Canoll Communi$ College

Division of STEM, Nursing and Allied Health

Department of Nursing
NURS 140 - Nursing Concepts 2
Student Clinical Performance Evaluation - SUMMATIVE

Frovide,ilursing care basedon scidntifiG"evidence, (SLO 4 GE 1)

ldentifies evidenced-based rationale that supports the patient plan of care.
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lnteorates knowledoe from nursinq and other disciolines to plan care.
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Adheres to attendance policv, \

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'Demonstrates safe clinical practice.
Provides nursinq care based on the policies and procedures of the facility. s5 {
'Maintains legal accountability for nursing practice in accordance with the Maryland Nurse
Practice Act. s 5
"Ad heres' to H I PAA q uidelines reqard inq patient confi dentiality.
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*Provides care accordino to the ANA Nursinq Scope and Standards of Fractice. \
*Demonstrates accountabilis and responsibility for own dctions and attitudes. .s s
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Gathers data from the electronic medical record to provide patient care- :\ 5
Uses electronic rnedical record to document patient care accurately and in atimely manner. <s )
Student Reflection - Looking back on the rctation:

How have you grown as a nurse? Please explain and use specific.examples.
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Do you have any continuing concerns about your performance? Please explain.
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Faculty Gommentsl Student Learning Goals (n*lf an item was identified as N or U, narrative comments are
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necessary to clarify student performince.")
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Student Signature: Date: SI to/tt"
lnStructoi Signature: Da,*: {f b-f /t^
Approved'l2l4l 14; Revised 5/9120'1 6