for performing basic nursing S S S
skills while maintaining a safe environment
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• Identifies data and nursing interventions to provide individualized and comprehensive nursing care S S S
• Demonstrates effective assessment skills in obtaining subjective and objective data S S S
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• Examines patient preferences and values when providing basic nursing care S S S
Evaluate a plan in collaboration with the patient, family and interdisciplinary healthcare S S S
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team, using the nursing process and leadership skills for adequate health promotion,
maintenance and restoration. (PO 2)
co rc
• Constructs a plan of care based on assessment findings and nursing diagnoses S S S
o. ou
• Identifies risk factors that influence the health of the patient with regard to health maintenance and health S S
restoration
• Identifies spiritually and culturally appropriate health promotion, health maintenance and illness prevention S S S
er res
interventions
• Interprets patient outcomes to determine effectiveness of nursing interventions
Model Chamberlain Care® when communicating with patients, families and other healthcare S S S
eH y
providers. (PO 3)
rs ud
• Builds therapeutic relationships with patient and family
• Identifies changes in patient care or condition within an appropriate time frame S S S
S
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• Reports changes within appropriate time frame to instructor and healthcare team
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Combine clinical reasoning skills, current evidence, clinical expertise, patient and family
preferences/values in the implementation of the nursing process. (PO 4)
S S S
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• Demonstrates problem-solving and decision-making skills when providing patient care