Self Assessment

2014 - 2014 - Final NURS-101 Practical Nursing Practice 1

NURS 101 Practical Nursing Practice 1 (PN, 09-Sep-2014 - 11-Dec-2014)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Description :
Period :
Student hours :
Required Hours :
Validated hours :

Kristina Milaniak
Parminder Ghuman
John Stone
NoSite
Class
U1
Final Practical Nurse Reflection - Clinical lab practice
19-Nov-2014 To 12-Dec-2014
75
75
75

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 Humber College Institute of Technology and Applied learning (ITAL) policies,

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the Practical Nursing Program Student Handbook, Clinical Simulation Lab Code of Behaviour
contract, and professional nursing standards and guidelines.
K.M. : I have read the Student Handbook provided by Humber College, and have elicited professional behaviours, along with abiding by all
Lab and nursing conduct policies.

1. 2 Accept responsibility for own actions and for self-directed learning.

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K.M. : I am responsible for my own actions when learning, and ask for clarifications when there is something that I do not understand. I do
my own research and ask for more information from my clinical practice leaders.

1. 3 Demonstrate professionalism with attendance, punctuality, dress code, behavior,

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language, and timely submission of assignments.

K.M. : I have been punctual, attended every clinical lab with proper dress code. My behaviour within the lab has been appropriate and
professional.

1. 4 Use theory-based approach.

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K.M. : With the knowledge that I learn from the textbooks (Jarvis et al.) and CNO documents, I use theory based approaches within my
clinical practice to apply in clinical lab simulations.

1. 5 Ensure a safe environment.

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K.M. : When in lab doing clinical lab simulations, I behave in a safe manner that does not harm any of the models, equipment, or my peers.
Before practicing on my lab partner, I always ask for consent before doing any checklist.

1. 6 Ask relevant questions and answer questions based on thorough preparation.

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K.M. : While preparing and reviewing the referenced material pertaining to each lab, if there is anything that I did not understand, I ask my
clinical practice leaders for any clarification needed.

1. 7 Apply knowledge of the role of the student nurse.

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K.M. : As a student nurse, I acknowledge that everything is still a learning curve, and that only practice will enhance my nursing practice.
The knowledge I have obtained so far will definitely by a basic foundational element to my clinical placement next semester.

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in group sharing and discussions.

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K.M. : I am always trying to contribute to any discussions and benefit from the information that is presented from my peers and clinical
practice leaders.

2. 2 Document clearly, accurately, and concisely using written and electronic methods.

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K.M. : The documentation and electronic methods that have been used throughout clinical, have enhanced my nursing practice and will
benefit my throughout my clinical placements.

2. 3 Demonstration reporting relevant information to the appropriate personnel.

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K.M. : If there are any issues or concerns, all are addressed to clinical practice leaders and appropriate Humber personnel.

2. 4 Use communication techniques with the health care team.

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K.M. : I communicate professionally when addressing my professors or clinical practice leaders. Primarily, all communication about
course feedback or any raised concerns is through email or this NurSIS board.

2. 5 Maintain privacy and confidentiality.

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K.M. : Anything learned or discussed in clinical lab by my peers and clinical practice leaders is has been kept private and confidential, as
this is an imperative skill that needs to be incorporate within a nursing practice. It is a standard that must be upheld when providing care.

2. 6 Use technology to retrieve information from texts and other resources.

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K.M. : I use references provided from my textbooks, and journal resources that have been provided from the Humber Library. Also using
the health assessment videos provided has definitely aided in my learning new nursing skills.

3. CARING RELATIONAL PRACTICE

3. 1 Apply knowledge of the therapeutic nurse-client relationship and effective

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communication techniques furing the provision of nursing skills and assessments.

K.M. : I believe that up to this date I have provided a holistic approach to by nursing practice, which includes the CNO standards of having
a therapeutic nurse-client relationship. This has been incorporated in my clinical practice lab simulations/ assessments done thus far.

3. 2 Establish respectful, polite, and honest relationships with peers, Professors/Clinical

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Teachers, and the Lab Technologist.

K.M. : I have made professional relationships and friendships with my peers that have really made me enjoy my practice. I try to be
humble, polite, honest and respectful of all my peers and acknowledge that diversity is paramount within the nursing practice and in order
to be a successful nurse.

3. 3 Exhibit cooperative, helpful, and collaborative relationships with team members.

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K.M. : I try to help and collaborate with my peers to prepare for any assessment or clinical lab simulations that need to be done.
Cumulatively, we try to work through problems, and promote active learning. As a nurse, I know it is imperative to be able to work with your
multidisciplinary healthcare team to provide appropriate care to your clients.

3. 4 Apply knowledge of strategies for conflict resolution.

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K.M. : Although, not too many conflict resolution practices have arose to date in regards to my clinical nursing, they have definitely arisen
within my time-mangamgent skills. Before making any decision, I will allows weigh out pro's and con's for any situation. Getting advice
from others always benefits good decision making skills as well. All of these attributes will definitely help me with my conflict resolution
practices in the future of my practical nursing career.

3. 5 Recognize how ones behavior affects peer relationships and practice.

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K.M. : I always try to be self-aware of my own behaviour when in clinical practice. There is so many different personalities that I am in
contact with daily, and being able put my own values aside and making sure all care I provided is respectful or the patient or in this case,
my peers.

3. 6 Respect the diversity of peers in the learning environment.

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K.M. : Canada is one of the most multi-cultural countries in the world. Being able to adapt to a diverse environment is imperative when
getting into a health care career. All of CNO standards encompass the respect of other cultures and diversities. I believe that I have been
very respectful of my peers that I have created professional relationships with, while being in the clinical lab experience.

3. 7 Apply knowledge of health teaching and learning strategies.

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K.M. : Client education is one of the primary roles, that we as nurses possess. Being able to teach others the knowledge that we possess
is vital to nursing collaboration. Nursing is a constant learning environment, because every situation that we encounter is individualized to
that certain person. Being able to learn from others and acknowledge that there is always growth needed, is something that I have
recognized and applied throughout this clinical practice.

4. LEADERSHIP AND ADVOCACY

4. 1 Recognize situations that could lead to conflict and apply knowledge of conflict

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resolution.
K.M. : Conflict in this profession needs to be recognized as a positive and not a negative. That is something that I have learned over this
past semester. Conflict leads to resolution and throughout that path it develops critical thinking skills, which are vital to have as a practical
nurse. I think I am able to apply my critical thinking to situations that need conflict resolution, when they arise.

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

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K.M. : As being eager to learn, and trying to apply the knowledge I have to while doing assessments in class, I do believe that I have
fostered leadership skills amongst my peers. My behaviour inside the clinical lab and outside is professional, and I do try to help whenever
my peers need me. This is vice versa, as within this situation I am constantly learning as well.

4. 3 Provide feedback to peers and accept feedback from peers.

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K.M. : Feedback is a positive outlook on where you need to improve. Being able to receive this from my clinical practice leaders and my
peers, has truly shaped

4. 4 Advocate for self and peers for a quality learning environment.

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K.M. : I believe that my peers and self have advocated for a positive learning environment by addressing all needs to the clinical practice
leaders. There have not been any issues to date.

4. 5 Ask relevant questions to clarify understanding.

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K.M. : In regards to assessments and the materials needed to learn, I ask relevant questions pertaining to the subjects at hand. I try to
come as prepared as I possibly can to clinical, however, there are instances where I do need clarification to understand the material a little
better. My peers and clinical practice leaders help with this tremendously.

4. 6 Respond appropriately to unsafe and unacceptable behaviours.

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K.M. : Any unacceptable or unsafe behaviour has been addressed professionally and in calm manner. There have been very minimal
instances of unsafe behaviour thus far in clinical practice.

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

5. 1 Identify the importance of assessing clients unique needs.

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K.M. : Knowing that every individual is different and holds different values and beliefs allows for nursing care to be very individualized.
When planning care within the nursing process, it is always important to include the patient's unique needs. This in turn will provide the
best experience for that individual's health care.

5. 2 Plan holistic, client-centred assessments and interventions that are based on appropriate

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rationale.
K.M. : The holistic approach to nursing means treating each individual with the type of care they need when they need it. Allowing for care
to be for the mind, the body, and the spirit is an integration of that individuals faith and wellness. By keeping this in mind, a person's care
will be up to the CNO standards. By creating interventions that include people's values and needs, will allow for the entire multidisciplinary
team to provide appropriate care for the patient.

5. 3 Complete health assessments, interviewing, and nursing skills in an organized and timely

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manner.
K.M. : I have learned all health assessments and skills, that include vital signs, bed-making, occupied bed making, and along with
respiratory, cardiovascular, MSK, neurological, GI tract assessments. I plan to adhere these skills within my nursing career in an
appropriate and timely manner.

5. 4 Perform health assessments, interviewing, and nursing techniques and skills accurately,

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safely, competently and in a timely manner.

K.M. : As stated above, I have been preforming the assessment outlined in class trying to improve my skills every time.

5. 5 Perform initial assessments of clients vital signs, neurological, cardiovascular,

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respiratory, and gastrointestinal systems.

K.M. : I have performed these initial in front of my peers and clinical practice leaders. Although there is always development to be made, I
have learned the foundations of performing these following assessments.

5. 6 Use the nursing process as a decision-making tool.

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K.M. : The nursing process includes the assessment, diagnoses, plan, intervention, and evaluation when an nurse is providing patient
care. While moving through the process decisions are made that are appropriate for the individual receiving care, while including their
values, beliefs and needs. These are all evident within my practice thus far.

5. 7 Utilize the nursing process to meet clients healthcare needs related to hygiene, including

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integumentary care, nutrition, hydration, digestion, elimination, mobility, and safety.

K.M. : While using the nursing process outlined throughout the standards of the CNO, nurses also use the ROY adaptation model to
identify the maladaptive and positive adaptations involved in an individuals healthcare needs. These all involve, hygiene, skin care,
nutrition, hydration, digestion, elimination, mobility and overall patient safety.

5. 8 Discuss environmental strategies that promote health safety, and reduce risk including

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infection control, emergency codes, and ethically appropriate and safe use of restraints.
K.M. : Knowing that using the "least restraint" policy in place by CNO is that standard when providing care, and that patient safety is the
most important thing to keep in my when providing care. That includes providing actions that reduce infection control, knowing emergency
codes, and using ethically appropriate care.

5. 9 Utilize infection prevention and control practice, including, but not limited to: hand

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washing and basic personal protective equipment (PPE).

K.M. : I know the basic fundamentals of infection control that knowing that adequate hand washing and wearing PPE will protect both,
yourself and the patient. Also, it will protect the people around you that you are caring for and who you will come into contact with post
care.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

6. 1 Participate knowledgably in discussions with peers and faculty.

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K.M. : I believe I contribute to all class discussions with either answering questions that are asked of the class regarding the read material
or contributing to a discussion that we are having with different insight. This definitely aids the learning of material for myself and I would
assume my peers.

6. 2 Acts as an effective and valuable member of the group.

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K.M. : I agree that I act in a professional way and am valued as a student of the classroom. I believe that I also give the respect that my
peers deserve, with everyone being treated equally and with dignity.

6. 3 Ask knowledgeable questions and answer questions knowledgeably.

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K.M. : From the material read in our Health Assessment text (Jarvis 2012), and with other learning aids such as demonstrative videos and
journal articles provided by the CNO, I think I answer questions based on the knowledge I have learned thus far, correctly. In some
instances, I may not know that answers, however, but this allows me to see clearly where I should focus my time in studying. The more
knowledge the better.

6. 4 Seek out assistance

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K.M. : Whenever I need further clarification or assistance with performing assessments correctly, I do ask my clinical practice leaders and
professors to reiterate information so that I understand better.

6. 5 Use group process and conflict resolution skills to build consensus and collaboration.

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K.M. : Within health care systems, cohesive practice needs to be apparent. Being on the same page with you multidisciplinary team
requires communication and consensus. By collaborating with peers, and coming to mutual agreement is imperative to providing the best
care for a patient. Conflict will always arise at one point or another, the key is to always listen and try to work to a common purpose with
your colleagues.

6. 6 Demonstrate respect for peers and others.

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K.M. : I treat my peers equally and respectfully. I know that everyone has different values and beliefs. That is why I live by "treat others the
way you would like to be treated".

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

7. 1 Identify strengths and areas for improvement using reflective practice.

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K.M. : I believe that I do have strengths but also room for much improvement to better my nursing practice. I think that with regards to
strength, I am a fast learner, easily adaptable, highly organized, good at time management, and overall succeed in team environments.
Coming from a health discipline background already (kinesiologist), I believe that this has definitely given me foundations of the learning
environment provided within the clinical component of this practical nursing program. I write areas of focus down after every clinical lab
because those are the areas that in my eyes need more attention in my practice. This type of self-reflection that I do has definitely
contributed to my practice thus far.

7. 2 Utilize self-reflection and feedback from Professors / Clinical Teachers and peers to

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identify strengths and areas for improvement.

K.M. : I believe that feedback is constructive criticism that you can only learn from. This has definitely been given to me throughout the
semester from my clinical practice leader (Parminder). It has been a positive aspect of my learning.

7. 3 Assume responsibility to seek out learning opportunities that foster professional

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development.
K.M. : Along with attending all clinical labs thus far, I further foster my practice by going to open access lab times which aid in my
professional development.

7. 4 Create a learning plan to address areas for improvement.

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K.M. : My day planner is a tool that I use in order to time-manage my studying for all classes and clinical assessments. Until now, it has
allowed me to plan out a learning strategy that incorporates all materials that needed to be learned for all my classes. I can look at my dayplanner and assess where I should be with my studying. This has definitely helped because time-management is crucial for me, due to
have other responsibilities like part-time jobs, family, etc.

7. 5 Come prepared to apply theory by reviewing all required preparatory learning materials

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and completing all activities.

K.M. : I read all material that is assigned for each clinical assessment prior to coming to class. Sometimes however, within the textbooks
there is medial jargon that is difficult to understand without further explanation. In these circumstances, I ask my clinical practice leaders
to clarify any uncertainty that may arise to the specific topic.

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

8. 1 Utilize problem-solving and decision-making skills related to foundational aspects of

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nursing interventions, skills, and practice.

K.M. : Utilizing foundational aspects of nursing such as the SBAR procedure approach when conducting assessments, general survey,
PPE, holistic nursing care, will aid in helping me problem-solve and make tactical decisions that will aid in client care.

8. 2 Use a theory-based approach, problem-solving, and decision-making skills in a

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professional and accountable manner.

K.M. : Using the nursing process, ROY adaption model, and socioenvironmental approaches to my nursing practice will allow for
appropriate decision-making and skill adaptations in every situation that I will need to adhere to.

8. 3 Use relevant theory to explain the rational underlying the health assessment and

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interviewing strategies and techniques and the foundational nursing skills being used.
K.M. : Many theories have been used in the history of the foundation of nursing such as Orem's theory, Piaget's developmental stages,
Maslow's hierarchy of needs, and approaches such as biomedical, behavioural, and socioenvironmental. All of these have shaped the
history of nursing thus far. It is always important that even though we hold this information as foundations to our practice, we need to
adhere to the patient's needs and values while providing care. By doing this, the most

8. 4 Apply knowledge from nursing, health, biological and social sciences.

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K.M. : Nursing includes many different sciences that contribute to the breadth of knowledge that out practice entails. I have learned from
psychological, biological, physiological, and social sciences that all are incorporated within our practice and skills assessments. All these
need to be included because every patient is unique and may have different situations that the nurse (myself) will need to adapt to. Those
do not only include physical statuses of a patient, but also mental instabilities.

8. 5 Demonstrate professionalism and accountability.

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K.M. : Within the clinical lab environment I demonstrate professionalism by adhering to the Student Handbook from Humber and I am
accountable for my behaviours will inside and outside of the classroom.

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

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K.M. : As stated earlier, if there are any conflicts that arise I recognize my strengths and areas of improvement and then seek appropriate
assistance afterwards. I analyze the problem first, and then seek support when necessary.

Student Final Summary with Strategies for Continued Growth

The Practical Nursing clinical portion of this semester has most definitely given me the foundations of my nursing prior to going into my first
placement. However, I know that experience is the key to learning. I am excited to begin my nursing practice and be able to get more practice on the
skills learned here in lab. I want to continue and grow in order to make my practice more fluid and efficient, when doing skills assessments in a timely
manner. I will continue to take every learning opportunity I can, and learn from those who are more senior, more experienced than I am.

Teacher Final Summary with Strategies for Continued Growth

Student remained accountable and professional throughout the semester and has complied to all the policies and procedure's of the lab

Program Coordinator comment

Congratulations

Student's References
CNO documents; Physical Assessment Textbook by Jarvis et al.(2012); Clinical Simulation videos; Canadian Fundamentals of Nursing (Potter &
Perry)

Grade

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Unsatisfactory

Referred to Clinical Excellence Committee (CEC)

Grade

Satisfactory

Program Coordinator Feedback

The Program Coordinator has reviewed the evaluation

Yes

No

Student Sign Off

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: 24-Nov-2014 14:37