Self Assessment

2015 - 2015 - Midway NURS-151 Course Learning Outcomes

NURS 151 Practical Nursing Practice 2 (PN, 13-Jan-2015 - 30-Jun-2015)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Period :
Student hours :
Required Hours :
Validated hours :

Valentina Ramirez
Marilyn Daniel-Awong
John Stone
Trillium Health Partners/Mississauga Hospital
Agency
3C rehab
13-Jan-2015 To 10-Mar-2015
84
84
84

I declare that this is my original work and the sources used are acknowledged.

Abilities and Outcomes / Learning Outcomes

Student Rating

Teacher Rating

1. COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK

1. 1 Comply with regulatory standards, relevant legislation and the practice settings policies

Satisfactory

Satisfactory

and procedures.
V.R. : I have made sure to comply with the policies and procedures of the hospital. For any other concerns I will ask for help.

1. 2 Act in a responsible, ethical and accountable manner.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

V.R. : I will respect the other employees and my co-peers while being a guest at trillium hospital.

1. 3 Determine strengths and limitations and when to consult and seek assistance from other
professionals.

V.R. : If I ever encounter having to perform a task where I am not comfortable performing on my own, I will ask for assisstance or a
demonstration.

1. 4 Use evidence informed practice and a theory-based approach to care.

Needs
Development

Satisfactory

V.R. : I'm still gathering knowledge through my readings which I will be able to use later in clinical to strengthen my practise.

1. 5 Ensure client safety and a safe environment.

Needs
Development

Satisfactory

Satisfactory

Satisfactory

V.R. : I will use the hospital resources to help me provide the safest care to the patient

1. 6 Ask relevant questions to clarify understanding of the plan of care and whenever
uncertain.

V.R. : I have no troubles asking questions to the nurse that I had been shadowing my first day in clinical. I had also used my clinical
teacher to clarify things further for me.

1. 7 Identify ethical and unsafe situations and seek appropriate assistance to resolve these.

Needs
Development

Satisfactory

V.R. : My practice shall not be negatively affected by any malpractice seen during my clinical. I will come forward and let my clinical
teacher know of any unethical and unsafe situations.

1. 8 Demonstrate understanding about the role of the student nurse.

Satisfactory

Satisfactory

V.R. : I will always present myself to the patient as a student nurse. If there are any serious findings on a patient that I am providing care
for then I will present it to the charge nurse.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
Student is Satisfactory on being competent, willing to learn and open to new experiences.
Student practices within the safe practice guidelines as outlined by Mississauga hospital, and CNO standards..

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions.

Satisfactory

Satisfactory

V.R. : I continuously collaborate with my peers. We gain extra knowledge from the different experiences we had while shadowing a nurse.

2. 2 Document clearly, accurately, concisely in a timely manner using written and electronic
methods.

Needs
Development

Satisfactory

V.R. : I have not yet been able to use the hospitals electronic methods; however, I have had the chance to look over the MAR and the
patients records binders located beside the nursing desk.

2. 3 Report relevant information to the appropriate personnel.

Satisfactory

Satisfactory

V.R. : I am aware that certain patients are assigned to each nurse, so when a patient had concerns about their next medication dose I
informed the nurse looking after this patient to look into the matter.

2. 4 Utilize communication techniques with the client and inter-professional health care team.

Needs
Development

Satisfactory

V.R. : I am able to communicate with the nursing staff with no issues but when it comes to the patients I turn a little shy. I will need to work
on this as soon as I am assigned my first patient.

2. 5 Maintain privacy and confidentiality according to the Personal Health Information

Satisfactory

Satisfactory

Protection Act (PHIPA)

V.R. : I understand privacy is important to the patients receiving care. I will treat all clients information as a sensitive type and therefore
strengthening the nurse-client relationship.

2. 6 Use technology to retrieve information including research, data and other information.

Satisfactory

Satisfactory

V.R. : I use my E books online to look back on. I will also be turning to it to find medication information once I start administering patients
medications. I need to be knowledgable in what I am giving my patient.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

Student needs to improve on documenting independently using electronic method, observed while documenting with supervision by
assigned unit nurse.
Able to report relevant information to the appropriate personnel.
demonstrated use of communication techniques with the client and the inter-professional health care team.

3. CARING RELATIONAL PRACTICE

3. 1 Utilize effective communication techniques.

Satisfactory

Satisfactory

V.R. : I listen very carefully to my clinical teachers request before I pursue the instructions given. I allow the person to speak so that I do
not talk over them.

3. 2 Demonstrate therapeutic caring, compassionate, and culturally safe relationships with

Satisfactory

Satisfactory

clients and health care team members.

V.R. : I great patients with a smile and I show good manners (i.e saying your welcome, or pardon) so they know I am respecting them.

3. 3 Apply knowledge of therapeutic use of self and identify its effect on client well-being.

Needs
Development

Satisfactory

V.R. : I am a nice to all clients and ask if they need something something before I leave their bedside.

3. 4 Use self-awareness to identify the effects that beliefs, values, and personal experiences
have on relational practice.

Needs
Development

Satisfactory

V.R. : Personal beliefs are important to each individual and I will be sure to use my past experiences to add value to my client
relationships.

3. 5 Interact with clients and members of the inter-professional health care team; and, consult

Satisfactory

Satisfactory

appropriately.
V.R. : I was able to converse with one of the patients along with one of my peers, we were able to talk and put a smile on the patients face. I
would like to experience more of those moments.

3. 6 Apply knowledge of practices and systems that support the diversity of clients and the
inter-professional health care team.

Needs
Development

Satisfactory

Needs
Development

Satisfactory

V.R. : I will respect the religious needs of each patient to ensure they have a proper stay.

3. 7 Apply knowledge of clients cultural, religious, and other beliefs and values as these
influence clients choices and decisions.

V.R. : I am aware of many cultural beliefs and practices that clients may have. One of the clients talked about how their doctors back home
would do things, and the way Canada practices medicine is very different. I still need to encounter more clients with different religious
standpoints to better my next client encounter.

3. 8 Provide effective client education.

V.R. : Once I am able to administer medication I will inform the patient of any side effects.

Teacher comments for CARING RELATIONAL PRACTICE :

Unsatisfactory

Satisfactory

Student is Satisfactory in establishing therapeutic caring, compassionate, and culturally safe relationships with clients and health care
team members.
Able to collaborate with clients and members of the inter-professional health care team; and, consult appropriately when needed

4. LEADERSHIP AND ADVOCACY

4. 1 Recognize conflicts and strategies for resolution.

Needs
Development

Satisfactory

V.R. : I am able to recognize conflicts and resolve them. When a patient refuses to take their medication, I will be sure to find out why and
find a solution that will benefit the patients recovery.

4. 2 Demonstrate leadership skills that foster group work and a positive learning environment.

Satisfactory

Satisfactory

V.R. : I am able to help out my peers when they need help finding medical information or filling out the nursing care plan.

4. 3 Identify opportunities to improve health care service and nursing interventions by

advocating for client, self, others, and quality practice.

Needs
Development

Satisfactory

V.R. : When I am passing patients rooms I keep a ear open in case someone needs my help. If they require a more experienced nurse I will
be sure that patient gets one.

4. 4 Provide feedback to peers and accept feedback from peers and members of the interprofessional health care team.

Needs
Development

Satisfactory

V.R. : I am continuously learning. My peers are a great support, they help me understand the importance of utilizing certain materials for
patient care.

4. 5 Support clients rights for self-determination and choice.

Needs
Development

Satisfactory

V.R. : When a patient is able to ambulate on their own and enjoys leaving the floor, then we will respect that. If the time their gone conflicts
with the time that we were supposed to give certain medications then we will have to work around that. A plan will have to be made so that
medication times can be negotiated with the patient.

4. 6 Respond appropriately to unsafe, unacceptable, and unprofessional behaviours.

Satisfactory

Satisfactory

V.R. : Both staff and patients have shown great patients with the nursing students from Humber and vice versa. The staff speaks with
respect to the patients and performs their task appropriately.

4. 7 Consult and collaborate when carrying out health care and nursing practices that are in
the best interests of the public and protect the public through collaboration and consultation.

Needs
Development

Satisfactory

V.R. : When a patient has concerns with their bowel movements, and if a sample is sent to the lab and comes back positive for c-diff, then I
will follow the appropriate precautions, before and after lab results arrive, to protect the safety of everyone in contact with that patient.

Teacher comments for LEADERSHIP AND ADVOCACY :

Student is Satisfactory in evaluating leadership skills to develop solutions and create a positive work environment.

5. PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES

5. 1 Incorporate the unique needs and expected outcomes into individual clients plans of

Satisfactory

Satisfactory

care.
V.R. : I prepare a client that is diagnosed with COPD in the morning for their physio appointment. Before I place them in the wheelchair I
check their oxygenation saturation and incase it's low i would help them out on their oxygen mask for oxygen delivery.

5. 2 Develop theory-based plans of care that are holistic and client centered and are

Satisfactory

Satisfactory

articulated competently in writing and orally.

V.R. : I am able to use the priority diagnosis to help the patient with their day (I.e. Performing ADL's, assisting them when they get up,
performing AM care etc.)

5. 3 Use knowledge, skill and judgment to assess clients, prioritize needs and outcomes.

Satisfactory

Satisfactory

V.R. : I had a patient with diabetes and I encouraged the client to have their snacks because I knew it would help with her glucose levels.

5. 4 Provide information that contributes to the evaluation and refinement of plans of care.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

V.R. : I am able to provide pertinent information about the client at the end of my shift.

5. 5 Safely and competently carry out nursing assessments and nursing interventions that are
theory-based and within skill abilities.

V.R. : I put the clients safety first, ensuring I leave them with a call bell before I leave the room. I place the side rails up when I raise the
bed.

5. 6 Carry out nursing care that reflects the practice decision-making framework.

Satisfactory

Satisfactory

V.R. : I prepare myself an organizational plan that focuses on all the clients needs. I schedule a time that includes medications, physio, am
care.

5. 7 Complete nursing care responsibilities and nursing interventions in an organized and

Satisfactory

Satisfactory

timely manner.
V.R. : I find I have sufficient time to carry out the nursing duties.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
Student is Satisfactory in incorporating the clients unique needs and expected outcomes into holistic and client centred plans of care
Student is able to use knowledge, skill and judgment to assess clients, prioritize needs and outcomes

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

6. 1 Work with clients and members of the inter-professional health care team to assess

Satisfactory

Satisfactory

clients, determine health needs, and to achieve mutually agreed expected outcomes.
V.R. : I helped a nurse provide assisstance to a patient suffering from dementia by talking to the patient while the nurse provided care.
This helped the patient become comfortable with the care given.

6. 2 Contribute as a member of the inter-professional health care team to respond to the

Unsatisfactory

Satisfactory

changing needs and expected outcomes of clients.

V.R. : I am still learning how how predict the changing needs of a patient. I will get more experience through my clinicals.

6. 3 Seek out assistance and consult with members of the inter-professional health care team.

Satisfactory

Satisfactory

V.R. : I often ask when I'm unsure of something. I find the nurses are easy to approach and they assist when you ask them for it.

6. 4 Use teamwork, consensus building, and conflict resolution skills.

Satisfactory

Satisfactory

Satisfactory

Satisfactory

V.R. : I often collaborate with my teammates and provide my ideas for some nursing actions.

6. 5 Describe effective, collaborative, and consultative strategies to meet clients needs within
a changing environment.

V.R. : I notify the nurse when the patient is at physio. I also keep track of how long they attend for. If the patient has not attended a physio
session for the day i prepare the patient, dress them, then I notify the physio therapist.

6. 6 Interact with members of the health care team respecting their unique role and

Satisfactory

Satisfactory

competencies.
V.R. : I was able to lend a hand to one of the caretakers on the floor by making a patients bed. They gave me pointers on how the unit likes
the beds set up for their clients.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

Student is Satisfactory in collaborating with clients and members of the inter-professional health care team to assess clients, determine
health needs, and to achieve mutually agreed expected outcomes.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

7. 1 Act in the best interests of clients and protect clients from harm through collaboration
and consultation with members of the inter-professional health care team and through

Needs
Development

Satisfactory

competent and safe practice.

V.R. : I follow the lead of the nurse when handling a difficult patient. I ultimately want to make sure the patient receives the necessary care
that will help them recover quickly.

7. 2 Participate in self-reflection to identify strengths, areas for improvement.

Needs
Development

Satisfactory

Satisfactory

Satisfactory

V.R. : I am aware of my weaknesses and I try to improve them every time I'm in clinical.

7. 3 Create, implement, and evaluate a learning plan consistent with the Quality Assurance
program (CNO).

V.R. : Each clinical I evaluate a plan. By recording my day I can learn different things about my practical skills and benifit from each clinical
day.

7. 4 Seek out learning opportunities and feedback that foster professional development; and,

Satisfactory

Satisfactory

integrate these into practice.

V.R. : When I have the opportunity to do so I watch my peers administer injections to their patients. I've also had the benefit of watching
one of the nurses change a patients dressing.

7. 5 Utilize nursing, health and other theory and literature to improve nursing practice.

Needs
Development

Satisfactory

V.R. : I read my nursing E-books and watch nursing videos to solidify my foundation of knowledge.

7. 6 Use a theory-based approach and evidence-informed practice.

Satisfactory

Satisfactory

V.R. : I collaborate lessens from each class to help me come up with clinical findings. I noticed that each class compliments the other.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

Student is Satisfactory in acting in the best interests of clients and protect clients from harm through collaboration and consultation with
members of the inter-professional health care team and through competent and safe practice
Student seek out learning opportunities and feedback that foster professional development; and integrate these into her practice.

8. USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY

8. 1 Utilize problem-solving skills to inform decision making in all aspects of nursing care.

Needs
Development

Satisfactory

V.R. : I kept an eye on the food intake for a diabetic patient and made sure to encourage more food and fliud intake so that they could
recieve their diabetic medications. I was unable to give all medications because they refused a glucose reading and to eat their food.

8. 2 Use problem-solving and decision-making skills to assess clients and to determine

nursing diagnoses, expected outcomes, nursing interventions, and evaluative criteria.

Needs
Development

Satisfactory

V.R. : I noticed my patient had trouble breathing with ease. I repositioned her in an upright position and asked If she was experiencing any
pain.

8. 3 Use self-reflection to design a plan to improve problem-solving and decision-making

skills.

Needs
Development

Satisfactory

V.R. : I have recently filled out a student goal sheet to my clinical teacher which addresses areas in which I need more practice in.

8. 4 Utilize knowledge from variety of nursing, health, and other theory into nursing practice

Satisfactory

Satisfactory

to provide safe and competent care.

V.R. : I continuously go over nursing videos and practise with my nursing kit at home. I use family members to check vitals and make sure
I log my findings in a book so I have a baseline to work off of.

8. 5 Use prioritization strategies for client care.

Satisfactory

Satisfactory

V.R. : I printed out the nurse care plan to better organize my day. This will help ensure my client receives the best care and on time.

Satisfactory

8. 6 Demonstrate professionalism and accountability.

Satisfactory

V.R. : I am on time and present to each clinical. I make sure to present myself in a respectable manner while representing Humber.

8. 6 Recognize strengths and limitations and seek appropriate assistance and support.

Satisfactory

Satisfactory

V.R. : I am able to identify my limitations and go to my clinical teacher for extra support.

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY :
With help able to use critical thinking, problem solving and decision making skills to assess clients and to determine nursing diagnoses,
expected outcomes, nursing interventions, and evaluative criteria.
Improving to prioritize effectively.

Student Midway Summary with Strategies for Continued Growth

I will work on opening up and talking to patients in order to establish a therapeutic nurse-client relationship. I will build my knowledge on the different
medications used by each client through the research I do.

Teacher Midway Summary with Strategies for Continued Growth

Student is still reserved, however, she has demonstrated that she can recognize challenges and develop positive ways to ensure patient safety, and
positive outcomes is a priority.
Student has high expectations. Had only three clinical days of experience.

Grade

Satisfactory

Needs Development

Unsatisfactory

Referred to Clinical Excellence Committee (CEC)

Grade

Satisfactory

Program Coordinator Feedback

The Program Coordinator has reviewed the evaluation

Yes

No

Student Sign Off

I met with my Clinical Teacher/Preceptor and discussed my evaluation

Yes

No

In general this evaluation accurately reflects my performance

Yes

No

Student Comment
I will take responsibility for completing all nursing care plans needed for my assigned patients. I will come on time so I can benefit from all patient
huddles at the beginning of the shift. I will be well informed on the patient diagnosis and keep medication information at hand so I can avoid
medication error.