I declare that this is my original work and the sources used are acknowledged.
Student Rating
Teacher Rating
1. COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK
1. 1 Comply with regulatory standards, relevant legislation and the practice settings policies
Satisfactory
Satisfactory
and procedures.
M.C.C.C. : I believe that I've obeyed the regulatory standards and all the rules and policies in the practice setting by making sure I come to
clinical setting on time and in good health (not having any flu that could affect my patients); I come in proper uniform with hand hygiene
always performed before doing any care (for prevention/infection control) and by maintaining confidentiality of my patient's information.
C.C. : In the begining you had problem focusing, which was very unsafe when patient care was involved.However, towards the middle of
the semester your ability to focus and care for your resident became much better. Your professional, legal and ethical practice improved a
great deal. Its very important that you begin each semester like your second half. This will require you to review daily before each clinical
and be able to demonstrated you knowledge very well from the begining until the end.
Satisfactory
Satisfactory
M.C.C.C. : I've acted in a responsible, ethical and accountable manner by making sure I have come prepared for clinical with a willingness
to learn and give the best possible care for my patients.
C.C. : Each clinical you were always aware of the your role and your responsiblity as a student nurse. With the periods of confusion that
was noted in the beginning you later improve by being more aware of your patient conditions when asked.
1. 3 Determine strengths and limitations and when to consult and seek assistance from other
Satisfactory
Satisfactory
professionals.
M.C.C.C. : I am aware of my strengths and limitations due to self-evaluation and from feedback of my clinical instructor and colleagues. I
received unsatisfactory for my midterm therefore I asked my clinical instructor for assistance and she helped me focus on the
areas/weaknesses I need to focus on.
C.C. : Student demonstrated ability to make changes during the clinical area. The first half she needed to be more knowledgable, organize
and follow instruction that were given.These were not always follow but when it was pointed out to her she took steps to ensure that
changes were made. She presented each clinical with a organize schedule and was able to answer critical thinking question much clearer
which also lead to her doing better assesment on her patient.
Satisfactory
Satisfactory
M.C.C.C. : Research and readings were done to make sure a theory-based approach to care is done.
C.C. : It was reenforced each clinical to use the theory that was taught in class when caring for each of her resident. This was done much
better in the second half of the clinical ..
Satisfactory
Satisfactory
M.C.C.C. : Both my patients are at risk for fall therefore I've ensured client safety and a safe environment by putting their walkers within
easy reach and by always making their path clear.
C.C. : Student was always very mindful of patient safety throughout the clinical experience. Your skills with the G-tube improve a great
deal. continue to take initiatives in your learn needs.
1. 6 Ask relevant questions to clarify understanding of the plan of care and whenever
Satisfactory
Satisfactory
uncertain.
M.C.C.C. : Whenever there's uncertainty, I would always ask my instructor, as well as the other health care providers for any clarifications.
For example, with the new patients I was assigned on, I asked the nurse how they normally like things the way they are or how they
normally like their medication to be given. I wanted to clarify in order to prevent any problems with my plan of care because both patients
are easily irritable.
C.C. : Student was always encourage to speack up while on unit and in post conference. Mini presentation was given to help student feel
much better in expressing her self.
1. 7 Identify ethical and unsafe situations and seek appropriate assistance to resolve these.
Satisfactory
Satisfactory
M.C.C.C. : I've identified any unsafe situations for example when some food or some of their things were on the floor of my patient's room,
I made sure that everything is put away or cleaned in order to prevent any falls to occur.
C.C. : Student took assistance to complete bedbath of resident that was very contracted andl unable to move on her own. Remainded on
occasion to ensure that proper body mechanic was practice.
Satisfactory
Satisfactory
M.C.C.C. : I believe that the role of the student nurse is to always come prepared in the clinical setting with an enthusiastic mind to
willingly learn how to give a safe effective care for their patients.
C.C. : This area required a bit more renforcement at the begining of the clincial rotation but student soon learn and practice her role well.
Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
Over all student demostrated her ability to make several changes during her clinical setting. Towards the end of the clinical student
demonstrated competent, and a safe practice as a professional strudent nurse role.
Satisfactory
Satisfactory
M.C.C.C. : I believe that I've improved compared than before regarding participation in team sharing and discussions during post
conference. I tried telling what happened during my day of clinical and what changes I will make.
C.C. : Through out the clincal experience student have always shown her ability to work well as a team member.
2. 2 Document clearly, accurately, concisely in a timely manner using written and electronic
Satisfactory
Satisfactory
methods.
M.C.C.C. : I make sure that I'm documenting on the right patient's chart especially now that I was assigned on two patients. No error of
documenting has occurred and I made sure that I am always on time with giving medications or checking their blood sugar and
documenting this afterward before I go for my break.
C.C. : Demonstrated her skills with medication accurately, clearly and in a timely manner.
Satisfactory
Satisfactory
M.C.C.C. : I believe that I've reported relevant information to the appropriate personnel, for example telling the nurses and my instructor
that one of my patient doesn't wash their hands after toileting yet she is always rubbing her eyes or telling them when my patient's blood
pressure was low since she was taking hypertensive drugs.
C.C. : student alway show clear understanding of her responsibility of reporting to the write sources information that was relevant to
patient care.
2. 4 Utilize communication techniques with the client and inter-professional health care team.
Satisfactory
Satisfactory
M.C.C.C. : I believe that I've utilized communication techniques with the client especially because there's a language barrier therefore I
make sure that no misunderstanding is occurring. I've also given a patient's insulin and made sure that the charged nurse knows about it.
C.C. : Student was remainded on several time to ensure that she was reporting off when going for breaks and ending the day.
Satisfactory
Satisfactory
2. 6 Use technology to retrieve information including research, data and other information.
Satisfactory
Satisfactory
M.C.C.C. : I've used technology and my books to gather information when doing my drug cards (all the medications I have to give to my
patients) and research about my patient's diagnosis were all researched as well for further understanding.
C.C. : Not much used but was able to master charting meds and progress notes on the Point Care system
Student was able to maintained accuratcity and charted relevant information . Communication has improved a great deal since midterm.
Satisfactory
Satisfactory
M.C.C.C. : There's a language barrier with both patients since they speak Italian therefore understanding each other was definitely a
challenged. However, nonverbal gestures and simple words were used and I've even tried learning some basic and most commonly used
words in Italian for effective communication with my patients. Explaining procedures before starting any care is always done as well.
Satisfactory
Satisfactory
3. 3 Apply knowledge of therapeutic use of self and identify its effect on client well-being.
Unsatisfactory
Satisfactory
C.C. : More growth is needed but improvement has been made. Taking more time in the reviewing of skills prior to clinical will help much
more. Student have taken the step that is needed. Have been able to notice her response to her patient in the begining and at the end. In
week 9 was given an assignment which her patient had a language barrier, each week she came with different ways of approching the
resident and was able to see the change that was occuring, so in week 13 the patient was more open up and they both was able to
understand each other. The patent gave her hugs and thank her in English. This was a good use of her therapeutic knowledge and its effect
on the patient.
3. 4 Use self-awareness to identify the effects that beliefs, values, and personal experiences
Satisfactory
Satisfactory
3. 5 Interact with clients and members of the inter-professional health care team; and, consult
Satisfactory
Satisfactory
appropriately.
M.C.C.C. : I've interacted with my patients and even with other clients I wasn't assigned on. I've helped with the health care team with
feeding, washing other residents after bowel movement and help with dressing after the PSW have given the patient a shower.
C.C. : Demonstrated improvement by spending time with other resident that needed her assistance and helping other inter professional
team with patient care.
3. 6 Apply knowledge of practices and systems that support the diversity of clients and the
inter-professional health care team.
Unsatisfactory
Satisfactory
M.C.C.C. : Applying knowledge of practices and systems that support the diversity of clients and the inter-professional health care team
could still be improved.
C.C. : Demonstrated some improvement in her knowledge of medication and patient diagnosis.
3. 7 Apply knowledge of clients cultural, religious, and other beliefs and values as these
Satisfactory
Satisfactory
C.C. : Working with resident of different cultural background gave her the ability to spend time understanding and seeking ways to be
effective in communication, this was evident in several cases.
Satisfactory
Satisfactory
M.C.C.C. : I've provided effective client education for example I've taught and reminded my patient all the time to wash her hands after
toileting since most of the time she goes to the washroom by herself. I've also shown her how to use the hand sanitizer and made sure this
was placed within easy reach.
C.C. : This was a great begining in health teaching with client of a different cultural understanding.
Unsatisfactory
Satisfactory
C.C. : During one occasion where student was instructed to wait to carry out a skill with the instructor she went ahead and perform the
skill without the instructor present.
During the conversation with the instructor student informed instructor that because she had done the skill the day before with the
instructor she assumed it was ok. After further discussion student understood the reason why it was important to follow instruction
carefully and voiced ways that she could have resolve any problems that may had occur. Knowledge base was acceptable and ability to
proble solve was begining to develop.
4. 2 Demonstrate leadership skills that foster group work and a positive learning environment.
Unsatisfactory
Satisfactory
M.C.C.C. : Any group work weren't done that showed leadership skills however I believe that I work well with my colleagues by always
trying to be as enthusiastic as possible to create a positive learning environment.
C.C. : Student took the initiative to help out on the unit with feeds, transport and help her peers with bed baths. These acts were
demonstrating her ability to foster group work and a positive learning environment. Staff have voice appreciation of how well she work with
the patients that she was not even assign to.
Unsatisfactory
Satisfactory
C.C. : While student will need more opportunity to develop this area, this initial clinical experence provided her with a chance to begin the
process, each of her residents was cared for very well and if they needed any thing she knew how to request it from the staff.
4. 4 Provide feedback to peers and accept feedback from peers and members of the inter-
Satisfactory
Satisfactory
Satisfactory
Satisfactory
M.C.C.C. : I support clients' rights for self-determination and choice for example I consider how and where they normally like to be, where
they want to take their medication and just make sure they are comfortable.
C.C. : Improved in area of reporting off to staff and peers before leaving the unit.
Satisfactory
Satisfactory
M.C.C.C. : I did not witness any inappropriate behaviors in the clinical setting however I will definitely respond and take the appropriate
action if there would be any. Patients who are at risk or are being harmed is definitely not acceptable.
4. 7 Consult and collaborate when carrying out health care and nursing practices that are in
Satisfactory
Satisfactory
the best interests of the public and protect the public through collaboration and consultation.
M.C.C.C. : I've consulted and collaborated with the PSWs and the charged nurse in the health care setting whenever I need assistance or
any clarification with my practice.
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
Satisfactory
Satisfactory
care.
M.C.C.C. : Care plan was made to identify the priorities needed and made sure any conflicts with time did not occur when providing care
for both assigned patient.
C.C. : Student was good at writing out the care that is needed for each of the resident that was assign to her in the care plan but still need
to work a bit more on implementing them more clearly.
5. 2 Develop theory-based plans of care that are holistic and client centered and are
Satisfactory
Satisfactory
C.C. : Due to student lack of self confident she has to be encourage to really think about the questions that she is being asked before
answering, her writing is very clear and indicate knowledge base but ariculating is sometime a problem.Encourge to spend more time
reviewing .
5. 3 Use knowledge, skill and judgment to assess clients, prioritize needs and outcomes.
Satisfactory
Satisfactory
M.C.C.C. : I believe that I've used knowledge, skill and judgement to assess clients, prioritize needs and outcomes for example checking
how and what my patients normally do during the day in order to identify any problems and solve this.
C.C. : Noted improvement towards the end of clinical when one to one conversation was completed.
5. 4 Provide information that contributes to the evaluation and refinement of plans of care.
Satisfactory
Satisfactory
M.C.C.C. : I would make changes or revisions if the day in clinical did not go smoothly and made sure improvements will be made.
5. 5 Safely and competently carry out nursing assessments and nursing interventions that are
Satisfactory
Satisfactory
5. 6 Carry out nursing care that reflects the practice decision-making framework.
Unsatisfactory
Unsatisfactory
C.C. : Once again decision-making skill will improve over time the more student take the time to review diagnosis and medication. With
knowledge improvement practice will be more refine.
Satisfactory
Satisfactory
timely manner.
M.C.C.C. : I believed that I've completed nursing care responsibilities and nursing interventions by following my organized plan of the day
with the assistance of the care plan I made for my patients in order to take the appropriate action with giving care. An example of this is,
administering medication to both my patients and documenting this afterward in a timely manner.'
Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
Student encourage to take exact time to review diagnosis and medication and this will help in her self confident, which has improve over
the last four weeks.
6. 1 Work with clients and members of the inter-professional health care team to assess
Satisfactory
Satisfactory
clients, determine health needs, and to achieve mutually agreed expected outcomes.
M.C.C.C. : I believe that I've worked well with the clients and the members of the inter-professional health care team in order to meet the
clients' needs by for example comparing their care plan for both of my patient to my own care plan in order to give the best possible care.
Unsatisfactory
Satisfactory
6. 3 Seek out assistance and consult with members of the inter-professional health care team.
Satisfactory
Satisfactory
M.C.C.C. : I seek out assistance and consult with the members of the inter-professional health care team for example when there's any
clarification needed regarding my care.
Satisfactory
Satisfactory
M.C.C.C. : Teamwork was done when bed bath was given and wound care was done with a colleague's patient.
6. 5 Describe effective, collaborative, and consultative strategies to meet clients needs within
Satisfactory
Satisfactory
a changing environment.
M.C.C.C. : Any changes did not occur regarding my patient's daily morning routine however improvements is always made when giving
care to ensure effectiveness and safety.
6. 6 Interact with members of the health care team respecting their unique role and
Satisfactory
Satisfactory
competencies.
M.C.C.C. : I've interacted with the members of the health care team respecting their unique role and competencies. For example, I would
ask if they need any help with the residents.
7. 1 Act in the best interests of clients and protect clients from harm through collaboration
Satisfactory
Satisfactory
and consultation with members of the inter-professional health care team and through
competent and safe practice.
M.C.C.C. : I have acted in the best interest of clients for example making sure they do not get irritated or become fatigue when I'm giving
them a bath. I also believe that I've protected my patients from harm through collaboration and consultation with the members of the interprofessional health care team by making sure any injury or spreading of infection will not occur.
C.C. : In all your assign resident you have gone above and beyond to ensure proper care esp. the last four weeks when you were more
aware of patient diagnosis and medication.
Satisfactory
Satisfactory
M.C.C.C. : Self-reflection is always done after clinical in order to identify my strengths and areas that I need to focus on more for
improvement. When something do not go smoothly for example when I wasn't on time with giving care and then going for break, I made
sure on the next day that I would manage/divide my time wisely with my two patients to accurately follow my organizational plan of care for
them.
C.C. : May need to give more examples of the various situation that you excericse your strengths and weakness. The fact that you wrote a
paper showing how you will improve in the areas of weakness and the examples that you presented could help for future reference.
7. 3 Create, implement, and evaluate a learning plan consistent with the Quality Assurance
Satisfactory
Satisfactory
program (CNO).
M.C.C.C. : I've created, implemented and evaluated a learning plan consistent with the Quality Assurance program and sent it to my clinical
instructor.
C.C. : yes this was done but maybe in this evaluation you could have outline one or two of them. Now its improtant that you put them to
practice in your next clinical.
7. 4 Seek out learning opportunities and feedback that foster professional development; and,
Satisfactory
Satisfactory
7. 5 Utilize nursing, health and other theory and literature to improve nursing practice.
Satisfactory
Satisfactory
M.C.C.C. : I've utilized nursing, health and other theory and literature for example by reading about insulin and blood glucose level or
about how to improve nurse-client relationship by using therapeutic communication in order to improve nursing practice.
Satisfactory
Satisfactory
M.C.C.C. : I believe that I've used a theory-based approach and evidence-informed practice for example by understanding everything I
need to know about diabetes before I gave insulin and always checking the rights of medications before administration.
8. 1 Utilize problem-solving skills to inform decision making in all aspects of nursing care.
Satisfactory
Satisfactory
M.C.C.C. : I've utilized problem-solving skills for example when it was difficult to give my second patient a bath for the first time because
communication was very hard due language barrier therefore became mad. I figured out everything she preferred with regards to her
morning routine therefore everything went smooth with giving her care the next day.
C.C. : Student ability to make decision and carry them out has improved over the last four weeks. Working with two resident was done in a
timely and organize manner.
Satisfactory
Satisfactory
Satisfactory
Satisfactory
skills.
M.C.C.C. : Self-reflection is always done after clinical in order to make any revision or changes if the plan of care to give a better and safe
and effective care for patients. For example, when it was my first time meeting my second patient, I had a hard time following my organized
plan of care for the day because of communication problems which resulted in a bad relationship in the beginning. Therefore, on that next
day I planned to change how I am going to approach my new patient and a better nurse-client relationship was definitely established by the
end.
C.C. : After the midterm student had a plan of care each week and was able to take instruction to change different things to ensure
success. She was then given two patient and was able to priorities the one that needed her attendion first.This area will still need more
improvement but with more practice student will be able to achieve her goal.
8. 4 Utilize knowledge from variety of nursing, health, and other theory into nursing practice
Satisfactory
Satisfactory
Satisfactory
Satisfactory
M.C.C.C. : I've used prioritization strategies for client care for example, I would always check the care plan I made for my patients and
make sure I follow it in order to achieve the set goal made or to see any signs of improvement.
C.C. : Remembering that she has half hour before and half hour after medication due time to ensure that meds is given on time and chart
immedicately will be an area to improve in her prioritization strategies.
Satisfactory
Satisfactory
M.C.C.C. : I believe that I've demonstrated professionalism and accountability. I was given unsat for midterm and therefore I made sure
that I worked on the feedbacks I received regarding everything that needs improvement. I understand my responsibility as a nurse and that
is to learn and provide a safe and effective care.
C.C. : Student was able to make constructive changes after receiving unsat at midterm. She knew what she had to do and follow all the
instruction and complete each requirement in a timely manner.
8. 6 Recognize strengths and limitations and seek appropriate assistance and support.
Satisfactory
Satisfactory
M.C.C.C. : I know my strengths and limitations due to continuous self-reflection and feedback from clinical instructor and peers. I see
appropriate assistance and support for example when fentanyl patch was needed to be given or the insulin to be given the first time to a
patient.
Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY :
This is one area that student had more difficulty with over this rotation and will require more focus has student progress in future clinical
setting.
Grade
Satisfactory
Unsatisfactory
Grade
Satisfactory
Yes
No
Yes
No
Yes
No