Student Name Micah Finney

Program

Oregon Community College Nursing

Nursing 221
Foundations of Nursing: Chronic Care II

Clinical Evaluation Tool

The purpose of the weekly clinical performance evaluation tool is to provide feedback about achievement of the course
outcomes and competencies and to assist the student to meet the standards of care for nurses in Oregon as outlined in the
Nurse Practice Act.
Explanation of Rating Scale:
(S) Satisfactory = Clinical performance is safe and student adequately demonstrates application of the nursing
process/clinical judgment, required skills, and expected synthesis of learning appropriate to level in the program. Verified by
direct instructor observation.
(NI) Needs Improvement = Indicates that additional learning and attention to detail is required for a particular item or that
the overall performance for the week is at a minimum level. The instructor will write an explanation of the rating on the
comments page.
(U) Unsatisfactory = Clinical performance is unsafe and inadequately demonstrates application of the nursing
process/clinical judgment model, required skills, and expected synthesis of learning appropriate to level in the program. The
instructor will write an explanation of the rating on the comments page.
(NA) Not applicable = Particular item does not apply to the clinical performance.
(NO) Not observed = Instructor did not observe or has no knowledge of the students performance of the activity.
Students with a grade of NI or U will be required to meet with their advisor and clinical instructor and discuss a plan for
change in their behavior before their next clinical experience.
Safety and legal/ethical concepts are considered critical to the profession and will be graded as NI or U if any violation occurs.
If a student is assigned a U or NI for two weeks, the faculty will review the students clinical performance and consider the
options of either placing the student on probation or dismissing from the program.
In cases of potential failure, notification of the student by the instructor that she/he has been assigned a grade of U or NI for
one week constitutes proper warning of the grade status.
If a student is placed on probation and then receives a grade of U, the faculty will review the students performance and
determine whether or not the student will be dismissed from the program.

Nursing 221 Clinical Evaluation Tool

Student Name:

Competen
cy
(C)
Course
Outcomes
(CO)

Clinical Week
1

Dates

1/13

1/20

1/27

NA

2/13/15

Attendance: P=Present, A=Absent, T=Tardy

OR

REU

Trauma

Facility/Unit
C9
Applies concepts and theory to clinical practice in
CO 1, 2, client care and written assignments:
3
1. Conducts evidence-based health assessment

2/17

2/24

PSU

MCU

Makeup

3/3

3/10

ED

LDRP

ICU

2/10

2. Collects and monitors a variety of data

3. Analyzes and interprets the data/assessment

findings in increasing complex chronic conditions.

4. Recognizes pathophysiological changes and

symptoms

5. Regularly monitors clients level of comfort and

ability to manage symptoms and symptom distress

6. Prioritizes health problems.

7. Develops and uses evidence-based individualized

interventions

8. Develops a plan of care that considers the

individual, family, age of client, functional issues
associated with co-morbidities, developmental
stage, psycho-socio-cultural issues, capacity for
and engagement in self-health care, and/or
learning needs.

NA

9. Evaluates and reflects on plan of care for clients

with chronic conditions.

CO5, 6

Develops discharge plans in collaboration with client,

family, and other members of the health care
community.

NA

C8

Uses therapeutic communication with patients and

agency staff.

C6, 7, 8

Recognize cultural issues and interact with clients in

culturally sensitive ways.

NA

C5
CO5

Collaborates with other members of the health care

team to provide comfort and symptom management.

C10
CO2

Uses research and evidence to support clinical

decision making.

NO

C6, CO4 Utilizes resources as needed.

C4

NO

Able to identify/define leadership skills for nurse's role

Competen
cy
(C)
Course
Outcomes
(CO)

Makeup

C9, CO
1

Exhibits critical thinking skills when prioritizing and

delegating patient care.

C9,
CO1

Demonstrate responsibility and accountability for

professional behavior:
1. Performs safely in clinical.

C3

2. Prepared for clinical (Appropriate attire,

appropriate tools such as stethoscope, skills
list, evaluation tool, assessment tools).

C4

3. Takes initiative in making decisions and

assuming responsibility for decisions.

C3

4. Looks for opportunities for continued learning

and self-development.

C4

5. Identifies behaviors and attitudes influencing

professional behavior.

C1,2

6. Demonstrates growth in coping with stressful

situations in a calm and dependable manner.

7. Maintains patient confidentiality.

C8

8. Documentation of client care is accurate and

relevant and consistent with agency policy

NA

C3

9. Completes and submits assignments on time.

C1

C2

10. Organizes and manages time effectively.

C4

11. Attends and participates at post-conference.

Instructor Initials

DH

DH

DH

DH

DH

DH

DH

Student Initials

MF

MF

SW

MF

4
Instructor include comments that are positive, areas that need improvement or are
unsatisfactory. Reference the course outcomes listed in the syllabus and/or the OCNE
Competencies from the Nursing Student Handbook (Date/Sign all entries)

Week
1

Student
Initials

NA
Great first day back and in the OR. Your work has improved from the first term we worked
together. Only a few more weeks and then you will start your practicum. All this hard work will
soon pay off.

MF

Dustin Hawk RN, BSN, PCCN

Today you did a great job speaking about your pt and his pain control needs. When taking care of pts try
not to let the other nurses opinions about the pt influence your own. Our bias can really get us in trouble
as nurses. Your pt today is a drug addict and needs help. The pt being admitted to the hospital was a
chance for him to receive help. So many times nurses want to blame the pt for their current situation, but
as nurses we need to look past peoples faults and focus in on their strengths. Our job is to reach these
pts and convince them there is a better way to live life. As a nursing culture we will fail if we judge our pts
and do not look past our own bias. At this point you are meeting all the OCNE competencies, keep all the
hard work.

MF

Dustin Hawk RN, BSN, PCCN

This was a great learning experience. What a great chance to use critical thinking. Look at the ethical standards regarding
the code in the ICU. This would be a great time to reflect back on the situation using some of the OCNE competencies as
guidance. SEE care plan for more comments.
Dustin Hawk RN, BSN, PCCN

2-13-2015 Participated in trauma day. Managed a stressful situation calmly, actively participated in the care of neuro
trauma victim, identified and reflected on strengths and areas need to work on. Good problem solving and critical
thinking skills..S. Walker, RN, MSN

MF

PASSYou showed great time management today while dealing with two fresh post op pts. You can keep working on
your notes. You have improved greatly from last year.
Dustin Hawk RN, BSN, PCCN
PASSYou showed critical thinking today taking care of two very busy pts on the medical floor. You did a great job with
a PEG tube. Keep up the hard wok you are almost there.
Dustin Hawk RN, BSN, PCCN

PASSwhat happened to the ED reflection? The care plan you did I assume is on a pt you took care of in the ED. Mika
you have improved greatly this term. Working as a CNA has really helped you to be more comfortable with pts. You
critical thinking and time management cont to improve.
Dustin Hawk RN, BSN, PCCN

PASSThis has been a great term for you. You are meeting all the OCNE core competencies at this point. Keep studying
NCLEX questions and soon you will be a RN. All your hard work and dedication is really paying off.
Dustin Hawk RN, BSN, PCCN

12/12/12: sw, revised 12/6/14sw