Self Assessment

2017 - 2017 - NURS 151 Practical Nursing Practice 2 Final (201508)

NURS 151 Practical Nursing Practice 2 (PN, 09-Jan-2017 - 30-Apr-2017)
Student : My Hoa Duong
Clinical Teacher/Preceptor : Sheri Pierce
Program Coordinator : Vasanthy Harnanan
Location : Grace Manor
Placement Setting : Agency
Unit/Office/Clinic : LTC
Period : 09-Jan-2017 To 30-Apr-2017
Student hours : 168
Required Hours : 168
Validated hours : 167
Teacher comment for validated hours:
Absent 1hr week 6

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
Satisfactory Satisfactory
1. 1 Comply with regulatory standards, relevant legislation and the practice setting’s policies and

procedures.

M.H.D. : I demonstrated this skill through showing up on time (before 0700), having all paperwork completed, and wearing gloves when cleaning the
patients and making beds. I also perform 3 checks of medication administration.

1. 2 Act in a responsible, ethical and accountable manner. Satisfactory Satisfactory

M.H.D. : I prepared all the necessary paper work prior coming to placement: medical research, diagnosis research, and daily care plans for the
assigned residents each week. There was one week that I did not act responsible, which was in week 6. I forgot to bring the required document to
placement. I was sent home to get it, but I made arrangement with my aunt as she was bringing it to me instead.

Satisfactory Satisfactory
1. 3 Determine strengths and limitations and when to consult and seek assistance from other
professionals.

M.H.D. : My strengths are that I am confident to initiate conversations with the residents. Moreover, I am able to administered medications to the

assigned residents accurately. I can also provide am care to the assigned residents comfortably with the help of the PSW. I am able to help the PSW
in moving/cleaning/transferring residents.
One of the limitations that I need to improve on is that I need to learn more thoroughly different kinds of medications to ensure I give the correct

medications for the corresponding conditions. Another weakness that i noticed is that I do not know how to deal when situations changed. I need to
review my notes and re-watch nursing videos to make sure I am familiar with some caring processes.

I seek assistance from my teacher when i noticed one the my assigned residents being moody and weak. It turned out that she was hypoglycemic,

that was why she acted like that. My teacher then told the nurse about the situation. the nurse gave the resident apple juice to bring up her glucose
level.

1. 4 Use evidence informed practice and a theory-based approach to care. Satisfactory Satisfactory
M.H.D. : When communicating with the residents, I always use elder speak to talk to them. I make sure that I speak loudly, slowly, clearly with a low-

pitched voice. This strategy is from what I have learnt in theory class. I am able to apply the knowledge I learn in class to practice.

1. 5 Ensure client safety and a safe environment. Satisfactory Satisfactory

M.H.D. : I make sure that the residents I am taking care for have non-skid socks, shoes, and eyeglasses on. I make sure their room is free of

obstacles so they will not trip on them and fall. After making their beds, I always adjust the bed's height to its original position (some beds are in low
positions, some are at waist level).

1. 6 Ask relevant questions to clarify understanding of the plan of care and whenever uncertain. Satisfactory Satisfactory

M.H.D. : I ask the PSW how some residents transferred to ensure that I would not do something that is dangerous to them. For example, I asked the

PSW and found out that some residents transferred by the standing lift. Therefore, those residents have limited mobility. When I care for those
residents, I make sure to call the PSW to use the standing lift to transfer them.

1. 7 Identify ethical and unsafe situations and seek appropriate assistance to resolve these. Satisfactory Satisfactory

M.H.D. : I seek assistance from my teacher when i noticed one the my assigned residents being moody and weak. It turned out that she was
hypoglycemic, that was why she acted like that. My teacher then told the nurse about the situation. The nurse gave the resident apple juice to bring up
her glucose level.

1. 8 Demonstrate understanding about the role of the student nurse. Satisfactory Satisfactory

M.H.D. : I understand the role of the nursing student. I help the PSW in doing morning care for the residents and transfer them. I need to check the
medications with my teacher before I administer them to the residents. I ask the nurse how some residents take their pills to make sure i give the
correct route. If there is any unsafe situation, I report immediately to the nurse, the PSW, or my teacher.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :

You are competently caring for two residents including medication administration, personal care and health assessments. You seek
guidance when needed from either myself or staff at Grace Manor

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions. Satisfactory Satisfactory

M.H.D. : I sometimes participate in team discussions at post-conference. I sometimes express my ideas about certain situations.

2. 2 Document clearly, accurately, concisely in a timely manner using written and electronic methods. Satisfactory Satisfactory

M.H.D. : After I administer medications, I do not forget to document using a computer. I document right after i administer the medications and before I
leave the floor for breaks.

2. 3 Report relevant information to the appropriate personnel. Satisfactory Satisfactory

M.H.D. : I asked the nurse how a resident takes her pills. The nurse told me that the resident takes crushed medications with apple sauce. I ask

question about medication to the appropriate nurse, not the PSW.

2. 4 Utilize communication techniques with the client and inter-professional health care team. Satisfactory Satisfactory
M.H.D. : I use elder speak to talk with the residents. I speak loudly, clearly, slowly with a low-pitched voice when talking to them. Whenever I am

unsure about a decision, I always ask the nurse, the PSW, or my teacher.

2. 5 Maintain privacy and confidentiality according to the Personal Health Information Protection Act Satisfactory Satisfactory

(PHIPA)

M.H.D. : When doing am care for the residents, I make sure to close the door and/or the curtain to maintain privacy. When I change their pants on

bed, I make sure to pull up the blanket when I finish.

2. 6 Use technology to retrieve information including research, data and other information. Satisfactory Satisfactory

M.H.D. : I use one of the PSW's or my teacher's account to research my assigned resident care plan. I also use the kardex to get their information. I
use evolve textbook and drug book to research my residents' conditions and medications.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

You communicate well with your classmates, staff at Grace Manor and myself. You seek guidance when needed

3. CARING RELATIONAL PRACTICE

3. 1 Utilize effective communication techniques. Satisfactory Satisfactory

M.H.D. : I use elder speak to talk with the residents. I speak loudly, clearly, slowly with a low-pitched voice when talking to them. Whenever I am

unsure about a decision, I always ask the nurse, the PSW, or my teacher.

Satisfactory Satisfactory
3. 2 Demonstrate therapeutic caring, compassionate, and culturally safe relationships with clients

and health care team members.

M.H.D. : I ask my residents about their conditions, their pain level, and their well being. I also ask them about their life to develop relationship with

them. In my spare time at clinical, I sometimes talk to some residents to provide them company. Therefore, I understand them better and could
provide safe care for them.

3. 3 Apply knowledge of therapeutic use of self and identify its effect on client well-being. Satisfactory Satisfactory

M.H.D. : I am aware and understand about myself. By doing that, I can build rapport, trust, and empathy with my residents. For example, I know that I

like to smile with people I see, so every time I walk by a resident, I smile at him/her. Moreover, when I am talking to a resident in her room, I always
smile, knot my head, and ask how her day is going. These actions help me to establish relatedness and build trust and therapeutic relationship with

my residents. The result is the residents feel welcoming, and ask me to come back to their rooms sometimes.

Satisfactory Satisfactory
3. 4 Use self-awareness to identify the effects that beliefs, values, and personal experiences have on
relational practice.

M.H.D. : I am aware of myself, my personalities, beliefs and values. I understand that these elements contribute to the way i care for clients. I believe

that everyone has his/her own choice and I need to respect that. When caring for a resident, i always ask if it is alright to do a certain job. If she

refuses, I will not do it.

3. 5 Interact with clients and members of the inter-professional health care team; and, consult Satisfactory Satisfactory

appropriately.
M.H.D. : I talk to mostly all the residents and the staff in the section and the date where I practice. I consult any unsure decisions or problems to the

appropriate staff.

Satisfactory Satisfactory
3. 6 Apply knowledge of practices and systems that support the diversity of clients and the inter-

professional health care team.

M.H.D. : I acknowledge that there is a diversity of residents and staff where I practice. That's why I do not mention any ethical issues and i respects
their decisions based on their cultural background.

Satisfactory Satisfactory
3. 7 Apply knowledge of clients’ cultural, religious, and other beliefs and values as these influence

clients’ choices and decisions.

M.H.D. : I respect the resident's choices or decisions because it is based on their knowledge, beliefs, religions, and cultures. I do not force them to do

something that they refuse.

3. 8 Provide effective client education. Unsatisfactory Satisfactory

M.H.D. : I did not really educate any resident much. All I did was reminding them to wear non-skid shoes to prevent falling. I need to review this
criteria.

Teacher comments for CARING RELATIONAL PRACTICE :

You show caring towards each of your residents, you respect their wishes and ensure they are ready and in the meal area as per their
schedule

4. LEADERSHIP AND ADVOCACY

4. 1 Recognize conflicts and strategies for resolution. Satisfactory Satisfactory

M.H.D. : One time, I was bringing in lunch for one of the residents in her room. I told her that I am a student nurse and that I was helping her with her

lunch. She told me that she wanted a nurse and did not let me to set up the table for her. I asked her again if I could do it instead and she refused. I

respected her request and told the nurse/PSW to come.

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

M.H.D. : There was one time after our lunch break, we had nothing to do. My peers were sitting in the resident lounge chatting. I thought that I would

not look nice if we sat there doing nothing. So I told them that we should ask the PSW/nusre if they need help, or at least do something productive.
They all agreed and we actually helped the PSW some work and chatted with the residents.This demonstrates fostering group work.

Unsatisfactory Satisfactory
4. 3 Identify opportunities to improve health care service and nursing interventions by advocating for

client, self, others, and quality practice.

M.H.D. : I have not got a chance to identify opportunities to improve health care services and nursing interventions by advocating for clients, self,
other and quality practice.

4. 4 Provide feedback to peers and accept feedback from peers and members of the inter- Satisfactory Satisfactory

professional health care team.

M.H.D. : I provide feedback to my peers about their process. I accept feedback from them as well and reconsider the feedback to improve myself.
4. 5 Support clients’ rights for self-determination and choice. Satisfactory Satisfactory

M.H.D. : I always ask the clients if it is alright to do certain work/assessments. If they have no problem, I will go ahead and do what I need to do. If

they refuse, I respect that and find out alternatives with them so we can both agree.

4. 6 Respond appropriately to unsafe, unacceptable, and unprofessional behaviours. Satisfactory Satisfactory

M.H.D. : There was one time that I fell asleep in the resident area and was reported to my teacher by one of the staff. I recognize and accept my
mistake. I accept that it was an unprofessional behaviour. I will never do it again.

Unsatisfactory Satisfactory
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.

M.H.D. : I have not done much for this criteria. I would like to review myself and improve to meet this criteria.

Teacher comments for LEADERSHIP AND ADVOCACY :

You demonstrate leadership daily by taking the initiative to assist other residents not assigned to you. You also assist your classmates
when they have questions

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. Satisfactory Satisfactory

M.H.D. : When doing the concept care map, I identified the resident's problems and needs. I developed nursing interventions to help her improve her

conditions. I also set out goals and expected outcomes if her conditions got better.

Satisfactory Satisfactory
5. 2 Develop theory-based plans of care that are holistic and client centered and are articulated

competently in writing and orally.

M.H.D. : When doing the concept care map, my plans of care were holistic and my expected outcomes were client-centered. For example: "The client

will not sustain fall during the next few weeks."

5. 3 Use knowledge, skill and judgment to assess clients, prioritize needs and outcomes. Satisfactory Satisfactory

M.H.D. : When doing the concept care map, I use knowledge, skill and judgement to assess the resident. For example, if she has Alzheimer's

disease and is quite, I would try to talk more to her to provide company. Moreover, I prioritize needs such as I know that she is at risk for loneliness,
that's why I talk to her a lot. The outcomes are that she will be more socialize and enjoy activities.

5. 4 Provide information that contributes to the evaluation and refinement of plans of care. Satisfactory Satisfactory

M.H.D. : I safely perform vital signs, neurological and cardiovascular assessments on some of my residents. I know that some assessments are hard
to perform on the residents or not relevant to their conditions that might cause danger to them. Moreover, i know that some assessments such as the
MSK is not within my skill abilities to perform on immobile residents. Therefore, I refine appropriate assessments and interventions to the
corresponding conditions.

5. 5 Safely and competently carry out nursing assessments and nursing interventions that are theory- Satisfactory Satisfactory

based and within skill abilities.

M.H.D. : I safely perform vital signs, neurological and cardiovascular assessments on some of my residents. I know that some assessments are hard

to perform on the residents or not relevant to their conditions that might cause danger to them. Moreover, i know that some assessments such as the
MSK is not within my skill abilities to perform on immobile residents. Therefore, I refine appropriate assessments and interventions to the
corresponding conditions.

5. 6 Carry out nursing care that reflects the practice decision-making framework. Satisfactory Satisfactory

M.H.D. : For instance, I know that the resident I was taking care of has stroke, atrial fibrillation, and some complications of type 2 diabetes. Therefore,
i decided to perform cardiovascular and neurological assessments on her. I did not choose MSK or respiratory because they are not relevant to the

conditions she has. This demonstrates decision-making framework.

Satisfactory Satisfactory
5. 7 Complete nursing care responsibilities and nursing interventions in an organized and timely

manner.

M.H.D. : I try to complete nursing care responsibilities such as doing am care for the residents in a timely manner. I try not to take so long because

they would be tired.

Teacher comments for PLANS OF CARE: MEET CLIENTS’ NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :

You have successfully completed two care map assignments

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

Satisfactory Satisfactory
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.

M.H.D. : I seek assistance from my teacher when i noticed one the my assigned residents being moody and weak in the morning. I took her blood

glucose and it turned out that she was hypoglycemic, that was why she acted like that. My teacher then told the nurse about the situation. The nurse
gave the resident apple juice. I assessed the resident when doing morning care for her. I noticed the change in her moods and report to my teacher.
After we found out that she was hypoglycemic, we agreed that she needed some sugar so we notified the nurse. The expected outcome was that her

glucose level went back to normal.

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.

M.H.D. : I seek assistance from my teacher when i noticed one the my assigned residents being moody and weak in the morning. I took her blood

glucose and it turned out that she was hypoglycemic, that was why she acted like that. My teacher then told the nurse about the situation. The nurse
gave the resident apple juice. I assessed the resident when doing morning care for her. I noticed the change in her moods and report to my teacher.
After we found out that she was hypoglycemic, we agreed that she needed some sugar so we notified the nurse. The expected outcome was that her
glucose level went back to normal. I acted as a member of the inter-professional health care team to respond to the changing needs and expected
outcomes.

6. 3 Seek out assistance and consult with members of the inter-professional health care team. Satisfactory Satisfactory

M.H.D. : I seek assistance from my teacher when i noticed one the my assigned residents being moody and weak in the morning. I took her blood

glucose and it turned out that she was hypoglycemic, that was why she acted like that. My teacher then told the nurse about the situation. The nurse
gave the resident apple juice. I assessed the resident when doing morning care for her. I noticed the change in her moods and report to my teacher.
After we found out that she was hypoglycemic, we agreed that she needed some sugar so we notified the nurse. The expected outcome was that her
glucose level went back to normal.
6. 4 Use teamwork, consensus building, and conflict resolution skills. Satisfactory Satisfactory

M.H.D. : I demonstrated teamwork skill through motivating my team to do some productive work. Usually, we do not have many jobs to do after lunch

break. my teammates like to sit on the chairs in the resident's lounge. I thought that it is not the right thing to do because we were warned by our
teacher not to hang around. I told them they we should do something otherwise the teacher came suddenly and we would be in big trouble. They all
agreed and we actually did some productive jobs such as helping the PSW.

Satisfactory Satisfactory
6. 5 Describe effective, collaborative, and consultative strategies to meet client’s needs within a

changing environment.

M.H.D. : I was supposed to administer medications and eye drops before a resident's dinner. Unfortunately, the resident was already at the dinning

table and I could not administer eye drops at the dinning table. I gave her the medications and told her that I needed to move her to the nursing station
to give her the eye drops. She refused and told me to do it at the dinning room. I told my teacher about the changing situation and my teacher
suggested to administer eye drops after her dinner at the nursing station. Later on, the resident called me over and told me to do the eye drops right
away because she had someone visiting her after dinner. I told her that the eye drops would not take long and that I would do it after she ate. She
agreed and I successfully administered eye drops for her.

6. 6 Interact with members of the health care team respecting their unique role and competencies. Satisfactory Satisfactory

M.H.D. : I respect each other's choices and actions. Because it is based on their knowledge, beliefs, personalities, and cultures. If my peers want to

do differently than what I wanted to do, I will listen to their rationale. If their choices seem reasonable, I would let them do it and follow them to see
how they do it. Because I might learn something new from my peers. If their choices are completely opposite to what I think or I know that the choices
are wrong, I would softly explain to them with respect and hope to find out the right solutions.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

You collaborate well with myself, your classmates and the staff of Grace Manor

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

Satisfactory Satisfactory
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.

M.H.D. : I act in the best interests of clients and protect them from harms. For instance, when i was doing morning care for a resident, I found out that
her denture was not in the container or anywhere in the bathroom. I looked in her bed, around her room many times but could not find it. Finally, I

decided to reach out for my teacher and the PSW on that side. They helped me to find the denture. Otherwise the resident would be at risk at
aspiration if she ate without her denture. Eventually, the PSW found out that the denture was in the resident's mouth the whole night. I forgot to check
her mouth. Therefore, I collaborate with other members in the inter-professional health care team to provide safe care for my resident.

7. 2 Participate in self-reflection to identify strengths, areas for improvement. Satisfactory Satisfactory

M.H.D. : I did participate in self-reflection to identify strengths and weaknesses. I handed in my self-reflection to my clinical teacher on time.
My strengths are that I am confident to initiate conversations with the residents. Moreover, I am able to administered medications to the assigned
residents accurately. I can also provide am care to the assigned residents comfortably with the help of the PSW. I am able to help the PSW in
moving/cleaning/transferring residents.
One of the limitations that I need to improve on is that I need to learn more thoroughly different kinds of medications to ensure I give the correct

medications for the corresponding conditions. Another weakness that i noticed is that I do not know how to deal when situations changed. I need to

review my notes and re-watch nursing videos to make sure I am familiar with some caring processes.
 Satisfactory Satisfactory
7. 3 Create, implement, and evaluate a learning plan consistent with the Quality Assurance program
(CNO).

M.H.D. : I have created a learning plan about areas I need improvement on. I need to review the textbooks as well as online videos about caring for

preoperative and postoperative patients; different types for dressing change; nursing actions in blood transfusion; how to deal with
difficult/uncooperative patients; and safe transfer patients using different devices. I try to learn as much as I can. This summer I will spend time to
review my nursing notes. Hopefully by the start of the third semester, I will be more confident approaching new complicated patients with a full brain of

knowledge I learnt from the first year.

Satisfactory Satisfactory
7. 4 Seek out learning opportunities and feedback that foster professional development; and,

integrate these into practice.

M.H.D. : Whenever I get a chance to help to PSW transfer/bath/clean a resident, I always watch carefully and sometimes ask questions to foster

learning. I am a visual learner, so by watching someone does a certain job over time, I could learn fast from that. While watching the PSW do their job,
I also rationale in my head why she does this way. This helps me a lot in understanding care and learn faster. For instance, I watched my teacher
administered eye drops to one of the residents, I watched her techniques and wordings. Therefore, when it was my turn to do it, I did exactly to what
she showed me, even more effective than her method.

7. 5 Utilize nursing, health and other theory and literature to improve nursing practice. Satisfactory Satisfactory

M.H.D. : I learn from other health care professionals, from my teachers, my peers, textbooks, online videos, learning modules to improve nursing
practice.

7. 6 Use a theory-based approach and evidence-informed practice. Satisfactory Satisfactory

M.H.D. : When communicating with the residents, I always use elder speak to talk to them. I make sure that I speak loudly, slowly, clearly with a low-
pitched voice. This strategy is from what I have learnt in theory class. I am able to apply the knowledge I learn in class to practice.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

You have successfully completed your learning plan for next semester. You seek out learning opportunities when available at Grace Manor

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

8. 1 Utilize problem-solving skills to inform decision making in all aspects of nursing care. Unsatisfactory Satisfactory

M.H.D. : There was one time I did not use problem-solving skills to inform decision making to my teacher. It was in week 6 when i forgot to bring the
required document and was asked to return home to get it. I called my aunt and she agreed to bring to document for me instead. I did not
communicate with my teacher about the changed plan. The result was that I got unsatisfactory for this criteria that week. In general, I need to utilize
problem-solving skills in all aspects of nursing care.

Satisfactory Satisfactory
8. 2 Use problem-solving and decision-making skills to assess clients and to determine nursing

diagnoses, expected outcomes, nursing interventions, and evaluative criteria.

M.H.D. : When I demonstrated problem-solving and decision-making skills to assess my residents. For instance, I noticed that the resident I was

assigned that week is week, and her skin is pale and fragile. She has left side weakness due to stroke and decreased sensation. She cannot stand by

herself so she needs the standing lift to transfer her. Based on those evidences, I conclude one of my nursing diagnosis as risk for impaired skin
integrity
will checkrelated
on hertoregularly
decreasedfor sensation.
a month toThe
see expect outcome for were
if my interventions this diagnosis
effective. is client will show no signs of skin break down over the next month. I
8. 3 Use self-reflection to design a plan to improve problem-solving and decision-making skills. Satisfactory Satisfactory

M.H.D. : I wrote a self-reflection identifying my strengths and weaknesses. However, I know that I need to improve problem-solving and decision-

making skills as well because these skills are essential in nursing practice. My plan to improve these skill is to think critically every time I overcome a
difficult situation. I should watch more nursing videos and read about how to deal with complex situations. The best practice would be experiences.
The more I interact with clients, the more improvement in these problem-solving skills.

Satisfactory Satisfactory
8. 4 Utilize knowledge from variety of nursing, health, and other theory into nursing practice to

provide safe and competent care.

M.H.D. : I learn from other health care professionals, from my teachers, my peers, textbooks, online videos, learning modules to improve nursing

practice. I apply knowledge from what I learn in class into practice the most.

8. 5 Use prioritization strategies for client care. Satisfactory Satisfactory

M.H.D. : I prioritize task for client care. Between medications and eye drops, I know that I should administer medication first because it is more

important than eye drops. It cannot be missed but eye drops could. However, I still need more improvement in this criteria. I still have limited
recognizing of which task should be taken first.

8. 6 Demonstrate professionalism and accountability. Satisfactory Satisfactory

M.H.D. : I need more improvement in this criteria. One time I was found sleeping in the resident's area by one of the staff. It effects my

professionalism. Other than that time, I act professionally in caring for the residents. I show up on time, use therapeutic communication with the
residents, complete all paper work for clinical, and have all necessary equipment to perform assessments.

8. 7 Recognize strengths and limitations and seek appropriate assistance and support. Satisfactory Satisfactory

M.H.D. : My strengths are that I am confident to initiate conversations with the residents. Moreover, I am able to administered medications to the
assigned residents accurately. I can also provide am care to the assigned residents comfortably with the help of the PSW. I am able to help the PSW
in moving/cleaning/transferring residents.

One of the limitations that I need to improve on is that I need to learn more thoroughly different kinds of medications to ensure I give the correct
medications for the corresponding conditions. Another weakness that i noticed is that I do not know how to deal when situations changed. I need to

review my notes and re-watch nursing videos to make sure I am familiar with some caring processes.

I seek assistance from my teacher when i noticed one the my assigned residents being moody and weak. It turned out that she was hypoglycemic,
that was why she acted like that. My teacher then told the nurse about the situation. the nurse gave the resident apple juice to bring up her glucose
level. Not only that, I will seek assistance from my teacher/nurse/PSW whenever I am unsure because I want to minimize mistakes in the health care
settings.

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY :

You use critical thinking on a daily basis. You are able to prioritize your care based on your residents needs

9. SIM number of hours

9. 1 SIM number of hours

M.H.D. : 8

S.P. : 8
Teacher comments for SIM number of hours :

Completed required SIM hours

Student Final Summary with Strategies for Continued Growth

I need more development on problem-solving and decision making skills. I need to review the textbooks as well as online videos about caring for
preoperative and postoperative patients; different types for dressing change; nursing actions in blood transfusion; how to deal with
difficult/uncooperative patients; and safe transfer patients using different devices. I try to learn as much as I can. This summer I will spend time to
review my nursing notes. Hopefully by the start of the third semester, I will be more confident approaching new complicated patients with a full brain of
knowledge I learnt from the first year.

Teacher Final Summary with Strategies for Continued Growth

You are practicing at a beginning practitioner level. You can competently care for two residents including medications administration, personal care
and health assessments. Please utilize the open access lab during the summer to practice your skills ie dressing changes, vital signs, s/c and IM
injections. Best wishes for semester 3

Student's References

From my teacher, peers, online textbooks (Jarvis', Lewis', Potter's), theory classes, online videos, case studies and online learning modules.

Grade Satisfactory Unsatisfactory

Referred to Clinical Excellence Committee (CEC)

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