Self Assessment

2015 - 2015 - Final NURS-151 Course Learning Outcomes

NURS 151 Practical Nursing Practice 2 (PN, 13-Jan-2015 - 30-Jun-2015)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Period :
Student hours :
Required Hours :
Validated hours :

Olowoyeye Oladapo J.
Vertel Spence
John Stone
Extendicare-Brampton
Agency
A3
10-Apr-2015 To 24-Apr-2015
168
168
168

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

Abilities and Outcomes / Learning Outcomes

Student Rating

Teacher Rating

1. COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK

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

Satisfactory

Satisfactory

and procedures.
O.O.J. : I comply with the rules and regulations of the long term care. I always follow the college of nursing policies and procedures to
guide myself in clinical practice. For example, i arrive 15 mins early on clinical days and i always put on the proper uniform, proper shoes
and student ID.

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

Satisfactory

Satisfactory

O.O.J. : I am always accountable for my behavior. I do to others what i expect them to do to me. I am very comfortable to work with. I
always act properly when with my patient and peers.

1. 3 Determine strengths and limitations and when to consult and seek assistance from other

Satisfactory

Satisfactory

professionals.
O.O.J. : I ask for help from my colleagues or clinical teacher when i need assistance. I know what i can do and what i cant do. For example,
when i was giving medication through the G feed for the first time, i couldn't do it alone, i needed assistance from my teacher to be able to
do it properly. She guided me through the steps and i was able to do it properly. Anything i know i can't do alone, i make sure i consult my
clinical teacher or other health care professionals.

1. 4 Use evidence informed practice and a theory-based approach to care.

Satisfactory

Satisfactory

O.O.J. : I watch videos and read my textbooks to be well informed about the care i will be providing for my patient. For example, when i
was doing the in and out catheter, i watched the nursing skill video on blackboard and i was able to do it properly.

1. 5 Ensure client safety and a safe environment.

Satisfactory

Satisfactory

O.O.J. : I make sure the environment is always safe and there is nothing that could cause danger to me or my client. For example, i always
lower the height of the bed and raise the side rail when the patient is lying on the bed.

1. 6 Ask relevant questions to clarify understanding of the plan of care and whenever

Satisfactory

Satisfactory

uncertain.
O.O.J. : I am eager to ask questions to clarify what ever information is unclear to me. I ask questions to know how to plan care for my
patient. For example, i asked my clinical teacher about how low level of activity increase constipation and she explained it to me.

1. 7 Identify ethical and unsafe situations and seek appropriate assistance to resolve these.

Satisfactory

Satisfactory

O.O.J. : I identify situations that are not safe for me or my client and i try to resolve it as soon as possible. If i am unable to resolve it, i will
report to the appropriate authority. For example, if my patient is not taking their medication, i will inform the charge nurse and i will keep
monitoring the patient to make sure they use their medication.

1. 8 Demonstrate understanding about the role of the student nurse.

Satisfactory

Satisfactory

O.O.J. : As a student nurse, i understand my role and responsibility. My roles as a student nurse include: respecting the safety and wellbeing of the clients in the learning experience; i can only provide care that has been taught by the faculty or clinical teacher and i am
supervised by my clinical teacher when providing care. I understand that i can't administer narcotic drugs.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
Oladapo demonstrated this outcome by adhering to the policies and procedures of the agency and by ensuring that he follows the uniform
policies by not wearing his uniform to the practice setting. He kept his name tag visible at all times to indicate his status as a student. As
well, he demonstrated Ethical Standards by not imposing his values on his residents and by keeping his relationship professional. He
maintained safe environment by keeping the rooms free from clutters and by keeping the side rails up while the residents were in bed

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions.

Satisfactory

Satisfactory

O.O.J. : I like to share information with my colleagues and discuss about the new skills we learn each day. For example, when i get a
patient that i know my colleague had the previous week, i like to ask my colleague every information about the patient and the care he or
she provided for the patient.

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

Satisfactory

Satisfactory

methods.
O.O.J. : I can document clearly and accurately using both written and electronic methods. For example, every week i use the POC to
document the behaviors and health status of my patient. I also did the progress note about the wound care i did for my patient.

2. 3 Report relevant information to the appropriate personnel.

Satisfactory

Satisfactory

O.O.J. : I make sure relevant information are reported to the appropriate authorities. I inform my clinical teacher about any relevant
information she needs to know about. For example, whenever i checked the blood sugar of my patient, i always make sure i inform the
charge nurse and my clinical teacher of the blood sugar level of my patient.

2. 4 Utilize communication techniques with the client and inter-professional health care team.

Satisfactory

Satisfactory

O.O.J. : I enjoy communicating with the patient, i explain to the patient each care i will be providing for them. For example, if i want to
administer oral medication, i make sure i explain to the patient the uses of the medication and why they are taking it.

2. 5 Maintain privacy and confidentiality according to the Personal Health Information

Satisfactory

Satisfactory

Protection Act (PHIPA)

O.O.J. : I always make sure i protect every information about the patient. Also i always provide privacy for my patient when providing care
that will involve them taking off their clothes. For example, when i do the bed bath for my patient, i make sure i close the door and cottons.

2. 6 Use technology to retrieve information including research, data and other information.

Satisfactory

Satisfactory

O.O.J. : I research to know more about the medications of my patients. I always watch videos and read textbooks to be well informed about
the medications of my patient. For example, if i am giving an insulin injection to my patient, i research to know why they are getting the
particular type of insulin and why they get the insulin injection before eating.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

Oladapo demonstrated this outcome by communicating effectively to his peers and to the staff to collect information about his residents.
For the most part he maintained privacy by closing the doors and windows during care. He ensured that he documented his care into the
POC and eMar under the observation of his instructor or assigned staff. In addition, he endeavored to communicate relevant information
such as blood sugar results to the appropriate staff. However, he needs to remember to communicate to the charge nurse ahead of time
the skills that he planned to perform. That way the nurse will have an idea of what skills to leave for him.

3. CARING RELATIONAL PRACTICE

3. 1 Utilize effective communication techniques.

Satisfactory

Satisfactory

O.O.J. : I make sure i communicate clearly and effectively with my patients, clinical teacher and colleagues. For example, i listen very well
when communicating with my patient, i hold their hands and show empathy when communicating with them.

3. 2 Demonstrate therapeutic caring, compassionate, and culturally safe relationships with

Satisfactory

Satisfactory

clients and health care team members.

O.O.J. : I always show empathy towards my clients and have good relationships with my colleagues. For example, a patient of my cries
whenever i am providing care for her and i always hold her hands, show her compassion and let her know i understand what she is going
through.

3. 3 Apply knowledge of therapeutic use of self and identify its effect on client well-being.

Satisfactory

Satisfactory

O.O.J. : I know the importance of therapeutic care and i try my best to provide the best care for my patient. When i provide therapeutic care
for my patient, it helps them to relax or to feel better about things, especially about a situation that made them unhappy.

3. 4 Use self-awareness to identify the effects that beliefs, values, and personal experiences

Satisfactory

Satisfactory

have on relational practice.

O.O.J. : With my personal experience, i can understand why client's beliefs and values are very important to them. I respect client's choice
and i make sure the client is involved in their own care. I know that when respect the beliefs and values of my patient, it will help me to
have a therapeutic relationship with my patient.

3. 5 Interact with clients and members of the inter-professional health care team; and, consult

Satisfactory

Satisfactory

appropriately.
O.O.J. : I interact with my clinical teacher, colleagues and the personal support worker to provide the best care for my patient. For example
before doing the bed bath of my patient in the morning, i assess my patient and i inform my clinical teacher and the charge nurse about any
new observation about my patient. For example, i noticed one of my patients was developing pressure ulcer on their buttocks, i informed
the charge nurse about it and the right intervention was implemented.

3. 6 Apply knowledge of practices and systems that support the diversity of clients and the

Satisfactory

Satisfactory

inter-professional health care team.

O.O.J. : I apply the knowledge that we live in a diverse community and i understand people have a different upbringing that are different to
me. I respect other people's view and belief. For example, i have colleagues that are from different cultures. Most of my patient are from a
culture different from mine and i always respect their beliefs.

3. 7 Apply knowledge of clients cultural, religious, and other beliefs and values as these

Satisfactory

Satisfactory

influence clients choices and decisions.

O.O.J. : I understand that client's choice will be influenced by their culture and belief. I am ready to work with my patient to provide a client
centered care.

3. 8 Provide effective client education.

Satisfactory

Satisfactory

O.O.J. : I educate my client about each care i provide for them. For example, if i check the blood glucose of my patient, i help them to
understand why i am checking their blood glucose. If their blood sugar is high, i will explain to them why they need insulin injection.

Teacher comments for CARING RELATIONAL PRACTICE :

Oladapo demonstrated this outcome by providing care that was gently, compassionate and therapeutic. He explained to the residents the
care that he planned and introduced himself as a student nurse. In the mornings he consulted with the assigned staff to understand his
residents needs before initiating care.

4. LEADERSHIP AND ADVOCACY

4. 1 Recognize conflicts and strategies for resolution.

Satisfactory

Satisfactory

O.O.J. : I try to settle conflict as soon as possible, it is very important to work in a peaceful environment. When conflict is resolved
effectively, team members can develop stronger mutual respect, and a renewed faith in their ability to work together. It is important to
respect and address the clients wishes, concerns, values, priorities and point of view to avoid any conflicts with the client.

4. 2 Demonstrate leadership skills that foster group work and a positive learning environment.

Satisfactory

Satisfactory

O.O.J. : I try to demonstrate leadership skills with my colleagues. For example, i knew a colleague has not performed a skill before and i
had done it numerous times, i informed my clinical teacher to allow my colleague to do the skill.

4. 3 Identify opportunities to improve health care service and nursing interventions by

Satisfactory

Satisfactory

advocating for client, self, others, and quality practice.

O.O.J. : I advocate for my client when i see that my patient is not getting the best care. For example, i noticed a patient wound dressing
needs to be changed, i went to inform the charge nurse about the situation and the patient wound dressing was changed.

4. 4 Provide feedback to peers and accept feedback from peers and members of the inter-

Satisfactory

Satisfactory

professional health care team.

O.O.J. : I provide feedback to peers and accept feedback from peers and other health care practitioners. I always try to improve on my
weaknesses and continue to develop myself. For example, my clinical teacher told me i need to be more confident in myself when
providing care for my patient and i accepted the feedback and worked on it.

4. 5 Support clients rights for self-determination and choice.

Satisfactory

Satisfactory

O.O.J. : I believe in a client centered approach to care. I always make sure i meet all the needs of my client. i always respect my client
choice and i make sure they are involved in the plan of care.

4. 6 Respond appropriately to unsafe, unacceptable, and unprofessional behaviours.

Satisfactory

Satisfactory

O.O.J. : I don't take criticism very hard, and will not act in a way that is very unacceptable to my clients and colleagues. I will response
back appropriately if my patient or colleague act in an unprofessional or unacceptable manner

4. 7 Consult and collaborate when carrying out health care and nursing practices that are in

Satisfactory

Satisfactory

the best interests of the public and protect the public through collaboration and consultation.
O.O.J. : I collaborate with my peers and clinical teacher so that i can provide the best possible care for my patient.A health care team
which works well together, has mutual respect for everyones contributions, and communicates effectively, can make all the difference in
the patients outcome. For example, i work well with the personal support worker at the nursing home. Before going to meet my patient, i
ask the personal support worker to know every information about my patient. This helps me to provide the best care for my patient.

Teacher comments for LEADERSHIP AND ADVOCACY :

Oladapo demonstrated this outcome by being open to constructive criticisms and by giving and receiving feedback from his peers.
Throughout the fourteen weeks he demonstrated the principles of a good team player who is not easily offended. He exhibited the abilities
to lead a team effectively.

5. PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES

5. 1 Incorporate the unique needs and expected outcomes into individual clients plans of

Satisfactory

Satisfactory

care.
O.O.J. : I can accurately develop a comprehensive plan of care for my patient, that will incorporate all my patient unique needs. For
example one of my patient was at risk of constipation, i included in his plan of care that he should take more food that are high in fibre.

5. 2 Develop theory-based plans of care that are holistic and client centered and are

Satisfactory

Satisfactory

articulated competently in writing and orally.

O.O.J. : I make sure the plan of care i develop for my patient is based on the priority needs of my patient. I also make use of text books in
developing a good care plan for my patient.

5. 3 Use knowledge, skill and judgment to assess clients, prioritize needs and outcomes.

Satisfactory

Satisfactory

O.O.J. : I make well informed decisions for my patient's needs based on what i have read in the text books. For example when i did the care
plan of my patient, i made use of the textbook to know the right priority needs of my patient. For example, when prioritizing the needs of my
patients, i made sure that any condition that is life threatening is attended to first.

5. 4 Provide information that contributes to the evaluation and refinement of plans of care.

Satisfactory

Satisfactory

O.O.J. : I provide enough information about my patient on the care plan, so i can easily evaluate the health status of my patient after the
nursing intervention. Evaluation measures are conducted to determine if expected outcomes are met. Evaluation helps to identify the
errors in the plan of care and to monitor the quality of nursing care.

5. 5 Safely and competently carry out nursing assessments and nursing interventions that are

Satisfactory

Satisfactory

theory-based and within skill abilities.

O.O.J. : I effectively carry out nursing assessment and interventions based on the information i have read from my text book. For example,
i performed respiratory assessment and abdominal assessment on my patients and i was able to relate my findings to what i read in the
textbook.

5. 6 Carry out nursing care that reflects the practice decision-making framework.

Satisfactory

Satisfactory

O.O.J. : I carry out nursing care by making well informed decisions for my client. I identify contextual factors that
influenced the way i make a decision and consider the influence these factors had on my clinical decision-making. I can make a well
informed decision my using the textbook and watching nursing skill videos.

5. 7 Complete nursing care responsibilities and nursing interventions in an organized and

Satisfactory

Satisfactory

timely manner.
O.O.J. : I carry out the nursing intervention in a very effective and timely way. For example, if my patient needs to increase fluid intake, i
make sure i inform the charge nurse about this and the patient gets more fluid.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
Oladapo demonstrated this outcome by safely and competently providing compassionate care for his residents. His assessment skills
need improvement in some areas such as respiratory assessments but he was able to provide the basic assessment necessary to provide
competent care. For example, abdominal assessment, wound assessment, bowel routine, skin assessments, vital signs, pain and comfort
measures.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

6. 1 Work with clients and members of the inter-professional health care team to assess

Satisfactory

Satisfactory

clients, determine health needs, and to achieve mutually agreed expected outcomes.
O.O.J. : I work well with my peer groups, the personal support worker, and the other professional health care team to make sure my patient
gets the best care possible. I asked the personal support worker for information about my patient so i can provide the best care for my
patient.

6. 2 Contribute as a member of the inter-professional health care team to respond to the

Satisfactory

Satisfactory

changing needs and expected outcomes of clients.

O.O.J. : As a member of the inter-professional health care team, i understand that needs for the clients are changing everyday and as a
nurse i need to continue to improve myself to meet the needs of the client.

6. 3 Seek out assistance and consult with members of the inter-professional health care team.

Satisfactory

Satisfactory

O.O.J. : I always seek out the assistance of the other members of the inter-personal health care team when i need help to care for my
patient. For example, i asked for assistance of my colleague when i was doing a wound care of a patient i knew she has cared for numerous
times.

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

Satisfactory

Satisfactory

O.O.J. : I am a team player and i work well with my health care team to achieve our common goal. I also use my conflict resolution skills to
help solve conflicts between members of the health care team.

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

Satisfactory

Satisfactory

a changing environment.
O.O.J. : Review health assessment textbook and videos; research medical diagnosis prior to clinical practice ; share information about the
client with the other health care team and use of effective conflict resolution strategy.

6. 6 Interact with members of the health care team respecting their unique role and

Satisfactory

Satisfactory

competencies.
O.O.J. : I interact well with other members of the health care team and i respect their competencies in what they do. For example, the
personal support worker told me about the right way to transfer one of my patient, i listened to her and respected her view about the
transfer of the patient.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

Oladapo demonstrated this outcome by collaborating and consulting with the staff, peers and instructor to provide safe competent and
compassionate care. As mentioned earlier, in the mornings and throughout the day he consulted with the team to get to understand his
residents routine and current status prior to initiating care. He asked for assistance in certain areas of care such as blood sugar monitoring
and insulin administration.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

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

Satisfactory

Satisfactory

and consultation with members of the inter-professional health care team and through
competent and safe practice.
O.O.J. : I always act in the best interest of my client and i try to advocate for my patient when i feel they are being neglected or they are not
getting the care they need. For example, i informed the charge nurse about one of my patient when the wound dressing was not changed
and the wound dressing was changed immediately.

7. 2 Participate in self-reflection to identify strengths, areas for improvement.

Satisfactory

Satisfactory

O.O.J. : I always participate in self reflection to know my strength and weaknesses. This helps me know where i need to improve myself.
For example, i know i need to improve on how i apply my theoretical knowledge in clinical practice.

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

Satisfactory

Satisfactory

program (CNO).
O.O.J. : i am competent in creating, implementing and evaluating a learning plan based on the feedback i got from my clinical teacher and
peer group. When doing my learning plan i was about to identify areas i needed to improve on and i was able to create my goals, expected
outcomes and evaluation.

7. 4 Seek out learning opportunities and feedback that foster professional development; and,

Satisfactory

Satisfactory

integrate these into practice.

O.O.J. : I am always eager to learn new nursing skills, and i always ask my clinical teacher for a chance to do a nursing skill when the
opportunity presents itself. For example, i told my clinical teacher i would love to do in and out catheter, and when the opportunity present
itself i was given the chance to do it.

7. 5 Utilize nursing, health and other theory and literature to improve nursing practice.

Satisfactory

Satisfactory

O.O.J. : I review health assessment textbook and videos to improve my nursing practice. I always prepare myself before coming to clinical.
I always practice vital signs on friends and family and i also practice auscultation techniques on friends.

7. 6 Use a theory-based approach and evidence-informed practice.

Satisfactory

Satisfactory

O.O.J. : I always follow the information i have read in the text book to make well informed decisions about the care i provide for my patient.
I watch the nursing skills video on the blackboard site over and over again so that i can master the nursing skills.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

Oladapo demonstrated this outcome by participating in peer review and by preparing a learning plan

8. USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY

8. 1 Utilize problem-solving skills to inform decision making in all aspects of nursing care.

Satisfactory

Satisfactory

O.O.J. : I am proficient in solving problems and making well informed decisions for my client. If there is a problem i feel i can't solve, i seek
out assistance from my clinical teacher.

8. 2 Use problem-solving and decision-making skills to assess clients and to determine

Satisfactory

Satisfactory

nursing diagnoses, expected outcomes, nursing interventions, and evaluative criteria.

O.O.J. : I am able to effectively assess my patients and determine the right nursing diagnosis, set goals, implement nursing interventions
and evaluative criteria.

8. 3 Use self-reflection to design a plan to improve problem-solving and decision-making

Satisfactory

Satisfactory

skills.
O.O.J. : I use reflective thinking to make well informed decisions and solve conflicts. Reflection helps me to remember the skills i have
done before. When i reflect on the nursing skills i have done earlier, it helps me to know what i did right or wrong and i will be able to
develop my problem solving skills. This will help me to effectively solve the same problem next time i encounter it.

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

Satisfactory

Satisfactory

to provide safe and competent care.

O.O.J. : I do research on medical diagnosis and review health assessment videos to provide safe and competent care. I also ask my
clinical teacher if there is any information that is unclear to me. I try to reflect on the nursing skill i learn everyday so that i can provide safe
and competent care for my patient.

8. 5 Use prioritization strategies for client care.

Satisfactory

Satisfactory

O.O.J. : I understand that the needs of my client must be prioritized and i must make sure the life threatening needs are attended to first.
Prioritization helps me to meet all the needs of the patients and it also helps me to solve the most important needs of the patient first
before solving the other needs of the patient.

Satisfactory

8. 6 Demonstrate professionalism and accountability.

Satisfactory

O.O.J. : I am always professional about everything i do and i always take responsibility for all my actions. For example, i always relate with
my client, colleagues and clinical teacher in a professional way.

8. 6 Recognize strengths and limitations and seek appropriate assistance and support.

Satisfactory

Satisfactory

O.O.J. : I know my strength and weaknesses and i always seek assistance from my clinical teacher and peer group. I know one of the
things i need to improve on is identifying the priority needs of my patients and how to apply my theoretical knowledge in clinical practice. I
know i will need to review the health assessment video before going to clinical practice, i will also need to do more reflective thinking on
the nursing skills i perform in clinical practice.

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY :
Oladapo demonstrated this outcome by being able to think and carry out a procedure with minimal assistance. For example, when inserting
a Foley catheter he was able to explain the skill before the actual initiation and with some guidance from his instructor. However, there is
lots of room for development in this area. He is encouraged to continue to review his course materials to develop his ability to critically
think and problem solve.

Student Final Summary with Strategies for Continued Growth

I will continue to do more reflective thinking on the information i have read in the textbook, and i will practice physical assessment more on my friends
and family. I will continue to demonstrate professionalism and accountability. My strengths at the end of the semester are checking vital signs of the
patient, checking blood glucose, administration of medications through G. feed; oral medication, giving insulin injections, complete bed bath, in and
out catheter and bed making.

Teacher Final Summary with Strategies for Continued Growth

Oladapo demonstrated the ability to maintain safe compassionate care for his residents. He is encouraged to be engaged in reflective practice and to
revise the course material during the summer holidays to enhance his head to toe assessment skills. His critical thinking will develop as he advances
into the program by him spending time with the course materials.

Student's References
Potter, P. A., & Perry, A. G. (2013). Fundamentals of nursing (13th ed.). Philadelphia, PA: F. A. Davis Company.
Jarvis, C. (2012). Physical examination and health assessment (6th ed). Saunders.

Grade

Satisfactory

Unsatisfactory

Referred to Clinical Excellence Committee (CEC)

Grade
Program Coordinator Feedback
The Program Coordinator has reviewed the evaluation
Student Sign Off

Satisfactory

Yes

No

I met with my Clinical Teacher/Preceptor and discussed my evaluation

Yes

No

In general this evaluation accurately reflects my performance

Yes

No

Submitted Date: 17-Apr-2015 15:46