Carroll Community College

Department of Nursing
NURS 242 Nursing Concepts 4
Student Clinical Performance Evaluation SUMMATIVE
Jenna
Date10/19/15
Location Carroll
Faculty Prof. Schroeder
Patterson
N = Needs
N/A = Not
S = Satisfactory
U = Unsatisfactory
(*) Critical behavior
Improvement
applicable
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
Outcome 1
SelfEval of
Evaluate the effectiveness of a plan of care using the nursing process to achieve patient
Eval
Student
outcomes.
S/N/U
S/N/U
Collects evidence related to assigned patient(s) from appropriate resources.
S
S
*Demonstrates accurate patient assessment skills. I observed a head to toe assessment that
S
S
was efficient, thorough, and accurate.
Establishes nursing diagnoses based on patient assessment.
S
S
*Prioritizes patient care based on assessment. Jenna recognizes the need for prioritization of
S
S
patient care and acts appropriately.
Identifies measurable patient outcome based on nursing diagnosis.
S
S
Implements care according to established plan and desired outcomes.
Uses therapeutic communication techniques during nurse/patient interactions to facilitate
S
S
the nursing process.
*Identifies appropriate interventions based on assessment.
S
S
*Demonstrates knowledge of medications for assigned patients.
S
S
*Administers medication safely using six rights of medication administration. Medication
S
S
administration was consistently safe and Jenna was fully prepared.
*Implements appropriate infection control precautions.
S
S
Follows through with all patient care.
S
S
*Evaluates patient response to care and revises plan as needed.
S
S
Student
Instructor
Outcome 2
SelfEval of
Assimilate into the profession of nursing with a commitment to lifelong learning and personal
Eval
Student
and professional growth.
S/N/U
S/N/U
Participates actively in all aspects of the clinical experience. Jenna willing accepts the
S
opportunity for any learning experience we encountered.
S
Discusses patients plan of care with instructor.
S
S
Demonstrates professional behavior and appearance.
S
S
Engages in self-reflection and communicates learning needs to instructor/preceptor.
S
S
Completes assignments as required and submits on time.
S
S
Organizes time efficiently.
S
S
Student
Instructor
Outcome 3
SelfEval of
Provide culturally competent, holistic care using respectful and caring behaviors.
Eval
Student
S/N/U
S/N/U
Demonstrates caring behaviors with the ability to develop and maintain therapeutic
relationships with people from diverse backgrounds. Jenna was able to establish trust with her
S
patient is a short period of time. They were always glad to see her again.
S
Considers patient values, cultural characteristics and religious differences when planning care.
S
S
Student
Instructor
Outcome 4
SelfEval of
Collaborate with healthcare teams to provide patient-centered care.
Eval
Student
S/N/U
S/N/U
Identifies patient/family health education needs. She identified and met the patients
S
educational needs and proceeded to meet those needs.
S
Implements patient and family education.
S
S
Student

Approved 12/41/4. Revised 12/9/2014

Carroll Community College

Department of Nursing
NURS 242 Nursing Concepts 4
Student Clinical Performance Evaluation SUMMATIVE
Seeks input from patient, instructor, peers, and healthcare team in the delivery of patient care.
*Updates instructor and healthcare team regarding changes in the patients condition.
*Identifies safety concerns and notifies instructor and appropriate healthcare team members.
Demonstrates initiative in assisting peers and healthcare team members in the clinical setting.
Demonstrates communication skills using SBAR. SBARs were consistently thorough and
accurate.
Acts as an advocate for patients and families.
Outcome 5
Model a spirit of inquiry that supports evidenced-based practice.
Applies evidenced-based rationale that supports the patients plan of care.
Integrates knowledge from nursing and other disciplines to plan care.
Outcome 6
Practice within legal and ethical principles to deliver safe and competent care based on current
standards of practice.
Adheres to attendance policy. Jenna was consistently early to clinical and always ready for
report on time.
*Demonstrates safe clinical practice.
*Provides nursing care based on the policies and procedures of the facility.
*Maintains legal accountability for nursing practice in accordance with the Maryland Nurse
Practice Act.
*Adheres to HIPAA guidelines regarding patient confidentiality.
*Provides care according to the ANA Nursing Scope and Standards of Practice.
*Demonstrates accountability and responsibility for own actions and attitudes.

S
S
S
S
S
S
Student
SelfEval
S/N/U
S
S
Student
SelfEval
S/N/U
S
S
S

S
S
S
S
S
S
Instructor
Eval of
Student
S/N/U
S
S
Instructor
Eval of
Student
S/N/U
S
S
S

S
S
S
S
S
S
S
S
Student
Instructor
Outcome 7
SelfEval of
Research and communicate information through appropriate technology.
Eval
Student
S/N/U
S/N/U
Gathers data from the electronic medical record to provide patient care.
S
S
Uses electronic medical record to document patient care accurately and in a timely manner.
S
S
Student Learning Goals (List desired learning goals, and your plans to meet them, for the next weeks clinical
experience. Goals should be based on identified performance issues and the desire for new knowledge and
experiences.)
My overall experience this clinical rotation was so rewarding. I was able to thoroughly practice my assessment
skills and medication administration. The level of patient acuity on the unit also challenged my prioritization
and time management skills which I became more confident in. I had a lot of chances to provide patient
education and to communicate with families which were areas I at first felt nervous about. I was given the
opportunity to shadow in the CCU and with the Wound Care Nurse and work as the PCC for my fellow students.
I felt as I progressed through the weeks that I was able to pull together my patients whole picture and provide
care based on the patient diagnosis and symptoms. I feel very fortunate to have been able to work on my skills
on the IMC unit and for the various opportunities Professor Schroeder provided. I look forward to using what I
learned in this rotation and applying it to my practicum rotation.

Preceptor/Instructor comments/ Student Learning Goals: (**If an item was identified as N or U, narrative
comments are necessary to clarify student performance**)
I would agree with you Jenna for I observed growth in your interpersonal communication skills with the families of the
patient. Your interaction with a challenging family was stressful. That can be very unnerving especially as a student. I
felt it was good practice for when families can be overwhelming. You handled it professionally by offering to do
everything within your power to get the results from the swallowing study so the diet could be modified. We both
Approved 12/41/4. Revised 12/9/2014

Carroll Community College

Department of Nursing
NURS 242 Nursing Concepts 4
Student Clinical Performance Evaluation SUMMATIVE
learned something before we were through with the experience.
Jenna acts professionally by exhibiting a neat appearance every day and consistently has positive interactions with the
patient and staff members. I observed an appropriate amount of reserve in the presence of the patient and family which
portrayed respect.
Jenna performs and documents a thorough patient assessment. She focuses on the important aspects of nursing care
and implements them in a timely manner. Jenna is thinking like a nurse which is evident in her clinical focus and her
nursing diagnoses.
During this rotation she had the experience of PCC or patient care coordinator of 2 students with 3 patients each and I
could see the students felt her support. She knew what was going on and had the organizational skills to prioritize
accurately.
Jenna is organized and will be able to adapt to the larger patient load she will be required to care for as she progresses
to registered nurse.
I feel if I woke up and saw Jenna caring for me I would know I was in good hands.
Excellent overall clinical rotation Jenna, you brought it on like I asked. It is time to be on your own and I feel you can do
it. It was a pleasure to have you during this clinical rotation.

Student Signature:
Preceptor/Instructor
Signature:

Jenna Patterson

Date:

10/23/2015

Jane Schroeder, MSN, RN

Date:

11/19/2015

Approved 12/41/4. Revised 12/9/2014