Clinical Evaluation - Community Health Nursing - 1

CLINICAL EVALUATION COMMUNITY HEALTH NURSING 1
Students Name . Hospital .

Batch & Year . Ward .
Period under evaluation : From To ..
Sl. Performance Level Weighta Marks

Criteria Score
No 1 2 3 4 5 ge scored
A. ASSESSMENT
1 History taking 0.5 2.5
2 Interview technique 1 5
3 Physical Assessment 1 5
4 Nutritional Assessment 1 5
5 Home observation 0.75 3.75
6 Identification of needs/problem of individuals/ 0.5 2.5
families
B. PLANNING
1 Prioritizes the needs and problems 0.5 2.5
2 Plans appropriate care 0.75 3.75
3 Plans appropriate health education 0.5 2.5
4 Plans the family involvement in the care 0.25 1.25
C. IMPLEMENTATION
1 Provides care 1.5 7.5
2 Does simple procedures at home/clinic/OPD 1.5 7.5
3 Participates in the clinics 1 5.0
4 Maintains equipment 0.5 2.5
5 Gives health teaching in home/clinic/OPD 1.5 7.5
6 Involves family members in the care 0.5 2.5
7 Records and Reports 0.75 3.75
8 Utilizes the available resources 0.25 1.25
D EVALUATION
1 Self Assessment 0.75 3.75
2 Modifies the care plan based on the evaluation 0.5 2.5
E PERSONAL AND PROFESSIONAL BEHAVIOUR

1 Is well groomed 0.5 2.5
2 Maintains punctuality at all times 0.5 2.5
3 Shows initiative for learning 0.5 2.5
4 Completes learning requirements on time 0.5 2.5
5 Demonstrates integrity 0.5 2.5
6 Demonstrates emotional stability 0.5 2.5

Criteria Score
7 Maintains good interpersonal relationship 0.5 2.5
8 Communicates effectively 0.5 2.5
9 Shows leadership abilities 0.25 1.25
10 Accepts constructive corrections positively 0.5 2.5
11 Demonstrates interest develop professionally and 0.25 1.25

personally.
Total 100
Comments by the Teacher : (include general impression, unusual incidents and justify by scores A to E)
CLINICAL EVALUATION MENTAL HEALTH NURSING

Sl. Performance Level Marks

Criteria Weightage Score
No 1 2 3 4 5 scored
A. ASSESSMENT
1 Takes complete history about the patient 1 5.0
2 Demonstrates skills in physical assessment including 1.5 7.5
mental status examination and process recording.
3 Identifies the basic needs/problems 0.5 2.5
4 Formulates nursing diagnosis 0.5 2.5
B. PLANNING
1 Plans nursing care based on priority needs/problems 0.5 2.5
2 Considers the pathophysiology of disease condition 0.5 2.5
3 Plans care according to patients psychosocial needs 0.5 2.5
4 States rationale for nursing actions 0.5 2.5
5 Plans appropriate health teaching for patients and 0.5 2.5
family
6 Involves patient and family in developing plan of care 0.5 2.5
C. IMPLEMENTATION
1 Implements nursing care based on priority within the 2 10.0
given time.
2 Integrates scientific knowledge and principles in 1 5.0
giving patient care
3 Maintains safe and comfortable environment for the 0.5 2.5
patient
4 Demonstrates competence in technical skills 0.5 2.5
No 1 2 3 4 5 scored
5 Meets the nutritional needs as planned 0.5 2.5
6 Maintains accuracy in carrying out interventions 1 5.0
7 Records and reports significant information. 1 5.0
8 Assists in various therapies 0.25 1.25
9 Provides appropriate health teachings to the patient 0.25 1.25
and family
10 Maintains equipment, supplies and cleanliness of the 0.25 1.25
unit
11 Prepares the patients and family for home care 0.25 1.25
D EVALUATION
1 Evaluates the patients response to Nursing care 0.5 2.5


personally.
Total 100
.
Remarks by the Student:
Signature of the student with date Signature of the Teacher with date
1. Poor : Below 50%
2. Average : Average 50% to 64%
3. Good : 65% to 74%
4. Very good : 75% to 84
5. Excellent : 85%
Evaluation Criteria for family Case study

s. no. Criteria Marks
1. Objectives of the family health nursing 5
2. Environment and sanitation 10
3. Family history and family tree 5
4. Clinical assessment 10
5. Cultural practice 5
6. Nutritional history and practices 5
7. Health and medical history 10
8. Care plan and need assessment 20
9. Visit report 10
10. Health education and advices 20
Total 100
Evaluation Criteria for family Case study
s. Reg. no.
no.
1. Objectives of the
family health
nursing 5
2. Environment and
sanitation 10
3. Family history
and family tree
5
4. Clinical
assessment
10
5. Cultural practice
5
6. Nutritional
history and
practices 5
7. Health and
medical history
10
8. Care plan and
need
assessment 20
9. Visit report 10
10. Health education
and advices 20
Remarks
Evaluation Criteria for Individual Case study

1. Personal identification and family history 10
2. Environment and sanitation 15
4. Physical assessment 20
5. Nursing care plan 20
6. Health education and advices 20
Total 100
EVALUATION CRITERIA FOR HEALTH EDUCATION

Name of the Student : Total Marks -
100
Year : Marks Obtained -
Name of the Topic :
Name of the Supervisor :
Date of Presentation :
Sl.
No Area and Items SCORES
1 2 3 4
I Organization of the teaching area (12)
i Cleanliness
ii Seating arrangements
iii Lighting and Ventilation
II Personal Grooming (8)
Pleasantness, approachable, dignifies and self-
i
confident
Ii Posture, Gesture and any mannerism
III Teaching (24)
i Steps of the teaching plan format is followed
ii Subject matter is explained clearly
Has correct language, fluency, spontaneity, loud,
iii
clear and modulated voice
iv Has control of the group
v Finished within the allotted time
vi Participation of group
IV Use of A.V. aids:(16)
i Types of A.V. aids used
ii Organization of A.V. Aids was appropriate
iii Timely Presentation
iv Self-explanatory & appropriate to the topic
V Organization of the health education Plan (20)
i Objectives were clear, appropriate and specific
ii Organization of content is appropriate
iii Salient Points are mentioned
iv Considers the level of the learner
Bibliography written is correct and appropriate to the
v
topic
VI Evaluation (8)
I Doubts cleared after each step
Ii Summarized at the end Concluded appropriately
TOTAL SCORE (88)
Remarks
Good Points
Poor Points SIGNATURE OF EVALUATOR
Suggestion for Improvements
EVALUATION CRITERIA HEALTH ASSESSMENT
1. Selection of case 10
2. Family history and family tree 10
4. Environmental and sanitation history 10
5. Clinical assessment 10
Total 50
EVALUATION CRITERIA FOR DRUG STUDY
Name of the student-
Name of Drug-
Date-
Sl.No. Contents Excellent Good Average Fair Poor

5 4 3 2 1
1 Content of subject matter
2 Action of drug
3 Dose/Route of the drug
4 Indication of the drug
5 Contraindications
6 Side effects of the drug

7 Nursing responsibility
8 Bibliography
Evaluation Criteria for Mental status examination
S.N Criteria Marks Weightage

O
1. Format 2
2. General appearance 4
3. Motor disturbances 4
4. Speech 4
5. Thought disturbances 4
6. Perceptual disturbances 5
7. Affect and mood 4
8. Memory 3
9. Orientation 2
10. Judgment 3
11. Insight 2
12. Attention and Concentration 3
13. Intelligence and General information 3
14. Abstract thinking 2
15. General Observation 2
16. Summary 3
Total 50
Psychiatric Nursing Evaluation Criteria for Process recording
Sl.N Criteria Marks Weightage
1. Format 5
2. Objectives 3
3. Setting 2
4. Therapeutic techniques used 10
5. Evaluation by students 5
Total 25
CLINICAL EVALUATION CHILD HEALTH NURSING


Criteria Score
A. ASSESSMENT
1 Takes complete history including growth and 1 5.0
development
2 Demonstrates skills in physical assessment 1 5.0
3 Performs Nutritional Assessment 0.25 2.5
4 Identifies the basic needs and problems 1 5.0
B. PLANNING
1 Plans nursing care based on priority needs 1 5.0
3 Plans care according to childs psychosocial needs 0.5 2.5
4 Plans to meet play needs 0.5 2.5
6 Plans appropriate health teaching for children and 0.25 1.25
family
7 Involves child and family in developing plan of care 0.25 1.25
C. IMPLEMENTATION
1 Implements nursing care on priority within the given 2 10.0
time.
giving patient care
child
6 Meets the play needs of children 0.25 1.25
7 Maintains accuracy in carrying out interventions 0.75 3.75
and family
D EVALUATION

Criteria Score
F Communicates effectively 0.5 2.5

personally.
Total 100
CLINICAL EVALUATION MIDWIFERY


Criteria Score
A. ASSESSMENT
1 Takes complete history including obstetrical history 1 5.0
Criteria Score
2 Demonstrates skills in physical and obstetrical 1 5.0
assessment
3 Identifies the basic needs / problems 0.5 2.5
B. PLANNING
1 Plans nursing care based on priority needs/ problems. 0.5 2.5
2 Considers the pathophysiology 0.5 2.5
3 Considers patients psychosocial needs 0.5 2.5
5 Plans appropriate health teaching 1 2.5
6 Involves mother and family in developing plan of care 0.5 2.5
C. IMPLEMENTATION
given time.
giving care to mother and baby
mother and baby
4 Demonstrates competence in technical skills 1 5.0
6 Maintains accuracy in carrying out interventions 1 5.0
7 Records and reports significant information about the 1 5.0
mother and baby.
8 Provides appropriate health teachings to the mother 0.5 2.5
and baby
9 Maintains equipments, supplies and cleanliness of the 0.5 2.5
unit
D EVALUATION


Criteria Score

personally.
Total 100
1. Poor : Below 50%
3. Good : 65% to 74%
5. Excellent : 85%
CLINICAL EVALUATION COMMUNITY HEALTH NURSING II

Criteria Score
A. ASSESSMENT
1 History taking 0.5 2.5
2 Interview technique 0.5 2.5
3 Physical Assessment 0.5 2.5
4 Nutritional Assessment 0.5 2.5
5 Home observation 0.5 1.25
6 Community Assessment 0.25 1.25
7 Identification of needs/problem of individuals/ 0.5 1.25
families/Community
8 Collection of data from registers / records 0.25 1.25
B. PLANNING
1 Prioritizes the needs and problems 0.25 1.25
2 Plans appropriate care 0.5 2.5
3 Plans appropriate health education 0.25 1.25
4 Plants for group education programme 0.25 1.25
5 Plans for supervision of Dais/ health workers 0.25 1.25
6 Plans for conducting survey 0.25 1.25
7 Plans for assisting in tubectomies 0.25 1.25
8 Plans for insertion of IUDS 0.25 1.25
C. IMPLEMENTATION
1 Provides care 0.75 3.75
2 Does simple procedures at home/clinic 0.785 3.75
3 Assists in the clinic services 0.25 1.25
4 Gives health teaching in home/families/individuals 0.75 3.75
5 Demonstration competency in technical skills 1 5.0
6 Maintains equipment 0.5 2.5
7 Involves family members in the care 0.25 1.25
8 Reports and Records 0.5 2.5
9 Conducts group education programme 0.5 2.5
10 Assists in supervision of Dais/health workers 0.5 2.5
11 Conducts simple survey 1.0 5.0
12 Analyses the data and presents the reports 1.0 5.0
13 Assists in tubectomies 0.25 1.25
14 Inserts IUDS 0.5 2.5
D EVALUATION
1 Health Teaching 0.5 2.5
2 Family Care 0.5 2.5

Criteria Score
3 Self Assessment 0.25 1.25


personally.
Total 100
1. Poor : Below 50%
3. Good : 65% to 74%
5. Excellent : 85%
CLINICAL EVALUATION MEDICAL SURGICAL WARDS


No 1 2 3 4 5 scored
A. ASSESSMENT
1 Takes complete history about the patient 1 5.0
2 Demonstrates skills in physical assessment 1 5.0
3 Identifies the basic needs/problems 1 5.0
B. PLANNING
1 Plans nursing care based on priority needs 0.5 2.5
3 Plans care according to patients psychosocial needs 0.5 2.5
5 Plans appropriate health teaching for patients 0.5 2.5
6 Involves patient and family in developing plan of care 0.5 2.5
C. IMPLEMENTATION
given time.
giving patient care
patient
6 Maintains accuracy in carrying out interventions 0.5 2.5
and family
9 Maintains equipment, supplies and cleanliness of the 0.5 2.5
unit
No 1 2 3 4 5 scored
D EVALUATION


personally.
Total 100
1. Poor : Below 50%
3. Good : 65% to 74%
5. Excellent : 85%

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CLINICAL EVALUATION COMMUNITY HEALTH NURSING 1

Students Name . Hospital .

Sl. Performance Level Weighta Marks

2 Modifies the care plan based on the evaluation 0.5 2.5

E PERSONAL AND PROFESSIONAL BEHAVIOUR

2 Maintains punctuality at all times 0.5 2.5

3 Shows initiative for learning 0.5 2.5

4 Completes learning requirements on time 0.5 2.5

5 Demonstrates integrity 0.5 2.5

6 Demonstrates emotional stability 0.5 2.5

8 Communicates effectively 0.5 2.5

9 Shows leadership abilities 0.25 1.25

10 Accepts constructive corrections positively 0.5 2.5

11 Demonstrates interest develop professionally and 0.25 1.25

CLINICAL EVALUATION MENTAL HEALTH NURSING

Students Name . Hospital .

Sl. Performance Level Marks

2 Modifies the care plan based on the evaluation 0.5 2.5

E PERSONAL AND PROFESSIONAL BEHAVIOUR

2 Maintains punctuality at all times 0.5 2.5

3 Shows initiative for learning 0.5 2.5

4 Completes learning requirements on time 0.5 2.5

5 Demonstrates integrity 0.5 2.5

6 Demonstrates emotional stability 0.5 2.5

7 Maintains good interpersonal relationship 0.5 2.5

8 Communicates effectively 0.5 2.5

9 Shows leadership abilities 0.25 1.25

10 Accepts constructive corrections positively 0.5 2.5

11 Demonstrates interest develop professionally and 0.25 1.25

Remarks by the Student:

Evaluation Criteria for family Case study

Evaluation Criteria for Individual Case study

EVALUATION CRITERIA FOR HEALTH EDUCATION

EVALUATION CRITERIA HEALTH ASSESSMENT

s. no. Criteria Marks

2. Family history and family tree 10

3. Health and medical history 10

4. Environmental and sanitation history 10

EVALUATION CRITERIA FOR DRUG STUDY

Name of the student-

Sl.No. Contents Excellent Good Average Fair Poor

3 Dose/Route of the drug

4 Indication of the drug

6 Side effects of the drug

Evaluation Criteria for Mental status examination

S.N Criteria Marks Weightage

Sl.N Criteria Marks Weightage

Students Name . Hospital .

Sl. Performance Level Weighta Marks

2 Modifies the care plan based on the evaluation 0.5 2.5

2 Maintains punctuality at all times 0.5 2.5

3 Shows initiative for learning 0.5 2.5

4 Completes learning requirements on time 0.5 2.5

5 Demonstrates integrity 0.5 2.5

6 Demonstrates emotional stability 0.5 2.5

7 Maintains good interpersonal relationship 0.5 2.5

F Communicates effectively 0.5 2.5

9 Shows leadership abilities 0.25 1.25

10 Accepts constructive corrections positively 0.5 2.5

11 Demonstrates interest develop professionally and 0.25 1.25

CLINICAL EVALUATION MIDWIFERY

Students Name . Hospital .

Sl. Performance Level Weighta Marks