Self Assessment

2016 - 2016 - NURS 151 Practical Nursing Practice 2 Final (201508)

NURS 151 Practical Nursing Practice 2 (PN, 12-Jan-2016 - 07-May-2016)
Student : Mikkel-Brandon De Leon
Clinical Teacher/Preceptor : Marcia Henry
Program Coordinator : Wendy Chow
Location : Sunnybrook Veterans Centre
Placement Setting : Agency
Unit/Office/Clinic : K3E
Period : 12-Jan-2016 To 07-May-2016
Student hours : 168
Required Hours : 168
Validated hours : 156
Teacher comment for validated hours:
No Clinical March 25, 2016(Good Friday). 168 - 12 = 156 hours

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

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

procedures.

M.D.L. : I have reviewed Sunnybrook's online policies, standards and procedures as requested by clinical instructor during any available time at

clinical placement. I have completed pre-requirements for Sunnybrook placement. such as EPR online modules, carrying student ID badge, and flu

shots.

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

M.D.L. : I understand that I am accountable for actions done as a student nurse; therefore, I always act in a responsible and a professional manner

when in the healthcare setting/clinical placement. During medication administration, I know that it is my responsibility to research information about

the drug, when it is to be administered, and whom it should be administered to. (College of Nurse of Ontario, 2009)

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

professionals.

M.D.L. : Some of my strengths are organization, time-management, and communication with others. However, there are patients that have different

care preferences and sometimes require a higher level of nursing experience. For example, for patients that have resistant or aggressive during care,

transferring patients into their wheelchair, and how to document unusual findings in patients, I am aware that I need to seek assistance when

encountering these kinds of situations.

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

M.D.L. : I have used my clinical lab practice simulations and modules and have applied those teachings towards my patient care at Sunnybrook.

Some of these procedures include bed bath, vital signs, head-to-toe assessments and medication dosage calculations. (Jarvis, C., 2014)
 Satisfactory Satisfactory
1. 5 Ensure client safety and a safe environment.

M.D.L. : Client safety and safe environment was ensured through lowering the bed at the lowest position, wearing PPE, hand hygiene, using the 6

rights of medication.(College of Nurse of Ontario, 2009) Client safety was also met through paying close attention to the patient's kardex to follow

certain procedures and preferences for patient care. For example, the detailed procedure required for wound care for patients had specific steps that

were required for proper disinfecting and bandaging.

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

M.D.L. : Before patient care, I always try to find out important and relevant information from the primary nurse and kardex regarding patient

preferences care. I always try to clarify procedures before doing them to ensure that I am provide the best possible care for the patient. This is

especially evident during bed baths, medication administration and wound care, as I am aware that I am held accountable for mistakes that I have

made according to CNO's policy. (College of Nurse of Ontario, 2009)

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

M.D.L. : Some patients require total nursing assistance as experienced at Sunnybrook, if there are certain situations where I feel the need to seek

assistance I consult colleagues, clinical teacher, or nursing staff. Assistance that was required for unsafe situations were, heavy patients that needed

to be turned during bed bath or during repositioning, using the mechanical chair lift, and aggressive/resistive patients.

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

M.D.L. : I understand that my role of a student nurse at Sunnybrook placement is to give the best possible care for my patients. I understand that the

patients that we encounter at Sunnybrook are the elderly and are suffering from dementia, therefore, I need to take things at a slower and calm pace.

Much like any other individual, they still need to be bathed, fed, and properly cared for. (Ebersole and Hess',2012)

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :

Mikkel is professional and engages in safe and ethical care. He seeks clarification when he is unsure and needs to learn more. Personable
and professional when interacting with others.

2. ACCURATE AND RELEVANT COMMUNICATION

Satisfactory Satisfactory
2. 1 Participate in team sharing and discussions.

M.D.L. : I try to contribute as much as I can during group discussions to help benefit the team. I give appropriate peer feedback, as well as accept

feedback, and I always give the team experiences I have encountered during patient care as well as listen to other colleagues, instructor, and primary

nurses patient experiences to enhance my knowledge.

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

M.D.L. : I have gone over documenting multiple times with nursing staff and clinical instructor to provide clear and accurate information regarding

patient care. I have also reviewed the policy and procedures provided by CNO to know the importance of documenting any relevant information

regarding patients. (College of Nurse of Ontario, 2009)

Satisfactory Satisfactory
2. 3 Report relevant information to the appropriate personnel.

M.D.L. : No unusual finding have yet been discovered during patient care. However, I do understand that I have to consult with the primary nurse

when encountering a patient situation that requires immediate attention.

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

M.D.L. : I communicate with the primary nurse with patient care and procedures, as well as provide information regarding patient status. I was also

able to exchange and discuss information regarding patient experiences with colleagues to enhance our knowledge about our newly assigned

patients.

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

(PHIPA)

M.D.L. : I always maintain privacy during patient care by closing the curtains/door during bed bath, keeping patient information confidential such as

medication and medical diagnosis.(College of Nurse of Ontario, 2009)

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

M.D.L. : I have used Evolve modules to refer to tasks, Mosby's nursing drug guidebook for medical drug information, and assessments checklist to

use in the clinical setting. I have also used PointClickCare to find patient information such as Kardex, medical diagnosis, and lab tests.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

Participate in team sharing and post conference discussions. Documents accurately according to format used at clinical site. Collaborates
effectively with health team. Maintains privacy and confidentiality.

3. CARING RELATIONAL PRACTICE

Satisfactory Satisfactory
3. 1 Utilize effective communication techniques.

M.D.L. : During patient care, I use a lot of gestures considering the patients that we handle are old-age and have reduced hearing. I also try to speak

loud and clearly as well as use moderate to simple words for them to understand more easily. (Ebersole and Hess',2012)

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

and health care team members.

M.D.L. : I try to grow a trusting relationship with my patients so that they will allow me to complete my tasks for every nursing shift. I try to be gentle

and quick with them as I do not wish to cause any stress towards them these patients are medically diagnose with dementia. (Potter, P., Perry, A.,

2014)

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

M.D.L. : I am able to identify the drugs, administer it to the right patient, calculate the right dosage and determine its therapeutic effect towards the

patient. (Lilley, L., 2011)

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

relational practice.

M.D.L. : I am able to acknowledge the fact that the patients that we handle at Sunnybrook, at our specific wing, are elderly patients that have mostly

been diagnosed with dementia. They require just a bit more patience, attention, and should not be looked down any lower than a regular individual or

it will negatively affect the way these patient's will be cared for. (Ebersole and Hess',2012)

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

appropriately.
M.D.L. : I am able to interact with patients and health care team at a professional level. I constantly check on my patient to see if there is any

assistance needed for their ADL's. I also constantly consult with the primary nurse, clinical instructor, and colleagues for relevant information about my

patient.

Satisfactory Satisfactory
3. 6 Apply knowledge of practices and systems that support the diversity of clients and the inter-

professional health care team.

M.D.L. : My placement contains a lot of patients that have been medically diagnosed with dementia, and I take into account what was taught during

Sunnybrook orientation on how to handle these kinds of patients. I also apply knowledge and practice from clinical labs for use on the field, and

constantly get the primary nurse or clinical instructor to supervise me as I continue with my care to ensure that I am properly caring for my patient.

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

clients choices and decisions.

M.D.L. : I realize that the patients at Sunnybrook still require the same needs as regular individuals. I ensure that they are treated and cared for

equally, provide privacy, confidentiality, and allow them to continue with their own ADL's with as much assistance as they need.

Satisfactory Satisfactory
3. 8 Provide effective client education.

M.D.L. : I communicate as much as I can towards the patient for them to understand what I will be doing for them. I always introduce myself as well

constantly assess them for any pain or discomfort.(Jarvis C., 2014)

Teacher comments for CARING RELATIONAL PRACTICE :

Maintians a caring therapeutic compassionate relationship with patients. Communicates and collaborates with the multidisciplinary team to
provide safe and effective care.

4. LEADERSHIP AND ADVOCACY

Satisfactory Satisfactory
4. 1 Recognize conflicts and strategies for resolution.

M.D.L. : There has been a situation where a patient has acted physically violent towards me, so I made sure that I had assistance from a colleague to

be aware of the patient's actions as I continued patient care. The primary nurse was informed of patient's behavior for patient charting.

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

M.D.L. : I have given a lot of encouragement and positive attitude towards my colleagues to help them improve their nursing care. I always try to

communicate with colleagues regarding patient care and give them good feedback to boost their confidence.

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

client, self, others, and quality practice.

M.D.L. : I constantly try to have the primary nurse, clinical instructor, and colleagues supervise my patient care to receive feedback. I use this

feedback for upcoming patient interactions to improve my nursing skills and interventions. For example, my colleague had told me to try to boost my

confidence during patient care, so that my patient will not feel worried or scared about my nursing actions.

Satisfactory Satisfactory
4. 4 Provide feedback to peers and accept feedback from peers and members of the inter-

professional health care team.

M.D.L. : We have filled out a sheet regarding peer feedback and self assessment, and I used this to help my clinical group and myself improve my

nursing skills. I also give feedback and receive feedback from simulation labs and when I am assisting colleagues with their nursing care to help the

whole team benefit.

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

M.D.L. : I have noticed many times during patient care that patients may refuse to eat or co-operate, and I have learned to accept that. As nurses we

can not force the patient to do something they do not wish to do, which was very evident through feeding. After a certain portion of their food, some

patients may not finish the rest of it. This may be because they do not wish to be cooperative or are just full. There was also a situation where I had to

change a patient's bandages and at a certain point the patient refused to co-operate because of the pain the patient was experiencing. At that point I

had to accept that there was an extent to which I can push the patients towards before the situation gets out of hand. With that in mind I had to work

around alternatives in order to complete nursing care. (College of Nurse of Ontario, 2009)

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

M.D.L. : There was a situation where a patient required medication and I had noticed that the primary nurse had not given the medication for the

patient. The medication had to be taken before dinner, so I took the initiative to give the patient their medication under clinical teacher supervision. I

have also reported to the primary nurse a physically violent incident that had occurred during patient care in order for it to be charted under patient

behavior.

Satisfactory Satisfactory
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.

M.D.L. : I constantly refer to my primary nurse and clinical nurse to find the best way to carry out nursing procedures and practices for the best

nursing care. I have been told to manage my time and be much more organized with the way I prioritize my tasks to be more efficient. I should not do

anything to the patient that will negatively affect them such as being impatient and aggressive.

Teacher comments for LEADERSHIP AND ADVOCACY :

Shows initiative in seeking learning experience. Advocate on patients behalf for continuity of safe care. Provided feedback and accepts
feedback from colleagues.

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

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

M.D.L. : I realized that one of my assigned patients had very little to no communication and very little mobility. Another assigned patient was able to

slightly respond to me. After this experience, I realized that I had to be a bit more patient and attentive to my first patient since I could not determine if

he was experiencing any pain or required any assistance. My second patient had a little mumbling or grunts which gave me cues to whether she was

feeling pain or needed assistance with anything.

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

competently in writing and orally.

M.D.L. : I was able to develop a concept care-plan that would give the best possible outcome for my patient. I used interventions that were

reasonable that would help benefit the patient in staying in the best shape possible. For example, the patient had an increased chance of developing a

pressure ulcer due to lack of mobility, so my nursing intervention was to reposition the cleint every 2 hours. (Jarvis, C., 2014)

Satisfactory Satisfactory
5. 3 Use knowledge, skill and judgment to assess clients, prioritize needs and outcomes.
M.D.L. : I constantly assessed the patient's skin during hygiene care, and checked the patient's facial expression for any pain due to lack of

communication. I try to achieve a response during procedures to ensure that the patient is doing okay. I try to comfort the patient to the best of my

ability and give the patient their daily needs such as hygiene care, food, social interaction, and any wound care.(Jarvis, C., 2014)

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

M.D.L. : My first patient had a lack of mobility, total nursing dependence, and was incontinent; therefore, I had stated that he was at risk for pressure

ulcer. I was able to identify factors that contribute to developing a pressure ulcer to identify a nursing diagnosis and used the nursing diagnosis to

determine the plan of care for this patient.(Jarvis, C., 2014)

Satisfactory Satisfactory
5. 5 Safely and competently carry out nursing assessments and nursing interventions that are theory-

based and within skill abilities.

M.D.L. : I was able to identify factors that could put my patient at risk for pressure ulcers from low mobility, total nursing dependence, and incontinent.

From there I was able to come up with interventions that could prevent pressure ulcers like repositioning, management of incontinence, and skin

assessments. (Potter. P., 2014)

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

M.D.L. : I have been able to do proper care for my patient because the complexity of the patient was at a reasonable level. I have recently become

more efficient with the way I prioritize my tasks to have the patient carry on with their ADL's. Such as deciding whether to give a bed bath before or

after breakfast and identifying the amount of time it takes to complete daily nursing tasks.

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

manner.

M.D.L. : I have progressed very well in completing and organizing my nursing care responsibilities in a timely manner. The amount of time it takes to

complete nursing tasks has significantly reduced due to familiarity of equipment, experience and time it takes to complete individual tasks.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :

Assessment skills has improved.Administers medication in a safe manner and is able to verbalize use of medication to clinical instructor.
Encouraged to continue to familiarize himself with medication as well as side effects and nursing intervention.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

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

determine health needs, and to achieve mutually agreed expected outcomes.

M.D.L. : I have been continuously working with colleagues, clinical instructor, and primary nurses to discuss my patients' status. My assigned

patient's are considerably at a stable and healthy state and the expected outcome is to maintain this relatively healthy state.

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

needs and expected outcomes of clients.

M.D.L. : There were little to no changes required for my patients. The expected outcome, for the most part, was to have the patient maintain this

relatively stable and healthy state that they were currently in. However, as a student nurse, I understand that not all patients will have a stable and

healthy state and may require to adjust to patients needs in order to achieve new expected outcomes.

Satisfactory Satisfactory
6. 3 Seek out assistance and consult with members of the inter-professional health care team.
M.D.L. : I have been seeking assistance during any situations where I do not feel strong or confident in. I also seek assistance during patient

transferring since I need a higher level nurse to use the mechanical lift. I have also asked for assistance during medication administration and wound

care.

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

M.D.L. : I used teamwork with colleagues in order to help complete hygiene for patients that required total dependence and more than one person

assist. Some patients reacted a bit aggressive and was very heavy so I had to assist with keeping the patients calm and roll them to get to the hard to

reach areas.

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

changing environment.

M.D.L. : I try to thoroughly explain procedures that will be done with clients to help relieve any stress that my presence may have brought, especially

since the patients that we are caring for are diagnosed with dementia and may react differently to stress. This was covered during Sunnybrook's

orientation so I tried to apply that knowledge during my patient care.

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

M.D.L. : I ensure that I allow my colleagues, primary nurse, and clinical do their jobs at the placement. I consult about patient preferences, and

certain procedures such as wound care with the primary nurse and fellow colleagues. I allow clinical instructor to provide constructive criticism about

my nursing care, and work with colleagues to complete nursing tasks.

M.H. : please this section...grammer

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

Interacts well with the interdisciplinary team and colleagues to provide continuity of safe and effective care.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

Satisfactory Satisfactory
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 competent and safe

practice.

M.D.L. : I ensure that I maintain client privacy and confidentiality, communicate with members of the team about patient status, seek assistance and

guidance when needed. I also ensure that I keep a positive environment and attitude and be very competent.

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

M.D.L. : I have taken time to identify my areas of weakness, such as organization, time management, and body mechanics. I was able to improve my

time-management and organization over the course of the clinical placement, but I have yet to improve proper body mechanics.

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

(CNO).

M.D.L. : I have reviewed with colleagues, teachers, and primary nurses with my strengths and weaknesses in clinical placement, and I have

discussed ways to improve my nursing skills and care based on the Quality Assurance program provided by CNO. (College of Nurse of Ontario, 2009)
 Satisfactory Satisfactory
7. 4 Seek out learning opportunities and feedback that foster professional development; and,

integrate these into practice.

M.D.L. : I was able to attend an in-service for music therapy and body mechanics, as well as chapel service that were provided to us by Sunnybrook.

I also took the opportunity to review the learning videos provided by Sunnybrook for documenting and reporting.

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

M.D.L. : I have used my knowledge of Gerontology from theory classes and health assessment to help assess my patients. Information such as

reduced mobility, reduced hearing, reduced vision, and took that into account during patient care. (Ebersole and Hess', 2012)

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

M.D.L. : I try my best to use a concept care plan to help with specific patient care. For example, my first patient had little to no mobility and required

total dependence with skin care and bed bathing. Based on the issues regarding my first patient, that patient was at risk for developing a pressure

ulcer; however, with proper care such as applying lotion, doing skin assessments, and being aware of the patients skin integrity, the patient was less

likely to be at risk for developing a pressure ulcer. (Jarvis, C., 2014)

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

Practice within the CNO standards and guidelines according to Sunnybrook Health Sciences Centre. Continue to seek out learning
opportunities to enhance your clinical practice/professional development.

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

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

M.D.L. : I have come to realization that each patient is different in ways that they have different preferences, and some require more attention

depending on their condition. From that information I have been able to identify what procedures and type of care that needs to be done based on

information gathered on patients. I was also able to solve my problem with completing tasks on time, by properly organizing tasks according to the

time it took to complete them.

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

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

M.D.L. : I have been able to successfully complete a concept care map relating to my assigned patients. This was done be collecting and providing

information to support my nursing diagnosis, which was risk for pressure ulcer. From there I expected the patient to maintain their healthy skin

integrity by using nursing interventions that involved assessing the skin, repositioning the patient, applying lotion to bony prominences, document any

unusual skin findings.(Jarvis, C., 2014)

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

M.D.L. : I have been able to talk to my colleagues on areas of improvement in order to practice some nursing skills. Some of those skills that needed

improvement was my organization and time management. Over the course of my clinical placement I was able to successfully improve those skills

and I have been more time efficient and I have been able to organize my tasks accordingly.

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

provide safe and competent care.

M.D.L. : I have used my knowledge from class pertaining to Gerontology to help me during my nursing care. An example of this is their reduced

mobility, which enabled me to learn ways to maneuver these kinds of patients to help complete things such as bed baths.(Ebersole and Hess' ,2012)

Satisfactory Satisfactory
8. 5 Use prioritization strategies for client care.

M.D.L. : I have been able to organize my priorities during nursing care in order to complete all nursing tasks that is required for every shift. This was

done by recording the amount of time it took my to complete my regular tasks, and I used that information the organize the way I complete my nursing

tasks

Satisfactory Satisfactory
8. 6 Demonstrate professionalism and accountability.

M.D.L. : I always arrive on time, with full uniform and prepared with readings/modules required for the week. I am also aware that I am accountable

and take full responsibility for my nursing actions towards my patient.

Satisfactory Satisfactory
8. 7 Recognize strengths and limitations and seek appropriate assistance and support.

M.D.L. : I have recognized my own strengths and weakness, and I have discussed my strengths and weaknesses with peers, nursing staff, and

clinical instructor.

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING EFFECTIVELY :

Mikkel is able to apply theory to pratice,however is encouraged to continue to enhance this skill. He has improved in his ability to self
assess and reflect on his learning.

9. SIM number of hours

9. 1 SIM number of hours

M.D.L. : 6

M.H. : 6

Teacher comments for SIM number of hours :

April 15 2016 - Had discussion with Milkkel regarding SIM. Stated he has completed the required hours (6).

Student Final Summary with Strategies for Continued Growth

I will continue to review modules and readings, as well as communicate with instructor, peers, and primary nurses to gain confidence in my nursing
knowledge and abilities. I will also review proper body mechanics worksheet provided by the in-service at Sunnybrook.

Teacher Final Summary with Strategies for Continued Growth

Mikkel has demonstrated satisfactory performance for this clinical placement. He has functioned well within the clinical setting and has submitted his
assignments as per clinical schedule.
He is willing, and is eager to learn and is working towards improving his confidence in performing safe and effective care to his clients. As he
continues within the program he is encouraged to seek out learning opportunities to enhance his nursing skills. It is important to be aware that
success within the clinical setting requires clear objectives, motivation, planning, self -discipline, self- confidence, good study habits and a positive
attitude. These skills will also help to enhance your professional development.

Student's References
College of Nurses of Ontario (CNO). (2009). Practice Standard: Confidentiality and Privacy - Personal Health Information - retrieved from
http://cno.org/en/learn-about-standards-guidelines/standards-and-guidelines/

Jarvis, C., Browne, A., MacDonald-Jenkins, J., Luctkar-Flude, M. (2014). Physical Examination and Health Assessment, Canadian Edition, 2nd
Edition. [VitalSource Bookshelf Online]. Retrieved from https://pageburstls.elsevier.com/books/9781926648729

College of Nurses of Ontario (CNO). (2009) Practice Standard: Infection Prevention and Control - Retrieved from http://cno.org/en/learn-about-
standards-guidelines/standards-and-guidelines/

College of Nurses of Ontario (CNO). (2009) Practice Standard: Professional Standards -Retrieved from http://cno.org/en/learn-about-standards-
guidelines/standards-and-guidelines/

College of Nurses of Ontario (CNO). (2009). Practice Standard: Ethics. Retrieved from http://cno.org/en/learn-about-standards-guidelines/standards-
and-guidelines/

Potter, P., Perry, A., Ross-Kerr, J., Wood, M., Astle, B., Duggleby, W. (2014). Canadian Fundamentals of Nursing, 5th Edition. [VitalSource Bookshelf
Online.] Retrieved from https://pageburstls.elsevier.com/books/978-1-926648-53-8

Skidmore-Roth, L. (2015). Mosby's Drug Guide for Nursing Students, 11th Edition [VitalSource Bookshelf Online] Retrieved from
https://pageburstls.elsevier.com/books/9780323170215

College of Nurses of Ontario (CNO). (2009) Practice Standard: Medication - Retrieved from http://cno.org/en/learn-about-standards-
guidelines/standards-and-guidelines/

Lilley, L. (2011) Pharmacology for Canadian Health Care Practice, 2nd Edition [VitalSource Bookshelf Online.] Retrieved from
https://pageburstls.elsevier.com/books/9781897422144

Touhy, T., Jett, K., Boscart, V., McCleary, L. (2012) Ebersole and Hess' Gerontological Nursing and Healthy Aging, Canadian Edition. [VitalSource
Bookshelf Online.] Retrieved from https://pageburstls.elsevier.com/books/978-1-926648-23-1

Grade Satisfactory Unsatisfactory

Referred to Clinical Excellence Committee (CEC)

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 continue to keep up with nursing skills.