Student Name: Clinical Instructor: Clinical Site &Term: College of DuPage Associate Degree Nursing Program Clinical Evaluation Tool: Nursing 2340 Clinical Decision Making Practicum Student Learning Outcome 1. SAFETY: Provide safe and holistic nursing care, grounded in science and the nursing process, to a culturally diverse society. Nursing 2340: Evaluate the effectiveness of nursing within the standards essential to providing safe and holistic nursing care. Synthesizes appropriate patient data for safe administration of medication to multiple patients. Evaluates the coordination of care for multiple patients. Evaluates the effectiveness of interventions related to prevention strategies (ie., fall, skin, bleeding, infection, pain management) to revise patients' plan of care. 4 Excellent Consistently performs aspects of nursing care proficiently, accurately and safely. Actions reflect a strong base of theoretical knowledge. potential 3 Above Average Performs aspects of nursing care proficiently and safely with few supportive cues needed for accuracy, with increasing self-confidence. Applies sound theoretical knowledge with occasional prompting. (meets competency) Time management and organizational skills are adequate to complete basic patient care.. difficulty in application to client care. Unable to identify actual significant client
Student Learning Outcome 2. PATIENT-CENTERED CARE: Apply nursing judgment to ensure the delivery of patient-centered care and promotion of health for patients within family and community context. Nursing 2340: Manage patient care to ensure the delivery of patient-centered care and the promotion of health within the context of family. Evaluates evidence-based nursing care for multiple patients. Designs individualized patient care based on multidimensional findings including patient preferences and values in the care of multiple patients. Supports patient-centered care for multiple patients and/or families. 4 Excellent Consistently performs aspects of nursing care including pain assessment proficiently, accurately and safely. Actions reflect a strong base of theoretical knowledge. potential Uses instructor/staff guidance appropriately and with growing independence 3 Above Average Performs aspects of nursing care including pain assessment proficiently and safely with few supportive cues needed for accuracy, with increasing selfconfidence. Applies sound theoretical knowledge with occasional prompting. Uses instructor/staff guidance appropriately for level in the program. (meets competency) Performs nursing care safely with minimal supportive cues needed for pain assessment accuracy. Time management and organizational skills are adequate to complete basic patient care.. Requires minimal (level appropriate) supportive or directional prompting from instructor/staff. 1 Below Average Requires frequent supportive cues to perform pain assessment, nursing care safely and accurately. difficulty in application to client care. Requires continuous supportive and directive prompting to complete an activity. Inefficient time management. Unable to identify actual significant client
Student Learning Outcome 3. COLLABORATION AND TEAMWORK: Collaborate effectively within nursing and interdisciplinary healthcare teams to foster open communication, respect and shared decision-making. Nursing 2340: Collaborate effectively with the health care team in communication and shared decision-making. Examines strategies for improving systems to support team function including patients and all health care team members. Participates in designing systems that support effective teamwork. Values the influence of system solutions in achieving effective team function. 4 Excellent Consistently performs aspects of nursing care proficiently, accurately and safely. Actions reflect a strong base of theoretical knowledge use of therapeutic communication. potential problems reported in the SBAR. 3 Above Average Performs aspects of nursing care proficiently and safely with few supportive cues needed for accuracy, with increasing self-confidence. Applies sound theoretical knowledge with occasional prompting to use therapeutic communication. problems reported in the SBAR. (meets competency) Time management and organizational skills are adequate to complete basic patient care. of use of therapeutic communication. assistance identifying subtle indications of problems when utilizing the SBAR. difficulty in application use of therapeutic communication to client care. Unable to identify actual significant client Unable to use the SBAR format when giving report. Unable to use therapeutic communication.
Student Learning Outcome 4. EVIDENCE-BASED PRACTICE AND QUALITY IMPROVEMENT: Incorporate a spirit of inquiry to make evidence-based clinical judgments and management decisions for quality improvement. Nursing 2340: Incorporate the principles of evidenced-based practice in the management of care to ensure quality improvement. Evaluates the evidence to ensure best practice in the delivery of quality patient care. Performs a needs assessment for the clinical setting based on evidence and best practices. Develops a quality improvement project with appropriate references to present to the clinical setting. 4 Excellent Consistently performs aspects of nursing care proficiently, accurately and safely. Actions reflect a strong base of theoretical knowledge of the evidenced based interventions and seeks out opportunities to apply didactic material. potential 3 Above Average Performs aspects of nursing care proficiently and safely with few supportive cues needed for accuracy, with increasing self-confidence. Applies sound theoretical knowledge with occasional prompting to use evidenced based interventions. (meets competency) Time management and organizational skills are adequate to complete basic patient care. of evidenced based interventions. difficulty in application of evidenced based interventions. Unable to identify actual significant client problems or use evidenced based interventions.
Student Learning Outcome 5. INFORMATICS: Integrate information and technology to communicate, manage knowledge and support decision-making in the practice of nursing care. Nursing 2340: Assimilate the use of technology and informatics in the delivery of nursing care. Evaluates the effectiveness of data provided in the EMR at assigned clinical agency Synthesizes patient data at clinical agency into plan of care for patients and families Analyzes the impact of informatics and technology on the role of the professional nurse 4 Excellent Consistently performs aspects of nursing care proficiently, accurately and safely Is able to describe and search and use components of the electronic medical record and use informatics to guide nursing Actions reflect a strong base of theoretical knowledge of the evidenced based potential 3 Above Average Performs all aspects of nursing care proficiently and safely with few supportive cues needed for accuracy, with increasing self-confidence. Is able to search the electronic medical record to gather data using informatics Applies sound theoretical knowledge with occasional prompting to use evidenced based (meets competency) Is able to search for data using informatics with minimal assistance of evidenced based Inefficient when searching for data using informatics. difficulty in application of evidenced based Unable to search for data using informatics. Unable to identify actual significant client problems or use evidenced based
Student Learning Outcome 6. PROFESSIONALISM: Assume accountability for practice in accordance with professional, legal and ethical standards. Nursing 2340: Incorporates professional, legal, and ethical standards in the delivery of patient care Uses professional and legal standards when caring for patients. Integrates professional, legal and ethical standards in the delivery of patient care 4 Excellent Consistently performs aspects of nursing care proficiently, accurately and safely utilizing legal and professional standards. Is able to describe and search and use components of the electronic medical record and use informatics to guide nursing Actions reflect a strong base of theoretical knowledge of the evidenced based potential 3 Above Average Performs all aspects of nursing care proficiently and safely with few supportive cues needed for accuracy, with increasing self-confidence by utilizing legal and professional standards Is able to search the electronic medical record to gather data using informatics Applies sound theoretical knowledge with occasional prompting to use evidenced based (meets competency) Performs nursing care safely with minimal supportive cues needed for accuracy in the utilizing legal and professional standards. Is able to search for data using informatics with minimal assistance of evidenced based 1 Below Average Requires frequent supportive cues to perform nursing care safely and accurately when using legal and professional standards. Inefficient when searching for data using informatics. difficulty in application of evidenced based Is unable to identify legal and professional standards of care. Unable to search for data using informatics. Unable to identify actual significant client problems or use evidenced based
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