Self Assessment

2014 - 2014 - Final NURS-101 Practical Nursing Practice 1

NURS 101 Practical Nursing Practice 1 (PN, 09-Sep-2014 - 11-Dec-2014)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Period :
Student hours :
Required Hours :

Lara Pabandero-de Lasan

Sheril Green
John Stone
NoSite
Class
U1
23-Nov-2014 To 12-Dec-2014
75
75

I declare that this is my original work and the sources used are acknowledged.

Abilities and Outcomes / Learning Outcomes

Student Rating

Teacher Rating

1. COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK

1. 1 Comply with Humber College Institute of Technology and Applied learning (ITAL) policies,

Satisfactory

the Practical Nursing Program Student Handbook, Clinical Simulation Lab Code of Behaviour
contract, and professional nursing standards and guidelines.
L.P.L. : In addition to being in uniform in the lab, no food in class, no earrings or extra jewelry, also had all my equipment (stethoscope,
blood pressure cuff, checklists, and all reading material done before going to class). There was one day that I forgot my watch, and that
matter was discussed with my clinical instructor already.

1. 2 Accept responsibility for own actions and for self-directed learning.

Satisfactory

L.P.L. : In addition to doing all my quizzes before each class, I also prepared for the lectures/topics that were going to be discussed
particularly for each lab. I took responsibility for forgetting

1. 3 Demonstrate professionalism with attendance, punctuality, dress code, behavior,

Satisfactory

language, and timely submission of assignments.

L.P.L. : Submitted assignments on time, done quizzes before it was due, used proper language in the lab, was in full uniform with white
shoes at all times, was always on time and did not miss a day of class.

1. 4 Use theory-based approach.

Satisfactory

L.P.L. : Used the textbook and cno.org website for references, watched relevant videos to help with relevant checklists for each week's
class preparation

1. 5 Ensure a safe environment.

Satisfactory

L.P.L. : Tidied up after each class (putting away equipment, fixing the beds, putting away chairs etc.)

1. 6 Ask relevant questions and answer questions based on thorough preparation.

Satisfactory

L.P.L. : If I had a question, especially of a particular skill and was not clear in it, I asked my clinical instructor for clarification numerous
times (when to put the gloves at a particular time especially for the hygiene checklist from rectal to perineum area- to change gloves,
whenever the checklist confused me a little bit etc.)

1. 7 Apply knowledge of the role of the student nurse.

Satisfactory

L.P.L. : Being competent and knowing the material for class, being prepared for lectures etc.

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in group sharing and discussions.

Satisfactory

L.P.L. : Participated more in the bigger group discussion (e.g. during a lecture at the first half of the class) and continued to try and be a
leader in the small groups during practice times by demonstrating the skills to be learned.

2. 2 Document clearly, accurately, and concisely using written and electronic methods.

Satisfactory

L.P.L. : Besides the Documentation assignment, we also had the Narrative notes and some charting done in class for practice which I did
satisfactorily.

2. 3 Demonstration reporting relevant information to the appropriate personnel.

Satisfactory

L.P.L. : Demonstrating my skills in front of the clinical instructor (e.g. vital signs on week 11) and other checklists done in the smaller
group.

2. 4 Use communication techniques with the health care team.

Satisfactory

L.P.L. : Explaining, demonstrating, clarifying with the members of my group and my clinical instructors the checklists and the topics
discussed.

2. 5 Maintain privacy and confidentiality.

Satisfactory

L.P.L. : When providing patient care "practice" with my clinical partner, the curtains are always drawn to provide privacy. For scenarios,
only initials of the "client" are written on the "practice" charting sheets.

2. 6 Use technology to retrieve information from texts and other resources.

Satisfactory

L.P.L. : Used videos, websites, blackboard and pageburst for relevant information needed for class.

3. CARING RELATIONAL PRACTICE

3. 1 Apply knowledge of the therapeutic nurse-client relationship and effective

Satisfactory

communication techniques furing the provision of nursing skills and assessments.

L.P.L. : Using the CNO practice guidelines for what is the proper and therapeutic nurse-client relationship to be used in the clinical
settings, lab and also with my classmates.

3. 2 Establish respectful, polite, and honest relationships with peers, Professors/Clinical

Teachers, and the Lab Technologist.

Satisfactory

L.P.L. : Respect, honesty and trust are the beginnings of a good relationship, such as when doing the practice checklists for areas such as
finding the apical pulse, touching and feeling the other pulses and auscultating and percussing my partner's upper body, could all be
awkward but with a little bit of trust and respect a good relationship can be started and feel more at ease with each other, a good practice
because this will be the same in the hospital with a real patient.

3. 3 Exhibit cooperative, helpful, and collaborative relationships with team members.

Satisfactory

L.P.L. : Continued to be cooperative, helpful and collaborative with my peers and clinical instructors.

3. 4 Apply knowledge of strategies for conflict resolution.

Satisfactory

L.P.L. : After sending my e-mails to my health assessment professor, I personally asked him if he received my email and he said that it was
on his desk and a reply will be sent before the weekend.

3. 5 Recognize how ones behavior affects peer relationships and practice.

Satisfactory

L.P.L. : In addition to culturally sensitive practices, I was cognisant of my own actions and behaviours towards my peers within the lab
sessions.

3. 6 Respect the diversity of peers in the learning environment.

Satisfactory

L.P.L. : Knowing that Toronto is the most multicultural city in the world, I used the respect that I would want given to me and that was what
I gave to my peers in the learning environment

3. 7 Apply knowledge of health teaching and learning strategies.

Satisfactory

L.P.L. : When some of my peers would ask me about a specific topic on the content I would answer their question to the best of my ability
and if that didn't satisfy the situation, we would both clarify that with the clinical instructor. (Xiyan and I)

4. LEADERSHIP AND ADVOCACY

4. 1 Recognize situations that could lead to conflict and apply knowledge of conflict

Satisfactory

resolution.
L.P.L. : Respecting others and their opinions, avoiding a situation where it could lead to conflict.

4. 2 Demonstrate leadership skills that foster group work and a positive learning environment.

Satisfactory

L.P.L. : Demonstrating and leading the small group in doing the checklists with the guidance of my clinical instructor.

4. 3 Provide feedback to peers and accept feedback from peers.

Satisfactory

L.P.L. : Gave feedback to my peers when doing the Vital signs checklist (week11)

4. 4 Advocate for self and peers for a quality learning environment.

Satisfactory

L.P.L. : Used the time provided to practice the skills and used that time efficiently so that the class time was not wasted.

4. 5 Ask relevant questions to clarify understanding.

Satisfactory

L.P.L. : Whenever something was not clear to me, I asked my clinical instructor for guidance and clarification.

4. 6 Respond appropriately to unsafe and unacceptable behaviours.

Satisfactory

L.P.L. : To keep the environment safe, kept everything tidy and ready for the next class at the end of lab, and avoided unsafe and
unacceptable behaviours especially in the lab.

5. PLANS OF CARE:MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES

5. 1 Identify the importance of assessing clients unique needs.

Satisfactory

L.P.L. : For each clinical checklist, PQRSTU were used for symptom analysis for the client's (peer) unique needs.

5. 2 Plan holistic, client-centred assessments and interventions that are based on appropriate

Satisfactory

rationale.
L.P.L. : Based on the symptom analysis, based the care plan on that for a holistic, client-centered interventions (learned this especially in
Theory class-Nursing Process)

5. 3 Complete health assessments, interviewing, and nursing skills in an organized and timely

Satisfactory

manner.
L.P.L. : Practiced, practiced, and keeps practicing all the assessment checklists, with interviews and skills checklist with my partner in a
timely manner.

5. 4 Perform health assessments, interviewing, and nursing techniques and skills accurately,

Satisfactory

safely, competently and in a timely manner.

L.P.L. : Practiced, practiced, and keeps practicing all the assessment checklists, with interviews and skills checklist with my partner in a
timely manner.

5. 5 Perform initial assessments of clients vital signs, neurological, cardiovascular,

Satisfactory

respiratory, and gastrointestinal systems.

L.P.L. : Have done all checklists in class at least once with my partner/simulator.

5. 6 Use the nursing process as a decision-making tool.

Satisfactory

L.P.L. : When doing assignments. The factor framework and also the SMART learning (model).

5. 7 Utilize the nursing process to meet clients healthcare needs related to hygiene, including

Satisfactory

integumentary care, nutrition, hydration, digestion, elimination, mobility, and safety.

L.P.L. : Based on the symptom analysis, based the care plan on that for a holistic, client-centered interventions (learned this especially in
Theory class-Nursing Process)

5. 8 Discuss environmental strategies that promote health safety, and reduce risk including
infection control, emergency codes, and ethically appropriate and safe use of restraints.

Satisfactory

L.P.L. : Discussed this in class with the professors (all kinds of restraints, different colour codes in the hospital, and proper hand washing
for infection control)

5. 9 Utilize infection prevention and control practice, including, but not limited to: hand

Satisfactory

washing and basic personal protective equipment (PPE).

L.P.L. : Discussed in class how and when to use proper personal protective equipment for each situation. (MRSA, c-diff etc.)

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

6. 1 Participate knowledgably in discussions with peers and faculty.

Satisfactory

L.P.L. : Putting my hand up during discussion, sitting at the front of the class to see the powerpoint and white board better.

6. 2 Acts as an effective and valuable member of the group.

Satisfactory

L.P.L. : Putting my hand up during discussion, sitting at the front of the class to see the powerpoint and white board better.

6. 3 Ask knowledgeable questions and answer questions knowledgeably.

Satisfactory

L.P.L. : Participating in discussions in the large group or smaller group of peers.

6. 4 Seek out assistance

Satisfactory

L.P.L. : Always clarifying with my clinical instructor.

6. 5 Use group process and conflict resolution skills to build consensus and collaboration.

Satisfactory

L.P.L. : Good collaboration in class. Not much conflict.

6. 6 Demonstrate respect for peers and others.

Satisfactory

L.P.L. : Always giving the respect that I would give to myself to my peers and others.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

7. 1 Identify strengths and areas for improvement using reflective practice.

Satisfactory

L.P.L. : SMART Learning Goal Assignment.

7. 2 Utilize self-reflection and feedback from Professors / Clinical Teachers and peers to

Satisfactory

identify strengths and areas for improvement.

L.P.L. : SMART Learning Goal Assignment, Narrative assignment, especially my math assignment.

7. 3 Assume responsibility to seek out learning opportunities that foster professional

Satisfactory

development.
L.P.L. : SMART Learning Goal Assignment, Narrative assignment, especially my math assignment.

7. 4 Create a learning plan to address areas for improvement.

Satisfactory

L.P.L. : Discussing with my clinical instructor the results of my assignments and knowing what to improve on.

7. 5 Come prepared to apply theory by reviewing all required preparatory learning materials

Satisfactory

and completing all activities.

L.P.L. : Reading the material before class and bringing my checklist to class.

8. USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY

8. 1 Utilize problem-solving and decision-making skills related to foundational aspects of

Satisfactory

nursing interventions, skills, and practice.

L.P.L. : Decision making, when choosing the importance of each skill that needs to be done, taking into consideration the time and place
and if the simulation skills lab is available or not. Choosing which skill needed more practice and continue to work in it until the skill was
practiced and practiced some more.

8. 2 Use a theory-based approach, problem-solving, and decision-making skills in a

Satisfactory

professional and accountable manner.

L.P.L. : Choosing which skill needed more practice and continue to work in it until the skill was practiced and practiced some more. Using
appropriate videos to watch for each skills checklist and using those as a guide along with CNO website and textbook.

8. 3 Use relevant theory to explain the rational underlying the health assessment and

Satisfactory

interviewing strategies and techniques and the foundational nursing skills being used.
L.P.L. : Using appropriate videos to watch for each skills checklist and using those as a guide along with CNO website and textbook.

8. 4 Apply knowledge from nursing, health, biological and social sciences.

Satisfactory

L.P.L. : Applying the knowledge from my BIOS (anatomy class), Psychology and other classes along with my nursing classes to help me
become a holistic nurse in the future.

8. 5 Demonstrate professionalism and accountability.

Satisfactory

L.P.L. : Professionalism with my peers and clinical instructors and accountability by being on time and in class for each class. (No classes
missed)

8. 6 Recognize strengths and limitations and seek appropriate assistance and support.

Satisfactory

L.P.L. : Choosing which skill needed more practice and continue to work in it until the skill was practiced and practiced some more. Using
appropriate videos to watch for each skills checklist and using those as a guide along with CNO website and textbook. And most especially
the help and feedback of my clinical instructor.

Student Final Summary with Strategies for Continued Growth

Smart Learning Goal Assignment:

Identify your learning needs, Develop SMART goals, Identify and complete your learning activities, Evaluate changes to practice, Reflect on your
practice and get feedback from colleagues.
Learning Outcomes to be used:
#1. Demonstrate safe, competent practice in compliance with regulartory frameworks and Humber College Policies.
Identify your learning needs: To be able to demonstrate safe and competent practice in compliance with the regulatory frameworks (CNO, RPNAO)
and Humber College Policies.
Develop SMART goals - SMART Goal #1:
For this learning outcome I will be reading the Professional Standards, Revised 2002, CNO Practice Guideline, the Humber College Practical Nursing
Handbook so that I know how to act accordingly and demonstrate safe and competent practice within the guidelines.
Specific:
Knowing the content within the guidelines, especially the CNO professional standards and the Humber College handbook will help me and guide me
to act how a practical nurse should be, especially when going into the hospital setting in the next semester. What Humber College and CNO expects
me to be.
Measurable:
Be able to be competent and demonstrate safe practices in the hospital setting ready for next semester.
Attainable:
This learning outcome can be achieved by knowing how I am expected to act as a Humber College Practical nursing student, within the hospital
setting.
Relevant:
This will be relevant to my role as a nursing student giving care to the patients in the hospital setting in January, and how I am responsible for my own
acts.
Time-limited:
Be ready before second semester starts, before my clinical placement starts, and keep learning more and more as my clinical placement changes
throughout my 2 years in school.
Identify and complete your learning activities:
In addition to reading the CNO practice guidelines, practice that I will be getting will be in class especially in all my nursing classes.
Evaluate changes to practice
After this first semester in Practical Nursing, there are a lot to learn, a whole lot of content and material to be learned but this is important in order for
me to become great and competent nurse of the future. What my practices as a personal support worker before, will be added by my nursing
knowledge after this hectic but great first semester and 3 more semesters to come.
Reflect on your practice and get feedback from colleagues.
I have heard very positive feedback from my colleagues especially when demonstrating the skills in the lab, when I am communicating with them in
the lab but I know that being competent takes more dedication and I am dedicated to become a great nurse that I can be. Become competent to
practice safely as a nurse to patients who trust and need my help

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Identify your learning needs:

I believe I have acted as an effective and responsible member of the team (in the lab). I want to be able to act as a leader to empower myself and my
peers. To be more initiative than I already am, to ask for more questions and clarification when needed, and not be threatened by the thought of
having peers that are very knowledgeable.
Develop SMART goals - SMART Goal #2:
#6. Act as effective and responsible members of the team
Another CNO Practice Guideline I have used and will be continually using is Professional Standards, Revised 2002 and for the purpose of this section

of the assignment I will be looking more closely at Leadership.

Specific:
I have been one of the members to lead in performing the skills checklists with the group of 8-9 persons. I was effective in the sense that I was
prepared, knew the material and accepted feedback and peer participation in the group.
Measurable:
Be an effective and responsible member of the team. To know when to act as a leader when needed, in the classroom, in the lab, in the clinical
placement or at work, or know when to act as a member of a group discussion, listen when needed, and participate when needed.
Attainable:
Knowing when to act as a leader, as a member whenever a situation may be. (Be the leader when performing the skills lab, and be the patient when
my partner is performing her skills, be a student when the clinical instructors are lecturing etc.)
Relevant:
This will be relevant to my role as a student right now, when working in groups with my colleagues, and later on patients with patients, to take on a
leader to guide then with their health care along with my health care team.
Time-limited:
By the time I have attained this learning outcome, after working in groups, and more practice with more patients in the clinical setting.
Identify and complete your learning activities
After looking very closely at the above mentioned practice guidelines, I will also be exposed to doing more group work as the semesters go by, within
the clinical placements that I will go to, I will also watch videos and listen to my professors and how they act as the student leaders by teaching,
guiding and mentoring us.
Evaluate changes to practice
I believe that I have a little more confidence in myself, after being in small groups, after trying harder to participate in group discussions, my selfesteem has changed after experiencing that I was able to participate and become an important member of my team/group.
Reflect on your practice and get feedback from colleagues.
I have received good feedback especially from my clinical partner and group members especially in performing the checklists, I have been a leader for
some checklists when studying for the final assessment.

Student's References
CNO.org, Humber College Policy Handbook, Clinical Videos, and in class lab material.

Submitted Date: 24-Nov-2014 00:46