NURSING 3020 Clinical Evaluation

Clinical Evaluation Process Nursing 3020

Instructions

The Mid-Term Evaluation will be completed by students at the mid-point of the clinical placement to assist students to take inventory of their
current development and assist them to make plans for future clinical practice. The student will use a reflective process to help assess progress in
meeting established program, year, and course objectives. The student will submit an electronic copy of the Mid-Term Evaluation document to the
clinical instructor prior to the formal mid-term student evaluation. Because the document is to be completed electronically, the student and instructor
can take as much space as they need to provide appropriate evidence and feedback.

After receiving the student’s Mid-Term Evaluation, the clinical instructor will complete the comment section providing feedback and evaluation of
the student’s progress. The clinical instructor will provide suggestions for improvement. The instructor will place a check in the “S” column if
progress is satisfactory, and in the “U” column if progress is unsatisfactory. If a student demonstrates unsatisfactory progress at mid-term, the student
and instructor will develop a Learning Plan outlining strategies in which the student will engage, along with clear expectations that must be met for
the successful completion of the course. The course professor may be involved in developing the learning plan.

The student and instructor should save and print a copy of the mid-term evaluation. Printed copies must be submitted to the course professor within a
week of completion.

At the end of the rotation, students will complete a Final Evaluation. Students will use a new copy of the evaluation template to archive their
achievements and areas for future development. The student will submit an electronic copy of their final evaluation to the instructor; this will help the
instructor complete an assessment of the student.

In order to complete the final evaluation, the clinical instructor will provide additional evidence by completing the comment section, providing
feedback and evaluating the student’s progress. The clinical instructor will collect evidence in the form of the student self-assessment, comments of
the health care team members, patient input, student submissions (including portfolios) and observations. A summary of achievement as well as
implications for future learning should be included in this document. The attendance section and record of completed hours is to be filled in
completely. The completed document is to be printed, shared with the student and signed. The signed copy must be returned to the TFSON within 10
days.

The Year Lead, lab instructor, and/or course professor will assess the completion of the Learning Center Component, if applicable.

Students and instructors will complete both the mid-term and final clinical evaluation documents electronically. An electronic copy of the
completed (student and instructor) final evaluation should be submitted to the course professor within 48 hours of the final evaluation
delivery. A printed and signed copy should follow within 10 days of the evaluation meeting.

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NURSING 3020 Clinical Evaluation

NURS 3020H

Clinical Evaluation

Midterm

Student Name: Leah Will

Clinical Instructor: Jessica Flagel

Missed Clinical Hours: ______ Missed Lab Hours: ______

Medication Test: ________

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Program Goals
Graduates are generalists entering a self-regulating profession in situations of health and illness.

Graduates are prepared to work with people of all ages and genders (individuals, families, groups, communities and populations) in a variety
of settings.
Graduates continuously use critical and scientific inquiry and other ways of knowing to develop and apply nursing knowledge in their
practice.
Graduates will demonstrate leadership in professional nursing practice in diverse health care contexts.

Graduates will contribute to a culture of safety by demonstrating safety in their own practice, and by identifying, and mitigating risk for
patients and other health care providers
Graduates will establish and maintain therapeutic, caring and culturally safe relationships with clients and health care team members based
upon relational boundaries and respect.
Graduates will be able to enact advocacy in their work based on the philosophy of social justice.

Graduates will effectively utilize communications and informational technologies to improve client outcomes.

Graduates will be prepared to provide nursing care that includes comprehensive, collaborative assessment, evidence-informed interventions
and outcome measures.

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NURSING 3020 Clinical Evaluation
Progress
Objectives Developing Needs Does not meet
Indicators/Evidence as Improvement expectations
expected

1 Prepared to provide Prior to starting my clinical shift for the day, I am given my
nursing care that includes patient assignment along with diagnosis, medications and any
comprehensive, special nursing implications. This is extremely helpful beginning
collaborative assessment, as a student because it allows me to become as familiar as I can
evidence-informed with the conditions and medications for my patient and prepared
interventions and before I start for the day.
outcome measures.
So far, I have been able to provide a lot of comprehensive
nursing care to my patients. A big learning opportunity has been
recognizing abnormal vital signs and connecting them to the
underlying cause related to my patient. I also feel very confident
performing a full head to toe assessment on my patients,
recognizing abnormal findings and understanding the underlying
disease process to cause these abnormal findings.

Some of the opportunities I’ve had so far include d/c IV saline

locks on multiple patients, assist in the removal of a foley
catheter on a female patient, administer a subcutaneous injection,
AM care and observe many procedures such as an ostomy bag
change, sterile wound dressings and IV starts using ultrasound in
angioplasty.

I have also observed that many of the patients are on telemetry

monitoring on the unit. All of the patients I have had so far have
a telemetry monitor to observe their heart rate and rhythm. I have
begun to ask the primary nurses what the different rhythms mean
in relation to the patient so I can learn as much as I can and gain
an understanding of normal and abnormal rhythms.

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2 Establishes and maintains Throughout the clinical shifts I have had so far, I feel as if I have
therapeutic, caring and made a great therapeutic relationship with my patients who are
culturally safe acutely ill. I recognize that being in hospital is uneasy and scary
relationships through for a lot of patients, so I hope to make their treatment as least
effective communication. stressful as possible. I try to ensure that I am there to listen to my
patient and help them with whatever they need. I ensure that their
care is my priority.

I had a patient who was going to get a PICC line inserted to

administer her antibiotics for pneumonia. She expressed that she
was extremely anxious about the procedure and she wanted me
to come and hold her hand. I went along for the trip to
angiography, but she ended up just getting an ultrasound guided
IV placed in her arm, but I was glad I was there anyways to wait
with her and calm her nerves before the procedure.

I also think that as a student, it is important to maintain a positive

relationship with the primary nurse for the patients I am caring
for. This allows me to have the most therapeutic relationship
with my patient. I feel as if so far I have maintained an excellent
professional relationship with the nurses I have been working
with. I have communicated my role as a student, and have been
more than willing to help them out with anything they need with
any of their patients, not just my own. Gaining the trust and
respect from the nurses on the unit allows me to get more
learning experience with as many patients as possible.

3 Applies the four ways of With any procedure I am doing on a patient, I have made sure to
knowing and look up the policy in the computer before doing it. This ensures
informational that I am providing safe care to my patients that also follows the
technologies to policy of the hospital I am currently in. This included such
effectively care for procedures such as a subcutaneous heparin injection and removal
diverse, acutely ill of a foley catheter. This ensures that I am following best practice
patients. guidelines and am using the knowledge I have gained in lab and
applied it to practice to support patient care.
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One of the four ways of knowing is ‘personal’, which refers to

the knowledge that we have of ourselves and what we have seen
and experienced. I believe that my prior experience working in a
hospital in all patient care areas allowed me to develop good
communication skills with professional staff. Having this
background allows me to really focus on my nursing skills and
therapeutic relationships with patients to be an effective student
nurse and learn as much as I can.

I also feel that I am gaining experience being an active listener

and taking the time to listen carefully to each patient, especially
during assessments to ensure their needs are met. This
demonstrates my therapeutic use of self.

4 Adheres to professional I have demonstrated accountability and reliability by making

practice standards and sure to chart everything that is necessary. I made sure that my
organizational polices to charting was adequate and would get it checked over before
contribute to a culture of being able to put it straight in the patient’s chart. I also ensure to
safety. chart the patient’s vitals right away in the morning because I
know that the doctors come around in the morning and need this
information in a timely manner.

I believe that I have also demonstrated reliability by always

making myself available to help out with my nurses’ other
patients for the day. Unless I am in the middle of doing
something of priority with my patient, I will always help out with
AM care, or whatever that nurses need at that moment. I will
always keep the patient’s safety in mind in these situations
because I don’t know them as well due to the fact that they aren’t
my patient.

I also make sure to ask the primary nurse of anything specific

regarding the care of my patient for the day to ensure that I am
following policy of the facility.

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5 Exercises leadership to I feel like I am a very self-reflective nursing student, as I think I

enhance patient care, and understand my strengths and weaknesses in a learning
support professionalism environment. This allows me to develop professionally as a
in practice. student and provide safe and effective care for my patients. I
know that if I am not familiar with something, I make sure I ask
the primary nurses or my instructor instead of going ahead and
doing a procedure I am not comfortable with. However, I know
that I learn best by working through it myself and doing
something by hand, so I will take any opportunity to be thrown
into a situation to learn as long as I am confident with it and the
patient is safe.

At the end of each shift, I make sure to reflect on my day and

think of ways I can improve on what I did during that day, and
also praising myself on things I did well.

I believe that I support my peers with their professional

development as students as well. I am always asking if anyone
needs help with anything or if I have a learning opportunity, I
will extend an invitation for them to observe or assist where
necessary and safe.

Clinical Instructor Comments (All areas marked as unsatisfactory must have a comment)

Signature of Instructor___________________________________________________ Date _____________________________

Signature of Student_____________________________________________________ Date ______________________________

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NURSING 3020 Clinical Evaluation

NURS 3020H

Clinical Evaluation

Final Evaluation

Student Name: Leah Will

Clinical Instructor: Jessica Flagel

Missed Clinical Hours: ______ Missed Lab Hours: ______

Final Grade (circle): (S=Satisfactory; U=Unsatisfactory)

Clinical component S U
Lab component S U
Simulation component S U

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NURSING 3020 Clinical Evaluation

Program Goals
Graduates are generalists entering a self-regulating profession in situations of health and illness.

Graduates are prepared to work with people of all ages and genders (individuals, families, groups, communities and populations) in a variety
of settings.
Graduates continuously use critical and scientific inquiry and other ways of knowing to develop and apply nursing knowledge in their
practice.
Graduates will demonstrate leadership in professional nursing practice in diverse health care contexts.

Graduates will contribute to a culture of safety by demonstrating safety in their own practice, and by identifying, and mitigating risk for
patients and other health care providers
Graduates will establish and maintain therapeutic, caring and culturally safe relationships with clients and health care team members based
upon relational boundaries and respect.
Graduates will be able to enact advocacy in their work based on the philosophy of social justice.

Graduates will effectively utilize communications and informational technologies to improve client outcomes.

Graduates will be prepared to provide nursing care that includes comprehensive, collaborative assessment, evidence-informed interventions
and outcome measures.

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NURSING 3020 Clinical Evaluation
Progress
Objectives
Indicators/Evidence Satisfactory Unsatisfactory
1 Prepared to provide I have continued to come prepared to clinical with the patient assignment I was
nursing care that includes given the night before. As I have become increasingly comfortable with many of
comprehensive, the conditions that are present on the unit, I am able to focus more of my time on
collaborative assessment, making deeper connections between abnormal findings and interventions used to
evidence-informed treat the patient.
interventions and
outcome measures. I have continued to develop the nursing tasks outlined in my previous midterm
evaluation, but with more confidence and in a timelier manner. My head to toe
assessments are becoming more focused (if required), and I am able to put all of
the pieces together more effectively than a few months ago. I am able to make
justified recommendations to the primary nurse about the patient’s condition, such
as oxygen therapy, repositioning and monitoring.

I have also demonstrated my ability to work with patients and families to create
reasonable and effective solutions. A patient I was caring for had his daughters
and sons in the room at all times, and they wanted to be in charge of his personal
care as well as monitoring vital signs. They were extremely involved, so I had to
work with them to ensure that the patient was receiving adequate care and
monitoring. I had to reason with them that I would also check the vital signs to
ensure validity. Together, we were able to make sure the patient was well taken
care of, without taking the family out of the circle of care, even if they were being
overly involved.

2 Establishes and maintains I have continued to develop therapeutic relationships with the patients I am caring
therapeutic, caring and for. I have provided care for two patients who have come back on the unit and
culturally safe they both remembered me from when I cared for them weeks prior.
relationships through
effective communication. I have also had a couple patients break down with emotion due to their illness.
Both of these individuals had chronic conditions, but required acute care. For
example, recently when I went in to do my morning assessment, the patient started
to cry about how upset he was after his palliative consult and how frustrating it
was to have expressive aphasia and not be able to say the words he wants to. I was
there to listen and provide comfort to him. This made me realize that even if I
practice in an acute care setting, there will still be patients with chronic conditions
and I need to be aware of the bio-psycho-social needs of the patient.
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NURSING 3020 Clinical Evaluation

I have also made a great relationship with the mother of a patient who was on the
unit for over a month. Often, as nurses we are focused so much on the patient that
we can forget about the care that needs to be given to family members as well. I
was assigned to her daughter when she first came to the unit, and stayed with her
during a procedure and ever since then I have always made an effort to check on
her and ask her how she is doing, and of course how her daughter (the patient) is
doing as well.

3 Applies the four ways of I continue to follow best practice guidelines when doing a procedure on a patient.
knowing and This allows me to provide effective care and follow facility specific guidelines.
informational I have also continued to demonstrate therapeutic use of self as I am providing care
technologies to for my patients. At the beginning of the semester, I was extremely task focused.
effectively care for While I still am, I am becoming increasingly comfortable in my skills and am able
diverse, acutely ill to put more of an effort towards being an active listener and providing comfort to
patients. my patients, while still performing the task appropriately. This comes with things
as simple as bed baths, to complicated dressing changes.

One of the ways of knowing that I have demonstrated is the ethical way of
knowing. A patient that I was caring for during a morning shift was stable, but
ended up declining very quickly that evening and eventually coding and passing
away around midnight that night. In the morning, it was to the nurses’ knowledge
that the patient had cancer and it had metastasized to the bone and her condition
was declining. However, she had not had the meeting with the oncologist yet so
she was unaware of this information. She was also having ethical issues with her
sons demanding information that we could not give over the phone. Despite
knowing the degree of her situation, I had to provide care to her knowing this
information that she wasn’t aware of yet. With the help of my primary nurse, we
showered her and put a French braid in her hair. It took self-refection for myself
after learning about her death the next day to cope with the fact that I wasn’t even
sure if she found out she had cancer before she passed.

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NURSING 3020 Clinical Evaluation

4 Adheres to professional I have continued to demonstrate accountability and reliability by documenting in

practice standards and the patient’s chart. I am able to do this independently, and in a timely manner. I
organizational polices to have started to feel confident in my morning routine in regards to a focused
contribute to a culture of assessment, vitals and charting everything around 8am. I have also continued to let
safety. my primary nurse know of any abnormal findings, discuss why I might find them
and what interventions need to take place.

I have also demonstrated reliability with my continued availability to help out as

needed. I always communicate to my primary nurse which patients I have been
assigned for the day, and make it clear that I am able to help out with their other
patients as well.

I have demonstrated professional practice standards with medication

administration. I was given the opportunity to do a large med pass with over 20
medications. This allowed me to develop organization skills, time management
skills and I made sure I did all my checks to ensure patient safety when handling
so many medications. This was an excellent learning opportunity for me, as I was
happy to be given a challenge that will better prepare me for my career moving
forward.
5 Exercises leadership to Throughout the last half of the clinical practice, I feel like I have demonstrated
enhance patient care, and leadership to enhance patient care and support my professionalism as a nursing
support professionalism student on the unit. When dealing with adversity within the unit staff, I remain
in practice. positive and have always had a positive relationship with the primary nurse that I
am working with for the day. Instead of complaining about a negative experience,
I try and focus on my own practice and development as a student. If anything, I
am able to take any criticism that comes my way, or towards our group and use it
as a learning opportunity.

I continue to reflect on my practice at the end of each clinical shift and

acknowledge things I do well and think of ways that I can improve for the next
time. I also continue to support my peers, delegate tasks and use teamwork to
provide the most effective patient care possible.

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Clinical Instructor Comments (All areas marked as unsatisfactory must have a comment)

Signature of Instructor___________________________________________________ Date _____________________________

Signature of Student_____________________________________________________ Date ______________________________

Attendance

Thurs Fri Thurs Fri

Week 1 Week 6
Week 2 Week 7
Week 3 Week 8
Week 4 Week 9
Week 5 Week 10

Total number of clinical hours completed_____________

Clinical Component Satisfactory Unsatisfactory

(Please circle the appropriate outcome)

Clinical Learning Center Completed Not completed

Signature of Instructor____________________________________ Date_______________________________

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NURSING 3020 Clinical Evaluation

Signature of Student______________________________________ Date________________________________

Student Areas of Strength

1. Therapeutic relationships and good rapport with all staff and patients and families.

2. Time management with my current student roles.

3. Mental toughness with adversity and personal challenges.

Student Areas for Future Development

1. Time management with a full patient load with medication administration.

2. Switching gears to focus on chronic illness/symptoms management opposed to acute treatment.

3. Certain tasks/skills, such as foley catheter insertion, infusion pump programming (just d/t lack of experience so far)

Clinical Instructor Comments (All areas marked as unsatisfactory must have a comment)

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