BSN Outcomes: Clinical Performance Evaluation BSN Outcome Objectives

Excellent

N360 Leader Check all that apply:

X Demonstrates basic understanding of mission, vision, philosophy and values of the healthcare institution. X Identifies leadership hierarchy and management roles on clinical unit. X Participates actively in group discussions, reporting observations of quality and safety in the clinical setting. X Identifies examples of strong leadership skills in healthcare team. X Identifies own strengths and weaknesses related to leadership ability. X Recognizes situations in the care of his/her client that warrant patient advocacy. X Performs nursing assessments pertaining to continuous quality improvement initiatives (e.g., fall risk, central line audits, functional assessment). Additional comments:

Exceeds Expectations

Satisfactory

Needs Improvement

Unsatisfactory

Scholar Check all that apply:

X Shares observations of clinical unit, comparing expectations with reality, in journal and clinical conference. X Utilizes scholarly resources in preparation for clinical practice and cites them appropriately in care plan. X Utilizes computerized data management system within the health care agency to obtain information related to client care. X Identifies gaps in knowledge and seeks answers from credible sources. X Actively uses data at the point-of-care (e.g. Nursing Central, ePocrates, clinical research databases, institutional Policy and Procedures). Relates an evidence-based, nursing research article to the care of his/her client. Additional comments:

Socially Responsible Provider Check all that apply:

X Identifies areas where the health care system at the clinical unit level is not effectively meeting the needs of the clients. X Identifies factors that make a patient vulnerable (e.g., language, culture, religion, socioeconomic status, age). X Conducts assessment of clients health and social history (including health behaviors, education X

Draft: Spring 2010 (CA/DT)

level, and home/living environment) that impact his/her access to healthcare, health promotion, and disease/injury prevention. X Identifies gaps in care created by transitions between providers, units, levels of care, and/or discharge from current care setting. X Assumes responsibility for own learning and demonstrates self-awareness. Additional comments:

Ethical Clinician:
X REQUIRED: Meets core clinical competencies for Professional Accountability Check all that apply: X Performs nursing care that is respectful of clients privacy and adherent to ethical/legal requirements for confidentiality. X Demonstrates awareness of patient goals for health, which are based on the patients own values, beliefs and right to make own health care decisions. X Practices in a nondiscriminatory manner, regardless of patient ethnicity, gender, age, wealth, or religious belief. X Recognizes influence of own values, culture and religion on clinical decision-making. X Reports real and potential clinical practice errors honestly and immediately. X Initiates discussion with appropriate individuals when ethical issues arise. Additional comments:

Critical Thinker Check all that apply:

X Uses internet, intranet, and personal resources to provide theoretical basis for nursing decisions. X Gathers data, creates problem list, and produces a plan of care for the client. X Demonstrates ability to transfer or apply knowledge from other academic areas to the clinical setting. X Questions unclear or unknown information regarding patient care. X Appropriately seeks assistance from the instructor or health care team when questions arise. Additional comments:

Draft: Spring 2010 (CA/DT)

Clinician:
X REQUIRED: Meets core clinical competencies for safety and universal precautions. Check all that apply: X Actively performs clinical skills in a simulated situation prior to clinical practice until a beginning level of competency is attained. X Demonstrates awareness of limitations and seeks assistance and validation to assure safe practice. X Notifies faculty or RN immediately of any significant change in clients health status. X Arrives for clinical practice promptly, prepared with working knowledge of patient-specific data, unit-specific policies and general literature regarding the patients health history and current medical condition. X Elicits client values, preferences and needs when interviewing patient and implementing care. X Identifies roles and functions of the interprofessional health care team. X Recognizes examples of both strong and less than ideal patient advocacy. X Begins to utilize patient care technologies (e.g. monitors, pumps, medication administration system) specific to unit. Additional comments:

Educator Check all that apply:

X Identifies education as a core tenet of the role of the professional nurse. X Performs a health history, including social and family history to identify health risks. X Assesses clients beliefs, attitude, current practices, and readiness for change regarding a health/illness behavior. X Assesses clients current level of knowledge level regarding admitting diagnosis and plan of care. X Observes discharge planning and teaching in the clinical setting. X Involves family in explanations of care including nursing care and medication administration. Additional comments:

Effective Communicator: X REQUIRED: Meets core clinical competency for communication. Check all that apply: X Discusses clients medical history and plan of care with peers and faculty in conference setting while maintaining confidentiality. X Interacts professionally and effectively with client by explaining nursing actions and expected outcomes. X

Draft: Spring 2010 (CA/DT)

X Receives report on assigned client, maintains communication with nurse and ancillary personnel regarding any changes in client status, and reports off to appropriate staff member when leaving the unit. X Demonstrates understanding of own communication skills and takes initiative to improve own communication skills (verbal, nonverbal, and written). X Utilizes appropriate, unit based charting requirements to document assessment findings, nursing care and client response to nursing care, medications and treatments. X Demonstrates beginning competency in navigating the electronic medical record. Performs report on client utilizing the SBAR communication format in a role-play with fellow students. Additional comments:

Comments:

Hospital-based: Sara is an intelligent, hard-working, and motivated student. She exhibited a strong desire to master the course content and meet the clinical objectives of this rotation. She consistently sought feedback and followed through on suggestions for improvement. Over time, her approach to learning became more organized; her written preparation for clinical became more complete and detailed. Sara delivered safe, quality nursing care to her patients, and they seemed to genuinely appreciate her kind and compassionate demeanor. She is aware that she should demonstrate mature and professional behavior at all times in the clinical setting. Possessing a friendly personality, she communicated with patients and members of the healthcare team in an effective manner. Though she demonstrated some performance anxiety, she steadily developed increased proficiency and self-confidence throughout her clinical experience. Her ability to assess patients logically and thoroughly also improved. Her correlation of classroom content to the clinical setting was on a level appropriate to her experience and knowledge base. It was very gratifying to observe Saras progress. She does need to work on time management and assessment skills, and she should continue to actively and assertively pursue opportunities to practice her psychomotor skills. It was a pleasure to have her in clinical. Home-based: Sara demonstrated creativity and enthusiasm in planning and implementing a healthy Tai qi exercise session at wellness fair. She shows a great deal of enthusiasm and professionalism while interacting with group members and residents. She exhibited thoughtful reflection and critical thinking in summarizing complete health history; made meaningful contributions to group discussions. She cares for the residents and has plans to work with the facility in the future.
I have reviewed the above evaluation and agree with the clinical performance evaluation. Student Signature ____________________________Date _______ Faculty Kathy Markowski RN, MS Date__8/3/10______ Excellent = Consistently exceeds performance expectations for beginning practitioner, independent thinker, takes initiative Exceeds Expectations = Occasionally exceeds performance expectations for beginning practitioner, independent thinker, takes initiative Satisfactory = Meets performance expectations for beginning practitioner, requires minimum guidance

Draft: Spring 2010 (CA/DT)