Practical Nursing Diploma Program

Mid-term/Final Clinical Evaluation Form

Student Number: 822-734-778

Student: Sharon Taylor

Course: NURS 208
Dates:

Section 17

September 2014

S: Satisfactory

to December 2014

U: Unsatisfactory

Summary of Areas of
Practice

Competent and safe

practice in a professional,
legal and ethical framework

Communication

Student Comments:
Summary of clinical
experience
S:

U:

Faculty Comments:
Summary of clinical
Experience
S:

I maintaining standards of
honesty and integrity, act
ethically and are above
reproach. I admit my
mistakes and confront
unethical actions in others
and take tough, principled
stands even if they are
unpopular. I have
maintained client safety and
a safe environment by
making sure call bell is
within reach, side rails of
bed are up when elevated. I
also keep environment free
from potential harmful
elements by cleaning up
spills and making sure
sharps are disposed of in
bio-hazards.

You have always provided

safe and professional care to
all of your clients. You are
always open to feedback and
definitely stand by your
beliefs. Well done!

S:

S:

U:

I communicate in a
professional manner
through the utilization of
concepts in human
interaction in establishing
effective professional
relationships. I use
communication
theories/techniques such
as appropriate body

You documentation was

excellent this semester. You
were also able to
communicate effectively with
your clients, peers, myself
and the health care team.
You always reported all critical
and vital information
regarding your clients care to

Caring relational practice

Leadership and advocacy

language, eye contact and

tone of voice with
colleagues, staff, client
family members and clinical
instructor. I report relevant
information such as
medication errors, changes
in client situations to
instructor and charge
nurse.

myself and the appropriate

staff member.

S:

S:

U:

I sense others feelings and

perspective, and take an
active interest in their
concerns. I am attentive to
emotional cues and listen
well, Show sensitivity
and understand others
perspectives. Seek
ways to increase
customers satisfaction
and loyalty. I Respect
and relate well to
people from varied
backgrounds and see
diversity as
opportunity for
learning

You were able to create

therapeutic bonds with your
patients. You were always
helpful even to patients that
were not assigned to you. You
made it your goal to give
great care to every patient
you came in contact with and
that is what makes you a
great nurse!

S:

S:

U:

I have developed a
professional role of
concepts and behaviors to
meet the needs of the
clients by the
demonstration of
responsibility and
accountability; I collaborate
with individual clients,
families, and staff to
promote, protect, and
improve clients health;
Identifies the effect of own
values, beliefs and
experiences in carrying out
clinical activities; I
recognizes potential

Whether you realized it or not,

your peers looked at you as a
leader in the group. You
always maintained your
professionalism and put the
needs of your clients first by
effectively advocating for
them, your peers and
yourself.

conflicts and takes

action to prevent or
resolve.

Plans of care: Meeting

Clients Needs and Mutually
Agreed Expected Outcomes

Collaborative Practice

Quality Assurance

S:

U:

S:

I Protect client privacy

and confidentiality. I
recognize, respect and
promote the clients
right to be informed
and make informed
choices for the client. I
have use the knowledge,
skills and judgment to
assess clients needs and
outcome by completing a
nursing care plan.

You did a great job organizing

yourself and creating and
implementing your care plans
to meet all of your clients
needs.

S:

S:

U:

I have demonstrate
effective oral and written
communication, including
the use of informatics, with
clients, colleagues, and
diverse groups to foster
effective inter professional
collaboration to promote
optimal health outcomes in
client. I collaborate with
my peers and
instructor by, sharing
plans, information, and
resources promoting a
friendly, cooperative
climate.

You were able to demonstrate

that you worked well
independently and well as an
effective team member.

S:

S:

U:

I reflect on my day to to day

practice to determine my
strength weakness and
areas for growth and
development. I use my drug
cards and other nursing
resources to improve
professional development.

You did a great job self

reflecting and seeking out
new learning opportunities.

Critical Thinking, Problem

Solving and Decision
Making

S:

U:

I have to demonstrated
critical thinking through the
utilization of creative
problem-solving and
decision-making based on
theories and models in the
delivery of health care to
clients. I use a systematic
approach to analyze real or
potential problems for the
purpose of developing,
testing, and evaluating
innovative solutions within
a variety of healthcare
settings.

S:
You were able to start
critically thinking this
semester and make decisions
for your clients that met their
needs. This is something that
you will continue to work on
and will only get better at with
time and experience.

It truly was a pleasure having you in my clinical group this semester. Your great sense of humour
coupled with your good heart and hard work is what will take you far in this profession. Keep
studying and working hard and I know you will succeed in all that you do. Good Luck next
semester!!
I have read and understand this form and its contents
Student Signature:

Date:

Faculty Signature:

Date: