Self Assessment

2015 - 2015 - Final NURS-151 Course Learning Outcomes

NURS 151 Practical Nursing Practice 2 (PN, 13-Jan-2015 - 30-Jun-2015)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Description :

Period :
Student hours :
Required Hours :
Validated hours :

Navjyoti Suri
Zabrina Chevannes
John Stone
Malton Village
Agency
A10
Malton village is along term center with 132 residents,
divided into 6 units on 3 floors. For first few weeks
during our placement we did shadowing of the PSW's
to change briefs and do perineal care and then
learned to do assessments and provide medications
,to the clients assigned to us by our instructor. It was a
great experience to learn the feeding and taking care of
clients. saw the incidences and learned to bring them
in record. Learned to prioritize our skills and used
critical thinking to evaluate care plans and while
providing care to the assigned clients.
13-Apr-2015 To 24-Apr-2015
168
168
167

Teacher comment for validated hours:

student did leave one hour earlier during a lab day.
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

1. 1 Comply with regulatory standards, relevant legislation and the practice settings policies

Satisfactory

Satisfactory

and procedures.
N.S. : Yes i comply with regulatory standards, relevant legislation and the practice settings policies and procedures. I had been wearing
my scrubs, always on time, with my placement I.D, and used the guidelines for medications and care taking provided by the supervisor.

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

Satisfactory

Satisfactory

N.S. : Yes , i had been given medications to the patient assigned to me on time ,and taking full care of the patient assigned to me by my
instructor .

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

Satisfactory

Satisfactory

professionals.
N.S. : Yes my biggest strength is my confidence level for knowing medications and my weakness is lack of assessment accuracy
especially in auscultation and I am working on it.

1. 4 Use evidence informed practice and a theory-based approach to care.

Satisfactory

Satisfactory

N.S. : I learned from my text books and applied it to do the head to toe assessment of my patient and also experience of patient while
doing assessment was applied to another for comparison.I know the med's indications and why i'm giving this to my patients.

1. 5 Ensure client safety and a safe environment.

Satisfactory

Satisfactory

N.S. : After giving medications and supper, patients are taken to bed ,I always keep the bed rails up and lower down the bed, leave the call
bell near to them and keep the wheel chair aside to ensure client safety.

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

Satisfactory

Satisfactory

uncertain.
N.S. : Yes I ask relevant questions to clarify understanding of the plan of care , this helps me to make my care plans with better
understanding.

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

Satisfactory

Satisfactory

N.S. : Yes I had an incidence of patient's fall after stroke ,I called the Nurse on duty and PSW's helped me to reposition the patient after
relevant assessment done by nurse.

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

Satisfactory

Satisfactory

N.S. : Yes , I understand the role of student nurse and performed my duties and applied my knowledge ans skills for my patient's care
appropriately.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
student did seek help in a timely manner when she felt she could not handle a situation. student did follow the rules of the facility.

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions.

Satisfactory

Satisfactory

N.S. : We had been doing discussions on our care plans with our instructor and other team members regularly.

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

Satisfactory

Satisfactory

methods.
N.S. : Yes I document clearly, accurately, concisely in a timely manner using written and electronic methods.I submitted my care plans and
self reflection and peer feedback on time. Did my SBAR and also the learning plans were submitted in time.

2. 3 Report relevant information to the appropriate personnel.

Satisfactory

Satisfactory

N.S. : Yes when I take care of patient assigned to me I inform about his medication done to nurse and input everything in system, also
inform about the bowel movements to the PSW's.

2. 4 Utilize communication techniques with the client and inter-professional health care team.

Satisfactory

Satisfactory

N.S. : Yes I utilize communication techniques with the client while taking history of the patient ,and with inter-professional health care
team while sharing my assessment about my client.

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

Satisfactory

Satisfactory

Protection Act (PHIPA)

N.S. : Yes I maintain privacy and confidentiality according to the Personal Health Information Protection Act (PHIPA).Keep patient's
information to myself and don't discuss with anyone .Name of the patient is not written on the assignments provided to us , only their
initials are used.

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

Satisfactory

Satisfactory

N.S. : Yes i use technology to retrieve information including research, data and other information. I use my online books and also the med
search app for getting info for drugs.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

student did communicate well to the appropriate staff member in a timely manner. student documentation of DARE charting is satisfactory.
continue to review theory about the use of nursing terminology.

3. CARING RELATIONAL PRACTICE

3. 1 Utilize effective communication techniques.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

N.S. : Yes I use therapeutic effective communication techniques.

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

clients and health care team members.

N.S. : I demonstrate therapeutic caring, compassionate, and culturally safe relationships with clients and health care team members.

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

Satisfactory

Satisfactory

N.S. : Yes i many times hold the client's hands , let them share to me and narrate their personal stories, listen to there life experiences or
about their family members.It really help them to feel comfortable and secure.

3. 4 Use self-awareness to identify the effects that beliefs, values, and personal experiences

Satisfactory

Satisfactory

have on relational practice.

N.S. : Yes seeing different patients from different cultures and knowing their believes help me to use self-awareness to identify the effects
that beliefs, values, and personal experiences have on relational practice. clients have pictures and figures associated with their religion
and their believes .I show empathy n tell them how much i care for them.

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

Satisfactory

Satisfactory

appropriately.
N.S. : Yes, I interact with clients and members of the inter-professional health care team; and, consult appropriately.

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

Satisfactory

Satisfactory

inter-professional health care team.

N.S. : Yes we daily meet people from different nationalities , different cultures and different values and believes and hence support the
diversity. Apply this to my clients and provide them with comfort by keeping all this in mind.

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

Satisfactory

Satisfactory

influence clients choices and decisions.

N.S. : Yes, I apply knowledge of clients cultural, religious, and other beliefs and values as these influence clients choices and decisions.
Many Hindu clients are vegetarians and while feeding them it is always kept in mind.

3. 8 Provide effective client education.

Satisfactory

Satisfactory

N.S. : Yes , I got a chance to tell a diabetic patient regarding importance of exercise and diet management .

Teacher comments for CARING RELATIONAL PRACTICE :

student communicates well with clients. student advocates for clients beliefs and feelings. student educates clients about medications
they were administering.

4. LEADERSHIP AND ADVOCACY

4. 1 Recognize conflicts and strategies for resolution.

Satisfactory

Satisfactory

N.S. : Yes whenever i found two residents having issues , i tried to solve them and calm them down and notified those problems with the
health care provider.

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

Satisfactory

Satisfactory

N.S. : Yes i took initiative to do the tasks. Residents in their rooms were brought to dining room n then left to T.V rooms after their supper,
with my partner's help.

4. 3 Identify opportunities to improve health care service and nursing interventions by

Satisfactory

Satisfactory

advocating for client, self, others, and quality practice.

N.S. : I volunteered of taking my client for a walk outside when they wanted to go n took permission from my duty nurse n assured to take
care care.

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

Satisfactory

Satisfactory

professional health care team.

N.S. : Yes i provided feed back to my partner in my placement and also got the feedback from her and my instructor regarding my work in
placements.

4. 5 Support clients rights for self-determination and choice.

Satisfactory

Satisfactory

N.S. : Yes sometimes when client need desert before supper and i let them get it and hence support clients rights for self-determination
and choice.

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

Satisfactory

Satisfactory

N.S. : Yes if a patient is at risk of fall, and sometimes when is unable to pick their things i bring their things within their reach and help
them to stand or do their activities.

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.
N.S. : Yes ,sometimes they need our help to work fast and i have always worked with them to help them for example doing meds in time
and bringing clients to dining room.

Teacher comments for LEADERSHIP AND ADVOCACY :

student had provided a peer review and self feed back. student is polite when given feedback and changes style of care immediately after
the feedback is given. collaborates well with the healthcare team.

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.
N.S. : I consider their unique needs, especially for vegetarian clients it is respected in regard to their religious believes the hindu clients
are not served with beef and muslims are not asked for pork.

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

Satisfactory

Satisfactory

articulated competently in writing and orally.

N.S. : Done care plans of the clients assigned to us and submitted to our instructor got the feed back and improved on the mistakes.

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

Satisfactory

Satisfactory

N.S. : Always checked the priority, I went to clients room to give her med but found her oxygen cylinder empty, so first changed that and
then gave her meds.

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

Satisfactory

Satisfactory

N.S. : Information from the books is always taken to guide me better and took help of my instructor if i had any doubts.

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

Satisfactory

Satisfactory

theory-based and within skill abilities.

N.S. : Information from the books is always taken to guide me better and took help of my instructor if i had any doubts.Discussions with
the health care providers and peers for getting my doubts cleared always helped me out.

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

Satisfactory

Satisfactory

N.S. : APIE was followed to reflect the decision making practice. While doing assessment things to be kept in mind were followed and also
doing planning phase client was preferred to involves and finally evaluations were done to make good care plan.

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

Satisfactory

Satisfactory

timely manner.
N.S. : Did the assessments, diagnosis, planning and implementations. after that the evaluations are done for the clients according to their
priorities and needs

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
students care plans were satisfactory and thorough. continue to review over the break.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

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.
N.S. : Yes i have worked with clients and members of the inter-professional health care team to assess clients, did their systemic
assessments, gave them medications, made care plans and achieved the expected outcomes. By giving laxatives and high fibre diet with
lots of fluids , my patient had a regular formed stool next morning.

6. 2 Contribute as a member of the inter-professional health care team to respond to the

Satisfactory

Satisfactory

changing needs and expected outcomes of clients.

N.S. : If my patient required to go for her evening prayers before food, i contributed as a member of the inter-professional health care team
to respond to the changing needs and allowed my client to go to prayer first and then come for supper.

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

Satisfactory

Satisfactory

N.S. : Sometimes i was able to understand the words said by the patients due to dysarthria, I seeked out assistance of PSW's and was
successful in understanding my client better than before.

6. 4 Use teamwork, consensus building, and conflict resolution skills.

Satisfactory

Satisfactory

N.S. : Worked with the nurse , PSW , kitchen persons and with my partner in my placement . shared ,discussed our experiences as a
perfect team work.

6. 5 Describe effective, collaborative, and consultative strategies to meet clients needs within

Satisfactory

Satisfactory

a changing environment.
N.S. : with help of health care providers i described effective, collaborative, and consultative strategies to meet clients needs within a
changing environment.

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

Satisfactory

Satisfactory

competencies.
N.S. : Yes i interacted with my associate members of the health care team respecting their unique role and competencies.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

collaborates well with the team

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

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.

Satisfactory

Satisfactory

N.S. : yes i acted 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.

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

Satisfactory

Satisfactory

Satisfactory

Satisfactory

N.S. : Yes i did my self reflection and identified my strengths and worked on the areas to improve.

7. 3 Create, implement, and evaluate a learning plan consistent with the Quality Assurance
program (CNO).

N.S. : I made learning goals and plans and according to them , the most important improvement required is to get perfection in
auscultation of chest.

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

Satisfactory

Satisfactory

integrate these into practice.

N.S. : Peer feed back was given to me ,and according to that i need to improve on my skills for time management.I have made my learning
plans accordingly and tried to manage my time in the best way i could.

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

Satisfactory

Satisfactory

N.S. : Used my text book knowledge to learn thoroughly about my patient's signs and symptoms, and then did the assessment and
planning accordingly.

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

Satisfactory

Satisfactory

N.S. : Used my text book knowledge to learn thoroughly about my patient's signs and symptoms, and then did the assessment and
planning accordingly.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

student has completed the peer and a self review. student provides feedback about the facility.

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.

Satisfactory

Satisfactory

N.S. : Assessment techniques, diagnosis and planning, implementation and then the evaluation were done by using critical thinking.

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

Satisfactory

Satisfactory

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

N.S. : Care plans were made by considering assessment techniques, diagnosis and planning, implementation and then the evaluation were
done by using critical thinking.

8. 3 Use self-reflection to design a plan to improve problem-solving and decision-making

Satisfactory

Satisfactory

skills.
N.S. : self reflection was done to know my areas of weakness and improvement, and also my strengths were considered to care my
clients.Decision making was reviewing and asking relevant questions.

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

Satisfactory

Satisfactory

to provide safe and competent care.

N.S. : Reviewing pharmacology , nursing theory, critical thinking as utilized into nursing practice to provide safe and competent care.

Satisfactory

8. 5 Use prioritization strategies for client care.

Satisfactory

N.S. : Always used critical thinking and made the strategies accordingly .Always prioritized the area to be considered first.

Satisfactory

8. 6 Demonstrate professionalism and accountability.

Satisfactory

N.S. : Always being on time , in scrubs , rapport at right time, gave meds at right time and finished my assigned tasks in time.

8. 6 Recognize strengths and limitations and seek appropriate assistance and support.

Satisfactory

Satisfactory

N.S. : Yes i recognized strengths and limitations and seek appropriate assistance and support.

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY :
student has good critical thinking skills. continue to review theory this ill help with improving critical thinking skills.

Student Final Summary with Strategies for Continued Growth

This semester was an actual learning semester where I came to direct contact of the patient did all the assessments, made careplans, gave
medications after learning the indications and contraindication of the drugs,learned to prioritize and used critical thinking to plan care of assigned
client.There is need of improvement in assessment techniques and time management skills.I have made my learning plans to show my competency
to my instructor before 22nd april.

Teacher Final Summary with Strategies for Continued Growth

continue to review theory which includes assessments, nursing terminology and what nursing interventions go with what diagnosis.

Student's References
C.N.O guidelines,Canadian best practice references, text books, online evolve studies and technology has been used as references for my learnings.

Grade

Satisfactory

Unsatisfactory

Referred to Clinical Excellence Committee (CEC)

Grade

Satisfactory

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

Submitted Date: 19-Apr-2015 01:25