Preview Assessment - Self Assessment

2016 - 2016 NURS 151 Practical Nursing Practice 2 Final

(201508)
NURS 151 Practical Nursing Practice 2 (PN, 12-Jan-2016 - 07-
May-2016)
Final Assessment Preview Mid-Term Assessment

Student:

Sebastian Bizama

Student ID:

BZMS0004

Clinical Teacher/Preceptor:

Program Coordinator:

Location:

Lakeside Long Term Care Centre

Placement:

Agency

Unit:

LTC

Period:

12-Jan-2016 to 07-May-2016

Required Hours:

168

Student hours:

168

Validated hours:

156
Teacher comment for validated hours:

Student was absent from clinical in week 11. Sebastian informed the clinical teacher of his
absence in a timely manner.

Academic Integrity Statement

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

I agree

Abilities and Outcomes / Learning Outcomes

Student Rating

1. COMPETENT AND SAFE PRACTICE WITHIN A PROFESSION

LEGAL, AND ETHICAL FRAMEWORK
1.1 Comply with regulatory standards, relevant legislation and the practice
settings policies and procedures.

Follow ed
all standards laid out by Humbe Satisfactory
procedures by practicing client
appropriate nursing care protoc
upholding them effectively and r
S.B.
1.2 Act in a responsible, ethical and accountable manner.

Proved
responsibility by taking initiative
Satisfactory
at clinical placement earlier than
tow ards clients by follow ing th
demanding he be cared by a w o
S.B.
1.3 Determine strengths and limitations and when to consult and seek assistance
from other professionals.

By
creating a learning plan, all stan Satisfactory
appropriately. When there w as
assistance from either the PSW
peer feedback, w as able to und
S.B.
1.4 Use evidence informed practice and a theory-based approach to care. Satisfactory
 Student Rating

An
example of this being applied w
arthritis because of the amount
of arthritis. Through this researc
pain during care and more comf
S.B.
1.5 Ensure client safety and a safe environment.

Ensured
client safety by raising the bed
Satisfactory
Also, w hile transferring a patien
do the transfer to follow the sa
To prevent falls, appropriate ligh
S.B.
1.6 Ask relevant questions to clarify understanding of the plan of care and
whenever uncertain.

Alw ays
asked relevant questions to en Satisfactory
example, w hat time to have the
Another example of this w ould
their show er. At times, the clien
S.B.
1.7 Identify ethical and unsafe situations and seek appropriate assistance to
resolve these.

An
example of this w ould be after Satisfactory
w heelchair, the PSW had left th
How ever, the standards set by
lift sheet for skin safety issues
S.B.
1.8 Demonstrate understanding about the role of the student nurse.

I
understand the limitations set u
Satisfactory
w ould be medication administra
and although w e w ere success
respect the limitation that is set
S.B.

Teacher comments for COMPETENT AND SAFE PRACTICE WI

PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK ability:

Sebastian,
you have identified several goo
practice w ithin and professiona
You are somehow a quiet parti
are w illing to share your experie

2. ACCURATE AND RELEVANT COMMUNICATION

 Student Rating

2.1 Participate in team sharing and discussions.

At
the end of every day, I actively
Satisfactory
discussions. In doing so, w e w
understanding of not only each
our ow n as w ell. At times, w e w
S.B.
2.2 Document clearly, accurately, concisely in a timely manner using written and
electronic methods.

We
w ere able assess our patients Satisfactory
electronically on the "point click"
This is an effective use of docu
the nurse to record data online
S.B.
2.3 Report relevant information to the appropriate personnel.

When
assessing a patient for skin qu
Satisfactory
left buttocks and reported to th
he had stated he did not w ant to
immediately reported this inform
S.B.
2.4 Utilize communication techniques with the client and inter-professional health
care team.

While
caring for a client, there w as a Satisfactory
requested one of the PSWs to t
language and an understanding
discussing information w ith a pa
S.B.
2.5 Maintain privacy and confidentiality according to the Personal Health
Information Protection Act (PHIPA)

Had
only spoken about client inform Satisfactory
client related information w as ke
courtesy tow ards the client and
communication to the RPN w as
S.B.
2.6 Use technology to retrieve information including research, data and other
information.

While
attempting to understand a pati Satisfactory
"Point Click" system and read vi
recently. Also, using the "Point C
on medical diagnosis' and fully u
S.B.
 Student Rating

Teacher comments for ACCURATE AND RELEVANT COMMUN

ability:

You
have maintained good rapport w
the health care team. You beca
by and become more aw are of
accountable for the care you pr

3. CARING RELATIONAL PRACTICE

3.1 Utilize effective communication techniques.

When
there w ere language barriers w
Satisfactory
translate in order to effectively
w hen a client w as hard at hear
on soft tones in order for the cli
S.B.
3.2 Demonstrate therapeutic caring, compassionate, and culturally safe
relationships with clients and health care team members.

Communicated
w ith clients effectively, respec Satisfactory
perspectives that may be perce
trust had been earned w hile ca
discussed family history and pe
S.B.
3.3 Apply knowledge of therapeutic use of self and identify its effect on client well-
being.

There
w as a therapeutic use of self u Satisfactory
example being the use of effect
compliments. While communicat
clients history, family, interests
S.B.
3.4 Use self-awareness to identify the effects that beliefs, values, and personal
experiences have on relational practice.

I
w as able to apply skills I learne Satisfactory
ow n grandparents and other fa
care. I w as able to relate issue
pains of arthritis and dementia.
S.B.
3.5 Interact with clients and members of the inter-professional health care team;
Satisfactory
and, consult appropriately.
 Student Rating

Some
clients had experienced a strok
use certain sides of their bodies
RPN in order to understand w h
better communicate and engage
S.B.
3.6 Apply knowledge of practices and systems that support the diversity of clients
and the inter-professional health care team.

Some
clients w ere part of the military Satisfactory
experiences in the military and m
communicate effectively w ith cl
w ay. The use of relatable infor
S.B.
3.7 Apply knowledge of clients cultural, religious, and other beliefs and values as
these influence clients choices and decisions.

One
of the clients I had been caring Satisfactory
caregivers and disagreed w ith
to acknow ledge his beliefs and
client requested only female car
S.B.
3.8 Provide effective client education.

While
administering medication to the
Satisfactory
provide information as to the ad
"venlafaxine", some being high
Another opportunity to provide c
S.B.

Teacher comments for CARING RELATIONAL PRACTICE abilit

This
is a semester of great grow th i
foundation that you had w hen y
built upon. You came to the clin
of nursing skills and the reaso

4. LEADERSHIP AND ADVOCACY

4.1 Recognize conflicts and strategies for resolution.

Tw o
clients had disagreed greatly w
Satisfactory
aggressive, a PSW and I had to
dow n. Although separating them
could not come to an agreemen
S.B.
4.2 Demonstrate leadership skills that foster group work and a positive learning
Satisfactory
environment.
 Student Rating

Through
peer feedback, I w as able to ef
student nurse w here they could
w as a w ay for us to have a po
respectfully understand w here
S.B.
4.3 Identify opportunities to improve health care service and nursing interventions
by advocating for client, self, others, and quality practice.

An
example of improving health ca Satisfactory
student nurse, he had difficulty
him to not give up and that it tak
courage to keep practicing and
S.B.
4.4 Provide feedback to peers and accept feedback from peers and members of
the inter-professional health care team.

We
had a group feedback seminar Satisfactory
strengths and w eaknesses. Th
improve and w hat I should cont
client care, and effectively, my
S.B.
4.5 Support clients rights for self-determination and choice.

At
feeding time, w e assert that the
Satisfactory
order to gain all the necessary n
the clients refuse to eat, simply
appetite; I respect their w ishes
S.B.
4.6 Respond appropriately to unsafe, unacceptable, and unprofessional
behaviours.

At
one point, the PSW in charge h Satisfactory
sheet underneath the client. I ha
violation of client safety, and ha
hoyer lift sheet for the clients s
S.B.
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.

An
Satisfactory
example of this w ould be w hen
visitors had approached me an
for their family member. I had ac
specific client, and had consulte
S.B.
 Student Rating

Teacher comments for LEADERSHIP AND ADVOCACY ability:

Your
participation in asking and answ
in conference discussions has
w ork on this in the next semest
practicing new skills. Your man

5. PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY

EXPECTED OUTCOMES
5.1 Incorporate the unique needs and expected outcomes into individual clients
plans of care.

While
engaging w ith my first client in Satisfactory
had discovered that he had a h
collaboration w ith the PSW, I ha
men. I had then incorporated his
S.B.
5.2 Develop theory-based plans of care that are holistic and client centered and
are articulated competently in writing and orally.

I
had provided theory-based pla Satisfactory
also preforming those plans suc
implemented those skills into the
providing good lighting in the clie
S.B.
5.3 Use knowledge, skill and judgment to assess clients, prioritize needs and
outcomes.

I
had been able to express this s Satisfactory
created w ith complete client cen
had a priority of assuring they d
have had falls at Lakeside in the
S.B.
5.4 Provide information that contributes to the evaluation and refinement of plans
of care.

Some
information that contributes to t Satisfactory
the medications they are taking.
medications that have adverse
to have a potential risk of injury
S.B.
5.5 Safely and competently carry out nursing assessments and nursing
Satisfactory
interventions that are theory-based and within skill abilities.
 Student Rating

I
had implemented the nursing in
massaged the clients effected a
because my mother has arthritis
effective method in order to relie
S.B.
5.6 Carry out nursing care that reflects the practice decision-making framework.

While
feeding the clients, at times the
Satisfactory
reasons. It w as my nursing duty
important nutrients associated w
refused, through appropriate ne
S.B.
5.7 Complete nursing care responsibilities and nursing interventions in an
organized and timely manner.

An
example of this w ould be w hen Satisfactory
medications. At Lakeside, the cl
an hour of the desired time, w h
morning. This w as effectively c
S.B.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEE

MUTUALLY AGREED EXPECTED OUTCOMES ability:

You
are developing strong relations
teacher, and clients. You utilize
therapeutic communication.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEAL

TEAM
6.1 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.

Working
Satisfactory
w ith the RPN on site, w e w ere
clients on our unit. We took the
w hich had arrhythmia. Through
needs and expected outcomes
S.B.
6.2 Contribute as a member of the inter-professional health care team to respond
Satisfactory
to the changing needs and expected outcomes of clients.
 Student Rating

When
one of the clients had experien
assessing the rash and applyin
area. This w as to assure the ex
there w ould be no rash or at lea
S.B.
6.3 Seek out assistance and consult with members of the inter-professional health
care team.

When
unsure as to how to approach Satisfactory
routines, I had consulted the PS
thoroughly meet the clients' nee
bed bath, brush their teeth, app
S.B.
6.4 Use teamwork, consensus building, and conflict resolution skills.

Tw o
clients on our unit disliked each
Satisfactory
aggressive tow ards one anothe
them separate and have them a
minimum. They did not agree to
S.B.
6.5 Describe effective, collaborative, and consultative strategies to meet clients
needs within a changing environment.

Through
collaboration w ith the RPN on s Satisfactory
to the clients' specific needs for
that the client had experienced
needs of the client w e had to as
S.B.
6.6 Interact with members of the health care team respecting their unique role and
competencies.

Had
integrated w ith different groups Satisfactory
collaborating w ith the PSWs lea
patient feeding and morning rou
Engaging w ith the physiotherap
S.B.

Teacher comments for COLLABORATIVE PRACTICE:

INTERPROFESSIONAL HEALTH CARE TEAM ability:

You
have documented patient care
professional manner. You have
peers w hen they w ere in need
presented to you at Lakeside. T
 Student Rating

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPET

7.1 Act in the best interests of clients and protect clients from harm through
collaboration and consultation with members of the inter-professional health care
team and through competent and safe practice.

Some
Satisfactory
clients required assistance w h
therefore created a platform in o
clients safety. Polls are installed
order to properly assist w ith clie
S.B.
7.2 Participate in self-reflection to identify strengths, areas for improvement.

Through
a self reflection assignment, I w
Satisfactory
prioritization strategies for myse
identify strengths I had, such as
clients. Also, my w eaknesses w
S.B.
7.3 Create, implement, and evaluate a learning plan consistent with the Quality
Assurance program (CNO).

Created
a learning plan in order to effec Satisfactory
Both the online assignment, req
our clinical teacher had improve
area that w as improved through
S.B.
7.4 Seek out learning opportunities and feedback that foster professional
development; and, integrate these into practice.

At
moments w here I w as unsure Satisfactory
the RPN or my clinical teacher in
to w hat w as the most appropri
dealing w ith a client w ho had de
S.B.
7.5 Utilize nursing, health and other theory and literature to improve nursing
practice.

Some
classes during the w eeks enga Satisfactory
arthritis. These w ere effective c
of clients in the placement had s
arthritis. These improved my nu
S.B.
7.6 Use a theory-based approach and evidence-informed practice. Satisfactory
 Student Rating

I
had interacted w ith clients w ho
theory-based approach; w hile i
arthritis and its specific classes
learned to approach these clien
S.B.

Teacher comments for QUALITY ASSURANCE: CONTINUE AN

IMPROVE COMPETENCE ability:

You
have treated your residents as
You are compassionate and ca
any w ay against those w hom y
diversity and respect the cultura

8. USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION

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

Using
problem-solving skills, and thro Satisfactory
that tw o patients on the unit had
of them to be aggressive, althou
w heelchair. Before he had a ch
S.B.
8.2 Use problem-solving and decision-making skills to assess clients and to
determine nursing diagnoses, expected outcomes, nursing interventions, and
evaluative criteria.

I
Satisfactory
had been assigned tw o specifi
individual view s, beliefs, values
for both clients and incorporate
w ould be one client w as a fall
S.B.
8.3 Use self-reflection to design a plan to improve problem-solving and decision-
making skills.

Through
a self reflection assignment, I w Satisfactory
prioritization strategies for myse
apply those strategies into an e
improvement in those areas in w
S.B.
8.4 Utilize knowledge from variety of nursing, health, and other theory into nursing
Satisfactory
practice to provide safe and competent care.
 Student Rating

An
example of know ledge I learned
and competent care w as the kn
variety of clients in long-term ca
related to those falls. In theory,
S.B.
8.5 Use prioritization strategies for client care.

After
creating a concept map, I w as
Satisfactory
care. After assessing w hich nu
able to take initiative and apply t
order to satisfy the clients' nee
S.B.
8.6 Demonstrate professionalism and accountability.

Was
accountable by follow ing pract
Satisfactory
documentation. When given a t
effectively completed the task in
communicating w ith clients or a
S.B.
8.7 Recognize strengths and limitations and seek appropriate assistance and
support.

Through
a learning plan and self reflecti Satisfactory
strengths and w eaknesses mor
w as my know ledge on general
these w ords. Through this, I w a
S.B.

Teacher comments for USE CRITICAL THINKING, PROBLEM-S

DECISION-MAKING EFFECTIVELY ability:

You
still need to w ork on developing
thinking skills, analyzing informa
appropriately.

9. SIM number of hours

9.1 SIM number of hours

S.B.
 Student Rating

A.M.

Teacher comments for SIM number of hours ability:

Due
to the structure of the course t
involved in SIM labs and as suc
accumulated.

Student Final Summary with Strategies for Continued Growth

The
environment at Lakeside w as p
environment. It gave us time to t
comfortable w ith the different ty
help w ith my continued grow th

Teacher Final Summary with Strategies for Continued Growth

During
this clinical experience you hav
actively sought out opportunities
care efficiently and safely. For
in facility meetings, and asking y

Program Coordinator comment:

Refer to Clinical Excellence Committee (CEC)

Grade:
Satisfactory Unsatisfa
Program Coordinator Feedback:
The Program Coordinator has reviewed the evaluation:

Student Sign-off:
I met with my Clinical Teacher/Preceptor and discussed my evaluation

In general this evaluation accurately reflects my performance

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