Self Assessment

2017 - 2018 - NURS 208 Course Learning Outcomes Final (201708)

NUR 208 Practical Nursing Practice 4 (PN, 05-Sep-2017 - 31-Jan-2018)
Student : Stacy Maureena Prashad
Clinical Teacher/Preceptor : Marcia Henry
Program Coordinator : Judy Martin
Location : Sunnybrook Health Sciences Centre/St. John's
Rehabilitation
Placement Setting : Agency
Unit/Office/Clinic : A1 Amputee, Cardiac, Transplant
Period : 05-Sep-2017 To 08-Dec-2017
Student hours : 196
Required Hours : 196
Validated hours : 184
Teacher comment for validated hours:
Absent due to illness on Oct 18,2107/ 196 -12 = 184hrs

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: Consistently practice safely,
competently, and ethically within legal and regulatory frameworks and the policies and procedures of the practice setting.

Satisfactory Satisfactory
1. 1 Comply with regulatory standards, relevant legislation and the practice setting’s policies and

procedures.

S.M.P. : I adhere to all standard, legislation, and policy when practicing, This practice is met by working within my scope of practice, following the

CNO practice standard guidelines and the policies of my clinical placement such as I am aware I can administer medications but blood glucose testing

can only be done by the staff of St. Johns.

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

S.M.P. : My practice portrays these skills because I follow relevant standards and policies such as documenting all care I provided, I follow the

policies of the facility such as not taking telephone order, etc. I always arrive on time for my clinical, I provide privacy to my clients, etc.

Satisfactory Satisfactory
1. 3 Determine how the three factor and practice decision-making frameworks influence client care.

S.M.P. : I am knowledgeable of the interrelation practice between the client, the nurse, and the environment. I know that the complexity, the

Predictability, and the Risk of negative outcomes of the client determines whether an RN or an RPN cares for that client. I am mindful that the more

complex the client situation is and the more dynamic the environment should be (College of Nurses in Ontario, 2014 ).

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

S.M.P. : This approach is used throughout my practice, before performing a procedure I ensure I do my research to ensure my client's safety an

example of this is when administering medications I ensure I know all the side effects and contraindications of the drugs in to prevent harm to my

client.
 Satisfactory Satisfactory
1. 5 Carry out safety-based practices and risk management principles to ensure client safety and a

safe environment.

S.M.P. : When caring for my clients I ensure I know their code status, allergies, mobility level and risk for fall. I ensure their environment is safe and

when assisting with a movement I use their assistive device in place. I promote a safe environment by ensuring the floor is free from clutters, the bed

is in the lowest position and call bell is put into the clients reach.

Satisfactory Satisfactory
1. 6 Ask questions and clarify the plan of care, unclear orders or directions, and whenever uncertain.

S.M.P. : According to Canadian Fundamentals of Nursing, "Effective communication promotes collaboration and interdisciplinary teamwork, helps

ensure that ethical and legal responsibilities and professional practice standards are met, and contributes to positive patient outcomes" (Potter &

Perry, 2014 )

When I am uncertain about an order or plan of care I check the client's chart for clarification, I speak to my clinical professor and also the primary

nurse in charge of my client in order to provide the best care for my client safely.

Satisfactory Satisfactory
1. 7 Demonstrate professional behavior by seeking assistance in situations in which there is unsafe,

unacceptable and/or unprofessional behavior.

S.M.P. : During my clinical placement, I have sought out guidance from my clinical professor when faced with an unsafe or unprofessional behaviour.

An example of this is in my client's file there is documentation to check and dress wound on the coccyx, however, my client states he no longer has a

dressing there, this was reported to my professor and then the nurse in charge of my client's care. After careful examination, it was brought to our

attention that the dressing was removed the previous day but the nurse did not document this action.

Satisfactory Satisfactory
1. 8 Demonstrate understanding about the role of the nurse within health care.

S.M.P. : The role of a nurse is to"promote, maintain and restore holistic health for individuals and communities (Association of Rheumatology Health

Professionals, 2002). This skill is achieved because as a student nurse I aid in the promotion, maintenance and the restoration of my client's health.

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK: Consistently
practice safely, competently, and ethically within legal and regulatory frameworks and the policies and procedures of the practice setting. :

Stacy is professional and engages in safe and ethical care. She seeks clarification when she is unsure and needs to learn more.
Personable and professional when interacting with others.

2. ACCURATE AND RELEVANT COMMUNICATION: Communicate using strategies and technology to affect accurate and timely documentation,
reporting, and information sharing.

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

S.M.P. : I am an active participant in team sharing and discussions. An example of this is I participate in post-conference discussions, if given to

perform a new procedure I share my experience with my colleagues. I also presented to my clinical group about various topics such as stages of

amputation, Care of Stump, Stump conditioning, etc. If given to perform a new procedure I share my experience with my colleagues.

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

S.M.P. : Documentation can be defined as "anything written or electronically generated that describes the status of a patient or the care or service

given to that patient" (Potter & Perry, 2014 ). I document appropriately using written SOAP notes under supervision from my clinical professor I

believe this skill has been improved considerable throughout my clinical placement.

Satisfactory Satisfactory
2. 3 Report relevant information to the appropriate personnel.
S.M.P. : When caring for my client if any situation arises I relate this information to my professor. An example of this is a client has medication order

for 2 drugs ( eye drops) at different times, she has been self-administering these meds wrong by using the one for 1000 at 1200 and the one for 1200

at 1000. After finding this I seek assistance from my clinical professor. The matter was then brought to the nurse's attention.

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

S.M.P. : I believe that using communication techniques with the client and the inter-professional health care team is one of my strengths. When

communicating with my clients I get down to there level, use language they understand, use therapeutic touch and in a case with a client that had a

language barrier I used sign hoping she would understand, I also used one of my peer who spoke Cantonese to translate.

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

(PHIPA).

S.M.P. : I ensure my client's privacy and confidentiality in the following ways I do not release any information about my client's health conditions, I

don't discuss details about my client's health with anyone who is not providing care for my client, etc.

Satisfactory Satisfactory
2. 6 Use technology to retrieve and share information including research, evidence based data, and

other health information.

S.M.P. : In my clinical placement, I use technology to access information including research, evidence-based data, and other health information an

example of this is I use my e-textbooks to provide me with information about the medications I am not knowledgeable about before I administer

medications. I also completed online e-modules for my facility, I access blackboard and I complete my knowledge for you evaluations and these all

include using technology.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION: Communicate using strategies and technology to affect accurate and
timely documentation, reporting, and information sharing. :

Stacy acted as a valuable member of the group and came to clinical prepared. She was respectful to clients,health team,peers and clinical
instructor. Participated in team sharing and post conference discussions. Documents accurately according to format used at clinical site.

3. CARING RELATIONAL PRACTICE: Establish and evaluate relationships that are caring, compassionate, and respectful of clients and others.

Satisfactory Satisfactory
3. 1 Use effective communication techniques.

S.M.P. : As mentioned above I believe that using communication techniques with the client and the inter-professional health care team is one of my

strengths. When communicating with my clients I get down to there level, use language they understand, use therapeutic touch and in a case with a

client that had a language barrier I used sign hoping she would understand, I also used one of my peer who spoke Cantonese to translate.

"Being competent in a variety of communication techniques supports the nurses' ability to develop and maintain therapeutic relationships. Effective

communication promotes collaboration and interdisciplinary teamwork, helps ensure that ethical and legal responsibilities and professional practice

standards are met, and contributes to positive patient outcomes" (Potter & Perry, 2014 ).

Satisfactory Satisfactory
3. 2 Establish and evaluate therapeutic caring, compassionate, and culturally safe relationships with

clients and health care team members.

S.M.P. : By using effective communication skills, being accountable and caring for my client safely and competently I believe I have established

therapeutic relationships with clients and health care team members.

Satisfactory Satisfactory
3. 3 Demonstrate therapeutic use of self to foster client well-being.
S.M.P. : This skill is accomplished when I advocate for my client and by being empathetic towards my clients.

An example of this can be seen as I attended an in-service on how to assist clients with amputee and mobility issue safely by using their assistive

device. By learning how to do transfers safely and using devices such as the sliding board I can now care for my client safely and foster their well-

being.

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

relational practice.

S.M.P. : I believe this skill has improved considerably as I continue to practice, however, I believe this skill requires further development.

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

appropriately.

S.M.P. : I collaborate with clients and members of the inter-professional health care team to provide the best care that I can to my clients this can be

seen as communicating with my client's physiotherapist to schedule his therapy, reporting if any situation arises such as abnormal vital signs with the

charge nurse and collaborating with the occupational therapist to educate my self on how to transfer patients safely.

Satisfactory Satisfactory
3. 6 Support the diversity of clients and the inter-professional health care team.

S.M.P. : Promoting clients choice and autonomy is important. I support my client and the inter-professional health care team diversity by not criticizing

or judging anyone for their diversity.

Satisfactory Satisfactory
3. 7 Display sensitivity and respect for clients’ cultural, religious, and other beliefs and values

influencing their choices and decisions.

S.M.P. : The client has the right to his choice and autonomy. An example that speaks about this skill is because of cultural beliefs my client wanted to

be showered one hour after breakfast instead of performing this task to better suit my schedule I used the opportunity to assist my colleagues with

their clients and then attended to my client giving her the time she needed,

Satisfactory Satisfactory
3. 8 Provide client education and evaluate effectiveness.

S.M.P. : I am mindful that teaching a client to administer their medication correctly, providing information about a new diagnosis, etc are all ways of

providing client education, however, the opportunity to provide client education and evaluate its effectiveness has been limited throughout my

placement.

Teacher comments for CARING RELATIONAL PRACTICE: Establish and evaluate relationships that are caring, compassionate, and respectful of
clients and others. :

Maintains a caring therapeutic compassionate relationship with her patients. Communicates and collaborates with the multidisciplinary
team,peers and clinical instructor to provide safe and effective care.

4. LEADERSHIP AND ADVOCACY: Use leadership skills to promote quality practice.

Satisfactory Satisfactory
4. 1 Apply appropriate conflict resolution skills in therapeutic client and other interactions.

S.M.P. : I was not presented with a conflict during my clinical placement. I believe if faced with a conflict it must be confronted so as to create a

resolution so if I was presented with a conflict I would voice my concern to my professor and the person in charge of the unit, by doing this I would be

going through the line of command.

 Satisfactory Satisfactory
4. 2 Evaluate and refine leadership skills to develop solutions and create a positive work

environment.

S.M.P. : An example of me possessing this skill is my peer had an incident at clinical that left her traumatized the following week of clinical she was

still shaken up so to alleviate the stress and to create a positive environment I worked together with her throughout the day and supported her.

Satisfactory Satisfactory
4. 3 Provide feedback to peers and accept feedback from peers and members of the inter-

professional health care team.

S.M.P. : I Provide feedback to peers and accept feedback from peers. Feedback provided to me from my peers and professor is incorporated in my

further practice. I provide feedback to my peers in the form of the peer feedback evaluation.

Satisfactory Satisfactory
4. 4 Advocate for clients, self, others, and quality practice environment.

S.M.P. : An example of me advocating for my client is my client states she hates eating the same food over and over and this had been going on for

the past 5 days so I suggested to the nurse in charge of her care that the dietitian should have a meeting with the client in order to plan meals that are

both healthy and her includes a variety.

Another example of me advocating for my clients when pain is reported based on severity I will suggest to the charge nurse that if the client has a prn

order I think it should be administered.

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

S.M.P. : When caring for my clients I consider their choice this can be seen demonstrated by asking if they want their shower a particular time, or with

a lotion they prefer or even asking what they prefer me calling them.

An example of me supporting my clients’ rights for self-determination and choice is client states she hates eating the same food more than one so I

suggested to the nurse in charge of her care that the dietitian should have a meeting with the client in order to plan meals that are both healthy and

her includes her preference.

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

S.M.P. : If presented with unsafe, unacceptable, and unprofessional behaviors as stated above I would voice my concern to my professor and the

person in charge of the unit, by doing this I would be going through the line of command. By confronting the conflict a resolution can be met.

Satisfactory Satisfactory
4. 7 Collaborate and consult when implementing health care and nursing practices that are in the

best interests of the public and protect the public through collaboration and consultation.

S.M.P. : This was demonstrated by ensuring I received all necessary immunization before going into placement. This protected both myself and my

clients hence, the public from risk for a breakout.

Satisfactory Satisfactory
4. 8 Contribute to the creation of quality practice solutions and strategies.

S.M.P. : I believe by providing patient center care I am contributing to the creation of quality practice solutions and strategies. Some examples of how

I provide patient center care are being responsible, being accountable in my practice, building a therapeutic relationship with my clients, using

therapeutic communication with both my clients and interprofessional health care team, etc.

Teacher comments for LEADERSHIP AND ADVOCACY: Use leadership skills to promote quality practice. :

Shows initiative in seeking learning experience. Advocate on patients behalf for continuity of safe care. Provided feedback and received
constructive feedback from colleagues ,peers and instructor to improve clinical performance
5. PLANS OF CARE: MEET CLIENTS’ NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES: Develop, evaluate, and modify mutually
agreed upon plans of care that maintain, promote, and restore health, prevent illness, support rehabilitation, and provide palliation.

Satisfactory Satisfactory
5. 1 Incorporate the clients’ unique needs and expected outcomes into holistic and client-centred

plans of

care.

S.M.P. : This skill was achieved when I created concept maps for my clients. The client's unique needs were taken into consideration to plan and

implement interventions that would provide the best care possible for my client.

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

competently in writing and orally.

S.M.P. : To develop theory base plan of care for my clients I have to ensure I have completed my research pertaining to my client's illness, effective

treatment, and interventions that will provide the best care to my client.

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

S.M.P. : By creating concept maps for my clients I can plan and prioritize care that my client needs. This skill also is demonstrated when providing

care to my client I would have to use the knowledge thought in theory, lab, pharmacology, and research done to provide proper care to my client I

believe this skill has improved considerably, however, I believe this skill requires further development.

Satisfactory Satisfactory
5. 4 Collaborate in the evaluation and modification of plans of care.

S.M.P. : This skill is achieved when providing care for clients if their conditions change then the plan of care can change, the priority and I believe this

skill has improved considerably, however, I believe this skill requires further development.

Satisfactory Satisfactory
5. 5 Safely and competently implement and evaluate nursing assessments and nursing interventions

in a manner that demonstrates knowledge and skill.

S.M.P. : An example of how this skill is demonstrated in my practice is when assigned to a client with risk for falls I ensure I assess my client before I

start the transfer example are they experiencing orthostatic hypotension, if they have proper footwear on, if client is oriented and then I ensure that all

intervention is implemented example all wheels on wheelchair has the break on, bed in lowest position, etc

(Potter & Perry, 2014 )

Satisfactory Satisfactory
5. 6 Use the Three-Factor and practice decision-making frameworks to guide practice.

S.M.P. : As mentioned above I am knowledgeable of the interrelation practice between the client, the nurse, and the environment. I know that the

complexity, the Predictability, and the Risk of negative outcomes of the client determines whether an RN or an RPN cares for that client. I am mindful

that the more complex the client situation is and the more dynamic the environment should be.

(College of Nurses in Ontario, 2014 )

Satisfactory Satisfactory
5. 7 Prioritize nursing care and nursing interventions in order to manage workload, time, and physical

resources.

S.M.P. : By creating concept maps for my clients I can plan and prioritize care that my client needs. I intend to plan the care I need to perform on my

client and prioritize the care needed to better manage my time.

Teacher comments for PLANS OF CARE: MEET CLIENTS’ NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES: Develop, evaluate, and
modify mutually agreed upon plans of care that maintain, promote, and restore health, prevent illness, support rehabilitation, and provide palliation. :

Stacy has demonstrated a basic understanding of nursing interventions to meet the needs of her clients. Continue to manage your time
and prioritize appropriately as well as reflect on your clinical skills and areas for improvement.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM: Work effectively as a member of the inter- professional health
care team to develop and carry out holistic plans of care recognizing age-specific changes.

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

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

S.M.P. : I collaborate with clients and colleagues to provide the best care that I can to my clients this can be seen when I communicate with my

client's physiotherapist to schedule his therapy. I also collaborate with the charge nurse if any situation arises such as abnormal vital signs or change

in his medical condition, I collaborate with the occupational therapist to educate myself in how to transfer my clients safely.

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.

S.M.P. : I collaborate with the healthcare team if there is any change in my client's condition or expected outcome. An example of this is when taken

vital signs if any of the reading is abnormal then this is reported and based on severity medication may be administered, this shows that the changes

in the client's needs are met.

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

S.M.P. : Whenever given a skill that I believe I need development on I ask my professor or my nurse to supervise my procedure and incorporate

feedback for my future practice. An example of this is asking for supervision when applying a dressing to a wound that is complex or when

administering insulin to a diabetic client.

Satisfactory Satisfactory
6. 4 Use teamwork, consensus building, and conflict resolution skills to meet expected client

outcomes.

S.M.P. : I believe that with teamwork my client can get the best care that is required, however, in my placement I have not had a conflict with any

team member. As mention above If presented with unsafe, unacceptable, and unprofessional behaviors I would voice my concern to my professor and

the person in charge of the unit, by doing this I would be going through the line of command. This will confront the conflict and a resolution can be

met.

Satisfactory Satisfactory
6. 5 Use effective, collaborative, and consultative strategies to meet client’s needs within a changing

environment.

S.M.P. : A few strategies that I use to meet my client's needs in a changing environment are time management skills and teamwork skills. By using

time management skills I can ensure all my client's needs are met in an appropriate amount of time so as to ensure adequate time if any unexpected

changes occur in the environment. Additionally, I use teamwork skills to collaborate and consult with the members of the healthcare team such as

physiotherapist and occupational therapist to provide the best care to my client.

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

S.M.P. : I know that everyone has their role to play from the PSW, to the nurses to the physiotherapist they work together to provide the best care to

the client. I respect all these roles because they are all important (College of Nurses in Ontario, 2014 ). Therefore, by working on the unit I have

interacted with everyone involved in my client's care meaning I came into contact with all the roles on the unit.
Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM: Work effectively as a member of the inter-
professional health care team to develop and carry out holistic plans of care recognizing age-specific changes. :

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

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE: Provide safe, competent care by using reflective practice and Quality
Assurance practices.

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.

S.M.P. : An example of how I demonstrated this skill is my client was under the impression that his PT class was at 1400, however, I notice that it

was for 0900 on the registration board I reported the information to my professor then to the charge nurse then I collaborated with the physiotherapist

who did not realize she had my client on this day. I acted in the best interest of my client to investigate this situation.

Satisfactory Satisfactory
7. 2 Engage in ongoing reflective practice to identify strengths, areas for improvement; and, integrate

feedback into practice.

S.M.P. : I integrate continuous feedback from my professor in clinical and through weekly knowledge for you assessment and feedback from my

peers through peer feedback.

An example of this is listening to my professor's feedback after performing wound care and incorporating it into my future practice and taking my peer

feedback into consideration and incorporating it into my practice.

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

(CNO).

S.M.P. : I create, implement, and evaluate a learning plan consistent with the Quality Assurance program (CNO) every semester. Some of the goals I

have identified for my learning plan are

1) To improve my Problem-Solving skill through continuous practice and exposure as a nurse.

2)To further develop my Time Management skill by taking advantage of the opportunity I have in my pre-grad placement to work on this skill.

3) To develop my Leadership and advocacy skills through continuous practice.

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

integrate these into practice.

S.M.P. : I take full advantage of my placement by seeking out learning opportunities and feedback that foster professional development an example

of this is providing wound care or any other procedure to a client even if they were not assigned to me just to improve my practice. Another example is

asking my charge nurse if i can administer medication to a client with insulin or injections to better my practice.

Satisfactory Satisfactory
7. 5 Use nursing research to foster professional development and implement nursing care plans.

S.M.P. : I use research to create nursing care plans for my client. This is seen when I completed my concept maps it is also seen when i complete

research for my medication before administration.

Satisfactory Satisfactory
7. 6 Use a theory-based approach and evidence-informed practice.
S.M.P. : "Evidence-based practice (EBP) is the conscientious and judicious use of current best evidence in conjunction with clinical expertise and

patient values to guide health care decisions. Best evidence includes empirical evidence from randomized controlled trials; evidence from other

scientific methods such as descriptive and qualitative research; as well as use of information from case reports, scientific principles, and expert

opinion" (Titler., 2008 ).

My practice is based on theory learned in class and lab and is evidence-informed because I use my textbooks and conduct research on topics I am

not knowledgeable about. An example of this is I research medications I am not knowledgeable about before administering it.

Satisfactory Satisfactory
7. 7 Apply knowledge of changes to the health care system, technology, and in society as these

affect nursing practice.

S.M.P. : I try to keep myself updated with the changes of the health care system in society as it affects nursing. I know that the best way to be notified

of any changes as it relates to the nursing practice is by using the CNO and RNAO Best Practice Guidelines.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE: Provide safe, competent care by using reflective
practice and Quality Assurance practices. :

Stacy has demonstrated what it means to be prepared for clinical, perform continued self reflection,identifying her strengths and weak
areas and incorporating strategies to improve. Continue to seek out learning opportunities to enhance your clinical practice/professional
development.

8. CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING: Use critical thinking, problem solving, and decision making skills to meet the
health care needs and expected outcomes of clients.

Satisfactory Satisfactory
8. 1 Use critical thinking and problem-solving skills to inform decision-making in all aspects of nursing

care.

S.M.P. : I believe this skill has improved considerably as continue to practice, however, I believe this skill requires further development. This skill is

used throughout the nursing process to provide the best care to the client.

Satisfactory Satisfactory
8. 2 Use critical thinking, problem-solving and decision-making skills to assess clients and to

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

S.M.P. : I believe this skill has improved considerably, however, I believe this skill requires further development. An example of this is presented

when I prepare my concept maps.

Satisfactory Satisfactory
8. 3 Evaluate critical thinking, problem-solving, and decision-making skills and design a plan to

improve

these.

S.M.P. : Through careful evaluation of my critical thinking and realize it requires developing a plan to improve this is I plan on utilizing my pre-grad

clinical placement to gain the competence, knowledge, skills, and practice to make me a better nurse.

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

provide safe and competent care.

S.M.P. : This skill have been practiced throughout my clinical practice an example of this is I research medications before administering them to my

clients this provides me with a greater knowledge of what I should be checking and side effects so as to ass my clients for medication toxicity. The

information I received, in theory, has better-equipped me to assess for hypoglycemia this has help me to administer insulin with a better knowledge of

how to assess an insulin overdose.

 Satisfactory Satisfactory
8. 5 Prioritize effectively.

S.M.P. : "Nurses would prioritize the issues raised during assessment in relation to the nursing diagnoses, identify which issues could be supported

or assisted by nursing intervention, and create a plan of care" (Potter & Perry, 2014 ). One method that facilitates in prioritizing patient care is

preparing concept maps.

Satisfactory Satisfactory
8. 6 Demonstrate professionalism and accountability.

S.M.P. : I believe I demonstrate professionalism in my practice by showing up on the unit on time in uniform and equipped with all required

equipment, and I treat my colleagues in a respectable manner. I am accountable in my practice by being responsible when performing any procedure,

ensure I am educated about medications before administering them so I am aware of possible side effects by reporting if any conditions arise and by

reporting if I believe I am incompetent to perform a task.

Satisfactory Satisfactory
8. 7 Use the practice decision-making and the nurse-client-environment frameworks to inform and

guide practice.

S.M.P. : I believe this skill requires more development. I am informed of the nurse-client-environment frameworks and how it affects a nurses

practice, however, I believe with practice my decision-making skills will be improved

Teacher comments for CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING: Use critical thinking, problem solving, and decision
making skills to meet the health care needs and expected outcomes of clients. :

Stacy is able to apply theory to practice, however is encouraged to continue to enhance her skills in this area. She has improved in her
ability to self-assess and reflect on her learning.

Student Final Summary with Strategies for Continued Growth

I plan on utilizing my pre-grad clinical placement to gain the competence, knowledge, skills, and practice to make me a better nurse. The new setting
will expand my practice and also give me the opportunity to develop the skills that require improvement.

Teacher Final Summary with Strategies for Continued Growth

Stacy has demonstrated satisfactory performance for this clinical placement. She is a good team player,adapted well to the clinical setting and has
submitted her assignments as per clinical schedule. She has actively pursued learning experience when in the clinical setting and has received
positive reviews from nursing staff. Follows instructions well and adheres to relevant guidelines. As she continues within the program she is
encouraged to seek out learning opportunities to enhance her nursing skills

Student's References

Association of Rheumatology Health Professionals. (2002). Registered Nurses. Retrieved from

http://www.ipe.uwo.ca/Professionals/nPosters/Nursing.pdf

College of Nurses in Ontario. (2014 ). RN and RPN Practice: The Client, the Nurses and the Environment. Retrieved from CNO Practice Guidelines:
http://www.cno.org/globalassets/docs/prac/41062.pdf

Potter, P. A., & Perry, A. G. (2014 ). Canadian Fundamentals of Nursing (5th ed.). Toranto: Evolve Elsevier.

College of Nurses of Ontario. (2017). Working in Different Roles. Retrieved from College of Nurses of Ontario Practice Guidelines:
https://www.cno.org/globalassets/docs/prac/45027_fsdiffroles.pdf

Titler., M. G. (2008, April). Chapter 7: The Evidence for Evidence-Based Practice Implementation. Patient Safety and Quality: An Evidence-Based
Handbook for Nurses.
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