Carroll Community College

Division of STEM, Nursing and Allied Health

Department of Nursing
NURS 242 – Nursing Concepts 4
SUMMATIVE Student Clinical Performance Evaluation

Student Caroline Reges Date 3-16-18 CSE # Faculty Emily Udseth

S = Satisfactory N = Needs Improvement U = Unsatisfactory NA = Not applicable (*) Critical behavior
Students who meet any of the following criteria will be given a remediation plan and may be placed on probation.
Failure to progress in these areas may result in failure of the course.
-One unsatisfactory grade in a critical behavior -Two needs improvements in a critical behavior
-Two unsatisfactory grades in a non-critical behavior -Four needs improvements
Student Instructor
Self- Eval of
Outcome 1 Eval Student
Use the nursing process to optimize client health (CSLO1) S/N/U S/N/U
1. *Prioritizes patient care based on assessment S S
2. *Demonstrates accurate patient assessment skills S S
3. Analyzes and incorporates data from the patient’s medical record in the provision of S S
care
4. Uses patient assessment data to implement individualized plan of care S S
5. Establishes appropriate nursing diagnoses based on collected evidence and patient S
assessment S
6. Establishes measurable patient outcomes based on nursing diagnosis S S
7. Establishes appropriate nursing interventions based on assessment S S
8. Evaluates patient response to care and revises plan as needed S S
Student Instructor
Self- Eval of
Outcome 2 Eval Student
Assimilate into the profession of nursing (CSLO2) S/N/U S/N/U
9. Demonstrates professional behavior and appearance S S
10. Seeks input from patient, instructor, and healthcare team in the delivery of patient- S
centered care S
11. *Demonstrates accountability and accepts responsibility for own actions and attitudes S S
12. *Adheres to attendance policy S S
13. Participates actively in all clinical experiences S S
14. Engages in self-reflection and communicates learning needs to instructor S S
15. Completes assignments as required and submits on time S S
16. Demonstrates initiative in assisting peers and healthcare team members in the clinical S
setting S
Student Instructor
Self- Eval of
Outcome 3 Eval Student
Provide patient-centered care (CSLO3) S/N/U S/N/U
17. *Implements appropriate infection control precautions S S
18. Provides culturally sensitive care S S
19. Documents patient care accurately S S
20. Uses therapeutic communication skills S S
21. Follows through with all patient care S S
22. Demonstrates knowledge of medications for assigned patients S S
23. *Administers medication safely using six rights of medication administration S S
24. Demonstrates caring behaviors S s
Approved 12/4/14. Revised 12/10/2014; 01/2015
 Carroll Community College
Division of STEM, Nursing and Allied Health
Department of Nursing
NURS 242 – Nursing Concepts 4
SUMMATIVE Student Clinical Performance Evaluation

25. Uses SBAR effectively S S

26. Acts as an advocate for patients and families S S
27. *Demonstrates physical and mental competence S S
28. *Identifies safety concerns and notifies instructor and appropriate healthcare team S
members S
29. Organizes time efficiently S S
30. Evaluate effectiveness of patient and family teaching and revises plan as needed S S
31. *Updates instructor and healthcare team regarding changes in the patient’s condition S S
32. *Provides nursing care based on the policies and procedures of the facility S S
33. *Provides nursing care in accordance with the Maryland Nurse Practice Act S S
34. *Adheres to HIPAA guidelines S S
35. *Provides care according to ANA Scope and Standards of Nursing Practice S S
Student Instructor
Self- Eval of
Outcome 4 Eval Student
Engage in evidence based care (CSLO4) S/N/U S/N/U
36. Critiques current practice based on evidence S s
Student Reflection (Thoroughly answer all questions)
How has this clinical rotation helped to define your role as a nurse? Please explain.

This clinical rotation has taught me what kind of nurse I strive to be, and what kind of nurse I don’t want to be. I
observed great nursing, and I observed not-so-great nursing. It is a learning experience to see care you
believe could be done better. It helped me understand what it takes to be a great nurse and what steps I need
to take to be the best nurse to all of my patients. I worked with many patients of all different adult ages, all
sorts of different diagnoses, and all different backgrounds. I learned many skills from great nurses and learned
a great amount from every patient I had the honor to work with.

Which objective did you accomplish during this rotation? How did you do it?

I practiced skills including tracheostomy care, J/G tube care, how to handle emotional situations, peritoneal
dialysis administration and care, practiced culturally sensitive care, and was able to recognize abnormal
assessments in my patients and take appropriate actions. I developed new skills, expanded my critical thinking
skills, and grew stronger assessment skills. I cared for patients with many different diagnoses and was able to
grow my knowledge in each clinical day.

What are your goals for future work in the clinical setting?

I plan to continue to use my critical thinking skills and thorough assessment skills to take care of each of my
patients to the best of my ability. I strive to continue to develop new skills at every clinical, push myself to think
outside of the box, and care for all my patients holistically. I will take everything I have learned in lecture and in
my clinical experience and bring it into my nursing practice daily. I will continue show compassion and
dedication while caring for my patients. I will continue to respect my patients’ dignity and abide by HIPPA
protocols. My goal is to never stop learning and never forget why I began this career.

Faculty Comments/ Student Learning Goals (Goals must be established even if performance is satisfactory.
If an item was identified as N or U, narrative comments are necessary to clarify student performance along

Approved 12/4/14. Revised 12/10/2014; 01/2015

 Carroll Community College
Division of STEM, Nursing and Allied Health
Department of Nursing
NURS 242 – Nursing Concepts 4
SUMMATIVE Student Clinical Performance Evaluation

with goals to improve performance).

I truly believe that you don’t really know what kind of nurse you want to be, until you know what kind of nurse
you don’t want to be. You are spot on saying that you experienced nursing care that was below your
expectations and this will be something you think about forever. What excellent experience you were able to
get this clinical rotation. You were able to really demonstrate your critical thinking skills, fine-tune your patient
assessment and ask questions that showed me that you were thinking on a deeper level. I see how well you
communicate with your patients and their families and you just make them feel cared for in every way. It is
such a valuable trait to make people comfortable just by talking to them. I am confident that you are going to
be an excellent nurse and you will always understand the value in a lifelong learner.

Student Signature: Caroline Reges Date: 3-16-18

Instructor Signature: Emily Udseth RN, BSN Date: 3/20/18

Approved 12/4/14. Revised 12/10/2014; 01/2015