QA Program Learning Plan form

Collection of Personal Information

The College of Nurses of Ontario (the College) collects the information in the QA Program Learning Plan Form if you have been selected for Practice Assessment
under the general authority of the Regulated Health Professions Act, 1991, S.O. 1991, c. 18, the Nursing Act, 1991, S.O. 1991, c. 32, and its regulations; and the
Colleges by-laws. The College collects the information for the purpose of assessing your continuing competence through its Quality Assurance Program. Appropriate
measures are taken to safeguard the confidentiality of the personal information you provide and all documents become the property of the College.
If you have any questions about the collection, use and/or disclosure of this information contact the Manager of Information Management, College of Nurses of
Ontario, 101 Davenport Rd., Toronto, ON, M5R 3P1, 416 928-0900 or toll-free in Ontario 1 800 387-5526.

Jaspinder Gill
Name

Registration Number

Fall 2015
QA Year

Class

Brampton Civic hospital

Current Practice Setting

Client Population

Learning Needs
What learning needs did I identify through practice reflection and peer input?
Identify a minimum of two (2) to three (3) learning needs.
1. By the end of my Pre-grad I will be more confident about my practice and critical thinking
skills.
2. Enhance leadership skills

Havent done practice reflection yet? Use

the Practice Reflection worksheet to help
you identify your strengths and learning
needs.

Learning Goal #1
My goal must be based on my learning needs.
I will develop in identifying my priorities and problem solving skills in an emergency situation
and provide therapeutic care.

Need help creating a goal? Review the

Developing SMART Learning Goals
guide.
Your learning goal must be based on
your current practice setting and one of
the Colleges practice documents.
Please list which practice document

Goal #1: Activities and Timeframes

How am I going to achieve my goal? Identify a minimum of three (3) learning activites with timeframes/timelines.
I will achieve my goal by April16, 2015: 1. by practicing case scenarios in access lab
2. By practicing online Simulations on SLS
3. Attending seminars at the clinical setting

Learning Goal #2
My goal must be based on my learning needs.

I will learn more about insulins , get proficient in IV administration.

Need help creating a goal? Review the

Developing SMART Learning Goals
guide.
Your learning goal must be based on
your current practice setting and one of
the Colleges practice documents.
Please list which practice document

Goal #2: Activities and Timeframes

How am I going to achieve my goal? Identify a minimum of three (3) learning activites with timeframes/timelines.

1) Review textbooks and nursing skills videos.

2) Practicing with IV and Injection Kits provided to us.
3) Shadowing with the nurse and grabbing more opportunities in the setting.
I will achieve all of these goals by mid of my Pre-Grad which is March 15, 2015. I will be more
confident when administering IVs and insulins on my own.

Learning Goal #3
My goal must be based on my learning needs.

I will be more confident in catheterization.

Your learning goal must be based on

your current clinical practice and the
Nurse Practitioner practice standard.

Goal #3: Activities and Timeframes

How am I going to achieve my goal? Identify a minimum of three (3) learning activites with timeframes/timelines.

1) Review textbooks and nursing skills videos

2) By observing other employees and my peers.
3) Getting clear instructions on how to practice sterile procedures when doing catheterization.
I will achieve the goals, mentioned above by March 25, 2015.

How do my learning goals support my commitment to continuing competency?

How does my learning relate to the competencies of my practice?

I will continue to practice all of my 3 learning goals and will get more
confident about my practice and will be able to demonstrate it to my
peers and teachers.

Continue to maintain and update your

Learning Plan throughout the year.

Evaluation of changes/outcomes to my practice

What did I learn?
What impact has my Learning Plan had on my practice?

Learning plans guided me to gather more information on my learning

goals and improve on my areas of development , which made me
self-sufficient about my practice.
You can print your Learning Plan for your
records.

References
Developing SMART Learning Goals. (n.d.). College of Nurses of Ontario. Retrieved April 17, 2015 from
https://www.cno.org/Global/docs/qa/DevelopingSMARTGoals.pdf

Dec 2014
2014-99