Self Assessment

2015 - 2015 - Final NURS - 208 Course Learning Outcomes (201509)

NUR 208 Practical Nursing Practice 4 (PN, 06-Sep-2015 - 31-Dec-2015)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Period :
Student hours :
Required Hours :
Validated hours :

Kristina Milaniak
Naomi Douglas-White
Judy Martin
William Osler Health Centre/Etobicoke General
Hospital
Agency
10W Resp
06-Sep-2015 To 31-Dec-2015
168
168
156

Teacher comment for validated hours:

Student was absent one day
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.
K.M. : I believe that I have complied with the regulatory standards, along with legislation from the CNO and Health Professionals act within
the clinical setting. All policies and procedures defined in the Humber College Nursing handbook along with CNO regulations have been
abided.

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

Satisfactory

Satisfactory

K.M. : My actions within clinical practice and amongst peers are responsible, ethical and accountable. Ethical values of client well-being,
truthfulness, privacy and confidentiality, and maintaining commitments to the client and to co-workers within practice have been upheld. I
have also been accountable to my clinical teacher and ask for assistance when needed.

1. 3 Determine how the three factor and practice decision-making frameworks influence client

Satisfactory

Satisfactory

care.
K.M. : The three factor framework outlines aspects of the client, the nurse and the environment, and how they are interrelated within
clinical practice. All aspects must be included when considering the best care. I have upheld to the three factor framework to the best of
my ability and have considered all aspects when considering the safety of the patient. Advocating for the client and nurse-well being allows
for safety to both parties within the environment.

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

Satisfactory

Satisfactory

K.M. : Evidence-informed practice is an approach to practice that is continuing to evolve as understanding and expertise increases. It is
generally agreed that clinical practices should be based on evidence. Studied clinical areas and scholarly articles that are based off of
research have guided my practice until now. I have used the work learned from clinical and nursing textbooks to foster the knowledge I
have acquired.

1. 5 Carry out safety-based practices and risk management principles to ensure client safety

Satisfactory

Satisfactory

and a safe environment.

K.M. : Safety is integral to patient care. As simple as hand hygiene, to the more controversial aspects of restraints, documentation is
imperative when considering safety. Following guidelines from the CNO documents of practice standards have also provided me
guidelines within my clinical practice. I believe that I have been satisfactory within this aspect of my self-reflection.

1. 6 Ask questions and clarify the plan of care, unclear orders or directions, and whenever

Satisfactory

Satisfactory

uncertain.
K.M. : Clarifying nursing care plan outlines the accurate nursing care to be provided to an individual/family/community that includes all
cultural considerations. Making sure that there is a set of actions that will be implemented to resolve/support nursing diagnoses identified
by nursing assessment. The creation of the plan is an intermediate stage of the nursing process. I believe that I have been satisfactory
within these parameters.

1. 7 Demonstrate professional behavior by seeking assistance in situations in which there is

Satisfactory

Satisfactory

unsafe,
unacceptable and/or unprofessional behavior.
K.M. : I have sought assistance and asked when my judgment is questioned to my peers, nurses, and clinical superiors when appropriate.
It is always better to ask if unsure. I have upheld this standard to ensure that unsafe, unacceptable or unprofessional behavior can be
prevented.

1. 8 Demonstrate understanding about the role of the nurse within health care.

Satisfactory

Satisfactory

K.M. : I believe that I successfully demonstrated the understanding of the role of a nurse within Canada's health care system. Nurses are
health care professionals whose role is to promote, maintain and restore holistic health for individuals and communities. Client centered
care is of utmost importance when considering the nursing plan.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
Kristina has demonstrated competent and safe care to her patient. She makes sure her bed patients are safe by lowering her patients bed,
side rails up on bed and patient surrounding clear if patient is ambulatory. She demonstrate she understand the role of a nurse, act in a
professional manner, asks question to clarify any situation she doesn't understand and always adhere to Humber college policies and
procedures.

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions.

Satisfactory

Satisfactory

K.M. : In todays health care system, delivery processes involve numerous interfaces and patient handoffs among multiple health care
practitioners with varying levels of educational and occupational training. During the course of a 4-day hospital stay, a patient may interact
with 50 different employees, including physicians, nurses, technicians, PSWs and others. Effective clinical practice thus involves many
instances where critical information must be accurately communicated. Team collaboration is essential. When health care professionals
are not communicating effectively, patient safety is at risk for several reasons: lack of critical information, misinterpretation of information,
unclear orders over the telephone, and overlooked changes in status. Effective team sharing and discussion foster collaboration. This was
done in pre- and post-conferences instances amongst the clinical team.

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

Satisfactory

Satisfactory

methods.
K.M. : I have documented clearly, accurately and in timely manner using Meditech at WOHS at Etobicoke General. All vital signs and
nursing assessments were inputted in a precise manner. Nurses need to chart effectively for several important reasons. First and foremost,
documentation serves to meet the needs of the patient. It is a communication tool nurses and other providers create and access to ensure
continuity and to deliver safe, quality healthcare to each patient. It is also used as a toll to protect the hospital and the health care
professionals that work within practice settings.

2. 3 Report relevant information to the appropriate personnel.

Satisfactory

Satisfactory

K.M. : I believe that this standard I have met to satisfactory levels. I have approached appropriate personnel with accurate information that
made patient care more efficient and safe.

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

Satisfactory

Satisfactory

team.
K.M. : To support effective and timely collaboration within and across teams, physicians and other health care providers should use good
communication skills and be aware of scopes of practice, roles and responsibilities, and applicable policies and procedures. Common
goals, shared mental models and appropriate accountability also help care teams to communicate effectively and build trust. I believe that I
have been respectful and accommodating to all intraprofessional communication techniques within the clinical practice setting.

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

Satisfactory

Satisfactory

Protection Act (PHIPA).

K.M. : Nurses have ethical and legal responsibilities to maintain the confidentiality and privacy of client health information obtained while
providing care. One way that nurses maintain boundaries and build nurse-client relationships based on trust is by respecting clients rights
around confidentiality and privacy. Ontarios privacy legislation (PHIPA) supports and extends the College of Nurses of Ontarios (CNOs)
standards on nurses accountabilities pertaining to clients personal health information. I have upheld these standards and have kept
patient privacy and confidentiality by respecting the client's rights.

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

Satisfactory

Satisfactory

information.
K.M. : I have used Meditech, scholarly articles, NSO modules, simulation learning systems (SLS), and online nursing textbooks to find
information needed for clinical practice.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

Kristina is learning to communicate with the inter-professional health care team.He did not communicate with the doctors as the doctors
communicates the the primary nurses of the patients. She report relevant information to the appropriate personnel. She document clearly
using meditech and also uses meditech to research patient information.eg. blood work. This student also ensure patients privacy at all
times and keep patients information

3. CARING RELATIONAL PRACTICE

3. 1 Use effective communication techniques.

Satisfactory

Satisfactory

K.M. : Interactions should be polite and show respect for fellow care providers. Active listening between the team is a helpful technique, as
it focuses attention on the speaker. Clarifying an understanding of each health care team member's role and responsibilities for care and
follow-up will benefit everyone. I have done to the best of my ability to use these communication techniques. I believe that my confidence
with communicating with doctors could improve however.

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

Satisfactory

Satisfactory

and health care team members.

K.M. : These attributes much be evident in nursing care because they uphold the competency of a nurse as stated by the CNO. I have been
compassionate, caring, and provided culturally sensitive care within the clinical practice setting.

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

Satisfactory

Satisfactory

K.M. : I continue to set a therapeutic relationship with my client by actively listening to clients key concern during my initial assessment.
From my preceptor, I learned the key to best client care is therapeutic listening during first round of assessment to get clients key care
needs and then set priorities accordingly as per the care needs of all other patients culled from
therapeutic listening. I always strive to give caring practice by using the therapeutic use of self to foster client well-being.

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

Satisfactory

Satisfactory

have on relational practice.

K.M. : I am self-aware to acknowledge that values, beliefs and personal experiences are all individualized and not one patient is the same.
Therefore it is imperative to be self-aware of the differences and in that to be respectful. I always remind myself that each clients' belief is
important. Under preceptors guidance, I do take assistance to ensure that the patient is getting the right care always. Client safety and
client education is the area continue to work in my clinical practice.

3. 5 Collaborate with clients and members of the inter-professional health care team and

Satisfactory

Satisfactory

consult appropriately.
K.M. : Under clinical teacher guidance, I communicate to the primary nurse, charge nurse and the physician when appropriate and when
client's well-being is of concern. For example: when clients blood work data are off: when creatinine level is too high and liver function test
shows any abnormalities. I also pay particular attention to hemoglobin in post patients especially below the mark of 100. I also look for any
symptoms like shakiness, headache, dizziness, and signs of fatigue and I document and relay the information to the doctor so better care
can be planned.

3. 6 Support the diversity of clients and the inter-professional health care team.

Satisfactory

Satisfactory

K.M. : Every individual is diverse and unique. Supporting these diversities and integrating them positively within the clinical practice
environment is imperative and benefits client well-being. I believe that I have been satisfactory in this aspects. The team members at WOHS
divide the work based on their scope of practice; they share information to support one anothers work and coordinate processes and
interventions to provide a number of services and programs. The patient and family are included as key members of the team.

3. 7 Display sensitivity and respect for clients cultural, religious, and other beliefs and values

Satisfactory

Satisfactory

influencing their choices and decisions.

K.M. : I believe that I am very respectful, sensitive and culturally aware to clients values, beliefs, and religions. I try to accommodate the
patient's cultural considerations within plan of care.

3. 8 Provide effective client education.

Satisfactory

Satisfactory

K.M. : Giving a client information and educating them on possible interventions is imperative to the expected outcomes that the nurse
outlines in the nursing plan. I believe that I have has the opportunity to provide education to my patients when necessary.

Teacher comments for CARING RELATIONAL PRACTICE :

Kristina continues to provide effective, therapeutic and compassionate care to her patients. She continues to display sensitivity and
respect for her client and collaborate with clients, family members and members of the inter-professional health team

4. LEADERSHIP AND ADVOCACY

4. 1 Apply appropriate conflict resolution skills in therapeutic client and other interactions.

Satisfactory

Satisfactory

K.M. : It is inevitable that conflict may arise amongst clients and colleagues. Being able to be professional and have conflict resolution is
imperative to continuing plan of care. Conflict fosters collaborative practice. The RNAO has developed evidence-informed best practice
guidelines that reference and encourage collaborative practice. Being respectful and to actively listen to your peers is integral to keeping a
healthy working environment.

4. 2 Evaluate and refine leadership skills to develop solutions and create a positive work

Satisfactory

Satisfactory

environment.
K.M. : I believe that my clinical placement fostered the development to conflict solutions and created leadership skills to maintain a
positive work environment amongst peers.

4. 3 Provide feedback to peers and accept feedback from peers and members of the inter-

Satisfactory

Satisfactory

professional health care team.

K.M. : I also advocate for my own learning by make learning plan in the areas that need development and in the area where I need to
improve my psycho motor skills of nursing. And I accept feedback from my preceptor and other collaborative team members in a
constructive way. I always believe, in nursing feed backs are important part of being a great nurse. And they are very helpful in my growth.
I would continue to learn to empower my peers and improve my leadership skills to promote client autonomy and well-being.

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

Satisfactory

Satisfactory

K.M. : I believe that I have advocated for my clients, self, and the environment I work in to foster the safest clinical practice possible.
Critical thinking allows to foster skills that allow nurses to advocate for their client and themselves. Learning to think critically helps to
allow caring for patients as their advocate and to make better informed consent.

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

Satisfactory

Satisfactory

K.M. : In order to allow client's right for self-determination and choice, it is important that the client is educated of the consequences and
benefits of all care and options. Once given this information you are supporting the client by providing them informed choice. I believe that
my nursing practice provides clients with the most information that I could give to promote clients choice and self determination.

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

Satisfactory

Satisfactory

K.M. : I have responded appropriately to unsafe, unacceptable, and unprofessional beahviours. Such as letting clinical teacher and primary
nurse n=know that wound dressing was not appropriate applied as per orders, promoting patient safety. Being diligent and reading all lab
values and MARs is integral from preventing any mistakes from happening, ultimately promoting the right care.

4. 7 Collaborate and consult when implementing health care and nursing practices that are in

Satisfactory

Satisfactory

the best interests of the public and protect the public through collaboration and consultation.
K.M. : The College of Nurses works as an important role in order to protect the public. Assessing concerns about the conduct and
competence of nurses is one of the ways in which the College of Nurses works to protect the public. Most matters are resolved through
remediation and resolution processes. The College also responds to concerns that a nurse's physical or mental health is affecting, or could
affect, their ability to provide appropriate and right care. I believe that thus far I have done my due diligence to protect the public through
collaboration and consultation.

4. 8 Contribute to the creation of quality practice solutions and strategies.

Satisfactory

Satisfactory

K.M. : Evaluating my own limitation and strength as a nursing student and as a novice and based on my preceptors positive feedback
has been an integral part of my experience in the clinical. Through my evaluation and self reflection, I began to see how far I need to go to
become a good nurse. I set my learning plan in the mid term and execute my learning
plan and am now comfortable priming IV, setting IV rate as per doctors order using drip rate formula. Under my preceptors kind guidance,
I have successfully did saline flush, injecting enoxaparin, G tube flush, G tube feeding, change IV bag, monitor IV TBA, fluid intake,
discontinue IV saline lock using proper technique in front of my preceptor, I have learned the importance of putting on pressure with a dry
gauze when disconnecting a saline lock to prevent bleeding. And I always continue
to ask questions my skills and confidence to enhance my learning and understanding when I am in doubt about any
procedure. I continue to evaluate my beliefs when giving culturally sensitive care. I make new learning plan on a continuous basis based
on my learning needs and learning goals that promotes quality assurance nursing practices.

Teacher comments for LEADERSHIP AND ADVOCACY :

Kristina is learning to advocate for herself and others and learning leadership skills

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

5. 1 Incorporate the clients unique needs and expected outcomes into holistic and client-

Satisfactory

Satisfactory

centred plans of
care.
K.M. : The therapeutic client-nurse relationship framework requires nurses to provide holistic care. Holistic nursing integrates
complementary/alternative modalities into clinical practice to treat peoples physiological, psychological, and spiritual needs. Doing so
does not negate the validity of conventional medical therapies, but therefore may support the patient's return to optimal functioning.

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

Satisfactory

Satisfactory

articulated competently in writing and orally.

K.M. : I believe that I have used theory-based plans of care that are holistic and client centered and are articulated competently both in
writing and orally to my clinical practice teacher.

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

Satisfactory

Satisfactory

K.M. : Every clinical shift I take vitals, and make required assessment head- to-toe to determine clients needs and prioritize relevant
interventions to promote client well-being and influence the best patient outcome.

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

Satisfactory

Satisfactory

K.M. : I collaborate in the evaluation and modification of plans of care of care when necessary. When unsure if modifications should be
done I ask my peers for a second opinion which foster collaborative care and ask both primary nurses and clinical practice teacher.

5. 5 Safely and competently implement and evaluate nursing assessments and nursing

Satisfactory

Satisfactory

interventions in a manner that demonstrates knowledge and skill.

K.M. : It is necessary to for myself as a nurse to competent and confident in my nursing skills. The nurse's competence is based on critical
thinking and decision making at the level of the individual client: assessing health status, selecting nursing interventions, and evaluating
care outcomes. By learning the necessary body system assessments from clinical and simulations, allows for informed and evidence
based practice that can be be used within my nursing practice.

5. 6 Use the Three-Factor and practice decision-making frameworks to guide practice.

Satisfactory

Satisfactory

K.M. : I try to meet the clients needs and mutually agreed approaches by using the three factor framework by incorporating the nurse,
client and environm

5. 7 Prioritize nursing care and nursing interventions in order to manage workload, time, and

Satisfactory

Satisfactory

physical
resources.
K.M. : Critical thinking skills that are involved in nursing care allow for appropriate prioritization of nursing care to the patient assignments
given. I collaborate with both the primary nurse and nursing instructor (Naomi) to ensure that my workload and management of time is
appropriate. I am able to assess if geri chair, or other mobility devices are needed for ambulation. I try to protect my back by raising the
bed to my hip-height level, etc.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
Kristina continues to improve on her prioritization skills and time management skills. She continues to improve on using her knowledge,
skill and judgment to assess her client.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

6. 1 Collaborate 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.
K.M. : I am able to communicate with the client and the inter professional health care team effectively to create a positive care environment
based on trust and professionalism. This way I am able to determine health needs of the patient and try to achieve mutually agreed
expected outcomes.

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

changing needs and expected outcomes of clients.

Satisfactory

Satisfactory

K.M. : I have actively sought mentor-ship from the inter-professional team by including the client as a partner in care
because the client is the expert on his/her life, and identifying the clients goals, wishes and preferences and making them the basis of the
nursing plan of care. Changing needs and outcomes appropriately has also been done to bring the patient back to optimal functioning
status.

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

Satisfactory

Satisfactory

K.M. : When in doubt, using the assistance of the team on 10 Respirology has successfully allowed be to provide effective care.I have also
sought consult with other peers and clinical teacher to help provide appropriate care.

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

Satisfactory

Satisfactory

outcomes.
K.M. : I believe that I have been satisfactory with my conflict resolution skills to meet expected client outcomes.

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

Satisfactory

Satisfactory

changing
environment.
K.M. : Consulting with the appropriate medical care helps solve much conflict within the nursing problem. By consulting with colleagues,
doctors, and other regulatory professionals such as respiratory therapists or physiotherapists the ability to solve conflict becomes easier. I
concur that I have done so.

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

Satisfactory

Satisfactory

competencies.
K.M. : By collaborating with other health care professionals allows for furthering growth in my practice and enforces further learning. I
respect the uniquesness of other health care professionals and abide by their competencies.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

Kristina is learning to interact with members of the health care team. she didn't get a chance to interact with the doctors. She continues to
seek out assistance from her peers and instructor and is learning to be a team player

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.
K.M. : I believe the practices and standards that I uphold that are set out for nurses by CNO are done in the best interests of the client. I
provide competent care the reinforces

7. 2 Engage in ongoing reflective practice to identify strengths, areas for improvement; and,

Satisfactory

Satisfactory

integrate feedback into practice.

K.M. : I have identified my strengths and weaknesses that identified learning goals that will be implemented in my pregrad preceptor-ship.

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

Satisfactory

Satisfactory

K.M. : I have created a learning plan and received peer/ clinical teacher evaluations that are consistent with the QA CNO program.

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

Satisfactory

Satisfactory

integrate these into practice.

K.M. : I believe every day and nursing opportunity is a chance to learn new skills and foster personal development. I always seek out and
ask questions when needed.

7. 5 Use nursing research to foster professional development.

Satisfactory

Satisfactory

K.M. : Professional development in my nursing practice is fostered by further exposure to different nursing situations and complex patient
care. This clinical has taught me new nursing skills in real patient situations and furthered my knowledge and practice.

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

Satisfactory

Satisfactory

K.M. : I have learned to refer to evidence based practice through reading nursing peer reviewed journals to enhance my own
understanding of nursing to promote best client care and maximum client safety.

7. 7 Apply knowledge of changes to the health care system, technology, and in society as

Satisfactory

Satisfactory

these affect nursing practice.

K.M. : All developments in the health care system and policies that are enforced affect my nursing practice and are adhered to accordingly.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

Kristina continue to seek out learning opportunities and feedback that foster professional development and practice. She engaged in
ongoing reflective practice to identify strengths, areas for improvement. for example peer feedback .She create, implement, and evaluate a
learning plan each week , for example concept mopping. Kristina uses nursing research to foster professional development. ex. She
researched her patient primary and secondary diagnosis.

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

8. 1 Use critical thinking and problem-solving skills to inform decision-making in all aspects

Satisfactory

Satisfactory

of nursing care.
K.M. : My critical thinking has been central to my professional nursing practice because it allows test and refine my nursing approaches,
learn from my mistakes, apply my knowledge to situations that are new to me.

8. 2 Use critical thinking, problem-solving and decision-making skills to assess clients and to

Satisfactory

Satisfactory

determine nursing diagnoses, expected outcomes, nursing interventions, and evaluative

criteria.
K.M. : Critical thinking is an area I would continue to work on to develop giving best care based on client priorities.

8. 3 Evaluate critical thinking, problem-solving, and decision-making skills and design a plan

Satisfactory

Satisfactory

to improve
these.
K.M. : I have used my acquired cognitive skills, such as interpretation, analysis, inference, evaluation, explanation, and self-regulation to
develop my critical thinking skills. These have been enforced and used on the 10 Respirology unit at WOHS - Etobicoke General Hospital.

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

Satisfactory

Satisfactory

practice to provide safe and competent care.

K.M. : I have integrated knowledge learned from CNO document and guidelines, nursing texts, research papers and scholarly articles into
nursing practice to provide safe and competent care.

8. 5 Prioritize effectively.

Satisfactory

Satisfactory

K.M. : I believe I prioritize my time and nursing interventions effectively to provide the best care possible to foster the expected outcome
outlined by the patient care plan.

8. 6 Demonstrate professionalism and accountability.

Satisfactory

Satisfactory

K.M. : I have been professional and accountable to all areas of my nursing practice. I interact with peers, colleagues, and others
professionally. I am accountable for the care that I have provided to the patients on our clinical unit and collaborated with the nurses and
clinical teachers if I had questions in regards to nursing skills and assessments. Transfer of accountability during shift changes was also
done appropriately.

8. 7 Use the practice decision-making and the nurse-client-environment frameworks to inform

Satisfactory

Satisfactory

and guide practice.

K.M. : I have used the outlined practice guidelines and standards that have been provided from the College of Nurses to guide my practice.
When in doubt of decision making, I use evidence based approaches to provide he right care and critical thinking comes into play because
each patient and situation is different.

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING :

Kristina is learning to use critical thinking, problem-solving skills and decision-making skills to assess her clients and to plan her clients
care for the day .She demonstrate professionalism and accountability. She has improved on her time management and prioritization skills

Student Final Summary with Strategies for Continued Growth

I will continue to practice all nursing assessments, skills, and further develop my critical thinking skills for his semester. I will use the guidance of my
colleagues, peers, nursing instructors, fellow nurses, and other superior to foster collaborative practice. I have outlined a learning plan for the final
semester of my Practical Nursing program. I am excited to learn about different patient populations. I will continue to grow and use my nursing
resources to provide the best possible care and to honour the career of becoming a nurse. It has been a pleasure working with Naomi and the staff at
Etobicoke General 10 Respirology unit.

Teacher Final Summary with Strategies for Continued Growth

Kristina has improved in her nursing skills throughout this semester. She takes great pride in her nursing practice is always prepared for her clinical
rotation. Kristina assists peers and nurses on the floor. She has cared for patients with trache, foley and G-tubes. This student has practice doing
subcutaneous injections, administering PO and IV medication, administering medication through G-tube, doing simple and assisted in complex
dressing, suctioning and monitoring patients Foley catheter, insert foley catheter, caring for nephrostomy tube. She also collected specimen swabs,
(MRSA) Kristina uses meditech for patient review and documentation. She asks questions on anything she was unsure about and uses technology to
research relative information. Kristina interacts well with patients, patients family, staff and peers. Kristina is a team player and is always seeking out
extra learning opportunities. The student was encouraged to continue improving on her nursing skills , continue to improve her confidence and to do
proper documentation and assessment on her patients at all times.

Student's References

College of Nurses of Ontario. (2012). Fact sheet: Introduction about the college of nurses. Retrieved from
http://www.cno.org/Global/docs/general/45002_SpectrumService.pdf
College of Nurses of Ontario. (2009). Practice guideline: Culturally sensitive care. Retrieved from
http://www.cno.org/Global/docs/prac/41040_CulturallySens.pdf
Lewis et al., 2012
Potter and Perry., 2008

Grade

Satisfactory

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

Student Comment
I had a very successful clinical placement at Etobicoke General 10E. I enhanced my knowledge further and developed nursing skills that will benefit
my practice as a novice nurse. I will take these skills and knowledge learned into my pre-grad. Thank you for your time and dedication to your
students, Naomi!