Final Clinical Evaluation

NUR 4216L LRMC UD Fall 2015 11/16/2015

Evaluation date: 11/17/2015
Evaluator: Scott, Caitlin (cbrock1@health.usf.edu)
Evaluatee: Cathren, Tanisha (tcathren@health.usf.edu)

5-Outstanding: Exceeds Standards

Exhibits above average performance of nursing care for this level student. The student is proactive, selfdirected, and consistently engaged in learning; needs minimal guidance; is knowledgeable; and
appropriately incorporates knowledge with skills. Student is proactive and self-directed in approach to
learning.
4-Satisfactory: Meets Standards
Exhibits average performance of nursing care for this level student. Functions with minimum guidance.
Demonstrates adequate knowledge and requires minimum assistance in applying knowledge to skills.
Recognizes learning opportunities but may require assistance in utilizing them.
3-Minimal
Exhibits minimal performance of nursing care for this level student. Functions safely with moderate
guidance. Demonstrates minimal knowledge and requires moderate assistance in applying knowledge to
skills. Requires some direction in recognizing and utilizing learning opportunities. Often focuses on the
task or own behavior, not on the patient.
2-Unsatisfactory
Requires intense guidance for the performance of activities at a safe level. Clinical performance reflects
difficulty in the provision of nursing care. Demonstrates gaps in necessary knowledge and requires
frequent or almost constant assistance in applying knowledge to skills. Requires frequent and detailed
instructions regarding learning opportunities. Focuses primarily on the task or own 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 integrate these into practice. Requires constant detailed instructions regarding
learning opportunities and is often unable to utilize them. Attempts activity or behavior, yet is unable to
complete. Focuses entirely on the task or own behavior, not the patient.

Standard I--Communication
The student communicates pertinent information regarding the patient's condition/concern to
health team members.
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard I--Communication
The student communicates effectively in written form (Nursing Process Worksheet is organized
and complete)
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
therapeutic communication.
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard I--Communication
The student functions as an advocate for the patient/family and communicates family needs to
other members of the health care team.
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/family and appropriately discusses experience with faculty/preceptor.
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 patient care.
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 faculty
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard I-Attitude
The student is actively engaged in and seeks out opportunities for learning.
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard II-Safety
The student does not make judgmental, discriminatory, or prejudicial statements to the patient,
staff, or faculty.
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard II-Safety
The student applies principals of universal precautions, practices specific isolation techniques,
and teaches the reasons for universal precautions.
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 initiating care.
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 promptly reports changes in the patient's health status to preceptor 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 diagnoses.
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 nursing diagnoses.
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 care, and incorporates health education into the care plan.
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 patient.
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 throughout the hospitalization.
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 student at this point in the curriculum.
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 patient.
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard III-Nursing Process:Intervention/Implementation
The student implements a teaching plan based on scientific knowledge and utilizes resources
appropriately.
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 at that level of the curriculum).
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 health problems.
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 patient assessment and scientific principles of nursing practice.
Answer: 4
Satisfactory: Meets Standards
Comment:
Standard III-Nursing Process:Documentation
The student documents problems and nursing care goals in the patient record (with cosignature).
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:

Comments:
Tanisha has completed this semester with satisfactory progress. She is consistently prompt, professional
and prepared. She is a natural leader and is consistently a good role model to those around her. She
shows maturity in challenging situations. She is eager to learn and jumps into opportunities to learn when
they present. She has a strong grasp on pharmacology and works diligently to understand the 'big
picture.' She is safe and competent in her care, and knows when to seek assistance. She has
consistently done excellent work and is well on her way to being a strong nurse.