Multi Rater Competency Assessment

2015 - 2016 - NURS 253 Practical Nursing Pre-graduate Experience MRA Final (201508)
NURS 253 Practical Nursing Pregraduate experience (PN, 18-Jan-2016 - 07-May-2016)
Student :
Clinical Teacher/Preceptor :
Advisor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Period :
Student hours :
Required Hours :
Validated hours :

Navjyoti Suri
Cindy Portelli
Mary Coyle
Judy Martin
William Osler Health Centre/Brampton Civic Hospital
Agency
N4 active rehab
18-Jan-2016 To 07-May-2016
448
448
448

I declare that this is my original work and the sources used are acknowledged.

Abilities and Outcomes / Learning Outcomes

Student Rating

Teacher Rating

1. Model safe, competent, and ethical practice in compliance with legal and regulatory frameworks and the policies and procedures of the
practice setting.

1. 1 Comply with regulatory standards, relevant legislation and the practice settings policies and

Satisfactory

Satisfactory

procedures.
N.S. : Yes, i follow the regulatory standards and practice setting policies and procedures and i went through the folder.

1. 2 Act in a professional, responsible, ethical and accountable manner.

Satisfactory

Satisfactory

N.S. : I am always in uniform, reach half an hour before my shift starts and take the report and i am accountable for my actions.Yes, I do act in
responsible and ethical manner and am accountable for giving medication to my patients and taking care of them.

1. 3 Use the three factor and decision making frameworks to determine strengths and limitations and

Satisfactory

Satisfactory

when to collaborate and consult with other professionals.

N.S. : Client, Nurse and environment are the three factor framework. Client centered care in the hospital setting following the policies and guidelines
considering the needs of client and his well being as priority.

1. 4 Integrate evidence-informed practice and a theory based approach into nursing care.

Satisfactory

Satisfactory

N.S. : Yes, I follow the hospital's policies to ensure safety based practices and risk management principles by following the guidelines provided by
hospital

1. 5 Assess practices and risk management principles and take action to ensure safety of clients,
self, and others.

Satisfactory

Satisfactory

N.S. : Yes, I follow the hospital's policies to ensure safety based practices and risk management principles by following the guidelines provided by
hospital

1. 6 Question and clarify unclear orders or directions and when uncertain.

Satisfactory

Satisfactory

N.S. : Yes, I ask questions from my preceptor when unsure or if i do not understand anything in clients kardex, MAR, file

1. 7 Question, clarify or challenge questionable orders, decisions or actions by others.

Satisfactory

Satisfactory

N.S. : I question from my preceptor and other collaborative care members if something is unclear, i read their notes and ask my preceptor if
something is not clear to me.

1. 8 Respond in a professional manner to situations in which there is unsafe, unacceptable or

Satisfactory

Satisfactory

unprofessional behavior.
N.S. : Yes, i behave professionally with regard to patients safety for eg by lowering the bed of clients, side rails up. I took my preceptor's help to shift
a patient having stroke while shifting.

1. 9 Demonstrate understanding about the role of the nurse within health care.

Satisfactory

Satisfactory

N.S. : Yes, I understand the role of nurse in health care and am accountable for my actions related to client care. I understand the importance of
timely actions e.g doing blood sugar at time, giving insulin and other meds at time, know the importance of PRN medications and providing safety to
my client and his well being is my priority .I do my timely documentation,and make my trust worthy relationship with my clients.

Teacher comments for Model safe, competent, and ethical practice in compliance with legal and regulatory frameworks and the policies
and procedures of the practice setting. :
Nvjyoti maintained attendance over the course of the 14 weeks of clinical and was always punctual. She arrived on time and was always dressed in
full uniform with her name badge visible to identify herself as a student. She demonstrated the ability to maintain competence by utilizing her
knowledge to provide safe competent and compassionate care. As well, she consistently demonstrated responsibility for her actions by ensuring that
she sought assistance when necessary. She maintained confidentiality by ensuring that her personal values did not conflict with her practice. In
addition, she demonstrated regard for commitments for self, peers and patients

2. Communicate using strategies and technology to effect accurate and timely information sharing including data, research, and other
information.

2. 1 Contribute to team sharing and discussions.

Satisfactory

Satisfactory

N.S. : Yes i participate in bullet rounds, huddles called by resource nurse, discuss about clients while giving and taking report. receive report from
other units while doing patient transfers.

2. 2 Document clearly, accurately, concisely in a timely manner using written and electronic methods.

Satisfactory

Satisfactory

N.S. : Yes i document the required fields everyday in timely manner and discuss with my preceptor while making a progress report and will keep on
improving on my documentation by end of 14th week.

2. 3 Use effective communication techniques when reporting relevant information and providing
feedback to the appropriate members of the interprofessional heath care team.

Satisfactory

Satisfactory

N.S. : Yes, I use communication techniques with the client and inter-professional health care team. Sometimes there is a need of using my first
language punjabi to make thing more clear to clients and family members if their first language is punjabi too

2. 4 Evaluate and refine techniques used to communicate and share information with clients and the

Satisfactory

Satisfactory

interprofessional health care team.

N.S. : Yes i evaluate and refine techniques used to communicate and share information with clients and the inter professional health care team. i
clarify my doubts with OT, PT , REC Therapist if i need them.

2. 5 Ensure privacy and confidentiality.

Satisfactory

Satisfactory

N.S. : yes, I take care of privacy of patients and pull the curtains before providing personnel care and confidentially is maintained by not disclosing
any information related to patients

2. 6 Use technology to retrieve information including research and other date and to obtain and

Satisfactory

Satisfactory

forward information both within and outside the practice setting.

N.S. : yes i do use technology to retrieve and share information including research, data and other information by use of computers in hospitals, med
tech and online drug book. I use meditech to do documentations, check orders and get the lab results everyday.

Teacher comments for Communicate using strategies and technology to effect accurate and timely information sharing including data,
research, and other information. :
Over the course of the semester, Navjyoti learnt to communicate effectively with her patients and with the inter-professional team. For example, she
ensured that she received a report of her patient's status every morning and learnt to explain to the patients the care she was about to provide prior to
initiating the actual care. Initially, she struggled with documentation but by week 14 she was documenting accurately and concisely and in a timely
manner. In addition, she developed the habit of maintaining eye contact with her patients during conversations. Good job!

3. Engage in relational practice that is caring, compassionate and respectful.

3. 1 Establish therapeutic caring, compassionate, and culturally safe relationships with clients and

Satisfactory

Satisfactory

health care team members.

N.S. : Yes, i establish therapeutic caring, compassionate, and culturally safe relationships with clients and health care team members by
understanding their needs and respecting their cultural values and considering their well being as my priority. One of my patient wanted to see her
Guru in hospital, and i conveyed her message to my preceptor and family members to arrange a meeting with her Guru.

3. 2 Establish a caring environment that supports clients in meeting their needs and outcomes,

Satisfactory

Satisfactory

managing their illness, or experiencing a peaceful death.

N.S. : yes i try to establish a caring environment that supports clients in meeting their needs and outcomes, by helping them in their ADL'S and in
managing their illness, I am doing my pregrad hours in a unit where i don't see terminal patients so i on't,t get a chance to help them in a experiencing
a peaceful death.

3. 3 Demonstrate therapeutic use of self to foster client well-being.

Satisfactory

Satisfactory

N.S. : I use therapeutic use of self by bringing myself to level of client, making eye contact, speaking in soft humble voice and letting them express
themselves.

3. 4 Utilize relational knowledge and skills, and ethical principles to support clients and to interact

Satisfactory

Satisfactory

with health care providers.

N.S. : Yes i utilize relational knowledge and skills, and ethical principles to support clients and to interact with health care providers. While doing
wound care dressings for my patient, i realized that his wound is not as good as it should be and i notified my preceptor. we called wound nurse to
reassess the wound.

3. 5 Use self-awareness to identify the effects that beliefs, values, and personal experiences have on

Satisfactory

Satisfactory

relational practice.
N.S. : I know the importance of values and beliefs. All clients have their our cultural values which need to be considered as a comfort measure for
the clients. one of my patients wanted to call priest

3. 6 Collaborate with clients, members of the interprofessional and health care teams; and, consult

Satisfactory

Satisfactory

appropriately.
N.S. : I collaborate with clients and let them know that I will be taking care of them and their due timings for medication and personnel care. I
collaborate with my preceptor about the condition of client timely and if i have any doubts i ask her for help.I was unable to understand accurately
when physiotherapy for one of my patients was held.I talked to the physiotherapist about holding his physiotherapy after seeing his MRI results to
explore more and reason to hold his physiotherapy.

3. 7 Uphold practices and systems that support the diversity of clients and of the interprofessional

Satisfactory

Satisfactory

health care team.

N.S. : Yes i support the diversity by respecting their believes and values. my patient called their GURU to do prayers for him and i allowed them to sit
and do their spiritual prayers.

3. 8 Provide effective client education.

Satisfactory

Satisfactory

N.S. : One of my patient was put on isolation because of her cough and she was upset and feeling herself in prison. I educated her about the
infection control and reason for her isolation effectively and it helped her to understand the reason of her isolation.

Teacher comments for Engage in relational practice that is caring, compassionate and respectful. :
she is always respectful and compassionate

4. Act as a leader and an advocate to empower clients, self, the interprofessional health care team and to further the profession.

4. 1 Evaluate and refine leadership skills to develop solutions, resolve conflict, create a positive work

Satisfactory

Satisfactory

environment and organizational culture, and to strengthen advocacy role.

N.S. : Yes i evaluate and refine leadership skills to develop solutions. One of my patient's wound was not healing ,in the way it should and requested
my resource nurse to get the consultation of the wound nurse .I always ask for any help if other nurses are experiencing heavy workload and I create
a positive work environment and organizational culture.

4. 2 Provide feedback to peers and accept feedback from peers and members of the
interprofessional health care team.

Satisfactory

Satisfactory

N.S. : I always provide feedback to peers and accept feedback from peers and members of the inter professional health care team.I asked questions
about techniques of shifting patient from physiotherapist and was interested to learn the cues of shifting patients safely and encouraging patient to use
his muscles which he uses in physiotherapy.I do shifting in their presence and ask feedback about how i did.

4. 3 Advocate for clients, self, others, and quality practice environment.

Satisfactory

Satisfactory

N.S. : I advocate for my clients. My patient was unable to swallow food and even was not accepting medications. I requested our dietician to review
his meal plan and advocated for IV medications and maintenance drip to physician when he developed UTI and started behaving confused.

4. 4 Support clients rights for self-determination and choice.

Satisfactory

Satisfactory

N.S. : Yes, i support clients rights for self-determination and choice by asking their needs and listening to them and understanding their verbal and
nonverbal signals and explaining whole process of my assessment to them.e.g if i take vital signs i always let them know their findings to reduce the
anxiety if patient is in condition to understand.While giving medication i tell them with colour difference the given medication's purpose and how much
it is given.My patient asked difference between medication given by nebulizers and through puffer. I was able to satisfy her with my explanation about
the difference use.

4. 5 Respond appropriately to unsafe, unacceptable, and unprofessional behaviors.

Satisfactory

Satisfactory

N.S. : One of my elderly patient was confused and had a great risk of fall. I observed the risk of fall and with the help of my preceptor I was able to
arrange an alarm bed for his safety at night and kept this patient near nursing station in daytime.

4. 6 Demonstrate public protection and acting in the interests of the public through collaboration and

Satisfactory

Satisfactory

consultation with other members of the interprofessional health care teams.

N.S. : I interact with with patients and their families but didn't got any chance to act in the interests of the public through collaboration and
consultation with other members of the inter professional health care teams.

4. 7 Contribute to the creation of quality practice strategies and solutions.

Satisfactory

Satisfactory

N.S. : Need to learn for creating a quality practice solutions and strategies have not got any chance to do quality practice , only i could do was by
reading my books and asking our preceptor.I discuss plan of care with the team, as one of my patient's wound was healing as expected and we
collaborated with wound care nurse for expert advice.

4. 8 Assign, supervise, teach as appropriate, and provide feedback to unregulated care providers

Satisfactory

Satisfactory

(UCPs) in collaboration with the interprofessional health care team.

N.S. : I collaborate with unregulated care providers (UCPs) i with the inter professional health care team and help them in patient care . I involve them
in plan of care and discuss the scheduled care accordingly.

Teacher comments for Act as a leader and an advocate to empower clients, self, the interprofessional health care team and to further the
profession. :
involves herself in every aspect. She collaborates with unregulated care providers (UCPs) with the inter professional health care team and help them
in patient care and involve them in plan of care and discuss the scheduled care accordingly.

5. Integrate the nursing process into all aspects of nursing care and across diverse practice settings.

5. 1 Formulates clinical judgments that meet clients unique and changing health needs and priorities,

Satisfactory

Satisfactory

outcomes, and overall condition and incorporates these into evolving plans of care.
N.S. : Yes i understand the unique needs of my clients and formulate clinical judgments that meet clients unique and changing health needs and
priorities, outcomes, and overall condition and incorporates these into evolving plans of care, if my client needs dressing and shower both i request
UCP to give the shower first and i do my dressing after. I crush the meds for elderly patients who find it difficulty to swallow the pills.

Satisfactory

5. 2 Devise evidence-informed plans of care that are holistic and client-centred.

Satisfactory

N.S. : Client centered care in the hospital setting following the policies and guidelines are provided by the student nurse in holistic and therapeutic
manner considering the needs of client and his well being as priority.

5. 3 Use clinical judgment to assess clients, prioritize needs, outcomes, and nursing interventions.

Satisfactory

Satisfactory

N.S. : I use my knowledge , skill and judgement to assess client e.g if client is in pain i use pain scale to assess pain level , see the last PRN
medication used and understand the outcome after the use of that medication.

working on assignments provided will enhance my skills. I prioritize

my tasks according to need of client.

5. 4 Collaborate in the evaluation, refinement and modification of plans of care.

Satisfactory

Satisfactory

N.S. : Everyday after the new orders are made I check the order file and then match them with my MAR if they are entered.

5. 5 Safely and competently perform treatments and use techniques, and technology autonomously

Satisfactory

Satisfactory

and in collaboration with clients and members of the interprofessional health care team.
N.S. : Yes I safely and competently perform treatments while doing dressing i create the sterile field, and use techniques for shifting my patients and
calming them down if they are restless,and technology autonomously for documentation in Meditech and in collaboration with members of the inter
professional health care team i take care of my clients in safe manner.

5. 6 Collaborate with the clients across the lifespan and with members of the interprofessional health

Satisfactory

Satisfactory

care team to create a client centered plan of care that is articulated with competence both in writing
and orally.
N.S. : I collaborate with the clients and with members of the interprofessional health care team to create a client centered plan of care that is
articulated with competence both in writing and orally. I do my timely documentation, i make the nurse notes if required and give thorough report in
professional manner.

5. 7 Use awareness of own knowledge and skills, the three factors of nurse, client and environment

Satisfactory

Satisfactory

and the practice decision-making framework to guide practice.

N.S. : Client centered care in the hospital setting following the policies and guidelines are provided by the student nurse in holistic and therapeutic
manner considering the needs of client and his well being as priority.

5. 8 Manage workload, time, and physical resources to provide effective, efficient and ethical care.

Satisfactory

Satisfactory

N.S. : I make my to do list, highlight my priorities , discuss my plan of care with my preceptor and manage workload and time .

Teacher comments for Integrate the nursing process into all aspects of nursing care and across diverse practice settings. :

Navjyoti utilized her theoretical knowledge to prioritize care. Initially, she was very unorganized but by week 14 she was prioritizing and organizing
appropriately. She endeavored to collect the materials necessary to perform a particular skill a head of time to avoid going in and out of the rooms to
search for equipment.

6. Collaborate and consult with clients and the interprofessional health care team to provide comprehensive and holistic health care in a
complex and changing environment.

6. 1 Collaborate with clients to determine needs, mutually agreed health outcomes, approaches to

Satisfactory

Satisfactory

care, and to evaluate care.

N.S. : Yes i collaborate with my preceptor, consult before implementing health, care and nursing practices that are in the best interests of the public
and protect the public through collaboration and consultation
I also follow hospital polices and guidelines for clients care.Also collaborate with clients and assess their demands. One of my clients refused to take
laxatives i charted down and didn't give him laxative.

6. 2 Contribute as a member of the interprofessional and health care teams to respond to changing

Satisfactory

Satisfactory

client needs and outcomes.

N.S. : I always keep in my the clients choice and behave in a therapeutic manner to help him in the way my client wants and also follow the policies
of hospital.One of my client was on wheel chair for long period but with collaboration with PT i was able to help him walk with walker and arranged a
walker for her.

6. 3 Consult with and seek out assistance from members of the interprofessional health care team.

Satisfactory

Satisfactory

N.S. : Yes i consult my preceptor and nurse giving report about my patients and Physiotherapist , Occupational therapist, Dietitian and Speech
therapist about the progress in nursing rounds everyweek and participate in discussions whenever is required .

6. 4 Use teamwork, consensus building, and conflict resolution and leadership skills to meet

Satisfactory

Satisfactory

expected client outcomes.

N.S. : Collaborate with my PSW and preceptor taking care of my client.For giving bath to my client which needs two person assistance and cleaning
them i collaborated with my and helped them whenever they need my help.I show the leadership skills while taking a decision for my patient and
advocate for my patient.

6. 5 Integrate effective, collaborative, and consultative strategies to meet clients needs within a

Satisfactory

Satisfactory

changing environment.
N.S. : Yes i use effective, collaborative, and consultative strategies to meet clients needs within a changing environment. I let client feel comfortable
and give chance to

6. 6 Respect the unique role and competencies of all members of the interprofessional health care

Satisfactory

Satisfactory

team.
N.S. : I interact with nurse for guiding me regarding proficiency in assessment and my instructor for clarification if any doubts, and to expertise my
skills. I helped my patient to understand the importance of physiotherapy and encouraged him to do his exercises by collaborating with
interprofessional health care team.

6. 7 Collaborate as a member of the interprofessional health care team to respond to changes in

nursing knowledge and practice and in the health care environment.

Satisfactory

Satisfactory

N.S. : Yes i use effective, collaborative, and consultative strategies to meet clients needs within a changing environment. I let client feel comfortable
and give chance to express him , give medications after doing three checks and consult my instructor for any doubts. I helped my patient to
understand the importance of physiotherapy and encouraged him to do his exercises by collaborating with interprofessional health care team.

Teacher comments for Collaborate and consult with clients and the interprofessional health care team to provide comprehensive and
holistic health care in a complex and changing environment. :
She uses effective, collaborative, and consultative strategies to meet clients needs within a changing environment.

7. Engage in Quality Assurance consistent with the regulatory framework.

7. 1 Act in the best interests of clients and protect clients from harm through collaboration and

Satisfactory

Satisfactory

consultation with other members of the interprofessional and health care teams and by through
competent and safe practice.
N.S. : Yes, i behave professionally with regard to patients safety for eg by standing besides them if risk of fall is there, lowering the bed of clients,
side rails up, putting bed side mats on. I took my preceptor,s help to take off the gown of drowsy patient with IV in situ because i didn't want to do any
thing which may harm my client in any way. I seek assistance for shifting my patient if they are two assist.

7. 2 Commit to Quality Assurance practice to identify strengths and areas for professional growth and

Satisfactory

Satisfactory

in accordance with the regulatory framework (CNO).

N.S. : Yes i commit to Quality Assurance practice to identify strengths and areas for professional growth and in accordance with the regulatory
framework (CNO). I go to CNO website and read the practice standards and follow.I have created my time management plan, prioritizing work load
and do my documentation timely and worked on in . It was helpful to organize my things and to do's list was helpful . Worked on body mechanics and
will keep on improving.

7. 3 Create, implement, and evaluate a learning plan consistent with the Quality Assurance program

Satisfactory

Satisfactory

(CNO).
N.S. : I made my learning plan and submitted to my preceptor before starting the consolidation in hospital setting, I asked for the timely feedback for
improvement.

7. 4 Assume responsibility to seek out feedback for colleagues and peers and learning opportunities

Satisfactory

Satisfactory

that foster professional development.

N.S. : I am always seeking to get feedback from my preceptor, my teachers and peers and seek for the opportunities that foster professional
development. I am always looking for learning new skills, i requested my charge nurse to get a chance for catheterization for any patient on floor, and
always requested my instructor for practice for IV medication,If there is IV medication on my unit to be given i request other nurses to give me a
chance to do IV medication along with my preceptor and i got an opportunity to put male catheter which i had never done before.

7. 5 Consistently review nursing research and information about health care to improve competence

Satisfactory

Satisfactory

and to support clients.

N.S. : I consistently review nursing research and information about health care to improve competence and to support clients, i always see my Drug
cards if i'm not sure about any drug, If i don't know any diagnosis i look up in my books for them, I had a patient with "STIFF MUSCLE SYNDROME"i
did research on the diagnosis to understand needs of patient and be able to provide my nursing care accordingly.Do my research using text books,
online websites from Elsevier and do my evaluations timely.

7. 6 Develop professional responses to health care system changes resulting from advances in

Satisfactory

Satisfactory

research, technology, and changes in societal and political forces.

N.S. : Yes, I develop professional responses to health care system changes resulting from advances in research, technology, and changes in societal
and political forces.

Teacher comments for Engage in Quality Assurance consistent with the regulatory framework. :
She engages in Quality Assurance consistent with the regulatory framework. :
by preparing a learning plan and self evaluation indicating her strengths and areas of development.

8. Use critical thinking, problem solving and decision making skills to meet the health care needs and expected outcomes of clients.

8. 1 Use critical thinking to inform decision making in all aspects of nursing care.

Satisfactory

Satisfactory

N.S. : Yes i use critical thinking and problem-solving skills to inform decision-making in all aspects of nursing care. To prioritize the needs of client i
use my critical thinking and understand MAR instructions critical thinking is used. Blood sugar level of my patient was 3.2 on day one and MAR sliding
scale says no insulin if blood sugar is less than 4.0 so no insulin was given to patient.Also my patients blood pressure was too low 76/54 mm of Hg
and he was on amlodipine, which i had to hold.One of patients had SOB i CHECKED O2 SAT WHICH WAS 85% , i started 2lt. of O2 and raised bed
to semi Fowler's position and informed my preceptor.

8. 2 Use clinical judgment to assess and refine assessments in collaboration with the

Satisfactory

Satisfactory

interprofessional health care team, formulate nursing diagnoses, plan nursing interventions, and
outline evaluative criteria.
N.S. : Yes, i do use critical thinking, problem-solving and decision-making skills to assess clients and to determine nursing diagnoses, expected
outcomes, nursing interventions, and evaluative criteria.
I gave laxatives according to bowel history and assessment of GI system as the MAR said laxatives to be given if no BM for more than two days.

8. 3 Evaluate and refine critical thinking, problem solving, and decision-making skills.

Satisfactory

Satisfactory

N.S. : Yes i do evaluate critical thinking, problem-solving, and decision-making skills and design a plan to improve these. I ask questions from my
preceptor and resource nurse if i have some doubts and always inform them about the decisions i make.

8. 4 Integrate knowledge from variety of nursing, health, and other theory into nursing practice to

Satisfactory

Satisfactory

provide safe and competent care.

N.S. : Yes i do my reading , use elsevier website for seeing scenarios, do online quizzes given by humber, learn meditech from hospital and do my
research using various books in library.I keep on looking at the charts of my patients for current orders and changes made.

8. 5 Prioritize effectively.

Satisfactory

Satisfactory

N.S. : I am learning how to prioritize nursing care manage work load and time by making a to do's list after taking report.I need more practice and
efficiency to do all planned things on time by knowing my patient's requirement and planning accordingly.

8. 6 Demonstrate professionalism, responsibility, and accountability.

Satisfactory

Satisfactory

N.S. : Yes i always give my introduction to client and see his identification by checking ID band and then give medications after doing my
assessments and explaining process to client. I am responsible for giving medications after doing my three checks.I give details of medications to
patient before giving them, and reach on time 30 min before my shift starts

8. 7 Use critical thinking, the practice decision-making framework and the nurse-client-environment

Satisfactory

Satisfactory

framework to inform clinical judgments and practice.

N.S. : Yes i use critical thinking ,practice decision making and the nurse-client-environment frameworks to inform and guide practice. Client centered
care in the hospital setting following the policies and guidelines are provided by the student nurse-( me) in holistic and therapeutic manner considering
the needs of client and his well being as priority. I held by patients Anti hypertensive medications when i found his BP too low, discussed with mu
preceptor, and left a note for doctor to review.

Teacher comments for Use critical thinking, problem solving and decision making skills to meet the health care needs and expected
outcomes of clients. :
She uses appropriate critical thinking, problem solving and decision making skills to meet the health care needs and expected outcomes of clients.:

9. Final Exam Results

9. 1 Final Exam Results

Satisfactory

Teacher comments for Final Exam Results :

Navjyoti is very knowledgeable and functions well in all aspects of patient care. She has successfully met most of the goals and objectives that she
planned to achieve in the beginning of the semester. For example, she was able to administer oral and subcutaneous medications
independently.progressing well.she participates in all areas,huddles,pt rounds,all client care,meeting all aspects that are required.

Student Final Summary with Strategies for Continued Growth

This semester,I am learning and getting experienced in giving oral and IV medication and learning new communication skills in hospital . Because of
the diverse population of patients in hospital I am getting much more exposure to patients of different cultures and hence learning to respect and
understand values and beliefs of different cultures.In the initial weeks i was not fully confident to give medications , but with practice and with guidance
of my preceptor, i could develop that confidence to give medications at right time and in organized manner.I learned to do IV medications skill. I am
getting more chances to apply my critical thinking. I am learning every day something new. Learned to make a care plan which is client centered plan
of care. It helps us to use our knowledge, skill and judgement skills . I get different experience with different patients every week.I am getting more
efficient in bed baths and client personal care. I want to practice more and more for giving IV medications, so that i can be perfect in giving them by
week 14. I worked on my time management and prioritizing the actions by making my to do's list for whole day in my clinical after taking report which
helped me a lot in organizing my tasks and prioritizing them as per the requirement. My improved a lot in my documentation and i am learning still by
charting the progress notes . I will keep on watching videos this semester to learn more and more and do my full readings.Need to learn skills for
body mechanics and shifting patient comfortably without hurting myself and without ant discomfort to patient,I will watch online videos for learning
them.I take help from PSW's and learn from their skills foe shifting patients.I want to develop the leadership skills to come in the work force in effective
professional way.I participate in nurses huddle and weekly rounds with doctors, advocate for my patients and ask my questions if i am having any
doubts. I take reports for the new admissions and everyday check the blood reports for my patients .I will learn to organize my work to the best till the
end of this semester to be fully prepared to join the work force.For this I am working hard and doing my necessary readings .

Teacher Final Summary with Strategies for Continued Growth

Navjyoti is very knowledgeable and functions well in all aspects of patient care. She has successfully met most of the goals and objectives that she
planned to achieve in the beginning of the semester. For example, she was able to administer oral and subcutaneous medications independently. She
is progressing well. She participates in nursing huddles, pt rounds, and meets all requirements for patient care. Helps UCP'S in daily care of patients.

Student's References

My text book of Medical surgical Nursing Canada 3rd edition by Sharon L . Lewis.
Gerontological Nursing and Healthy Aging Canadian edition by Toughy
Mosby's drug guide for nursing 11th edition
Pharmacology for Canadian Healthcare practice 2nd edition
Elsevier online study guides and modules.

Refer to Clinical Excellence Committee (CEC)

Submitted Date: 06-Apr-2016 11:52