NURSING 3020 Clinical Evaluation

NURSING 3020 Clinical Evaluation

NURS 3020H
Clinical Evaluation
(Check one) Midterm _____X_____ Final ____________
Student Name: _____Ainsley Kinch_____________
Clinical Instructor: _____John Corso_____________
Missed Clinical Hours: __0___

Missed Lab Hours: ___0__

NURSING 3020 Clinical Evaluation

Program Goals
Graduates are generalists entering a self-regulating profession in situations of health and illness.
Graduates are prepared to work with people of all ages and genders (individuals, families, groups, communities
and populations) in a variety of settings.
Graduates continuously use critical and scientific inquiry and other ways of knowing to develop and apply
nursing knowledge in their practice.
Graduates will demonstrate leadership in professional nursing practice in diverse health care contexts.
Graduates will contribute to a culture of safety by demonstrating safety in their own practice, and by identifying,
and mitigating risk for patients and other health care providers
Graduates will establish and maintain therapeutic, caring and culturally safe relationships with clients and health
care team members based upon relational boundaries and respect.
Graduates will be able to enact advocacy in their work based on the philosophy of social justice.
Graduates will effectively utilize communications and informational technologies to improve client outcomes.
Graduates will be prepared to provide nursing care that includes comprehensive, collaborative assessment,
evidence-informed interventions and outcome measures.

Objectives

Progress
Indicators/Evidence

2 Interpret critical aspects of the persons experience of acute

The acute care setting differs greatly from my previous

clinical experiences in that it is a lot more fast paced and
requires a large amount of charting. A normal shift can
seem chaotic at times, especially around shift change, but a
routine typically exists. First assessment begins at 07000800 where a set of vitals and basic head to toe
assessment occurs; any abnormalities can then be
addressed. I then proceed to get my patients all washed up
with a simple bed bath, which is an opportunity to assess
skin integrity, and have the patient perform oral care.
Breakfast comes at 0800 and first round of meds usually
begins. A second assessment occurs at 1100-1200 paired
with lunch and a second round of meds. Throughout the
day, a variety of experiences can occur. Physio typically
comes to get the patient up and moving which is an
essential element in recovery time. Procedures that can
occur are removal of hemovacs, dressing changes, hanging
saline bags, measuring I/Os etc. In an acute setting,
patients receive very focused care and there is always
nurses working together and lending a helping hand.
On an orthopedic floor, patients may have either had
elected surgery, have a fracture, or ordered by family
doctor. A patient will require surgery is they experience pain
in movement, joint pain, swelling, inflammation, poor
mobility, and dysfunction to the point where it is interfering
with normal activities of daily living. After surgery, patients
typically feel tired, drowsy, and may be nauseous due to
the anesthetic. Pain is different for each individual and will
receive morphine or hydromorphone in the form of a PCA or
receive oral pain medications. If patients overuse their PCA,
they can experience involuntary twitching, drowsiness and
pinpoint pupils. The incision site may be sore and stiff for a
few days post-op, but encouraging walking and exercises
with physiotherapy will allow the patient to get back to
normal and will aid them in getting their strength back.
Being confined to one room for days may be taxing on a
patients emotional health but by simply having a
conversation with them may boost their morale and aid in
the recovery process. Allowing family and friends to visit is
essential because having familiar faces in an unfamiliar
place allows the patient to feel comfortable and less

NURSING 3020 Clinical Evaluation

1 Explain the experience of acute illness in individuals
receiving care in acute setting

illness in relation to common signs and symptoms,

responses to treatment, patterns of coping, and impact on
individual and family relationships

S U

NURSING 3020 Clinical Evaluation

Clinical Instructor Comments (All areas marked as unsatisfactory must have a comment)

Signature of Instructor___________________________________________________

Date _____________________________

Signature of Student_____________________________________________________

Date ______________________________