Clinical Evaluation Criteria Clinical Nursing II NUR 1242L Student Name Semester Year Clinical Instructor(s) Rate the student on a 1-4 scale for each of the following items. 1 - Inadequate. does not meet expected standards 2 - Fair. meets expected standards inconsistently 3 - Competent......meets expected standards consistently 4 - Exemplary...meets & exceeds expected standards consistently Students receive a mid-term formative and final summative evaluation score. An overall final summative evaluation of competent (3) in ALL criteria is necessary for advancement in the nursing program. Criteria identified with an ** are critical safety issues and student must achieve at least a score of 3 in those criteria to progress in the program. Course Outcome 1 Perform nursing assessments and deliver safe, appropriate, and competent care for assigned clients in the acute care and community setting. Program Outcome 2 Coordinate and collaborate with the interdisciplinary healthcare team to assess patients and provide and direct nursing care that promotes optimal wellness of clients throughout the lifespan. Program Outcome 3 Demonstrate competent and safe implementation of clinical nursing skills in meeting clients psychosocial and physiological needs. 1.1 Gathers accurate objective and subjective assessment data. 1.2 ** Seeks and informs instructor of abnormal findings. 1.3 Develops an individualized plan of care for each client's unique response to alterations in health. 1.4 ** Implements a plan of care within the parameters of knowledge and experience. 1.5 Evaluates client's response to plan of care. 1.6 ** Recognizes safe and unsafe patient care conditions and reports safety hazards. 1.7 ** Demonstrates safe use of medical equipment and supplies. 1.8 ** Demonstrates the procedure for properly identifying patients. 1.9 ** Demonstrates knowledge of medical & surgical asepsis and procedures such as hand-washing and infection control techniques. 1.10 ** Implements appropriate Joint Commission Patient Safety Goals. NU: REV Sp 16 1
Course Outcome 2 Demonstrate clinical judgment, based on best practices, for making appropriate clinical decisions for 1 or 2 adult clients in the acute care setting. Program Outcome 5 Demonstrate effective clinical judgment and decision making utilizing critical thinking supported by scientific knowledge and evidence based practice. 2.1 Explores options before coming to conclusions. 2.2 Sets goals and priorities with instructors guidance to solve problems and prevent complications. 2.3 States appropriate nursing interventions with scientific rationales for each. 2.4 Determines priorities in giving nursing care. 2.5 Organizes patient care assignments utilizing time management skills with guidance from instructor. 2.6 Demonstrates knowledge of disease process of assigned patients. 2.7 Identifies patient's alterations in health status. 2.8 Develops a list of patient problems / nursing diagnoses by assessing client s response to actual and potential health problems. 2.9 Prioritizes patient needs/problems/care. 2.10 Individualizes patient care based on identified needs. 2.11 Determines patient care outcomes and evaluates care based on those goals. 2.12 Modify client care as indicated by the evaluation of outcomes. 2.13 Uses evidence-based information to support clinical decision making. Course Outcome 3 Implement a health promotion teaching plan for patient/family or appropriate community based group. Program Outcome 6 Implement client/family centered teaching plans that promote self-care and optimal health. 3.1 Identifies patient / family/community learning needs. 3.2 Constructs an individualized patient/family/community teaching plan. 3.3 Recognizes personal limitations for teaching. 3.4 Implements patient / family/community teaching plan. 3.5 Recognizes patient / family/community behaviors that indicate need for further teaching. NU: REV Sp 16 2
Course Outcome 4 Communicate with clients, families, and interdisciplinary team members to provide safe, effective client centered care. Program Outcome 1 Interact appropriately through verbal, nonverbal, and written communication with patients, families, and members of the health care team. 4.1 Documents client care utilizing appropriate medical terminology and computer skills (as applicable) following facility policies. 4.2 Uses therapeutic communication techniques. 4.3 Communicates relevant, accurate and complete information in a concise and clear manner. 4.4 Communicates plan of care to client. 4.5 Contributes meaningfully to pre- and post-conference. 4.6 Displays teamwork through willingness to assist staff and peers. 4.7 Interacts and communicates with multidisciplinary health care team members based on an understanding the team members roles and functions. 4.8 Communicates care and decision making appropriately in written assignments. Course Outcome 5 Provide compassionate culturally sensitive care for clients in acute and community settings. Program Outcome 4 Provide compassionate and culturally sensitive care to a diverse population that personifies the core values and ethics of the nursing profession. 5.1 Assess the developmental, emotional, cultural, religious, and spiritual influences on the client s health status. 5.2 Identifies cultural factors that influence client health practices. 5.3 Displays respect for client values, customs, spiritual beliefs, and choices. 5.4 Demonstrates caring behavior towards client/family/significant other. 5.5 Adapts care in consideration of client s values, customs, culture, and/or habits. NU: REV Sp 16 3
Course Outcome 6 Demonstrate professional behaviors when caring for adult clients in acute and community settings Program Outcome 4 Provide compassionate and culturally sensitive care to a diverse population that personifies the core values and ethics of the nursing profession. 6.1 Identifies and reports to instructor client advocacy issues including client rights. 6.2 Protects and promotes client privacy, confidentiality, and dignity. 6.3 Demonstrates professional standards as they apply to hygiene, dress, language, courtesy, and behaviors. 6.4 Maintain an appropriate professional boundary in the nurse-client relationship. 6.5 Adheres to program policies and guidelines of LSCC and clinical agencies. 6.6 Demonstrates a personal ethic of responsibility and accountability for care and respect for others. 6.7 Demonstrates initiative in seeking learning opportunities. NU: REV Sp 16 4
FORMATIVE EVALUATION Consistent Positive Behaviors: Recommendations for improvement: _ Student comments: _ Student Signature Date Instructor Signature Date Consistent Positive Behaviors: SUMMATIVE EVALUATION Recommendations for improvement: Student comments: Student Signature Date Instructor Signature Date NU: REV Sp 16 5