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09) uUMBER Schoo! of Health Sciences Dates: __September 2, 2014 to December 2, 2014 S: Satisfactory N: Need Development Practical Nursing Diploma Program Mid-term einai Giinfesi Evaluation Form ‘Student TOYIN FAKUS-ATUNDAQLU. Student Number | Summary of Areas of Practice Student Comments: Summary of | Faculty Comments: Summary of clinical Experience clinical experience : Competent and safe practice in a professional, legal and ethical framework s Ne EET sx Toyin demonstrates her ablity to consistently practice in a ‘Theory 3 and Pharm two, Iwas able _ | Competent and safe manner within a professional, legal and ‘ethical framework to guide the ‘ ‘care she provides to her Hospital, where I provided safe and | Zssigned patients. She has competent nursing care for each of | shown her use of nursing my patients, peers and families. I was | knowiedge and assessment to able to answer any concern and when | promote patients well-being and Based on my enrollment for the Ethical Issues in Nursing, Nursing to ensure that throughout my clinical placement at Etobicoke General Ned] unsure I was able to ask or source the | Patients choice. right resource. [acted ina responsible, ethical and accountable | manner to represent the hospital and | my school to the patients and their families. | always took care to ensure the safety of my patients and I understood my limits wher to their choices. comes | 2. Communication ‘Za ™ Ey & Communication has always been one of | Toyin has strong communication my strengths even before entering the _| skills and has effectively applied nursing learning and practice. During _| them to create an appropriate urse-client therapeutic relationship. In addition, she iscoveries on the job. Even if Ihad to | has improved on her ability to document in a timely manner, ‘our post conferences, | was always happy to share new nursing caro Invite my peers to watch a novel hursing procedure, | always sock my Patients’ permission first and | always did proper introduction so as not to leave the pationt in the dark. Over the weeks, | loarnt to document my nursing intervention well. My time management improved so much that by the end of x Practical Nursing Diploma Program Mid-term ‘Student TOYIN FAKUS-ATUNDAOLU Student Number: ‘the placement period, Ihave become comfortable receiving and giving reports to outgoing and incoming nurses. | always use appropriate communication techniques with my patients and the inter-professional health care team. For instance, t will explain Tylenol as “medication for your pain” in such a simple way that the client will easily understand. At times for my senior patients, | would describe the pill by color and mechanism of action. | learned to use the hospital's data base to research medications and especially IV solution compatibility. 3 Caring relationat practice ef E Lam excellent when it comes to establishing therapeutic caring, compassionate, and culturally save relationships with my patients and colleagues. | always show respect and sensitivity to their beliefs, values, and cultural and religious background regardless of whether it contradicts my ‘own personal belief or not. Above all | agree with the CNO documents on Ethics that the clients’ choices and decisions is my utmost goal when it comes to treatments. For instance, | had an Italian patient who was refusing food as she claimed that she was admitted against her consent. Having explore this serious allegation with her, Iwas able to resolve her issue by ‘working with her frame of mind. We both agreed that as long as she ‘complies with her medication and nursing care, she should be able to go . | taught another senior who to use the incentive spirometer. He appreciated it more when | porsonalized it be writing his name on it for him to / take home upon discharge. js x ay Establishing a therapeutic caring, compassionate and culturally safe relationship is a priority for Toyin, in which she has demonstrated consistently throughout her clinical experience. On numerous ‘occasions her assigned patients and family members have ‘expressed their gratitude for the care they received. As well, other nursing staff have also expressed thanks for the assistance she has been able to provide, an Xe Practical Nursing Diploma Program Mid-term _/ Final Clinieal Evaluation Form ‘Student TOYIN FAKUS-ATUNDAOLU_ Student Number: Leadership and advocacy = ey L always use humor and friendliness to create positive work environment for my colleagues and clients, My Politeness and openness always earn me my patients’ rusts and acceptance. \ provided feedback to peers and accont feedback graciously from them as well as my Instructors or nurses. This to me fosters my development towards | excellent nursing care practice. However, | respond appropriately to unsafe unacceptable, and unprofessional practices. For example, a difficult patient had previously given a nurse a tough timo, when the nurse noticed that she was. assigned to mo, she started clamoring on how difficult the patient it. I fott a little embarrass and so | use body language to ward her off and had to. protect my client sk Ny Toyin finds creative solutions in situations that create ethical dilemmas and conflict. Her | ability to voice her concerns in the appropriate manner demonstrates her ability to be a | leader and advocate for her Patients, 5. Plans of care: Meeting Clients Needs and Mutually Agreed Expected Outcomes a is] This skills requires a continual practice and observation. Over the course of the ‘semester, ! have learnt to use my basic nursing assessment, skills, and judgment to assess my clients based ‘on their clinical diagnosis and manifestation. | have also learn to collaborate in the evaluation and modi n of plans of care. In an instance, when my nurse had asked me to withhold a “lactulose” medication for a client who she reported had four BMs the day before. | explained to my Instructor, who approved the changes and thought me how to memo it on the Mar chart. We eventually carried out a tap water enema as instructed by the physician. SX NE Overall, Toyin continues to move in a positive direction in her ability to adjust the plan of care for patients as it impacts their health outcomes. Her use of nursing assessment, skil, and judgment continue to develop with her eagerness to learn. mg Fo Practical Nursing Diploma Program Mid-term_/ Final Clinical Evaluation Foi ‘Student: TOYIN FAKUS-ATUNDAOLU_ Student Number: [Collaborative Ks opportunities ariso, | always Toyinis a teamplayer, by not Practice collaborate with my pationt’s intor- only holping whoa asked, but professional health care team including | also offering her help. She also the nurses, management dinner, PSW, | identifies when others need help cleaners and admin. give my support | anc lends 2 helping hand whenever | am asked. For instance, in | without hestation. care cases where boosting, brief changes or bed bath for patients are needed. | am a team player and always look fora way to make my team members shine and bo motivated in their work. 7. = a i Quality Assurance | like to reflect on my decisions and —_| Toyin takes the cnus upon ‘actions for the day in order to identify | horsolf to bo apart of hor what! did well and what could had —_| Iearing and continues to done better. | always research any new | improve her abiliies with skills of meds. | aways create and —_ reflection and continual implement individualized qualitative _| research. and therapeutic care to my patients in order to foster their optimalheatth =| 3

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