Student:

Practical Nursing Diploma Program

Mid-term/Final Clinical Evaluation Form
ANUPREET KAUR GILL

Course:

NURS 161

Section

Dates:
S: Satisfactory

Student Number:

to
U: Unsatisfactory

Summary of Areas of
Practice

Competent and safe practice

in a professional, legal and
ethical framework

Communication

Caring relational practice

Leadership and advocacy

Student Comments:
Summary of clinical
experience
s

Faculty Comments:
Summary of clinical
Experience
S:

I demonstrate safe, competent

practice in compliance with
regulatory frameworks and Humber
College Institute Technology and
Applied Learning policies in last 13
weeks. In my practicum, i maintained
the same practice and did the
assessment safe on my peer

Agreed. Student is safe when

practicing during practical.
She take a great initiative
when learning new skills.

S:

S:

In last weeks, I communicated with

my peers. Asked relevant questions. I
maintain privacy and confidentiality. I
shared and discussed with my peers
and moreover, change of partner also
enhance my communication level.
During my practical ,my
communication was very clear and it
was easily understandable by my
peer and teacher.

She asks relevant questions.

Student communicates well
with teacher and peer.

S:

S:

I applied knowledge of the

therapeutic nurse-client relationship. I
was respectful, helpful, polite and
honest with my peers. I always care
about them during my practice
classes and maintained good nurse
client relation during my practicum as
well.

Student is respectful at all

times and she communicates
well.

S
I asked relevant questions to my
peers and provided feedback. During
practice, I always co-operate with my
peers and in case of any help , I

S:
Collaborates well with others.
Student provides feedback to

always provide feedback . During my

practical ,I asked my peer relevant
question and always wait for my peer
feedback.

Plans of care: Meeting

Clients Needs and Mutually
Agreed Expected Outcomes

Collaborative Practice

Quality Assurance

peer.

S:

I applied knowledge of
nursing process to assess
plan and implement nursing
skills. I always do my
assessment in keeping my
nursing process knowledge
and moreover during my
practicum, i did my full
assessment in orderly
manner starting for
subjective data collection
and ending up with heath
teaching and charting.

Student is able to explain how

to prioritize her plan of care.
Student performed well.

S:

S:

I asked questions to my
peer during our practice
classes and in case when I
dont understand anything, I
always ask my teacher
question regarding that
matter which helped me a
lot during my whole course.
I always contribute during
my group discussions in
class. During my practicum,
i collaborate with my peer
and answer all his question
during his whole
assessment

Student does collaborate well

and is able to ask for help in a
timely manner.

S:

S:

In last weeks, I asked my

peers for feedback and was
prepared for class with
learning materials and
completed all the activities.
In any of my mistake, I
always improve it by next
week and always give self

Student does accept

constructive feedback about
her skills and care performed.
Student does change
performance based on
feedback.

reflection to my self.

Critical Thinking, Problem

Solving and Decision Making

S
I reviewed handout prior to
the class which helped me
understand more and had
basic idea how to perform
my assessment. During
my practicum, i used my
critical thinking and give my
theory based explanation to
my teacher when asked any
questions.

S:
Student is able to prioritize the
needs. She give theory based
explanations of questions
asked by using critical
thinking.

I have read and understand this form and its contents

Student Signature:
2013
Faculty Signature:

Anupreet Gill

Date: 2 December,

Date: