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Student:

Roxanne Smith
Student ID:
N01123935
Clinical Teacher/Preceptor:
Sheri Pierce
Program Coordinator:
Wendy Chow
Location:
McCall Centre
Placement:
Agency
Unit:
CCU
Period:
12-Jan-2016 to 07-May-2016
Required Hours:
168
Student hours:
168
Validated hours:
159
Teacher comment for validated hours:
hours missed: 6 hrs week 1 and 3 hours week 7

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 Teacher
Rating Rating

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


ETHICAL FRAMEWORK

1.1 Comply with regulatory standards, relevant legislation and the Satisfactory Satisfactory
Student Teacher
Rating Rating
practice settings policies and procedures.
R.S.
Yes, as outlined in our orientation

1.2 Act in a responsible, ethical and accountable manner.


R.S.
Yes, as emphasized by Sheri eac
Satisfactory Satisfactory

1.3 Determine strengths and limitations and when to consult and


seek assistance from other professionals.
R.S.
By repeating assessments I'mwe Satisfactory Satisfactory

1.4 Use evidence informed practice and a theory-based approach to


care.
R.S.
Yes, referencing Evolve Satisfactory Satisfactory

1.5 Ensure client safety and a safe environment.


R.S.
By abiding by facility rules such a
Satisfactory Satisfactory

1.6 Ask relevant questions to clarify understanding of the plan of


care and whenever uncertain.
R.S.
Each week with Sheri Satisfactory Satisfactory

1.7 Identify ethical and unsafe situations and seek appropriate Satisfactory Satisfactory
assistance to resolve these.
Student Teacher
Rating Rating
R.S.
by observing staff and scenarios

1.8 Demonstrate understanding about the role of the student nurse.


R.S.
by adhering to hospital and scho
Satisfactory Satisfactory

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A


PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK ability:

Roxanne, you have made great

2. ACCURATE AND RELEVANT COMMUNICATION

2.1 Participate in team sharing and discussions.


R.S.
Before and after each shift
Satisfactory Satisfactory

2.2 Document clearly, accurately, concisely in a timely manner


using written and electronic methods.
R.S.
Done during and after each shift Satisfactory Satisfactory

2.3 Report relevant information to the appropriate personnel.


R.S.
Report through Sheri to Annmari
Satisfactory Satisfactory

2.4 Utilize communication techniques with the client and inter- Satisfactory Satisfactory
professional health care team.
Student Teacher
Rating Rating
R.S.
Working with PSWs, nurses and

2.5 Maintain privacy and confidentiality according to the Personal


Health Information Protection Act (PHIPA)
R.S.
Practiced during patient care an Satisfactory Satisfactory

2.6 Use technology to retrieve information including research, data


and other information.
R.S.
By using evolve, blackboard, tex Satisfactory Satisfactory

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION ability:

Roxanne, you consistently are a

3. CARING RELATIONAL PRACTICE

3.1 Utilize effective communication techniques.


R.S.
When possible, depending on pa
Satisfactory Satisfactory

3.2 Demonstrate therapeutic caring, compassionate, and culturally


safe relationships with clients and health care team members.
R.S.
When interacting with patient du Satisfactory Satisfactory

3.3 Apply knowledge of therapeutic use of self and identify its Satisfactory Satisfactory
Student Teacher
Rating Rating
effect on client well-being.
R.S.
During each interaction by being

3.4 Use self-awareness to identify the effects that beliefs, values,


and personal experiences have on relational practice.
R.S.
during each interaction by being Satisfactory Satisfactory

3.5 Interact with clients and members of the inter-professional


health care team; and, consult appropriately.
R.S.
During shifts to enhance patient Satisfactory Satisfactory

3.6 Apply knowledge of practices and systems that support the


diversity of clients and the inter-professional health care team.
R.S.
By being knowledgeable of patie Satisfactory Satisfactory

3.7 Apply knowledge of clients cultural, religious, and other


beliefs and values as these influence clients choices and decisions.
R.S.
Through reading charts and talk Satisfactory Satisfactory

3.8 Provide effective client education.


R.S.
When possible through conversa
Satisfactory Satisfactory

Teacher comments for CARING RELATIONAL PRACTICE ability:


Student Teacher
Rating Rating
Roxanne, you demonstrate carin

4. LEADERSHIP AND ADVOCACY

4.1 Recognize conflicts and strategies for resolution.


R.S.
within teamand with interdisciplin
Satisfactory Satisfactory

4.2 Demonstrate leadership skills that foster group work and a


positive learning environment.
R.S.
When group work is necessary, Satisfactory Satisfactory

4.3 Identify opportunities to improve health care service and


nursing interventions by advocating for client, self, others, and
quality practice.
R.S.
Reporting bad care practices by Satisfactory Satisfactory

4.4 Provide feedback to peers and accept feedback from peers and
members of the inter-professional health care team.
R.S.
weekly done Satisfactory Satisfactory

4.5 Support clients rights for self-determination and choice.


R.S.
By allowing themto be independ
Satisfactory Satisfactory

4.6 Respond appropriately to unsafe, unacceptable, and Satisfactory Satisfactory


unprofessional behaviours.
Student Teacher
Rating Rating
R.S.
I basically just report everything q

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.
R.S.
Not much experience with the w

Satisfactory Satisfactory

S.P.
You will have more opportunity to

Teacher comments for LEADERSHIP AND ADVOCACY ability:

You are starting to take on the ro

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 care.
R.S.
by comparing care with chart Satisfactory Satisfactory

5.2 Develop theory-based plans of care that are holistic and client
centered and are articulated competently in writing and orally.
R.S.
by applying theory to the practica Satisfactory Satisfactory
Student Teacher
Rating Rating
5.3 Use knowledge, skill and judgment to assess clients, prioritize
needs and outcomes.
R.S.
during assessments especially be Satisfactory Satisfactory

5.4 Provide information that contributes to the evaluation and


refinement of plans of care.
R.S.
by daily assessments Satisfactory Satisfactory

5.5 Safely and competently carry out nursing assessments and


nursing interventions that are theory-based and within skill
abilities.
R.S.
by asking for help when required Satisfactory Satisfactory

5.6 Carry out nursing care that reflects the practice decision-
making framework.
R.S.
by consulting nursing guidelines Satisfactory Satisfactory

5.7 Complete nursing care responsibilities and nursing


interventions in an organized and timely manner.
R.S.
by developing a daily organizatio Satisfactory Satisfactory

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY
AGREED EXPECTED OUTCOMES ability:
Student Teacher
Rating Rating
You have successfully complete

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE 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.
R.S.
done during morning half of shift Satisfactory Satisfactory

6.2 Contribute as a member of the inter-professional health care


team to respond to the changing needs and expected outcomes of
clients.
R.S.
done throughout the shift during Satisfactory Satisfactory

6.3 Seek out assistance and consult with members of the inter-
professional health care team.
R.S.
when supervision or help is requ Satisfactory Satisfactory

6.4 Use teamwork, consensus building, and conflict resolution


skills.
R.S.
during morning reports and at aft Satisfactory Satisfactory

6.5 Describe effective, collaborative, and consultative strategies to Satisfactory Satisfactory


meet clients needs within a changing environment.
Student Teacher
Rating Rating
R.S.
updating knowledge of their cha

6.6 Interact with members of the health care team respecting their
unique role and competencies.
R.S.
by providing space to work and Satisfactory Satisfactory

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL


HEALTH CARE TEAM ability:

You collaborate well with all mem

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

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.
R.S. Satisfactory Satisfactory
by listening to morning reports an

7.2 Participate in self-reflection to identify strengths, areas for


improvement.
R.S.
done after each shift Satisfactory Satisfactory

7.3 Create, implement, and evaluate a learning plan consistent with Satisfactory Satisfactory
the Quality Assurance program (CNO).
Student Teacher
Rating Rating
R.S.
Done two weeks ago

7.4 Seek out learning opportunities and feedback that foster


professional development; and, integrate these into practice.
R.S.
participated in self reflection and Satisfactory Satisfactory

7.5 Utilize nursing, health and other theory and literature to


improve nursing practice.
R.S.
by researching medication as we

Satisfactory Satisfactory
S.P.
please utilize your pharmacology

7.6 Use a theory-based approach and evidence-informed practice.


R.S.
by applying theoretical knowledg
Satisfactory Satisfactory

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE


COMPETENCE ability:

You have successfully complete

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


EFFECTIVELY

8.1 Utilize problem-solving skills to inform decision making in all Satisfactory Satisfactory
Student Teacher
Rating Rating
aspects of nursing care.
R.S.
Compare data to theoretical valu

8.2 Use problem-solving and decision-making skills to assess


clients and to determine nursing diagnoses, expected outcomes,
nursing interventions, and evaluative criteria.
R.S.
Learning to be more efficient at t Satisfactory Satisfactory

8.3 Use self-reflection to design a plan to improve problem-solving


and decision-making skills.
R.S.
After each clinical, biweekly Satisfactory Satisfactory

8.4 Utilize knowledge from variety of nursing, health, and other


theory into nursing practice to provide safe and competent care.
R.S.
by applying knowledge fromtheo Satisfactory Satisfactory

8.5 Use prioritization strategies for client care.


R.S.
By using blackboard templates
Satisfactory Satisfactory

8.6 Demonstrate professionalism and accountability.


R.S.
i think so, but there is always roo
Satisfactory Satisfactory

8.7 Recognize strengths and limitations and seek appropriate Satisfactory Satisfactory
assistance and support.
Student Teacher
Rating Rating
R.S.
With the help of Sheri and other

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING &


DECISION-MAKING EFFECTIVELY ability:

You are starting to use critical th

9. SIM number of hours

9.1 SIM number of hours


R.S.
168

S.P.
6

Teacher comments for SIM number of hours ability:

6 hours

Student Final Summary with Strategies for Continued Growth

I have realized this semester tha

Teacher Final Summary with Strategies for Continued Growth


Roxanne I agree that you have m

Program Coordinator comment:

Student's References:

Evolve, Theory notes/ class and

Refer to Clinical Excellence Committee (CEC)

Satisfactory Unsatisfactory
Grade:
Submitted Date: 13-Apr-2016 23:24

Program Coordinator Feedback:

Yes No
The Program Coordinator has reviewed the evaluation: