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James Madison University School of Nursing

Practicum Evaluation Tool

Student: Nicole Phillips Instructor: K. Weeks
Site: SRMH PCU Course #: NSG 356L Term: Fall Spring 18 Date: 4/23/18
Direct Patient Care: 50 Simulation: 16 Observation: 0 Precepted: 0
Missed Clinical Hours: 2 Other: 2 boot camp, 12 pre Total Clinical Contact Hours: 88
planning, 8 V Sim

Week 1 Week 2 Week 3 Week 4 Week 5 Week 6

Daily Clinical Evaluation
– Formative Evaluation
Exceeds Meets NI Exceeds Meets NI Exceeds Meets Ni Exceeds Meets NI Exceeds Meets NI Exceeds Meets NI

Clinical Preparation (SLO

1,2,3) □ x □ □ x □ □ □ x □ x □ □ x □ □ x □
Critical Thinking Skills
(SLO 1,2) □ x □ □ x □ □ x □ □ x □ □ x □ □ x □
Clinical Technical Skills
and Safety (SLO 1,2) □ x □ □ x □ □ x □ □ x □ □ x □ □ x □
Priority and Organization
Skills (SLO 1,2,3,4) □ x □ □ x □ □ x □ □ x □ □ x □ □ x □
(Appearance, Punctual, □ x □ □ x □ □ x □ □ x □ □ x □ □ x □
Accountable, Reliable,
Accepting Constructive
Feedback) (SLO 5,6)
Collaboration, and □ x □ □ x □ □ x □ □ x □ □ x □ □ x □
Advocacy (SLO 2,3,4,5,6)
Actively Participates in
Post Conference □ x □ □ x □ □ x □ □ x □ □ x □ □ x □
Activities and Other
Clinical Assignments
(SLO 1,2,4,5,6,7)
Instructor initials
Student initials
Week 1 First day on unit. Did very well with jumping into care and helping the staff being on a new unit. Work on gathering data on pertinent details.
Then, need to pull in pertinent diagnostics and labs. This will come as we get more and more into clinical. Remember to talk in numbers with labs and
how it is significant. Use Dynamed like we did when reviewing the concept map. Will be adding meds to next clinical day.

Week 2 Continue to use Dynamed to help prep. Under Syncope – approach to patient would be able to help assist you with why pt. this event and cause.
Went to cath lab and saw PCTI with one stent. Pt then had ventricular arrhythmia and need defibrillation. Pt. was also in HTN urgency with B/P. Want to
act on these and tell me what you would think as a nurse you would want to give. For the next week you come in, start to link the pertinent information
to your patient and report off with SBAR – if you pt. comes in with heart failure, what is the BNP, weights, echo results EF, how much of a diuretic, key
electrolytes. Then, making sure you have done your foundational care as well. Turning/repositioning, am care, foley care, etc.
Week 3 Had a complex patient with lung Ca and metz. This patient had rib fractures due to the cancer. Heparin drip was also initiated for upcoming
procedure and this was discussed in lecture – what to look for lab based, the Heparin protocol etc. Needed to have much patience with the patient
because of his pain issues and needed much support. See the effectiveness of Lasix –check foley first prior to giving and then check 20-30 minutes later to
see the effectiveness. Able to see a thoracentesis. Continue to work on pulling the key pieces together. Use the tool that I emailed out to assist.

Week 4 good week. Had pt with blunt force trauma to chest that ended with pneumothorax. Had chest tube management. I do recommend looking up
the key pieces to this prior to clinical. Pt ended up on high flow O2. Did well with meds – Heparin injection. Remember, to check for previous site to rotate
them. Continue to look at skills list and talk with peers about getting experiences that you have not had yet.

Week 5 Good job with flexibility. Original pt. transferred. Picked up patient with severe PVD and STEMI. I liked how you were looking at the language
aspect to the original patient. Went to see EP study.

Week 6 Sim experience. Worked well with other student to provide quality of care. Able to link key pieces in the sim experience. Good job of pulling the
pieces together.

Formative Feedback/Narrative

Summative Evaluation
Student Learning Outcomes
Health Promotion/Illness Care: Provide health protection and promotion, risk reduction, disease prevention, illness care, rehabilitation, and P
end of life care to diverse populations within a holistic framework in a variety of settings.
Clinical Objectives: 1,2,3,5

Critical Thinking: Synthesize knowledge, skills, and technology from the established practice and science of nursing, the biological and P
psychosocial sciences, and the humanities to engage in critical thinking, clinical reasoning and the nursing process in the care of clients.
Clinical Objectives: 1,2,3
Therapeutic Relationships: Develop caring culturally competent relationships with clients that are sensitive to diverse personal, socio-cultural, P
and environmental characteristics, which encourage clients to assume primary responsibility for health care decisions, and in which the nurse
functions as advocate and advisor.
Clinical Objectives: 4
Communication: Use effective communication and information technology to communicate interpersonal and health care information. P
Clinical Objectives: 4,6
Professional Role Development: Enhance professional role development. P
Clinical Objectives: 4,6
Ethical and Professional Values: Engage in activities to promote self-awareness, self-growth, ethical accountability and legal responsibility in P
the practice of nursing.
Clinical Objectives: 3
Scholarship: Contribute to excellence in nursing care by scholarly contributions through discovery, integration, application, and teaching. P
Contribute to excellence in nursing practice by identifying and critiquing research evidence and integrating it with clinical practice, patient
preference, cost-benefit, and existing resources.
Clinical Objectives: 1,2,3
Final Grade
Skills performed (if applicable) See above
Instructor comments: Progressed well throughout semester. Review patients that had over the semester.

Student comments: