PRACTICUM EVALUATION TOOL TEMPLATE

DEPARTMENT OF NURSING
JAMES MADISON UNIVERSITY
Student:

Hughes, Casey

Name of Preparer:

Self and Arlene Renalds, MSN,RN

Practicum Site:

SRMH-Family BirthPlace

Course #: NSG 355L

Section #: 0008

Date:

2/19/15

CLINICAL HOURS

Direct Patient Care: 16hrs

Simulation:6.5 hrs

Observation:0

Missed Clinical Hours:0

Precepted: 16hrs

Other: Hosp./Unit Orientation: 6.5 hrs

Grade

Total Clinical Contact Hours: 45hrs

Criteria: Students must achieve a passing rating in every outcome in order to pass a practicum course

Pass

Demonstrates satisfactory development of knowledge and skills. Objectives are met consistently and comprehensively, with progressive
independence and self-direction. Shows insight into strengths and areas for growth.

Fail

Mastery of skills and objectives inconsistent. Conduct is unsafe, unprofessional, offensive, or fails to maintain therapeutic alliance with clients
or resource personnel. Fails to construct or submit documentation in a professional or timely manner.
Outcomes/Objectives

Health Promotion/Illness Care: Provide health protection and promotion, risk reduction, disease prevention, illness
care, rehabilitation, and end of life care to diverse populations within a holistic framework in a variety of settings.
1.

Course Objectives: Provide safe and effective nursing care to women/newborn/family units of various cultural/ethnic backgrounds incorporating
health promotion and education necessary to meet the needs of the family.
Behaviors: Provides safe and effective nursing care to all patients with whom there is contact. Provides education during all patient interactions
to enable family to care for infant during hospitalization as well after discharge. Able to identify health care needs, goals and interventions
suitable for healthy outcomes for mother/baby dyad during practicum as well as in written work.

2. Critical Thinking: Synthesize knowledge, skills, and technology from the established practice and science of nursing,
the biological and psychosocial sciences, and the humanities to engage in critical thinking, clinical reasoning and the
nursing process in the care of clients.
Course Objectives: Apply nursing interventions with an understanding of the rationale for those actions supported by evidence based research.
Behaviors: Completes and documents patient assessment in a timely fashion. Able to analyze/interpret data. Able to write, verbally present,
and link pathophysiology, diagnostic tests, medications, lab results, and nursing interventions to patient care. Able to interpret and prioritize
these components during clinical as well as in written work. Able to evaluated effectiveness of interventions and suggest additional measures for
meeting goals.

Rating
Pass/Fail

Student Name: _______Casey Hughes__________________

NSG Section ___0008_________

3. Therapeutic Relationships: Develop caring culturally competent relationships with clients that are sensitive to diverse
personal, socio-cultural, and environmental characteristics, which encourage clients to assume primary responsibility for
health care decisions, and in which the nurse functions as advocate and advisor.
Course Objectives: Integrate health/illness beliefs, values, attitudes, and practices of all the individuals, families, and groups into the care
provided.
Behaviors: Initiates care anticipating mother/infant/ and family needs as well as coordinating efforts to provide time for bonding and privacy.
Provide sensitive care to culturally diverse families while working to communicate with them. Provides safe learning environment for families.
Documents all care in a timely fashion.

4. Communication: Use effective communication and information technology to communicate interpersonal and health
care information.
Course Objectives: Utilize professional communication and collaborative skills to provide patient/family centered care.

Behaviors: Maintains good communication concerning patient status with faculty and staff during clinical rotation. Interacts professionally and
positively with faculty, staff, patient and family. Receptive to concerns and questions voiced by patient and able to respond appropriately. Uses
technology effectively and professionally only when required for patient care and/or family emergencies

5. Professional Role Development: Enhance professional role development.

Course Objectives: Examine the role, responsibilities, and scope of practice of nurses within the specialty of womens health.
Behaviors: Demonstrates safe, prepared and professional behavior during all clinical learning experiences. Demonstrates core values while participating in
observational experiences. Prioritizes care. Completes administration of medications/tasks in a safe and timely manner. Able to organize self to provide
comprehensive care for mother/baby dyad. Accepts responsibility for RN role development. Can perform skills and understands their underlying concepts.

6. Ethical and Professional Values: Engage in activities to promote self-awareness, self-growth, ethical accountability,
and legal responsibility in the practice of nursing.
Course Objectives: Critically analyze ethical dilemmas and policy issues related to women/newborn healthcare.
Behaviors: Demonstrates respect/confidentiality. Is prepared prior to the clinical experience. Assists staff and peers when needed. Is motivated and takes
responsibility for completing all patient care. Documents in a legal, ethically sound, professional manner. Is accountable for mistakes. Accepts constructive
feedback. Follows dress code. Is punctual and cooperative. Follows agencies policies.

7. Scholarship: Contribute to excellence in nursing care by scholarly contributions through discovery, integration,
application, and teaching. Contribute to excellence in nursing practice by identifying and critiquing research evidence
and integrating it with clinical practice, patient preference, cost-benefit, and existing resources.
Course Objectives: Integrate evidence, clinical judgment, inter-professional perspectives, and patient preferences in planning, implementing,
and evaluating outcomes of care.
Behaviors: Uses resources to promote learning and seeks out new learning opportunities. Able to incorporate assessment, outcomes and plan
of care from clinical experience into comprehensive patient care. Able to identify evidence based rational for care provided. Provides evidence
based rationale for interventions used in written work.

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Student Name: _______Casey Hughes__________________

NSG Section ___0008_________

Page 3 of 3

Areas of strength:
Comparing to last semester clinical, you have evidenced much growth in the area of assessment, time management, and
general comfort level (specifically with this population). Demonstrates working knowledge of assessments,
pathophysiology, and nursing care for this population. You learned the charting system quickly, and demonstrated
competence in passing medications. You fully engaged in the clinical setting. Demonstrated accountability for actions.
Interacted with respect toward patients/families, peers and staff. Conscious of patient safety and quality of care to all
patients
Per student:
I was able to observe a cesarean birth and a vaginal birth. I also observed 3 different circumcisions all with different techniques by the
pediatrician. I performed a head to toe assessment on the mother post-partum, delivered medications, and took vital signs. I documented every
hour while on post-partum and did hourly rounds. I performed vitals on a newborn and observed a head to toe assessment by both an RN and a
pediatrician. I observed the first bath of a newborn and assisted. I administered a vitamin K shot IM to a newborn. I was able to apply knowledge
learned in both class and simulation into the clinical setting and found it to be very helpful in practice. This clinical helped me to become a more
confident student nurse by providing me the opportunity to work with a population that we have not cared for before and giving me more
experience in patient care.

Areas for growth:

Continue to improve in application of knowledge, transitioning from classroom to clinical setting.
Gaining confidence in performing skills.
Per student:
I could improve on performing head to toe assessments of both the mother and the newborn. I also could improve on performing a newborn bath
more independently. It will take me more time to be capable of assessing patients potential needs in all areas of womens health.

1/24 participated in simulation.

1/26 came to clinical prepared. Actively participated in post-conference discussions. Mastered charting system,
and giving PO meds.
2/2 cared for mother/baby dyad who were discharged. L&D was busy; student was allowed to observe
cesarean.
2/9 came to clinical with preceptor sheet completed. Nursery was not too busy. Observed circumcision.
Rounded with pediatrician. Was pulled to L&D to observe a cesarean.
2/16 came to clinical with preceptor sheet completed. Busy in L&D. Observed labor, vaginal delivery.
Final Grade:

PASS