NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD,100% CORRECT

NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD Attendance-Week 1 2 3 4 5 6 7 8 9 10 11 12 13 14 P=present/punctual L=late (hr/min) A=absent P P P P N/A P P N/A P N/A N/A N/A N/A N/A Arrived to classroom/lab on time including after breaks. N/A N/A N/A N/A N/A N/A N/A Uniform worn as per policy. N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Adhered to lab policies. N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Proper notification of lateness/absence given prior to class or return demonstration. (if applicable) N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A Skill competencies: Attempt #1 Attempt #2 Performance Improvement Plan Attempt #3 Other Comments Handwashing S Positioning S Passive ROM S Transferring S Ambulating/Aids S Oral care S Assistance with eating S Bed bath S Perineal care S Occupied bed making S Temperature S Pulse S Respirations S 2-step Blood Pressure S Requires more practice. Oxygen saturation S PPE S (S=Satisfactory; U=Unsatisfactory) 3 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK Professional Practice 1. Demonstrates accountability and accepts responsibility for own decisions and actions Week 1-4: When I came to class, I told my teacher what assignments I have and have not competed for class I arrived to class at least 10 minutes before class had started, and got all things I would need for the class. Weeks 5-7: I arrived at class early, about 15-20 minutes before class starts, and I brought my blood pressure cuff and stethoscope just in case we were going to use it during lab. Weeks 8-13: I arrived to class early, before class starts. For lab sessions, I have always worn the required uniform and brought my skill checklist to class. Weeks 1-4: Shantae has demonstrated accountability and responsibility by attending online and in-lab sessions on time with the appropriate uniform and materials to participate. However several reminders were required for the completion of assignments and homework prior to lab. During Week 2, an email was sent with a reminder of the CLS quiz criteria as a 100% score was not achieved. Furthermore the discussion board activity was not completed for Week 2. Upon follow-up, instructions were not followed in regards to replying to a peer’s post on the discussion board. Moreover, during Week 3, a blank document was submitted in the RSA assignment folder in addition to a late submission. It is noted that the pre- lab homework continues to be submitted late. Weeks 5-7: Shantae continues to demonstrate accountability and responsibility through weeks 5-7. She has been punctual and present to all classes and labs with the appropriate materials and uniforms. Shantae has demonstrated better accountability and responsibility towards the completion of her 4 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK homework and assignments prior to their due dates. 2. Practices autonomously within legislated scope of practice. N/A N/A 3. Displays self-awareness and recognizes when to seek assistance and guidance. Weeks 1-4: If I don’t understand something, for example in class I wasn’t sure how to get the transfer sheet under the patient, I asked the teacher to clarify the steps for me. Also, I ask my classmates for help when I don’t understand what I’m supposed to do for a assignment. Week 3: When performing the skill to put a patient in a wheelchair, I asked my teacher if I did some of the following steps correct, if I was unsure. Week 6: I asked the teacher for assistance, to set a timer for 30 seconds, when taking one of the student’s radial pulse and respiratory. Weeks 5-7: I also ask my classmates for clarifications as to when assignments are due and instructions Weeks 1-4: Shantae is self-aware of when she requires further assistance or clarification in lab and in online sessions. Weeks 5-7: Shantae is sometimes able to recognize when more instructions and details are required to complete her assignments for class. She sometimes seeks assistance with the understanding of certain skills. As the semester progresses, Shantae is encouraged to be more self-aware when more assistance is required to understand content and learn a skill. Lab is a learning environment and all questions are welcomed. 5 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK for how to complete the assignment. Weeks 8-13: Whenever I need clarification on assignments or skills, that we are practicing during lab, I ask my teacher or classmates. 4. Adheres to regulatory requirements of jurisdictional legislation. N/A N/A 5. Practices within own level of competence. Weeks 1-4: When I’m practicing the skills assessment, for example how to get the patient up and out of bed, I do the steps I know, and I do them correctly. Weeks 5-7: When I’m practicing taking vital signs with one of my family members or one the students from my class, most of the time I did the steps in the correct sequence. If I was unsure what to do next I would ask my teacher for help. Week 8-13: When performing the skills making an occupied bed or perineal care, I perform the steps in the correct sequence but when I am unsure if whether I am doing the step Weeks 1-4: Shantae has been receptive to learning new skills in lab and is just beginning to develop her level of competence. Weeks 5-7: Shantae is sometimes able to recognize her limitations in practice. It is evident that she is able to complete her homework and readings prior to class. However she is encouraged to bring to class her questions for clarification of content and skills. 6 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK correctly, I ask for clarification. 6. Initiates, maintains and terminates the therapeutic nurse- client relationship. N/A N/A 7. Provides client care in a non-judgmental manner. Weeks 2-3: When going through each of the skills assessment, I remain respectful when talking to the patient. I talk to them using a polite tone and ensure that my body language is not perceived as critical. Week 5-7: When practicing taking vital signs, I always introduce myself in a friendly manner, using a calm voice. Week 8-13: When performing the skill, I remain respectful, to the client, and always introduce myself and make sure that my body language is not being perceived in a critical way. Weeks 1-4: No client care was provided. Weeks 5-7: No client care was provided. 8. Adapts practice in response to the spiritual beliefs and cultural practices of clients. N/A N/A 7 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK 9. Supports clients in making informed decisions about their healthcare and respects their decisions. N/A N/A 10. Engages in self- reflection and continuous learning to maintain and enhance competence. Week 3: Before coming to class I would practice the skills at home, to the best of my ability, and to see if I’m doing the skill properly. Also watch videos about the skill after class to ensure that I remember the process of performing the skill. Week 6: Before coming to class, I would do the required reading, watch the CLS videos and practice the skill, within my own capability. I also practice the skill once more at home to ensure I’m doing the skill correctly, for example doing the two-step method of taking a person’s blood pressure. Week 8: Before coming to the lab sessions, I do the required readings and watch the CLS videos. Also, if possible, I would try to practice the skill at home to be better prepared to perform the skill in lab. Weeks 1-4: Shantae has completed her Requisite Skills & Abilities Self Reflection. She was able to reflect on her ability and position in becoming a future registered practical nurse. Weeks 5-7: Shantae is aware of her strengths and weaknesses. She is encouraged to seek further assistance and help when required to understand the content better and become more proficient at her skills. 8 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK 11. IDENTIFIES (Integrates) relevant evidence into practice. Week 1: I’m able to explain the importance and purpose behind proper hand hygiene and wearing protective personal equipment. Week 5: I’m able to identify some of the normal ranges of the vital signs and where they are assessed on the human body. Week 8: I am able to identify and explain the importance of performing certain skill. Weeks 1-4: Not observed. Weeks 5-7: Not observed. . 12. Collaborates in the analysis, development, implementation and evaluation of practice and policy. N/A N/A 13. IDENTIFIES (Integrates) continuous quality improvement principles and activities into nursing practice. Weeks 2-3: In class, I would do the necessary skills we are learning for those weeks. I would do them over and over again until I was able to do the skill without any help from my classmates or teacher. Week 3: When I was trying to put the transfer sheet under the patient, I realized I couldn’t do it by myself, so I asked on of my classmates to assist. Weeks 1-4: Not observed. Weeks 5-7: Shantae is able to demonstrate a moderate understanding on how to take vital signs. She practiced several times in lab and shows a commitment towards improving her skills. 9 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK Week 5-6: My partner and I were notified of some of the mistakes we made for the PPE Critique assignment. We did the assignment over again until we were notified that the assignment was completed to satisfactory. Week 8: I am able to demonstrate how to do perineal care and make an unoccupied bed. If there is any point where I do not do a step correctly, I do that step over and over again until I did right. Also, towards the end of the lab session, we practiced taking blood pressure, and I was able to do it correctly that time. 14. Demonstrates a professional presence, honesty, integrity and respect in all interactions. Weeks 1-4: When I’m emailing my teacher or classmates about a question I have; I would speak to them as they were my colleagues. Week 1: When I was responding to my peer’s opinion in the Padlet discussion, I gave them my response of what I think about their opinion. I was not judgmental, I used respectful Weeks 1-4: Shantae maintains professionalism at all times in the presence of her peers and clinical instructor. She is respectful of others and her environment in lab. However it was noted during week 3 lab that Shantae was dozing off during instructional sessions. Weeks 5-7: Shantae continues to maintain her professionalism at all times in the presence of her 10 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK and professional language. Week 5: When responding to my peers opinion’s on this discussion board and Padlet, I remained respectful in my responses and acted as if I was responding to a co-worker. Week 8-13: When email my teachers, or when responding to my peers discussion posts, I make their my language is respectful and professional. peers and clinical instructor. She is honest and maintains integrity in her online discussions posts. 15. Demonstrates fitness to practice. Week 3: When we were doing the Ambulating aid, ROM, Positioning, I was able to the skills effectively because my fitness level is adequate. I’m able to stand on my feet for a long period of time and I can lift things. Week 5-6: I hand in my assignments on time, and I try to complete any work given to me to the best of my ability. If my work is unsatisfactory, then I would look at the mistakes I have made, and the teacher’s feedback so can I correct the Weeks 1-4: Shantae requires more accountability towards her time management. It is noted on several occasion that some aspect of her submitted homework is incomplete. In addition, the submissions are frequently late. Moreover, there are some instructions missed. More attention to detail is required. Shantae is actively engaged during practice sessions in lab. She is able to demonstrate knowledge from her readings. Weeks 5-7: Shantae has demonstrated better time management skills throughout weeks 5-7. She 11 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK mistakes I have made. Week 8-13: In these last couple of weeks, I have been able to hand in my work on time, or before its due date. As well, I use my teacher’s feedback to help me improve on my work. engages in lab and is not afraid to share her answers with the group. 16. Maintains current knowledge about trends and issues that impact the client, the registered practical nurse, the healthcare team and the delivery of health services. N/A N/A 17. Identifies and responds to inappropriate behaviour and incidents of professional misconduct. Weeks 1-4: If I see that my classmates are not being respectful, I would encourage that we all got together to try and resolve and problems that may be going on. Week 5-7: I try to encourage everyone to be respectful to one another and themselves. Week 8-13: If there is a time when I see my peers being rude to one another, I would encourage them to be respectful. Weeks 1-4: Not observed. Weeks 5-7: Not observed. 12 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK 18. Recognizes, responds and reports own and others’ near misses, errors and adverse events. Week 2-3: If I noticed that my classmates answered a question wrong during a discussion, I would politely correct them by giving my answer as suggestion instead of attacking them and their answer. Week 3: When I was practicing the skill to put a patient in a wheelchair, I had realized that the wheelchair was not close enough to the patient, so that they can do minimal movement as much as possible. When I figured out what I did wrong, I restarted the process and ensure that the wheelchair was really close to the patient. Also, at time I would forget to provide the patient with their bed slippers when I’m taking them out of the bed. Week 5: When answering questions during our lab time, I would elaborate on my classmates answers instead of attacking them if their answer was wrong or they left out a few details. Week 8-13: I would elaborate on my Weeks 1-4: Not observed. Weeks 5-7: Not observed. 13 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK peer’s answers, during our discussions, if they have not answered the question fully. 19. Distinguishes between the mandates of regulatory bodies, professional associations and unions. N/A N/A 14 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD Ethical Practice 20. Establishes and maintains professional boundaries. Week 3: My classmates and I made the most of our time in lab, by going through the skills over and over again until we did it perfectly. We didn’t socialize too much and we stayed focused on the work we had to do. Week 5: My classmates and I were very focus during our lab session, we didn’t waste any time. All of us go to take a person’s vital signs and recorded the data. We each got to practice taking the vital signs multiple times and we would give each other assistance, for example locating our brachial pulse and radial pulse for the student who is taking our vital signs. Weeks 1-4: Shantae demonstrates the ability to maintain professional boundaries between her peers and instructor. Weeks 5-7: Shantae continues to maintain professional boundaries in lab as well as online sessions. She is respectful of her peers and instructor. Week 8-13: Throughout this semester, I have always remained respectful to my classmates and professors, and do not try to over stop any boundaries. 21. Takes action to minimize the impact of personal values and assumptions on interactions and decisions. Week 1-4: When providing care, I keep all my personal beliefs, opinions, and values, to myself, and I don’t let them interfere when I’m Weeks 1-4: Not observed. Weeks 5-7: Shantae has demonstrated the ability to engage in group discussions. Her responses are 15 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK providing care to a patient. I remain unbiased. Weeks 5-7: I try to keep my personal beliefs, values, and attitudes to myself, as I am not in the position of the patient and my opinion could interfere with their role of making independent decisions about their health. Week 8-13: I am always an active participant during class discussions, and I respect everyone’s opinions. respectful of other’s opinion. She is sometimes able to challenge other’s responses in a respectful manner. 22. Demonstrates respect for the values, opinions, needs and beliefs of others. Weeks 2: I don’t judge any of my classmate’s opinions and beliefs. I try to find similarities between what my classmates believe in and what I believe, to show my understanding to them and to respectful. Week 5-6: I don’t judge nor criticize my peers for their opinions. I like to keep an open mind when reading or listening to what they have to say. Week 8-13: I do not criticize anyone for their opinions, values, and beliefs. Weeks 1-4: Shantae is a respectful individual. She is self-aware of her own values and beliefs and allows others to express themselves freely with no judgement made. Weeks 5-7: Shantae demonstrates her opinions in a respectful way. She engages in online discussions and is able to share her views without compromising the view, values and beliefs of others. 16 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK I keep an open mind and try to find similarities between our opinions, to demonstrate my understanding to them. 23. Applies ethical frameworks and reasoning to identify and respond to situations involving moral and ethical conflict, dilemma or distress. N/A N/A 24. Obtains knowledge of and responds to the Calls to Action of the Truth and Reconciliation Commission of Canada N/A N/A 25. Preserves the dignity of clients in all personal and professional contexts. Week 3: When a classmate came to me with a problem, I did not disclose any information with anyone else. Week 5-7: If a classmate were to come to me with a problem, I would keep the situation between us and would disclose our conversation with anyone else, as it does not concern them. Week 8-13: If I was working with an actual client, and they have confided to me, I would not disclose that information with anyone else. Weeks 1-4: No client care provided. Weeks 5-7:No client care provided. 17 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK 26. Advocates for equitable access, treatment and allocation of resources, particularly for vulnerable and/or diverse clients and populations. N/A N/A 27. Advocates for clients or their representatives especially when they are unable to advocate for themselves. N/A N/A 28. Adheres to the duty to provide care. Week 3: I provided care for the patients, when practicing the skills assessment. I got my PPE, got all my equipment ready for each skill I had to do and remained respectful to the patient. Week 5: When practicing taking vital signs, I made sure that I had all the equipment, that I needed, ready and remained respectful to the patient. Week 8-13: When performing any skill, I have made sure that I had my equipment ready and remain respectful to the patient. Weeks 1-4: No care was provided. Weeks 5-7: No care was provided. 18 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD Legal Practice 29. Practices according to (legislation), practice standards, ethics and organizational policies. Weeks 1-4: When in lab, I follow the lab and the school’s policies by wearing a mask when I’m in the building and by wearing the proper uniform to my labs. Week 5-7: When I’m at school and in the lab room, I follow all of the rules and policies. Also, I try to demonstrate some of the CNO practice standards. Week 8-13: I follow the rules, of being at school during the lab sessions, as well as the online learning rules. Throughout the semester, I try to find opportunities where I can demonstrate some the CNO practice standards. Weeks 1-4: Shantae is aware of some of the practice standards put in place by CNO. Weeks 5-7: Shantae has an understanding of the CNO practice standards. She was able to relate her learning plan goals towards a practice document. She demonstrates the awareness to refer to practice standards in group discussions. 30. Practices according to relevant mandatory reporting legislation. N/A N/A 31. Recognizes, responds and reports questionable orders, actions or decisions made by others. Week 2: When we were going over how to put on and take off PPE, I saw that one of my classmates was shaking the gown off their body, so I informed that the gown should roll off Weeks 1-4: Not observed. Weeks 5-7: Not observed. 19 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK their body and by shaking the gown, all of the bodily fluids that may be on it will spread to other places. Weeks 5-7: In a polite manner, I would inform my classmates, if in some of the steps for performing a certain skill, is wrong I would give them suggestions as to how they could do it correctly. Week 8-13: I would give my classmates suggestions to improve better on a step, of a certain skill. 32. Adheres to the duty to report. Week 1-4: I did not see any of my classmates not following the lab policies, but if one were not following the policies, I would remind them of the rules and inform the teacher if the problem was not resolved. Weeks 5-7: My classmates were following the rules and policies of the school and online. Week 8-13: I follow school rules and polices, as well as the CNO policies. Weeks 1-4: Not observed. Weeks 5-7: Shantae has engaged in the documentation of vital signs during lab. 20 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK 33. Protects clients’ rights by maintaining confidentiality and privacy in all personal and professional contexts. Weeks 1-4: I maintain the patient’s privacy by not disclosing any of their personal information with anyone, unless it is required the treatment plan of the patient. Weeks 5-7: As a practical nurse, I would not disclose any of the patient’s information with anyone else, who is not required in the plan to restore the client to an optimal state of health. Week 8-13: I would not give out the patient’s personal information with anyone else, that is not a part of the plan to restore the patient back to their optimal state of health. Weeks 1-4: No client care provided. Weeks 5-7: No client care provided. However, Shantae demonstrates an understanding on the concepts of privacy and confidentiality of patient information. 34. Respond to the clients’ right to healthcare information in adherence within relevant privacy legislation. N/A N/A 35. Documents according to established legislation, practice standards, ethics and organizational policies. N/A N/A 21 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK 36. Obtains informed consent to support the client's informed decision-making. N/A N/A 22 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD Foundations of Practice 37. Completes comprehensive health assessments of clients across the lifespan. N/A N/A 38. Selects and utilizes information and communication technologies (ICTs) in the delivery of client care. N/A N/A 39. Researches and responds to relevant clinical data. N/A N/A 40. PROMOTES (Engages Week 2: I did the required reading Weeks 1-4: Shantae has completed her pre-lab homework using relevant sources. Weeks 5-7: Shantae continues to complete her pre- lab homework and assignments utilizing relevant sources. Through her online discussions, she is able to use scholarly sources to provide evidence of the information/ idea. in) evidence-informed and video. I also did the CLS quizzes practice by considering a variety of relevant sources to see if I understood the content. of information. Weeks 5-7: When completing my pre- lab work, I use the information from my readings, the Clinical Learning Suite, as well as other websites I am required to look at, when doing my work. Week 8-13: I use my required reading, information I obtain during class discussion, as well as online resources to help me complete my class work, and to reinforce my point in my discussion posts. 41. Comprehends, Week 1: I did the Sim’s chart activity Weeks 1-4: Shantae has a good understanding on the responds to and reports assessment findings. and had to report the patient’s safety assessments that need to be put in place prior 23 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK results onto the chart, and their reasoning for not taking a bath. Weeks 5: During our lab, I had to record the vital signs results as one of the students were assessing the other student’s vital signs. Week 8-13: In the Karen James Sim chart, I was able to record my findings onto the patient’s chart. to mobilizing individuals. Weeks 5-7: Shantae demonstrated a good understanding on how to appropriately report and chart her vital sign measurements. 42. Formulates clinical decisions consistent with client needs and priorities. N/A N/A 43. Identifies nursing diagnoses. N/A N/A 44. Develops the care plan with the client, healthcare team and others. N/A N/A 45. Implements nursing interventions based on assessment findings, client preferences and desired outcomes. N/A N/A 46. Responds to clients’ conditions by organizing competing priorities into actions. Week 1-4: When assessing the patient, I have to ask them question about their life like what kind work Weeks 1-4: No client care provided. Weeks 5-7: No client care provided. 24 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK they do, their eating habits, and lifestyle to determine what is contributing to their problem. Weeks 5-7: If I get the chance, I would assess the patient’s lifestyle and routines to determine what is contributing to whatever problem they may have. Week 8-13: When given the opportunity, I would assess the patient by asking question about their lifestyle, to determine what is contributing to their problem. 47. Assesses clients’ health literacy, knowledge and readiness to learn. N/A N/A 48. Assesses, plans, implements and evaluates the teaching and learning process. N/A N/A 49. Provides information and access to resources to facilitate health education. N/A N/A 25 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK 50. Evaluates the effectiveness of health education. N/A N/A 51. Applies principles of client safety. Week 3: When I was performing the skill to change the patient’s position in bed, I would use proper body mechanics, such as raising the bed to my waist level so that I’m not reaching over to position them, thus preventing any back injuries. Also, when the patient was getting out of bed, I made sure that I lowered back down the bed so that the patient isn’t jumping out of the bed. Week 5: When performing the skills for taking vital signs, I ensured the patient is in a comfortable position. Week 8-13: When performing any skill, I ensured that the patient was not experiencing any pain, and also asked how they were feeling. Weeks 1-4: During Week 3 lab, Shantae had a good understanding on how to assess client safety prior to mobilization. She was able to enact those assessment skills during her lab practice as well as her return demonstration. Weeks 5-7: Shantae continues to demonstrate a good understanding on client safety. She is able to introduce herself in an appropriate manner utilizing the correct designations. 52. Engages in quality improvement and risk management to promote a Week 3: I make sure that bed is low enough for the patient so they can Weeks 1-4: Not observed. Weeks 5-7: Shanate is sometimes able to recognize 26 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK quality practice environment. get out of bed, if they can do so by themselves, I also make sure that their bed slipper are near, as well as making sure the remote control is accessible to the patient and the bed positioning is not locked. Week 5: When I’m taking one of the student’s vital signs, I had them sitting down and resting one of their arms on a pillow that was placed on top of a table. Week 8-13: I always try to improve on certain areas, while performing a certain skill. areas that she may require further practice. During lab she demonstrates the ability to question and seek assistance for understanding concepts and enacting skills. 53. Evaluates the effectiveness of nursing interventions by comparing actual outcomes to expected outcomes. N/A N/A 54. Reviews and revises the plan of care and communicates accordingly. N/A N/A 55. Assesses implications of own decisions Week 3: before performing a skill, I reflect on what steps I’m going to take and quickly determine the good and bad outcomes of the decisions I make, during the skill process. Weeks 1-4: Not observed. Weeks 5-7: Not observed 27 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK Week 5: Before assessing the student’s vital signs, I would go over the steps in my head, and the precautions I should take. Week 8-13: Before performing any skill, I go over the steps in my head, always think about how my technique, for caring for the patient, would affect them. 56. DISPLAYS (Uses) critical thinking, critical inquiry and clinical judgment for decision-making. Week 3: When the recognizes that one student are doing one of the steps incorrectly, I provide reasoning as to why that step is wrong and what could happen to both the nurse and patient, if the health care provider goes through with the step. Week 5-7: When doing my Pre-lab homework, I provide explanations to my answers. In lab, I also try to explain why we assess the patient’s vital signs. Week 8-13: When completing my assignments, I always provide an explanation. Weeks 1-4: Not observed. Weeks 5-7: Not observed. 28 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK 57. Demonstrates professional judgment in utilizing information and communication technologies (ICTs) and social media. Week 2-3: I use the information that I retained from doing my weekly readings to make professional judgements, such as what kind of ambulatory would best suit the patient, considering the state they are in. Weeks 5-7: I use the information from my weekly readings to help me in making professional judgements, to ensure the safety of the patient. Week 8-13: I use the information I have learned, from doing the required readings and my personal judgment, to ensure the client’s safety. Weeks 1-4: Shantae was able to complete her Sims Chart Scavenger hunt in a timely manner. Weeks 5-7: Not observed. 58. Recognizes high risk practices and integrates mitigation strategies that promote safe care Week 3: If I see that the bed is not lowered, I would lower it so the patient can easily come out of bed. Also, if the patient is coming out of bed, I would place their bed slippers near them because the floor could be slippery and a injury could occur. Week 5: I think over any potential hazards, that could put the patient at Weeks 1-4: Not observed. Weeks 5-7: Shantae demonstrates the ability to correct herself when using the wrong terminology to describe her vital signs measurements. 29 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK risk. Week 8-13: I am always thinking about how my technique could harm the patient, and take precautions to ensure the patient safety. 59. Applies strategies to prevent, de-escalate and manage disruptive, aggressive or violent behaviour. N/A N/A 60. Recognizes (and responds) immediately when a client’s condition is deteriorating. Week 3: If I leave a patient in Fowler’s position then their condition could worsen, so when I’m done doing whatever it is, that required the patient to be in Fowler’s position, I would put the bed back to its normal state to avoid sore pains in the patients or worsening their condition. Weeks 1-4: No client care provided. Weeks 5-7: No client care provided. Week 5: After doing one of the vital sign assessments I would place back one the student’s body part, that I have used during the assessment, back into its normal position so the patient doesn’t experience discomfort. Week 8-13: After performing any skill, 30 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK I would always reposition the client back into a comfortable position, so they do not experience any discomfort. 61. Demonstrates knowledge of nursing theory, pharmacology, health sciences, humanities and ethics. N/A N/A 62. Applies knowledge of pharmacology and principles of safe medication practice. N/A N/A 31 CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD 32 63. Engages clients in identifying their health needs, strengths, capacities and goals. Collaborative Practice N/A N/A 64. Communicates collaboratively with the client and the healthcare team. 65. Provides essential client information to the client and the healthcare team. 66. Promotes effective interpersonal interaction. Week 3: I had to communicate with my classmate the steps we are going to take when moving the patient up more on the bed. I had to tell them when we should start sliding and which direction we are going. Week 5: I communicated with the student, I was assessing, of what assessments I will be doing and the steps. Week 8-13: I am always communicating with the client, the procedure and activities that they will be doing. Week 3: Before positioning the patient, I would introduce myself them, then inform the patient of what I will be doing for the day, for example putting them in a different position or helping them with their ambulatory aids. Week 5: After doing each vital sign assessment, I would tell the student their results, as well I would inform the student who is recording the data of the results. Week 8-13: Before performing any skill, I would introduce myself, explain the procedure to the client, and its significance. Week 1-4: I discuss class content with my classmates, giving them my input on certain topics. Weeks 1-4: No client care provided. No interactions made with health care team. Weeks 5-7: No client care provided. No interactions made with the health care team. However, Shantae was able to demonstrate the ability to change roles in lab of being the student nurse or the client. She was able to work with her classmates to ensure all vital sign measurements were taken. Weeks 1-4: Shantae is able to understand the importance of introducing oneself to clients prior to engaging in care. She was able to practice this component in lab with proficiency. Weeks 5-7: Shantae demonstrates the ability to introduce herself using the appropriate designations prior to any form of care. 33 Weeks 1-4: Shantae is able to engage and interact professionally with her peers in lab. CENTENNIAL COLLEGE PRACTICAL NURSING PNUR105 CLINICAL/LAB PRACTICE EVALUATION RECORD ETPC STUDENT EXAMPLES INSTRUCTOR FEEDBACK OVERALL SUMMARIES Consider above examples and determine patterns of progression throughout the course. Provide a brief overall summary of student strengths and areas of improvement for future practice. 34 Weeks 1-4 STUDENT INSTRUCTOR Shantae is a student who is engaged in lab and is able CENTENNIAL COLLEGE PRACtoTICdAemL oNnUstRraSteINGknowledge to the skills being developed. She is not afraid of volunteering and PNUR105 CLINICAL/LAB PRACTICEdeEmVoAnLsUtrAatTinIOg NreRleEvCanOt RsDkills to her peers. As the ETPC MIDTERM FINAL STUDENT EXAMPLES I think my strengths, in this class, are that I am able to perform most of the required skills of a practical nursing student. I am able to perform hand hygiene, put on and off PPE, as well as taking a patient’s vital signs. My areas for improvement, for future practice, would be accurately taking a person’s blood pressure, completing all my assignments on time. As well as doing the assignments correctly such as paying more attention to the instructions, because there are times where I forget to add a few details in my assignments. My strength would be being able to perform the required skills, as well as I have improved on complete the assigned homework on time or before semester progresINseSsT,RUshCeTOiRs FeEnEcDoBuArCagKed to develop a plan on how to improve her time management and attention to detail with instructions. This will assist in completing a thorough assignment/homework and submitting it on time. There are excellent services from the college to assist with these skills. Student Services at Centennial provides excellent resources. Please do not hesitate to contact me if you require further assistance. We are here to support your success. Areas of Strengths Shantae has improved on her ability to manage her time in regards to her homework and assignments. She presents to class with her readings completed and is not afraid to start group discussions. She continues to maintain a great deal of professionalism in class towards her peers and instructor. She is respectful of everyone as well as her learning environment. Areas of Improvement As the semester progresses, Shantae is encouraged to recognize her areas of improvements and seek assistance where required. Do not be afraid to ask questions or ask for assistance when needed. This is how your learning will develop. All questions and inquiries are welcomed in this class. 35