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Olowoyeye Oladapo J.
Vertel Spence
Judy Martin
William Osler Health Centre/Brampton Civic Hospital
Agency
N4 PC
06-Sep-2015 To 31-Dec-2015
168
168
168
I declare that this is my original work and the sources used are acknowledged.
Student Rating
Teacher Rating
1. COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK
1. 1 Comply with regulatory standards, relevant legislation and the practice settings policies
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and procedures.
O.O.J. : I complied with the practice settings policies and procedures. For example, practical nursing student are not allowed to check for
blood glucose level or do blood transfusion of a patient. My clinical teacher explained this to us on the first day we got to the unit.
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O.O.J. : I acted in a responsible and ethical manner because i know its my responsibility to act professionally when i am in the clinical
setting. I developed a good working relationship with my peers and other health care professional. For example, i always respect what
other health care professionals do in the clinical settings.
1. 3 Determine how the three factor and practice decision-making frameworks influence client
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care.
O.O.J. : I make sure the decision i make is based on providing the best care for my patient. For example, When a patient told me they are
not comfortable with having a male nurse take care of them, i understood and accepted the decision of the patient, and i informed my
clinical teacher about the situation. My clinical teacher instructed me to provide care for another patient.
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O.O.J. : I applied what i have read in the textbook and taught in class into my clinical practice. For example, i learnt how to head to toe
assessment by watching the videos on blackboard and reading my textbook.
1. 5 Carry out safety-based practices and risk management principles to ensure client safety
and a safe environment.
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O.O.J. : I carried out safety-based practices and risk management principles to ensure the safety of the client and to maintain a safe
environment. For example, i practiced hand hygiene every time i go into the room of the patient. I make sure i sanitize my hands and wear
gloves. After providing care for the patient, i take off the gloves and sanitize my hands again to prevent spread of infections.
1. 6 Ask questions and clarify the plan of care, unclear orders or directions, and whenever
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uncertain.
O.O.J. : I always ask questions from my peers and clinical instructor when an order or procedure is not clear to me. For example, how to
administer a bronchodilator medication through a nebulizer. My clinical teacher explained it to me and i was able to do it perfectly and
teach my peers.
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unsafe,
unacceptable and/or unprofessional behavior.
O.O.J. : I always demonstrate professional behavior when i am in the clinical settings, i know i have to take responsibility for all my actions
in the clinical setting.
1. 8 Demonstrate understanding about the role of the nurse within health care.
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O.O.J. : I understand my role as a student nurse and i know i am in the clinical setting to provide care for my patient. i always a good and
safe working environment with my patient, peers and other health care professionals
Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
Oladapo adhered to regulatory standards by practicing according the the CNO Standards of Practice and according to the policies and
procedures of the clinical agency. For example, when administering IV medications he followed the unit policy by referring to the IV
manual. He has demonstrated the ability to provide effective nursing care with minimal assistance. As well, she continuously evaluated
areas for improvement and sought assistance when necessary. He demonstrated accountability by ensuring that he provides the best
possible care for his patients. For instance, he demonstrated the three factor framework by ensuring that his patents were safe and
comfortable at all times, and by ensuring that the environment was free of clutter with had proper lighting. Oladapo was aware of his own
values and ensured that they did not conflict with his practice.
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O.O.J. : i participate in team discussions and i always share information with my peers and other health care professionals. For example, I
discuss the assessment of my patient with the primary nurse of my patient. I inform my clinical instructor if there is any abnormal findings.
2. 2 Document clearly, accurately, concisely in a timely manner using written and electronic
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methods.
O.O.J. : I document clearly, accurately and concisely in a timely manner the care i provided for my patient. For example, i make sure i
document my vital signs and other assessments within an hour of doing the assessment.
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O.O.J. : I report every relevant information to the right personnel. For example, i make sure every abnormal findings after assessing my
patient are reported to the primary nurse of my patient and my clinical teacher.
2. 4 Use communication techniques with the client and the inter-professional health care
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team.
O.O.J. : I communicate very well with my client, my peers and other inter-professional health care team. For example, i make sure i practice
active listening and maintained eye contact when communicating with my patient.
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2. 6 Use technology to retrieve and share information including research, data and other
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information.
O.O.J. : I always use technology to research the diagnosis of my patient, to know why my patient is on any medication and to know what
each medication is used for, contraindication, side effects, nursing consideration and right doses.
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O.O.J. : I always communicate effectively with my patient, peers, clinical instructor and other health care professionals by asking relevant
questions when something is not clear to me, active listening, and showing empathy for my patient.
3. 2 Establish therapeutic caring, compassionate, and culturally safe relationships with clients
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O.O.J. : I always put the well-being of the patient first. For example, i was assigned a patient by my clinical instructor and the patient told
me she does not want a male nurse. I respected the wish of the patient. I informed my clinical instructor about this and she assigned me to
a new patient.
3. 4 Use self-awareness to identify the effects that beliefs, values, and personal experiences
have on relational practice.
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O.O.J. : I always use self-awareness to be able to identify the effect my beliefs values and personal experience have on my nursing
practice. For example, because of self awareness i make sure my believe doesn't affect the the care i provide for my patient, and i respect
the belief and values of the patient.
3. 5 Collaborate with clients and members of the inter-professional health care team and
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consult appropriately.
O.O.J. : I always collaborate effectively with my client, peers, clinical instructor and other health care professionals to make sure i provide
the best care for my patient. For example, i ask questions about any procedure that is unclear to me.
3. 6 Support the diversity of clients and the inter-professional health care team.
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O.O.J. : I support diversity in the clinical settings and i work very well with client, peers and other health care professionals from another
culture. For example, when taking care of a patient from another culture, i use the opportunity to know more about the culture of the
patient.
3. 7 Display sensitivity and respect for clients cultural, religious, and other beliefs and values
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O.O.J. : I always explain the procedure i will be doing on the patient before doing. I always educate the patient effectively to make sure
they understand what i am going to do. For example, i explain what a drug is used for and before administering the medication to the
patient.
4. 1 Apply appropriate conflict resolution skills in therapeutic client and other interactions.
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O.O.J. : I try as much as possible to apply conflict resolution skills when interacting with my patient, peers, and other health care
professionals. I always make sure any concern of my patient is reported to the appropriate authority.
4. 2 Evaluate and refine leadership skills to develop solutions and create a positive work
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environment.
O.O.J. : I try to be very professional with my behavior, I always show leadership skills by leading by example. For example, my clinical
instructor made me the preceptor for one day in the clinical setting, and i demonstrated my leadership skills by being honest with my self
when giving report about my client and showing respect to my peers.
4. 3 Provide feedback to peers and accept feedback from peers and members of the inter-
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O.O.J. : I always advocate for the client, myself and peers. I always advocate for quality care for the patient. For example, I assessed my
patient and she told me she is in a lot of pain. I went straight to the primary nurse of my patient to inform her. She didn't want to give her
the PRN pain medication. She wanted to wait for her scheduled medication that will be due in 2 hours time. I advocated for my client and
the nurse agreed to give her the PRN pain medication immediately.
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O.O.J. : I always respect and support the choice of the client. I always try my best to satisfy my patient and make them comfortable. For
example, I wanted to administer a scheduled medication for my patient, my patient refused the medication and i respected the choice of the
patient.
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O.O.J. : I always conduct myself professionally when i am in the clinical setting. I always respond appropriately to unacceptable behaviors
in a professional manner.
4. 7 Collaborate and consult when implementing health care and nursing practices that are in
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the best interests of the public and protect the public through collaboration and consultation.
O.O.J. : I always collaborate with my peers and i consult with my clinical teacher before performing any procedure. For example, i make
sure i first discuss with my clinical teacher, the procedure i will be performing on my patient before doing it.
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O.O.J. : I collaborate with my peers and my clinical instructor to come up with good solutions and strategies to provide the best care for
the patient.
5. PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES
5. 1 Incorporate the clients unique needs and expected outcomes into holistic and clientcentred plans of
care.
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O.O.J. : I always do my best to to provide quality health care for my patient. I always make sure i meet the unique needs of my patient. For
example, one of my patient was having difficulty breathing, i will raised the head of the bed and put it in high fowler position and i
administered 2L of oxygen to the patient.
5. 2 Develop theory-based plans of care that are holistic and client centered and are
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5. 3 Use knowledge, skill and judgment to assess clients, prioritize needs and outcomes.
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O.O.J. : I prioritized my patient needs and outcomes so that i can provide what is needed the most first before providing the other needs. I
used my theoretical knowledge and textbook to develop a concept map for my patient.
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O.O.J. : I always collaborate with my peers and clinical instructor about my patient, so that i can be able to provide the best care for my
patient. For example, My patient was NPO, and the doctor ordered that the patient should be given his oral medications. I collaborated with
my clinical instructor about this so that i don't make a mistake.
5. 5 Safely and competently implement and evaluate nursing assessments and nursing
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O.O.J. : I always use the three factor framework, nurse, client and the environment to guide my practice and to provide the best care for my
patient.
5. 7 Prioritize nursing care and nursing interventions in order to manage workload, time, and
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physical
resources.
O.O.J. : I prioritize the care and interventions i implement for my patient so that i can manage the time of my clinical instructor when she is
supervising me. For example, when i get to the clinical setting, i plan my day and write down on the organizational sheet what i will be
doing every hour. I write down the time i will need to administer medication or perform a procedure.
Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
Oladapo exhibits the knowledge, skills and judgement necessary to provide safe competent nursing care. He utilized the three factor
framework to guide his practice by ensuring that his patients were safe at all times and that the patients' environment was safe by ensuring
adequate lighting, making sure that the rooms were free from clutter and making sure that his patients were comfortable. Over the course
of the 14 weeks he learnt how to prioritize and organize his patients' care by utilizing an organizational plan and by performing the most
important task first. For example, administering pain medication before providing a bed bath. As well, he prepared two concept mappings
satisfactorily to include interventions necessary to provide optimal health for his patients. Good Job!
6. 1 Collaborate with clients and members of the inter-professional health care team to assess
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clients, determine health needs, and to achieve mutually agreed expected outcomes.
O.O.J. : I always collaborate very well with the client , peers , clinical instructor ,and members of the inter-professional health care team to
meet the needs and provide the best care for my patient. For example, There was a time i was doing the abdominal assessment of my
patient when the doctor came in to check on my patient, i just finished auscultating for the bowel sounds of my patient. Just to confirm
what i heard was correct, i asked the doctor if he could check for the bowel sound of the patient. The doctor checked for the bowel sound
of the patient and we both agreed there was no bowel sound.
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6. 3 Seek out assistance and consult with members of the inter-professional health care team.
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O.O.J. : I always seek out assistance when i need help and consult members of the inter-professional health care team when something is
not clear to me. For example, i had a patient who has two person transfer on his chart, i looked for assistance from one of my peers to help
me transfer the patient to the wheel chair.
6. 4 Use teamwork, consensus building, and conflict resolution skills to meet expected client
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outcomes.
O.O.J. : I use conflict resolution skills to create a safe working environment and meet the expected outcome of my patient. I function very
well in a team. For example, i work very well with my partner in clinical settings to meet the needs of our patients.
6. 5 Use effective, collaborative, and consultative strategies to meet clients needs within a
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changing
environment.
O.O.J. : I collaborate very well with my peers, clinical instructor, and other health care professionals to provide the best care for my patient
and meet the needs of my patient.
6. 6 Interact with members of the health care team respecting their unique role and
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competencies.
O.O.J. : I interact very well with members of the health care team and i respect their roles in the clinical setting. For example, i interacted
very well with the doctor of my patient and i gave him every information he needs to know about my patient.
7. 1 Act in the best interests of clients and protect clients from harm through collaboration
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and consultation with members of the inter-professional health care team and through
competent and safe practice.
O.O.J. : I always protect my patient from any harm and i act in the best interest of my client. For example, i cleared the way for my patient
when he was going to the washroom to prevent him from slip or fall. I also make sure i ask for assistance from my peers or other health
care workers when i need to transfer my patient.
7. 2 Engage in ongoing reflective practice to identify strengths, areas for improvement; and,
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7. 3 Create, implement, and evaluate a learning plan consistent with the Quality Assurance
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program (CNO).
O.O.J. : I created a learning plan that is consistent with the quality assurance program. After identifying what i need to work on, i created a
learning plan to develop strategies on how to achieve my goal. I am implementing the strategies and i am improving myself everyday.
7. 4 Seek out learning opportunities and feedback that foster professional development; and,
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O.O.J. : I do research on my medication and the procedure i will be doing for my patient. I try to know why my patient is getting the
medication, what the medication is used for, the adverse effect of the medication and the contraindication. I try to watch the video of the
procedure i will doing for my patient.
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O.O.J. : I always apply what i have read in the textbook and i use evidence-informed practice in the clinical setting. I do this to try and
avoid mistake when providing care for my patient.
7. 7 Apply knowledge of changes to the health care system, technology, and in society as
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Oladapo demonstrated this outcome by participating in peer review and by preparing a learning plan and self evaluation indicating his
strengths and areas of development. As well, he prepared two concept mappings according to his patients assessments with the
necessary interventions. Oladapo demonstrated reflective practice by utilizing his skills that he learnt in his theory class and in the lab to
provide safe competent patient care
8. 1 Use critical thinking and problem-solving skills to inform decision-making in all aspects
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of nursing care.
O.O.J. : I watch assessment videos and study my textbooks regularly to be able to use the theoretical knowledge to make decisions in all
aspect of nursing care. This is an area i will still need to continue to develop myself everyday. I want to be able to provide the best care for
my patient.
8. 2 Use critical thinking, problem-solving and decision-making skills to assess clients and to
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8. 3 Evaluate critical thinking, problem-solving, and decision-making skills and design a plan
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to improve
these.
O.O.J. : I evaluate my critical thinking, problem solving, and decision making skills regularly to be able to plan on how to improve them.
For example, when i get home from the clinical setting, i try to reflect on what i did and how i provided care for my patient to know what i
did wrong and what i need to improve on.
8. 4 Integrate knowledge from a variety of nursing, health, and other theory into nursing
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8. 5 Prioritize effectively.
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O.O.J. : I prioritized my patient needs and outcomes so that i can provide what is needed the most first before providing the other needs. I
used my theoretical knowledge and textbook to provide evidence-based practice.
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O.O.J. : I always take responsibility for my actions when i am in the clinical settings. I always demonstrate professionalism and
accountability. I always respect my peers and other health care workers.
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O.O.J. : I used the practice decision-making and the nurse -client-environment frameworks to inform and guide my practice so that i can
provide the best care for my patient. For example, When a patient told me they are not comfortable with having a male nurse take care of
them, i understood and accepted the decision of the patient, and i informed my clinical teacher about the situation. My clinical teacher
instructed me to provide care for another patient.
Student's References
Jarvis, C. (2014). Physical Examination and Health Assessment: Canadian Edition (2nd ed). Toronto: Elsevier
Potter, P., and Perry, A. (2013). Canadian fundamentals of nursing. Toronto: Mosby Elsevier
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Student Comment
I learnt a lot from my clinical teacher and it was a great clinical experience for me.