Self Assessment

2015 - 2015 - Final NURS-151 Course Learning Outcomes

NURS 151 Practical Nursing Practice 2 (PN, 13-Jan-2015 - 30-Jun-2015)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Period :
Student hours :
Required Hours :
Validated hours :

Ralph Pangan
Janet Jeffery
John Stone
William Osler Health Centre/Etobicoke General
Hospital
Agency
9CCC
02-May-2015 To 02-May-2015
168
168
168

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 regulatory standards, relevant legislation and the practice settings policies

Satisfactory

Satisfactory

and procedures.
R.P. : I do comply with regulatory standards, relevant legislation and the practice settings policies and procedures to prevent and avoid
any actions that may harm myself and others.

1. 2 Act in a responsible, ethical and accountable manner.

Satisfactory

Satisfactory

R.P. : Most of the time, I act in a very responsible, ethical and accountable manner. At other times, I feel as though I do not show enough of
what I am capable of which compromises these qualities; but, overall I behave in such manners.

1. 3 Determine strengths and limitations and when to consult and seek assistance from other

Satisfactory

Satisfactory

professionals.
R.P. : I often determine strengths and limitations and when to consult and seek assistance from other professionals. There are times
where I'm not 100% sure about doing certain tasks during clinical, and at these times, I ask for help from other professionals to ensure
client safety. Otherwise, when I am certain about a task, I perform them to the best of my ability.

1. 4 Use evidence informed practice and a theory-based approach to care.

Satisfactory

Satisfactory

R.P. : I use evidence informed practice and a theory-based approach to care. When faced with different situations within the clinical
setting, I often try to draw and recall what I've learned in class, labs and also what my clinical teacher have informed me about to use them
as guidelines to carry out my care for my patient.

1. 5 Ensure client safety and a safe environment.

Satisfactory

Satisfactory

R.P. : I ensure client safety and a safe environment by placing the bed rails up, successfully transferring the patients, being aware of how
much of a risk they are for falling and by clearing up any mess that may compromise client safety.

1. 6 Ask relevant questions to clarify understanding of the plan of care and whenever

Satisfactory

Satisfactory

uncertain.
R.P. : I always ask relevant questions to my clinical teacher and other staff of the hospital to clarify understanding of the plan of care and
whenever uncertain.

1. 7 Identify ethical and unsafe situations and seek appropriate assistance to resolve these.

Satisfactory

Satisfactory

R.P. : I often identify ethical and unsafe situations and seek appropriate assistance to resolve these problems.

1. 8 Demonstrate understanding about the role of the student nurse.

Satisfactory

Satisfactory

R.P. : I demonstrate understanding about the role of the student nurse by respecting the safety and well being of the clients in the learning
experience, by recognizing my knowledge skills and abilities, limits of responsibilities, legislative authority and supervision requirements,
and overall to seek out learning opportunities and immerse myself into the clinical setting to enhance my nursing practice and etc.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
Ralph demonstrated accountability and responsibility each clinical/lab day.I agree that there were times when I thought he was capable of
much better performance. He has upheld both Humber's student handbook guidelines as well as the policies and procedures at
Etobicoke General Hospital 9E/9W LTC/Reactivation. His conduct demonstrate respect and professionalism and abided within the
ethical/legal framework. He maintains privacy, confidentiality and promoted safe environment by taking appropriate actions such as
ensuring brakes on bed and other equipment, bed rails, bed in lowest position and alarms on the bed with his client with Dementia. He
fully understands the limitations of his role and seeks necessary guidance when he is unsure.

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions.

Satisfactory

Satisfactory

R.P. : I do often participate in team sharing and discussions because doing so helps out one another with the care of a patient and expand
ones knowledge through the different experiences a student goes through each week.

2. 2 Document clearly, accurately, concisely in a timely manner using written and electronic

Satisfactory

Satisfactory

methods.
R.P. : I am comfortable to document clearly, accurately, concisely in a timely manner using written and electronic methods. The
documentation lab on the very first day of clinical was very helpful as I was able to navigate and document very easily through the system
the hospital used; this allowed me to document fast and help others to document when they needed help.

2. 3 Report relevant information to the appropriate personnel.

Satisfactory

Satisfactory

R.P. : I report relevant information to the appropriate personnel to make sure there is no conflict in my care for my patient.

2. 4 Utilize communication techniques with the client and inter-professional health care team.

Satisfactory

Satisfactory

R.P. : I utilize communication techniques with the client and inter-professional health care team so everyone could get a better
understanding; for example, I had a client that also spoke my native language. Because of this, it was easier for me to identify what my
patient wanted and I was able to translate my patient's words into English where the nurse in charge could understand.

2. 5 Maintain privacy and confidentiality according to the Personal Health Information

Protection Act (PHIPA)

Satisfactory

Satisfactory

R.P. : I maintain privacy and confidentiality according to the Personal Health Information Protection Act (PHIPA) by keeping personal
health information confidential and secure, while allowing for the effective delivery of health care.

2. 6 Use technology to retrieve information including research, data and other information.

Satisfactory

Satisfactory

R.P. : I often use technology to retrieve information including research, data and other information. Such times are when I have to research
my medications and/or when I am unsure of a finding during an assessment.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

Ralph learnt the Medi-Tech system very fast at the beginning of the semester. He was very good at retrieving patient data as well as
daily documentation of ADL flowsheet, Vital Signs, Mental/Emotional Status, Braden Scale, Wound Care, Catheter Care and Narrative
Nurses Notes. He was very supportive with his peers in learning this electronic documentation. He used effective communication
strategies within the interdisciplinary and among his peers in the clinical setting. He shared relevant information regarding his new
learning with his peers in post conference. He fully understands importance of maintaining confidentiality and privacy.

3. CARING RELATIONAL PRACTICE

3. 1 Utilize effective communication techniques.

Satisfactory

Satisfactory

R.P. : I do utilize effective communication techniques to allow easier understanding. Such techniques are speaking in a slow manner,
using simple and universal words with the help of gestures to enhance my message.

3. 2 Demonstrate therapeutic caring, compassionate, and culturally safe relationships with

Satisfactory

Satisfactory

clients and health care team members.

R.P. : I demonstrate therapeutic caring, compassionate, and culturally safe relationships with clients and health care team members. I do
so by communicating with my client and letting them know I'm there to help and care for them.

3. 3 Apply knowledge of therapeutic use of self and identify its effect on client well-being.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

R.P. : I apply knowledge of therapeutic use of self and identify its effect on client well-being.

3. 4 Use self-awareness to identify the effects that beliefs, values, and personal experiences
have on relational practice.

R.P. : Use self-awareness to identify the effects that beliefs, values, and personal experiences have on relational practice.

3. 5 Interact with clients and members of the inter-professional health care team; and, consult

Satisfactory

Satisfactory

appropriately.
R.P. : Most of the time, I interact with clients and members of the inter-professional health care team; and, consult appropriately when I do
not understand something fully and need assistance or advice on it to provide the best care for my client.

3. 6 Apply knowledge of practices and systems that support the diversity of clients and the

Satisfactory

Satisfactory

inter-professional health care team.

R.P. : I apply knowledge of practices and systems that support the diversity of clients and the inter-professional health care team.

3. 7 Apply knowledge of clients cultural, religious, and other beliefs and values as these
influence clients choices and decisions.

Satisfactory

Satisfactory

R.P. : Apply knowledge of clients cultural, religious, and other beliefs and values as these influence clients choices and decisions.

3. 8 Provide effective client education.

Satisfactory

Satisfactory

R.P. : I often provide effective client education to ensure client safety and promote his/her health.

Teacher comments for CARING RELATIONAL PRACTICE :

Ralph developed therapeutic nurse-client relationship with her clients and their families and professional relationship with health care
team members on the unit. As he cared for clients from diverse cultures, he demonstrated cultural sensitivity. He had very good
interactions with client. I agree that he assisted the staff in understanding the needs of a client who spoke his language.

4. LEADERSHIP AND ADVOCACY

4. 1 Recognize conflicts and strategies for resolution.

Satisfactory

Satisfactory

R.P. : I recognize conflicts and strategies for resolution to avoid possible problems and mistakes in the future by reflecting on my own
nursing practice and seek ways on how to improve it.

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

Satisfactory

Satisfactory

R.P. : I demonstrate leadership skills that foster group work and a positive learning environment. I often keep and spread a positive vibe to
enhance the learning of other classmates.

4. 3 Identify opportunities to improve health care service and nursing interventions by

Satisfactory

Satisfactory

advocating for client, self, others, and quality practice.

R.P. : I identify opportunities to improve health care service and nursing interventions by advocating for client, self, others, and quality
practice.

4. 4 Provide feedback to peers and accept feedback from peers and members of the inter-

Satisfactory

Satisfactory

professional health care team.

R.P. : I provide feedback to peers and accept feedback from peers and members of the inter-professional health care team. This allowed
me to identify my strengths and weaknesses which lead to improving my nursing practice.

4. 5 Support clients rights for self-determination and choice.

Satisfactory

Satisfactory

R.P. : I support clients rights for self-determination and choice. I follow the golden rule and implement it around my daily life so I respect
my clients' decisions and support them.

4. 6 Respond appropriately to unsafe, unacceptable, and unprofessional behaviours.

Satisfactory

Satisfactory

R.P. : I respond appropriately to unsafe, unacceptable, and unprofessional behaviours. When situations like this occur, I provide the client
with education about the risks he/she is facing when doing certain things that put the patient's health in danger.

4. 7 Consult and collaborate when carrying out health care and nursing practices that are in
the best interests of the public and protect the public through collaboration and consultation.

Satisfactory

Satisfactory

R.P. : I consult and collaborate when carrying out health care and nursing practices that are in the best interests of the public and protect
the public through collaboration and consultation.

Teacher comments for LEADERSHIP AND ADVOCACY :

Ralph shared his knowledge and technical skills with his peers to help them learn Medi-tech documentation and to retrieve medications
from the Pyxis system. Ralph is encouraged to continue to seek out opportunities to demonstrate his leadership skills.

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

5. 1 Incorporate the unique needs and expected outcomes into individual clients plans of

Satisfactory

Satisfactory

care.
R.P. : I incorporate the unique needs and expected outcomes into individual clients plans of care. I consider what patients request and
offer them if allowed to without putting their health at risk to promote a therapeutic relationship.

5. 2 Develop theory-based plans of care that are holistic and client centered and are

Satisfactory

Satisfactory

articulated competently in writing and orally.

R.P. : I develop theory-based plans of care that are holistic and client centered and are articulated competently in writing and orally.

5. 3 Use knowledge, skill and judgment to assess clients, prioritize needs and outcomes.

Unsatisfactory

Satisfactory

R.P. : I sometimes use knowledge, skill and judgment to assess clients, prioritize needs and outcomes. I definitely need to work on this
area as I do not perform enough health assessments on my clients, which puts my client's health at risk.

5. 4 Provide information that contributes to the evaluation and refinement of plans of care.

Satisfactory

Satisfactory

R.P. : I often provide information that contributes to the evaluation and refinement of plans of care.

5. 5 Safely and competently carry out nursing assessments and nursing interventions that are

Unsatisfactory

Satisfactory

theory-based and within skill abilities.

R.P. : I sometimes safely and competently carry out nursing assessments and nursing interventions that are theory-based and within skill
abilities. Like I said, I do not perform any assessments regularly and definitely need to work on that. However, I do carry out nursing
interventions to my patient within the best of my abilities.

5. 6 Carry out nursing care that reflects the practice decision-making framework.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

R.P. : I carry out nursing care that reflects the practice decision-making framework.

5. 7 Complete nursing care responsibilities and nursing interventions in an organized and

timely manner.

R.P. : I also complete nursing care responsibilities and nursing interventions in an organized and timely manner. I have learned that time
management within the clinical setting is crucial in order to give proper care to each patient one is assigned to, I have been lacking this
skill from the start through midway of the semester; but, I believe I have improved by the end of the semester and am able to do such tasks
in a timely manner.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :

Ralph had good level of preparedness each clinical day. Medication and Diagnoses Research was adequate. His initiative, timemanagement, organizational skills and prioritization skills has improved throughout the semester. Ralph performs vitals signs including
SPO2 and Pain assessment. Other nursing assessments are improving and need to be practised on a daily basis. Nursing Interventions
that he completed included complete bed bath, transfers with assistance, wound care, catheter care. He safely administered medications
administrations orally and subcutaneously.
5.5 Ralph, I agree that you need to continue to incorporate nursing assessments consistently when you provide nursing care.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

6. 1 Work with clients and members of the inter-professional health care team to assess

Satisfactory

Satisfactory

clients, determine health needs, and to achieve mutually agreed expected outcomes.
R.P. : I usually work with clients and members of the inter-professional health care team to assess clients, determine health needs, and to
achieve mutually agreed expected outcomes. Such times are when the night shift nurse hands over the shift report to the nurse coming in
for the day, I involve myself within the meeting to get a better understanding of the situation with my client.

6. 2 Contribute as a member of the inter-professional health care team to respond to the

Satisfactory

Satisfactory

changing needs and expected outcomes of clients.

R.P. : I do often contribute as a member of the inter-professional health care team to respond to the changing needs and expected
outcomes of clients. There are times where my patient's behavior have altered due to dementia, where my patient was at risk for falls. A
way to intervene this problem was I have contacted the nurse in charge on how to set and turn off the bed alarm to alarm anyone if my
patient is trying to get out of bed.

6. 3 Seek out assistance and consult with members of the inter-professional health care team.

Satisfactory

Satisfactory

R.P. : I often seek out assistance and consult with members of the inter-professional health care team whenever I do not know how to
carry out certain tasks completely.

6. 4 Use teamwork, consensus building, and conflict resolution skills.

Satisfactory

Satisfactory

R.P. : I use teamwork, consensus building, and conflict resolution skills to promote the health of the clients. Such times are when two
persons are needed for a wound dressing located on the sacral area where two students have to communicate and cooperate with each
other to carry out the task.

6. 5 Describe effective, collaborative, and consultative strategies to meet clients needs within

Satisfactory

Satisfactory

a changing environment.
R.P. : I often describe effective, collaborative, and consultative strategies to meet clients needs within a changing environment.

6. 6 Interact with members of the health care team respecting their unique role and

Satisfactory

Satisfactory

competencies.
R.P. : I usually interact with members of the health care team respecting their unique role and competencies as everyone's role all ties into
promoting the health of the client.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

Ralph attended Patient Rounds and In-services on Stroke, the Role of the Recreational Therapist and Feeding a Patient with Stroke( by the
Speech Language Pathologis)t. He organized his client's care each clinical day to ensure that they were ready for their therapy.He fully
understands and respects the role of each interdisciplinary team member in the rehabilitative care of the client. He interacted well within
the interdisciplinary team.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

7. 1 Act in the best interests of clients and protect clients from harm through collaboration

Satisfactory

Satisfactory

and consultation with members of the inter-professional health care team and through
competent and safe practice.
R.P. : I act in the best interests of clients and protect clients from harm through collaboration and consultation with members of the interprofessional health care team and through competent and safe practice. Doing so will improve my nursing practice greatly and I believe it
had improved throughout the semester.

7. 2 Participate in self-reflection to identify strengths, areas for improvement.

Satisfactory

Satisfactory

R.P. : I do participate in self-reflection to identify strengths, areas for improvement. By doing these exercises, I am able to clearly see what
I need on improving, which helps later on because I will often remind myself on what I need to focus on more.

7. 3 Create, implement, and evaluate a learning plan consistent with the Quality Assurance

Satisfactory

Satisfactory

program (CNO).
R.P. : I often create, implement, and evaluate a learning plan consistent with the Quality Assurance program (CNO).

7. 4 Seek out learning opportunities and feedback that foster professional development; and,

Satisfactory

Satisfactory

integrate these into practice.

R.P. : I always seek out learning opportunities and accept them whenever it presents itself to get feedback that foster professional
development; and, integrate these into practice.

7. 5 Utilize nursing, health and other theory and literature to improve nursing practice.

Satisfactory

Satisfactory

R.P. : I utilize nursing, health and other theory and literature to improve nursing practice. Overtime, my vocabulary and knowledge of new
lists of terms has helped me in documentation and in communication very much.

7. 6 Use a theory-based approach and evidence-informed practice.

Satisfactory

Satisfactory

R.P. : I do use a theory-based approach and evidence-informed practice.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

Ralph demonstrated awareness of areas that needed improvement throughout the semester. In our feedback meetings, he responded
positively to feedback and improved his performance. He improved his bed-making at beginning of the semester and later he improved his
initiative, organizational and time-management skills. He is encouraged to continue to reflect daily and devise ways for continuing
competence. Self Assessment, Peer Feedback and Learning Plan were submitted.

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

8. 1 Utilize problem-solving skills to inform decision making in all aspects of nursing care.

Satisfactory

R.P. : I usually utilize problem-solving skills to inform decision making in all aspects of nursing care.

Satisfactory

8. 2 Use problem-solving and decision-making skills to assess clients and to determine

Unsatisfactory

Unsatisfactory

nursing diagnoses, expected outcomes, nursing interventions, and evaluative criteria.

R.P. : I sometimes use problem-solving and decision-making skills to assess clients and to determine nursing diagnoses, expected
outcomes, nursing interventions, and evaluative criteria. This area of my nursing practice needs to be worked on as I feel I lack the skill of
when is the most appropriate time to perform an assessment on my client.

8. 3 Use self-reflection to design a plan to improve problem-solving and decision-making

Satisfactory

Satisfactory

skills.
R.P. : I often use self-reflection to design a plan to improve problem-solving and decision-making skills. Such times are when I note things
down on my notepad of things I need to focus on more, which has helped me in the past.

8. 4 Utilize knowledge from variety of nursing, health, and other theory into nursing practice

Satisfactory

Satisfactory

to provide safe and competent care.

R.P. : I usually utilize knowledge from variety of nursing, health, and other theory into nursing practice to provide safe and competent care.

8. 5 Use prioritization strategies for client care.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

R.P. : I usually use prioritization strategies for client care.

8. 6 Demonstrate professionalism and accountability.

R.P. : I often demonstrate professionalism and accountability by not fooling around the clinical setting and being serious.

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

Satisfactory

Satisfactory

R.P. : I recognize strengths and limitations and seek appropriate assistance and support.

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY :
Ralph is developing skills in critical thinking, problem-solving and decision-making.
Ralph, please stay curious, examine ideas, seek out rationales for your actions, increase your knowledge and strive to develop your
critical thinking, problem solving and decision-making skills!
8.3 What is entailed in nursing assessments? Is this done at given time or is it ongoing? How do you decide the priority assessments?
How do you decide the frequency ? Please review.

Student Final Summary with Strategies for Continued Growth

There were many things that I've learned throughout the semester, one of those things are my weaknesses and aspects of my nursing care that I
need to work on. The aspects that I need to work on are to critically think in situations where I'm under pressure and be able to carry these well
thought out plans, to be able to manage time wisely and effectively, and lastly in general to improve every aspect of my nursing practice as there's
always room for practice and improvement.

Teacher Final Summary with Strategies for Continued Growth

Ralph has successfully completed the requirements of Semester 2 nursing clinical practice. He has showed interest in his learning and had a good
level of preparedness in the clinical setting. His overall nursing skills have improved throughout the semester. Ralph,please continue to refine your
nursing skills; develop your leadership, critical thinking, problem-solving and critical thinking skills. You have great potential!

Grade

Satisfactory

Unsatisfactory

Referred to Clinical Excellence Committee (CEC)

Grade

Satisfactory

Program Coordinator Feedback

The Program Coordinator has reviewed the evaluation

Yes

No

Student Sign Off

I met with my Clinical Teacher/Preceptor and discussed my evaluation

Yes

No

In general this evaluation accurately reflects my performance

Yes

No

Submitted Date: 03-May-2015 04:32