Clinical Evaluation Tool

NEW YORK CITY COLLEGE OF TECHNOLOGY

NUR 4010 COMMUNITY HEALTH NURSING

CLINICAL EVALUATION TOOL

STUDENT Jufen Long

INSTRUCTOR  Dorothy Hickey MA MPH RN        Midterm   {X }     Final   {   }

UNIT  Grand Street Settlement

DATE  10/31/12                                                          S {S  }       N {   }      U {   }

The behavioral objectives for this course serve as a guide for the student’s clinical progress.  The student must receive a satisfactory rating for each objective on the final evaluation in order to receive a passing grade for the clinical component and the course.  Failure in an objective will result in a failure for the course.

Performance in the designated areas will be assessed as follows:

S=Satisfactory

Clinical Performance is safe and adequately demonstrates application of the nursing process, communication, psychomotor skills and integration of theory.

N=Needs improvement

Clinical performance is basically safe, but performance is inconsistent and integration of theory and skills is not evidenced through use of the nursing process or through professional behaviors.  A written contract will be presented to the student at midterm, outlining specific criteria needed to obtain an “S” grade.  At semester’s end, the N will be converted to an “S” or a “U.”

U=Unsatisfactory

Clinical performance is unsafe or inadequate in the application of the nursing process, demonstration of communication and psychomotor skills and the integration of theory. The instructor will develop a written contract with the student, outlining the specific standards that must be met to obtain a satisfactory grade at the end of the semester.

Objective 1:    Demonstrates individual professionalism through personal behaviors and appearance.

EXPECTED BEHAVIORS	Midterm	Final
1. Maintains client confidentiality	S
2. Assumes responsibility for own learning	S
3. Prepares for clinical learning	S
4. Completes assignments within designated time frame	S
5. Seeks guidance appropriately	S
6. Participates actively in clinical conferences	S
7.Attends clinical punctually and in accordance with schoolpolicy	S
8. Dresses professionally	S

Comments: Jufen, who asks to be addressed as Amy, has gradually become more engaged in pre and post conferences. She is always punctual and presents herself professionally in a quiet manner.

Objective 2:    Employ analytical reasoning and critical thinking skills when providing care to individuals and families in the community setting.

EXPECTED BEHAVIORS	Midterm	Final
Uses client interview, nursing and medical records, staff nurses and other health professionals to collect client information	S
Assesses the impact of developmental, emotional, cultural, religious and spiritual influences on the client’s health status	N/A
Collects significant data relevant to client’s self-care needs	N/A
Completes a physical assessment of selected clients	N/A
Prioritizes care based on analysis of data	N/A
Applies priority-setting in planning nursing interventions	N/A
Implements safe, appropriate nursing interventions in a timely manner	S
Administers medications and treatments safely	N/A
Evaluates the outcomes of nursing care	N/A
Is reflective about practice. Modify client care as indicated by evaluation of client outcomes.	N/A
Utilizes principles of personal safety when working in thecommunity setting	S

Comments: Amy has identified two clients who she has interviewed and identified physical and social issues and concerns. Her education interventions support medications prescribed and include sensitive nursing care interventions.

Objective 3:    Effectively communicate with diverse groups and disciplines using a variety of strategies regarding the health needs of individuals and families in the community setting.

EXPECTED BEHAVIORS	Midterm	Final
Utilizes therapeutic communication skills with individuals  and families in the community setting	S
Utilizes appropriate channels of communication	S
Communicates clearly and effectively with instructor, peers and the health care team	S
Communicates significant data to instructor and the health care team	S
Adapts communication skills to the developmental needs of the client	S
Reports and documents assessments and nursing interventions accurately	N/A

Comments: Amy is an active listener who has built trusting relationships encouraging clients who have shared their emotional concerns.

 Objective 4:  Establish environment conducive to learning and use a plan for learners based on evidence-based practice.

EXPECTED BEHAVIORS	Midterm	Final
1.  Develops and implements a teaching plan for an adultand/or family in the community setting	N/A
2.  Establish environment conducive to learning	N/A
3.  Evaluates client/family learning outcomes	N/A

Comments: Amy will give her education presentation on 10/31 with a group of two peers. An evaluation will be on the final.

 Objective 5:  Utilize informational technology when managing individual and families in the community.

EXPECTED BEHAVIORS	Midterm	Final
1.  Utilize principles of nursing informatics in the clinical area	N/A
2.  Maintain strict confidentiality with client records	N/A

Objective 6.  Demonstrate .a commitment to professional development

EXPECTED BEHAVIORS	Midterm	Final
1.  Uses appropriate current literature in planning care for clientsin the community setting	S
2.  Assumes responsibility for lifelong learning	S
3. Engages in self-evaluation	S
4. Is committed to adjusting to the challenges of independentpractice in community health nursing	S

Comments: Amy has assumed a leadership position with peers as they prepare their education presentation. Current literature has been researched in preparing this.

Objective 7.  Incorporate professional nursing standards and accountability into practice

EXPECTED BEHAVIORS	Midterm	Final
1.  Utilizes American Nurses Association Standards in clinicalpractice	S
2.  Complies with agency standards of practice	N/A
3.  Is accountable for actions in the clinical area	S
4. Is aware of the assigned agency ‘s mission	S

Comments: Amy is aware of the agency’s mission and engages with those attending the blood pressure clinic.

 Objective 8. Collaborate with clients, significant support persons and members of the health care team

EXPECTED BEHAVIORS	Midterm	Final
1.  Collaborates effectively with health care team to addressclient problems	N/A
2.  Coordinates client-care based on client needs andtherapeutic interventions	N/A
3.  Identifies health care resources for client/families	S
4.  Guides clients/families to make appropriate lifestyle andtreatment choices	S
5.  Assist clients to make connections to other communityagencies	N/A

Comments: Amy has shared her interviews with her peers as a case seeking ideas for addressing her nursing intervention.

 Objective 9. Recognize the impact of economic, political, social and demographic forces that affect the delivery of health care services

EXPECTED BEHAVIORS	Midterm	Final
1.  Recognize gaps in care system	S
2. Begin to identify solutions to complex problems in the clinicalarea	S
3.  Acts as change agent in advocating to appropriate health care resources for client/families	S

 Comments: Amy has identified a problem with a client who had surgery years ago and now with lasting side effect. She has sought out the instructor sharing her evaluation and intervention for guidance.

 SUMMARY: Amy has used herself culturally and therapeutically working with two clients, one of Chinese and another Korean background. Over the weeks of the semester she has gave evidence of personal and professional growth.

ABSENCES_______0________                 LATENESSES____0_________

 INSTRUCTOR SIGNATURE:____________________________________   DATE:_____________________

STUDENT SIGNATURE:________________________________________  DATE:______________________