You are on page 1of 8

Final Clinical Evaluation

NUR4216L.005S15 4/22/2015
Evaluation date: 4/24/2015
Evaluator: Davis, Sandy (sdavis4@health.usf.e
Evaluatee: Mcgill, Liza (mol@health.usf.edu

5-Outstanding: Exceeds Standards


Exhibits above average performance of nursing care for this level student. The student is proactive, self-directed, and con
appropriately incorporates knowledge with skills. Student is proactive and sel

4-Satisfactory: Meets Standards


Exhibits average performance of nursing care for this level student. Functions with minimum guidance. Demonstrates ade
skills. Recognizes learning opportunities but may require assista

3-Minimal
Exhibits minimal performance of nursing care for this level student. Functions safely with moderate guidance. Demonstrate
to skills. Requires some direction in recognizing and utilizing learning opportunities. Often focu

2-Unsatisfactory
Requires intense guidance for the performance of activities at a safe level. Clinical performance reflects difficulty in the
requires frequent or almost constant assistance in applying knowledge to skills. Requires frequent and detailed instruct
behavior, not on the patient.

1-Unsafe to Practice
Is unsafe to practice without constant, intense guidance. Frequently lacks necessary knowledge and skills and unable to i
learning opportunities and is often unable to utilize them. Attempts activity or behavior, yet is unable to compl

Standard I--Communication
The student communicates pertinent information regarding the patient's condition/concern to health team
Answer: 4
Satisfactory: Meets Standards
Comment:

Standard I--Communication
The student communicates effectively in written form (Nursing Process Worksheet is organized and comp
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard I--Communication
The student communicates effectively in verbal form.
Answer: 4
Satisfactory: Meets Standards
Comment:

Standard I--Communication
The student initiates, maintains, and terminates the nurse-patient relationship using principles of therape

Answer: 5
(Comment Required)
Outstanding: Exceeds Standards
Comment: Has impressed many preceptors and I have had numerous staff members tell me what a pleasure it

Standard I--Communication
The student functions as an advocate for the patient/family and communicates family needs to other mem
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard I--Communication
The student examines the dynamic interactions between the patient, family, community, and society.
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard I--Communication
The student initiates discussion to identify and resolve interpersonal problems that impact care.
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard I--Communication
The student uses interpersonal skills to enhance patient/family coping abilities.
Answer: 4
Satisfactory: Meets Standards
Comment:

Standard I--Communication
The student discusses the ethical issues and approaches the ethical dilemmas that confront the patient/fam
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard I--Communication
The student delegates appropriately to patient care technician, family, or other team members.
Answer: 4
Satisfactory: Meets Standards
Comment:

Standard I-Knowledge
The student applies knowledge of humanities, physical and social sciences, and nursing when providing pa
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard I-Knowledge

The student applies knowledge of social, cultural, and genetic factors to the care of diverse populations.
Answer: 4
Satisfactory: Meets Standards
Comment:

Standard I-Attitude
The student does not in anyway demonstrate disrespect or inappropriate behavior to the patient, staff, or
Answer: 5
(Comment Required)
Outstanding: Exceeds Standards
Comment: Respects and gets to know every staff member from HUC to PCT and calls them by name. Very re

Standard I-Attitude
The student is actively engaged in and seeks out opportunities for learning.
Answer: 5
(Comment Required)
Outstanding: Exceeds Standards
Comment: Notifies staff of what she wants to see and experience and they seek her out for learning experience

Standard II-Safety
The student does not make judgmental, discriminatory, or prejudicial statements to the patient, staff, or f
Answer: 5
(Comment Required)
Outstanding: Exceeds Standards
Comment: Always uplifting and helpful to all staff.

Standard II-Safety
The student applies principals of universal precautions, practices specific isolation techniques, and teache
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard II-Safety
The student assesses patients for fall risk and applies principles of safe patient handling.
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard II-Safety
The student maintains the patient's physical safety by protecting the patient from harm.
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard II-Safety
The student maintains medical and surgical asepsis when doing procedures requiring sterile technique.
Answer: 4
Satisfactory: Meets Standards
Comment:

Standard II-Safety
The student properly identifies techniques and teaches the reasons for universal precautions.
Answer: 4
Satisfactory: Meets Standards
Comment:

Standard II-Safety
The student validates the accuracy and appropriateness of orders for nursing/medical care prior to initiat
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard II-Safety
The student implements orders accurately and efficiently.
Answer: 4
Satisfactory: Meets Standards
Comment:

Standard II-Safety
The student is able to identify potential signs and symptoms of an emergent medical condition and promp
and/or clinical faculty member.
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard II-Safety
The student adapts skill performance using principles of theory when necessary.
Answer: 4
Satisfactory: Meets Standards
Comment:

Standard III-Nursing Process:Assessment


The student identifies data from the history and physical assessment to formulate appropriate nursing dia
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard III-Nursing Process:Assessment
The student identifies the patient's health education needs.
Answer: 4
Satisfactory: Meets Standards
Comment:

Standard III-Nursing Process:Diagnosis


The student synthesizes history and assessment data as well as diagnostic results into the development of n
Answer: 4
Satisfactory: Meets Standards

Comment:

Standard III-Nursing Process:Plan


The student integrates psychosocial needs into care plan, identifies appropriate resources for the plan of c
Answer: 4
Satisfactory: Meets Standards
Comment:

Standard III-Nursing Process:Plan


The student identifies measurable, expected patient outcomes that are realistic and individualized to the p
Answer: 4
Satisfactory: Meets Standards
Comment:

Standard III-Nursing Process:Plan


The student identifies the discharge planning process and needs of the patient upon admission and throug
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard III-Nursing Process:Plan
The student demonstrates judgement in decision-making and priority setting.
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard III-Nursing Process:Plan
The student uses appropriate collaborative resources to personalize the nursing care the patient receives.
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard III-Nursing Process:Intervention/Implementation
The student demonstrates understanding of the principles underlying nursing actions appropriate for the
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard III-Nursing Process:Intervention/Implementation
The student performs skills according to agency policy and procedure and clinical lab guidelines.
Answer: 4
Satisfactory: Meets Standards
Comment:

Standard III-Nursing Process:Intervention/Implementation


The student implements the written action plan/protocol considering the priorities for each assigned patie

Answer: 4
Comment:

Satisfactory: Meets Standards

Standard III-Nursing Process:Intervention/Implementation


The student implements a teaching plan based on scientific knowledge and utilizes resources appropriatel
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard III-Nursing Process:Intervention/Implementation
The student incorporates evidence based research into nursing practice.
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard III-Nursing Process:Intervention/Implementation
The student practices individualized and culturally competent care.
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard III-Nursing Process:Intervention/Implementation
The student initiates appropriate referrals as needed.
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard III-Nursing Process:Evaluation
The student evaluates the patient's response/outcome to the intervention.
Answer: 4
Satisfactory: Meets Standards
Comment:

Standard III-Nursing Process:Evaluation


The student utilizes subjective and objective data to revise nursing actions (as appropriate for the student
Answer: 4
Satisfactory: Meets Standards
Comment:

Standard III-Nursing Process:Organization


The student provides organized, coordinated, and prioritized nursing care for the patients with a range of
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard III-Nursing Process:Organization

The student organizes time and resources effectively and efficiently.


Answer: 4
Satisfactory: Meets Standards
Comment:
Standard III-Nursing Process:Organization
The student gathers and organizes equipment necessary for patient care/procedures.
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard III-Nursing Process:Organization
The student identifies and seeks appropriate resources during patient care provision.
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard III-Nursing Process:Organization
The student completes the daily clinical assignment in a timely manner.
Answer: 4
Satisfactory: Meets Standards
Comment:

Standard III-Nursing Process:Documentation


The student appropriately develops long and short term patient oriented nursing care goals based on pati
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard III-Nursing Process:Documentation
The student documents problems and nursing care goals in the patient record (with co-signature).
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard III-Nursing Process:Documentation
The student identifies and documents nursing actions/orders initiated in implementing the plan of care.
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard III-Nursing Process:Documentation
The student correctly enters data into the patient record in a timely manner per agency protocol.
Answer: 4
Satisfactory: Meets Standards
Comment:

Standard III-Nursing Process:Documentation


The student assures privacy of the patient record at all times.
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard III-Nursing Process:Critical Thinking
The student utilizes critical thinking skills to prioritize patient needs based on the patient assessment.
Answer: 4
Satisfactory: Meets Standards
Comment:

You might also like