Practical Nursing Diploma Program

Clinical Evaluation Form

Student: Jakji, Christina

Course: NURS 208
Dates:

Student Number: 820120063

Section: #14-Credit Valley Hospital: Complex Continuing Care

03/09/2014 - 22/10/2014

S: Satisfactory

ND: Needs Development

Summary of Areas of
Practice
Competent and safe practice
in a professional, legal and
ethical framework

Communication

S:

U: Unsatisfactory

Student Comments:
Summary of clinical
experience
ND:
U:

-To keep safety between

the patients and myself, I
try my best to follow
procedure. If I have any
uncertainties, I clarify to
prevent error and keep a
safer environment

S:

ND:

U:

S:

Faculty Comments:
Summary of clinical
Experience
ND:
U:

Student is accountable
for actions, by
demonstrating evidence
or preparedness prior to
and during clinical and
lab days. Consistently
assumes responsibility
for learning. Actively
participates in learning..
Student demonstrates
continued competence
by ongoing evaluation
of care provided and
improvement strategies
as necessary.
S:

ND:

U:

-I did not document up to

standard on first attempt,
but I have learned how to
input the correct information
to create clear information
to meet standard.

Student communicates
clearly, concisely, and
correctly in the written,
spoken, and visual
forms that meet the
needs of the clients.
Also responds to
relevant information in a
manner that ensures
effective
communication.

Caring relational practice

Leadership and advocacy

S:

ND:

U:

Collaborative Practice

ND:

U:

- Communicating is
important, Ive learned that
asking questions can
gather a lot of data
especially when completing
a head to toe assessment.
You can also learn about
the patient and their needs.

Student has
demonstrated respect
for the diverse opinions,
values, belief systems,
and contributions of
others.

S:

S:

ND:

U:

- I think my leadership skills

still need to improve as the
clinical weeks come; but as
I learn how to do new tasks
I gain confidence.

Plans of care: Meeting

Clients Needs and Mutually
Agreed Expected Outcomes

S:

S:

ND:

U:

Student provides
leadership within peer
group and consistently
demonstrates
professional nursing
behavior.
S:
X

S:

S:

U:

U:

-I try to prioritize the patient

needs from what needs to
be done urgently and what
can wait. If a patient needs
their insulin, it would be
more of a priority than a
bed bath. This this skill will
come quicker with
experience
ND:

ND:

ND:

U:

Student demonstrates
strong ethical standards
by practicing within the
legal and ethical
requirements of the
profession of nursing.

ND:

U:

- I think I do seek out

assistance from nurses,
fellow student, and also my
clinical teacher. I think
providing the best care
possible is most important
rather than making an error
that could have been

Student is developing
strong relationships
both with peers,
hospital staff, teacher,
and clients. Student
utilizes effective
interpersonal skills and

therapeutic
communication.

prevented.

S:

Quality Assurance

Critical Thinking, Problem

Solving and Decision Making

ND:

U:

S:

ND:

U:

- Applying knowledge or
gaining new knowledge is
in the benefit of the patient
and myself to have safety.
Observing and practicing
skills will help me gain more
knowledge; especially in
times of uncertainty.

Student needs to
develop consistent
knowledge acquisition
through evidence based
rational for decisions
and practices.

S:

S:

ND:

U:

- Critical thinking is linking

the diagnosis to the client.
Learning medications and
why a patient needs them is
critical thinking.
Understanding how things
link to create improvement
for the patient is important.

ND:

U:

Student needs to
develop a
systemic approach with
critical thinking skills,
analyzing information,
and problem solving
appropriately.

I have read and understand this form and its contents

Student Signature:

Christina Jakji

Date:

Faculty Signature:

Grace Jose

Date: