Anda di halaman 1dari 11

NURS 2021H Clinical Course Evaluation

Final Evaluation

Student: Erin Power


Clinical Instructor: Shelly Ham
Placement: MC2 Peterborough Regional Health Center
Satisfactory
Unsatisfactory
Please circle the appropriate outcome

NURS 2021H Clinical Course Final Evaluation


Progress
Evidence/Indicators

Course Objective
Recognize and begin to navigate the complexities of
family nursing.

Satisfac
tory

Unsatisfac
tory

While working in the NICU, the


Nurse and I talked with a family
who was involved with CAS, and
developed a plan to go home.
They were going to be taking the
baby to the grandmothers house,
where the mom would be staying
in order to care for the baby.
I had the opportunity to work with
first time parents, who were very
hesitant when handling and caring
for their baby. I was able to teach
them how to change diapers, how
to swaddle the baby, and how to
prepare bottles. We also were able
to encourage breastfeeding, as
the mother was very discouraged.
I was able to have a conversation
with the mother of a young man
who lives with cerebral palsy. She
explained how her way of life has
changed, and how she is able to
cope with having a severely ill
child.
I was able to assist with care for a
teenage mother, who was very
confident in her abilities. She did
not want as much teaching as
some of the other mothers. In this
situation I came to understand
2

Integrate knowledge from previous courses to support


diverse populations.

Critically appraise relational inquiry processes and


begin to develop meaningful relationships with health
care providers and family members.

that just because a patient is at


different points in their life,
doesnt mean you should assume
what they will need from you as a
care provider.
When reading the charts of
patients who live with anxiety or
depressing for example, I am able
to recognizes medications, and
predict what they treat.
When conversing with patients I
ask open ended questions in order
to learn more about them. For
example, when doing a fundus
check, I noticed a scar on the
patients stomach, as I asked if she
had had any previous surgeries,
she then went on to tell me about
her belly button piercing that went
very wrong.
When communicating with a
patient of a different cutler, we
encountered a language barrier. In
order to get my message across to
her I use simple, concise wording,
and allowed her to repeat back
what she had understood.
Every time I interact with a new
patient, I inquire about how their
pregnancy was. I ask questions
such as did they know the sex, if
they have a name picked out, if
they have other children at home.
I find this works well to begin to
engage the mothers.
When babies have unique names I
3

Collaboratively formulate a plan of care based on


knowledge of family nursing, related theories and
scholarly literature.

ask the parents where they came


up with that name. This usually
leads to a personal story or has a
deeper meaning. As a result I am
able to get to know the patients
better.
I try to engage the fathers when
asking about the babies. When
doing demo baths I try to make
sure that they are engaged just as
much as the mothers are.
One of the mothers in the NICU
seemed discouraged and was
alone. I sat with her and just
talked about anything that came
up. This seemed to have
distracted her from her situation
and her mood lightened.
I keep my co-assigned nurses
updated on patient status on a
regular basis. In situations where I
am unsure if a result is normal, I
consult with her and then develop
a plan together.
I was concerned about the amount
of bleeding a patient was having.
After consulting with the nurse, we
decided we would have the
patient change her pad and we
would reassess in an hour, as her
blood pressure was within a
normal range, and she was not
feeling light headed or dizzy.
With patients who are having
trouble breastfeeding I teach them
4

Develop, implement and evaluate the effectiveness of


health-promoting, evidence-based practice, reflecting
principles of family nursing as relational practice.

how to hand express, to try


different positioning, and
encourage lots of skin to skin.
When this still doesnt work we
help the moms mix sugar water in
the colostrum, we suggest breast
pumping to help stimulate milk
production. When this still does
not help, we put the mothers in
contact with the lactation
consultant.
When this is the mothers first
child, I take extra time to help
educate her and the farther about
caring for and handling the baby.
I recognize that once the baby is
twelve hours old, has a
temperature above 36.6 degrees,
and is not on the hypoglycemic
protocol, it is able to have a bath.
While in the NICU, one of the
others denied any substance use,
or taking any medications during
pregnancy. However, her baby was
experiencing severe withdrawal
symptoms. It was difficult to
develop a therapeutic relationship
with this mom, as she did not
want to be bothered by the
nurses. Perhaps in the future there
are better ways to go about asking
the patient about substance use,
so that they do not feel
threatened or dont trust you.
In one situation where I assisted
with the baby bath, the mother
was uninterested in learning,
5

Demonstrate increasing competence and confidence


in the application of psychomotor skills in practice
settings.

however it came to light that the


father was very unsure of himself,
to the point he didnt even pick up
the baby. In this situation I focused
my attention to the father, I
walked him through step by step
on how to handle, diaper, bathe,
and dress his baby.
I had a patient who was very
discouraged about breast feeding.
She was convinced that there was
no point in trying because she did
not think her milk was coming in. I
stressed to her that to make the
milk come in, it needs to be
stimulated. As well this is the time
to be teaching the baby to feed
from the breast.
I take accurate baby assessments.
My heart rates match what the
monitor reads or they are equal to
what my peers got.
I can confidently preform a demo
baby bath for the parents, and
answer questions they may have.
I have confidence changing babys
diaper, and teaching the parents
about the use of Vaseline, and to
tuck the diaper under the
umbilical cord.
Confident take a mothers vitals,
and postpartum assessment. I can
locate the fundus, assess lochia,
and assess the perineum for
swelling or bruising.
I can recognize when a baby
6

Demonstrate accountability and professionalism that


is consistent with a nurse entering a self-regulating
profession.

Select appropriate community support services for


families needing referral to enhance coping with
diverse transitional experiences.

should be on a special protocol.


Hypoglycemic protocol if it is large
or small for gestational age,
premature, or the mother had
gestational diabetes.
Head circumference protocol if the
delivery had to be assisted with
forceps or a vacuum.
I can safely draw up correct
amount of vaccines, and
administer. I can correctly land
mark injection site.
I chart all of my findings promptly.
I arrive early to the hospital,
prepared and properly dressed.
I arrive with a positive attitude.
In situations where I am not
confident in my findings I seek
further guidance. Such as, I had a
baby who just came back from the
NICU, and her vitals were low. I
asked my co-assigned nurse to
double check.
I ask questions to further my
understanding of situations.
I assist my peers with baby baths,
and other tasks when asked.
I do not act out side of my scope
of practice.
When a mother is still struggling
with breast feeding after we have
exhausted all of our resources
(nipple shields, hand expressing
colostrum, sugar water, skin to
skin, position changes), they are
7

put into contact with the lactation


consultant.
When CAS is involved, we provide
privet rooms in order for meetings.
Many of the patients are involved
with Partners in Pregnancy, and
are scheduled follow up
appointments prior to being
discharged.
For a mom who was being
discharged, however her baby had
to stay in the NICU, we found her
a care room, where she would be
able to stay close to her baby.

To be completed by student:
Student Areas of Strength
1. I am able to openly communicate and develop therapeutic relationships with patients.
2. I ask appropriate questions to further my learning, and am able to recognize what skills I need
to further develop, such as heart rates.
3. I recognize tasks that need to be done and do them. I keep myself busy throughout the day.
Student Areas for Future Development
1. I can work on reducing biases before I get to know a patients background.
2. I can improve on my reflection processes in order to learn more from situations.
3. I can work to improve my assessment technique in order to make my assessment flow better.
Clinical Instructor Comments (All areas marked as unsatisfactory must have a
comment)

Attendance
Week
1
Week
2
Week
3
Week
4

Hrs.
12
Week 5

Hrs.
12

12

Week 6

12

12

Week 7

12

12

Week 8

12

Total number of clinical hours completed: 96


Clinical Component
Satisfactory
Unsatisfactory
Please circle the appropriate outcome
Clinical Learning Center Completed _____________
Enhanced Learning Days Completed _____________

Signature of Instructor____________________________________
Date_______________________________

10

Signature of Student______________________________________
Date________________________________

11