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5=Excellent
4=Very Good
3=Satisfactory
2=Fair
1=Poor
N/A=Not Applicable
Students must achieve a 3 or higher in each component of the safety standard.
Standard II--Safety
The student maintains the community populations physical safety by protecting the
agencys clients from harm.
5 Excellent
4 Very Good
3 Satisfactory
2 Fair
1 Poor
N/A Not Applicable
Standard II--Safety
The student does not make judgmental, discriminatory, or prejudicial statements to
the community agencys population, staff or faculty.
5 Excellent
4 Very Good
3 Satisfactory
2 Fair
1 Poor
N/A Not Applicable
Standard II--Safety
The student validates the accuracy and appropriateness of orders, plan of care,
and/or agencys policies prior to initiating nursing care.
5 Excellent
4 Very Good
3 Satisfactory
2 Fair
1 Poor
N/A Not Applicable
Standard II--Safety
The student implements nursing skills with proficiency and safety.
5 Excellent
4 Very Good
3 Satisfactory
2 Fair
1 Poor
N/A Not Applicable
Standard II--Safety
The student adapts skill performance using principles of theory when necessary.
5 Excellent
4 Very Good
3 Satisfactory
2 Fair
1 Poor
N/A Not Applicable
Standard III--Nursing Process: Community Assessment Skills
Assists / performs client, family, or population-based assessments in collaboration
with agency staff.
5 Excellent
4 Very Good
3 Satisfactory
2 Fair
1 Poor
N/A Not Applicable
Tiffany did an incredible job providing her SLP to the CNA class at Wharton High School. The teacher
was so pleased that she asked her to present to her next class. Tiffany shared her journey to
choosing the nursing career and served as a great role model.
Tiffany Tran has reviewed the above evaluation on 4/21/2017 and has provided the
following comment:
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172.31.7.190/projectnurse_usf_prod APP v4.44.6351.22907 DB v4_43 5/12/2017 APPUSER:TXTRAN2