Practical Nursing Diploma Program

Mid-term/Final Clinical Evaluation Form

Student: Romayne Hinds

Student Number: 805 930 278

Course: NURS 219

Dates:

Section 033

2014/09/07

S: Satisfactory

to 2014/12/07

ND: Needs Development

Summary of Areas of
Practice
Competent and safe practice
in a professional, legal and
ethical framework

Communication

S:

U: Unsatisfactory

Student Comments:
Summary of clinical
experience
ND:
U:
*

S:

Faculty Comments:
Summary of clinical
Experience
ND:
U:

Satisfactory- Throughout
my clinical experience, I
have shown competency,
professionalism and safe
nursing practices in all
aspect of patients care,
such as medication
administration,
confidentiality, and dignity
and by following all policies
of the facility.

Showed professionalism
and competence in caring
for her assigned patients.

S:

S:

* ND:

U:

Satisfactory- Over the past

three months, my
communication skills amongst
my colleagues, instructor,
nurses, patients and family
members were effective. I
have developed therapeutic
relationship with many nurses
and patients under my care.
For example, I notified my
nurse when I left the unit and
always inform the patient
about their care and the
medication they received.

Practice safely, legally and

ethically within her scope
has a Practical nursing
student.
She is consistently
prepared for clinical, by
researching her medication
as it relates to the patients
diagnosis
ND:

U:

She communicated
effectively with patient,
staff, peers, instructor and
members of the interprofessional team.
She actively participated in
post conference, by
presenting her assigned
patient to her clinical group
for learning purposes.
She shared relevant

information about her

patients and documented
clearly, concisely and
accurately using Meditech..
Caring relational practice

S:

* ND:

U:

Satisfactory- My experience
over during this clinical has
given me the opportunity to
establish caring relationships
with my patients. More
especially one patient Ms.AL, I
have developed such
admiration for her as she
continues to demonstrate her
unfailing faith and courage.

S:

ND:

U:

She consistently provided

optimal, compassionate,
respectful and therapeutic
care to her diverse patient
population.
She supported the diversity
of clients, peers, instructor
and members of the interprofessional team.
She displayed sensitivity
and respect for clients
culture, religious beliefs
and choices.

Leadership and advocacy

Plans of care: Meeting

Clients Needs and Mutually
Agreed Expected Outcomes

S:

* ND:

U:

Satisfactory I have showed

effective leadership skills
throughout this clinical, I have
maintained control and
efficiency in providing care for
my patients. I was given the
opportunity to advocate for my
patients on numerous
occasions. For example, one
patient was in respiratory
distress, I notified my nurse
and instructor and together we
administered to O2 therapy to
assist him with his breathing.
S: * ND:
U:
Satisfactory- My main goal
was to provide holistic care for
my patients, and I am happy
that I did achieve that during
this clinical .All care that was
provided for my patients were

S:

ND:

U:

She demonstrated
leadership qualities by
taking the initiative to care
for her patients.
She advocated on many
occasions during her
clinical experience for her
patients to assure that their
needs are met.
S:
ND:
U:
She organized and
prioritizes her care based on
the patients needs.
She demonstrated
understanding of care

Collaborative Practice

Quality Assurance

centered around their needs

and wants. For example one
of my patients preferred a
shower instead of a bed bath,
this was done effectively and
the patient was satisfied.

provided in relation to the

patients wellbeing.

S:

S:

* ND:

U:
*

She exhibited knowledge of

mixing and administering
IVMB medication.
She administered inhalation
therapy, PO and SC
medications. She removed
staples and applied steristrips to patient incision;
also skills of catheter care,
and wound care were
accomplished.
ND:

U:

Satisfactory- In order for my

clinical to be a success. It was
imperative that I work
collaboratively with the
healthcare team. This was a
great experience, since
effective nursing care was
provide for each patient. For
example, the patient was
ordered compression
stockings, together with the
psychotherapist; we took his
measurement and
demonstrated how the
stockings had to be worn.

She collaborated with the

health care team to meet
clients needs. She is an
excellent team player.

S:

S:

* ND:

U:
*

Satisfactory /needs
development- It is important to
promote safety through
collaborative practice and to
be knowledgeable of the
clients history and their
present diagnosis and the
medication there are on. For
example , the feedback I got
from instructor and the nurses
has enabled me to continue to
provide the best care possible

She works well with her

peers and nursing staff.
She is very helpful with her
peers, nursing staff and
members of the interprofessional team.
ND:

U:

She practiced safely within

her scope as outlined by her
Education Institution, CNO
and the hospital units
policy and protocol.
She seeks out learning
opportunities to continue
improving her practice.

Critical Thinking, Problem

Solving and Decision Making

for my patients.This allowed

me to do self- reflective work
and to ensure safety,
competency and
professionalism.

She maintained patient

privacy and confidentiality
throughout her clinical
experience.

S:

S:

* ND:

U:

Satisfactory- As a student
nurse critical thinking is an
important aspect of the
nursing care. I had the
opportunity to problem solve
and to conduct appropriate
nursing interventions to
ensure my patients safety. For
example, a patient had a
TEMP of 38.4 degree Celsius,
I had to check and administer
PRN medication with my
instructors supervision. This
was also reported to the
doctor and urine and blood
collection was done to conduct
Culture and Sensitivity test

ND:

U:

Her critical thinking skills

have developed. This is
exhibited by her taking the
steps to problem solve and
critically think of ways to
provide the best possible
care to her patients.
During this clinical rotation,
she has greatly
accomplished her goals
with the best outcomes for
her patients.
Standards satisfactorily met.

I have read and understand this form and its contents

Student Signature:

Date:

Faculty Signature:

Date: