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@ Carroll Community College Division of STEM, Nursing and Aled Health Department of Nursing NURS 233 ~ Nursing Concepts 3 SUNIMATIVE Student Clinical Performance Evaluation student ET a 8 Vosee Facul = Salslaciny [N= Neods imoroybment_[U= Ungalslacory NA’ ‘Students who meet any of the folowing citsia Wil be given a remetaion plan and may be placed on prcnaion, ot applicable Felure to progres in nese areas may resultin faire f tne course, “One unsatisfactory grade In @erteal benavie “Two uncallsfacory grades ina norcrilcal behavior Four needs improvements ce () Creal beraior Two needs improvements in ercal behavior ‘Student | testo ‘Sale Evalof ‘Outcome 4 Eval | Sudert ‘Anaize the effeciveness ofthe plan of care (CSLOt) smiu_| “sind “1 *riotizes patient care based on assexement with facly as a esoure S$ 1s “Demonstrates accurate patent assessment sls ‘Analyzes and incorporates data rom the pallens medical recordin the provaion of care 2. 3. 3 3 ‘Uses patent assessment data to implement individualized plan of care wih faculy as Establnes appropiate nursing Gagnoses baved on colacied evidence and patient assessment win feculy a8 a resoure® é Establishes measurable patent outcomes based on nursing dlagnoale with facihy a8 @ 7. Estabishes appropdate nursing iewenions based oa assesament with aculy a3 5 Evaluates patent respones Io care ad revises plan as needed with faauly as a resource _| ‘utcome 2 ‘Seek opportunites that promote profesional growth (C8102) ‘Demonstrates professional behavior and appesrance 40, ‘Seeks input rom patent, instructor, and healthcare tsamin Wie dalvery of paler ‘centered care a “Demonsvates sccountabily and sccepls responsibly for own acions and atudes 2 “adheres to atendance policy [8 Parnas acively inal cinical expences 4 Engages in slireecion and conmuricats learing needs tor 16. ‘Completes assignments 0s requred and eubrits on me Demonstatesiitabve in esising peers and hesltare eam members ine ical sang | ‘Outcome 3 Provide patient-centered care wth faculy as a resource (CSLO3) 17 “implements appropriate infection contol precautions Provides cutualy sensitive care 1. ‘Documents patent care accurately 20. Uses therapeutic communication sts 24 Follows through wit all patient care 22. Demonstrates knowledge of medicatons for assigned patents G2 “Adeinstrs meclcaton safely using sx rights of medication administaton powove 2406 Rains Y2N0OH-OV2018 Carroll Community College Division of STEM, Nursing and Alled Health Department of Nursing NURS 233 - Nursing Concepts 3 e SUNMATIVE Student Clinical Peformance Evaluation 2a, Demonsvates caring behaviors = BS 25, Uses SBAR elective 28, Aci a5 an advocate for paris and fariios 27. “Demonstrates physical and mental competence © 28, “denies safely concems and nafs instructor and appropiate heaiicae Team STS members 28, Demonstrates time management techniques = 30. Implements patient and family eduction and evalsies effectiveness of teaching 31, “Updates instructor and healthcare team regarding changes inthe patent's condition '32, “Provides nursing care based on the polices and procedures of the facily s 33, “Provides nursing cae in secardance with the Maryland Nurse Praciee Act Sammi ‘34, *Adheres to HIPAA quideines S 35, “Provides car according o ANA Scope and Standerss of NuringPreaice——=S*~*~dCSSSS Student | insustor Sel | “Evalof Eval | student | Outzome 4 Implement nursing care baged on scenic evidence (CSLO4 SiN 36, Incorporates evidence-based rationale hat supors the patent's lon of care 1 ‘Student Reflection (Thoroughly answer all questions) se. How has this clinical rotation helped to define your role as a nurse? Please explain. Olt Weiped me to understand the mle of the nute | When if Games to Caring for a mim here desing and OM delivery Which objective did you accomplish during this rotation? How did you do it? i Daring Haly TerNHee T aclomplisred » Seek opprrtunitte| thot promote professional qrovtth. F did this by taking op DE Amy DP YOYT MIR, F Lend When {t came TR letning ans JorerVing assur Trin are your Yoals for your next clinieal rotation? In wy next Clinlin foratitn, Zant te be mbre OMFBenT wk my nedicrtrons l Faculty Commonts/ Student Learning Goals (Goals must bo eslablehed even I performance fe saletaciory Ian tem was identified as N or U, narrative comments are necessary to clay student performance along with goats to improve perfomance). Erin performed independant y and cecurately, } Erin displayed COMPASS 1ON + demanserare | a bettce understanding for oB bythe end ® oF Chinical- Popov 2404 Revised 00014012015 Carrol Community College Division of STEM, Nursing and Aled Heath Department of Nursing NURS 233 ~ Nursing Concepts 3 e SUMMATIVE Student Clinical Performance Evaluaion. Instructor Signature: 22. + ‘Student Signature ZO alra]z0r fi Geaiick —Z e Paso 24% Rees 1202014 012015 pate: 14779. TT

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