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 :
Description :
Period :
Student hours :
Required Hours :
Validated hours :

Monique Traezann Hall

Susan Sanclimenti
John Stone
NoSite
Class
U1
Final Assessment.
17-Nov-2014 To 12-Dec-2014
75
75
70

Teacher comment for validated hours:

up until week 14
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

Satisfactory

the Practical Nursing Program Student Handbook, Clinical Simulation Lab Code of Behaviour
contract, and professional nursing standards and guidelines.
M.T.H. : I am satisfactory because I adhered to all rules and regulations. Maintaining a professional image and respecting the lab rules.

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

Satisfactory

Satisfactory

M.T.H. : satisfactory in this by taking the time to find additional resources to help with my learning experience.

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

Satisfactory

Satisfactory

language, and timely submission of assignments.

M.T.H. : I am always at school, on time, dressed in full uniform with my hair up and handed in assignments on time.

1. 4 Use theory-based approach.

Satisfactory

Satisfactory

M.T.H. : Satisfoctory compared to midterm. I have now develop a way to apply theory to my practice by watching videos and getting
assistance from my peers.

1. 5 Ensure a safe environment.

Satisfactory

Satisfactory

M.T.H. : I ensured a safe environment by cleaning up after myself. For example when we use the chairs in the lab I made sure I put them
back to prevent any injury to my fellow classmates.

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

Satisfactory

Unsatisfactory

M.T.H. : I answered questions but I still feel I need to ask questions openly as oppose to a small settings.

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

Satisfactory

Satisfactory

M.T.H. : I do this by referring to the student handbook, which states my expected learning outcome and rules under which I am allowed to
practice.

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in group sharing and discussions.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

M.T.H. : I participated in group discussion by giving my opinions.

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

M.T.H. : I am satisfactory in this to an extent. We were given a case study to document using narrative and . I did this well, however I
missed a few things that i should document such as . Also, during my assessment I made sure I verbalized that I would document all my
findings.

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

M.T.H. : I feel satisfactory in this because I research before reporting information.

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

M.T.H. : I used the correct terminology to communicate with my teachers. For example instead of saying a patient has a bluish skin color I
would say the patient showed sign of cyanosis.

2. 5 Maintain privacy and confidentiality.

Satisfactory

Satisfactory

M.T.H. : Privacy and confidentiality are two important things that client's want to ensure they are getting when a nurse is caring for them. I
am satisfactory in this because I made sure I reassure my patients ( classmates and stimulating dolls) and provide privacy at all time when
asking questions and when providing care.

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

Satisfactory

Satisfactory

M.T.H. : I made use of my Jarvis textbook which I had to read several times before class. I watched the videos to help me with my
assessments.

3. CARING RELATIONAL PRACTICE

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

Satisfactory

Satisfactory

communication techniques furing the provision of nursing skills and assessments.

M.T.H. : The client is always the most important in the nurse-client relationship. When speaking I do so in a calm tone and reassuring
voice.

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

Teachers, and the Lab Technologist.

Satisfactory

Satisfactory

M.T.H. : I maintained a professional relationship with my teachers and peers by addressing them properly.

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

Satisfactory

Satisfactory

M.T.H. : I do this by forming groups to practice and help persons who are weak in an area that I am strong in.

3. 4 Apply knowledge of strategies for conflict resolution.

Unsatisfactory

Satisfactory

M.T.H. : Throughout my twelve weeks of class I have never seen a conflict however if one does I would be able to handle it. I would try to
separate the person from the problem and discuss the issues with the person.

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

Satisfactory

Satisfactory

M.T.H. : The behaviour of an individual can impact the way they practice both positively and negatively.

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

Satisfactory

Satisfactory

M.T.H. : My class is culturally diverse and i treated everyone with equal amount of respect. I never disrespected anyone because of their
culture.

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

Satisfactory

Satisfactory

M.T.H. : Satisfactory to an extent. I believe this is an ongoing skill so I will be developing this skill as I go along. I provided health teaching
in the numerous case study given to us in class and also at the end of my final assessment.

4. LEADERSHIP AND ADVOCACY

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

Satisfactory

Satisfactory

resolution.
M.T.H. : Throughout my weeks at number I have never seen a potential conflict, however if I had seen one I would have known how to deal
with it. I would try to separate the person from the problem and attack the problem and not the person.

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

Unsatisfactory

Unsatisfactory

M.T.H. : I am unsatisfactory in this area. As much as I participated in group discussion I often do not assume the role of a leader.

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

Satisfactory

Satisfactory

M.T.H. : I provided feed backs by explaining the things that I understand to my peers. This was done throughout our lab time and during
practice in the open access lab. I also accepted feedbacks from peers which helped me during my final testing.

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

Satisfactory

Satisfactory

M.T.H. : I am satisfied with my learning environment, therefore I do not need to advocate. If there is ever a time that I become unsatisfied
with my learning environment I would talk to my teacher first and then if the problem is not solved I would report to the program
coordinator.

4. 5 Ask relevant questions to clarify understanding.

Unsatisfactory

Unsatisfactory

M.T.H. : I asked relevant questions but not openly only in a small setting. I still feel need development in this area.

4. 6 Respond appropriately to unsafe and unacceptable behaviours.

Satisfactory

Satisfactory

M.T.H. : My peers exhibit acceptable behaviours most of the time, however they sometimes forget proper body mechanics to which I
recognized and provided feedback.

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

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

Satisfactory

Satisfactory

M.T.H. : It is important to asses the client's needs by asking there preferences and also identify their priority need. By doing so the client
will feel satisfied.

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

Satisfactory

Satisfactory

rationale.
M.T.H. : As a nurse it is very important to plan care that is entered around the client because they are the most important factor in the
nursing process. Assessment should be conducted according to the symptoms that the client presented. It is also important to re-evaluate
all interventions to see whether or not the patient had improved.

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

Satisfactory

Satisfactory

manner.
M.T.H. : Satisfactory in this during my final testing. I asked my patient relevant questions regarding their symptoms, I then assessed them
in a timely manner.

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

Satisfactory

Satisfactory

safely, competently and in a timely manner.

M.T.H. : Interview is done by gathering subjective objective data from the patient. Vitals are taking and assessment done according to
patient's symptoms. This was conducted safely by washing hands and maintains proper body mechanics.

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

Satisfactory

Satisfactory

respiratory, and gastrointestinal systems.

M.T.H. : We did all of the above in class but I was only tested on musculoskeletal. I am well aware of how to conduct all of the
assessments. Vital signs include pulse rate, respiration rate, temperature, blood pressure, oxygen saturation and pain. Neurological
assessment includes the twelve pairs of cranial nerves,assessing the sensory and motor senses and conducting reflexes.

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

Satisfactory

Satisfactory

M.T.H. : I do this by prioritizing my patients symptoms. This is evident in the case studies given as assignments.

5. 7 Utilize the nursing process to meet clients healthcare needs related to hygiene, including
integumentary care, nutrition, hydration, digestion, elimination, mobility, and safety.

Satisfactory

Satisfactory

M.T.H. : I was not tested on the above activities but they were discussed in our class. I have the knowledge of how to conduct each. It is
important to wash least contaminated areas when providing hygienic care. This prevent the spread of infection. It is also important to
include client in their care by asking their preferences.

5. 8 Discuss environmental strategies that promote health safety, and reduce risk including

Satisfactory

Satisfactory

Satisfactory

Satisfactory

infection control, emergency codes, and ethically appropriate and safe use of restraints.
M.T.H. : This was done by making sure I wash my hands before providing care,

5. 9 Utilize infection prevention and control practice, including, but not limited to: hand
washing and basic personal protective equipment (PPE).

M.T.H. : I practiced this by washing my hands before and after caring for a patient. I also make sure I wear protective gear such as gloves. I
never had to wear additional protective gears such as coats or masks.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

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

Satisfactory

Satisfactory

M.T.H. : I participated knowledgeably in small discussions with my peers and faculty by relaying relevant information pertaining to the
topic being discussed.

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

Satisfactory

Satisfactory

Unsatisfactory

Unsatisfactory

Satisfactory

Satisfactory

M.T.H. : I do this by contribute to all group work.

6. 3 Ask knowledgeable questions and answer questions knowledgeably.

M.T.H. : I am prepared for class so I am able to answer knowledgeable but I rarely ask questions.

6. 4 Seek out assistance

M.T.H. : I seek assistance by going to the library, asking my peers for help and using the internet to research.

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

Satisfactory

Satisfactory

M.T.H. : This was done by constant interaction within small groups. We offered our opinions and discussed things until we came to a
decision that everyone agreed to.

6. 6 Demonstrate respect for peers and others.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

M.T.H. : I respected everyone by paying attention to what they have to say and

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

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

M.T.H. : Two of my weaknesses were applying theory to practice and communicating openly. I think I improved a lot when applying to
theory to practice. This was achieved by watching the health assessment videos and constant practice with my peers. I still need to
communicate openly so it is still one of my area for improvement.

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

Satisfactory

Satisfactory

identify strengths and areas for improvement.

M.T.H. : I used the feedback from my teacher to improve my areas from weaknesses. A documentation assignment was given and after the
feedback from my teacher I showed improvement. I also showed improvement by maintaining safety throughout all assessment.

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

Satisfactory

Satisfactory

development.
M.T.H. : I took the time out and made use of the library, watched videos and going to open access to improve my skills.

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

M.T.H. : A study guide was made to ensure all the readings were done before class.

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

M.T.H. : Satisfactory, I completed all my online quizzes and also made sure I reviewed my notes from health assessment and theory class. I
also tried to do all my readings pertaining to what would be discussed in class. For example when doing the cardiovascular I read my
textbook to locate some of the major areas of the heart, watched video to get an understanding of the assessment and referred to my
anatomy notes.

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

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

Unsatisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

Satisfactory

nursing interventions, skills, and practice.

M.T.H. : I am able to identify problems and come up ways to solve them.

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

professional and accountable manner.
M.T.H. : Materials from theory class were reviewed to make accurate decision about client care.

8. 3 Use relevant theory to explain the rational underlying the health assessment and
interviewing strategies and techniques and the foundational nursing skills being used.

M.T.H. : This was done successfully throughout practice and assignments. For example on the abdominal checklist the order of
assessment changed from inspection,palpating, percussion and auscultation to inspection, auscultation, percussion and palpating.
Percussion and palpating we're done last because they can alter bowel sounds upon auscultation.

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

Satisfactory

Satisfactory

M.T.H. : I applied everything that was done in my anatomy, health assessment and psychology class to take better care of my client.

8. 5 Demonstrate professionalism and accountability.

Satisfactory

Satisfactory

M.T.H. : Professionalism was demonstrated by dressing properly, being on time, handing assignments on time and respecting each other.
I also showed accountability by seeking additional resources to help with my learning experience.

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

Satisfactory

Satisfactory

M.T.H. : I seek assistance from the library, peers, teachers, open access lab internet to improve weaknesses and strengths.

Student Final Summary with Strategies for Continued Growth

After twelve weeks of ongoing practice I have learnt al lot. These includes taking vitals, conducting interviews, assessing clients and providing care.
My plan for next semester is to build on my communication skills by asking questions in class and discussing openly with classmates. I would also like
to build on my interview skills by doing research.

Teacher Final Summary with Strategies for Continued Growth

I encourage Monique to work on her class participation and being able to ask questions during a class discussion. Monique is very professional and is
always in uniform and submits all assignments on time. Monique takes this class very seriously and I notice this on a weekly basis. I encourage
Monique to try to take on more of a leader role when it is necessary. Please have confidence in the skills that you know well and are performing. I
enjoy watching Monique work one on one with her peers and how receptive she is to their recommendations. I encourage Monique to put into place
some personal learning goals and to achieve them, as they will aid her in being successful in the nursing program.
Mid-term skill testing-occupied bed 90%
Final assessment testing-musculoskeletal assessment 98%
Total hours late or absent-none
Assignments-all assignments submitted on-time
Quizzes-sat
Referred to CEC-0
Overall performance for the course-satisfactory

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

Student Comment
Thank you for your feedback. It's greatly appreciated.