Self Assessment

2015 - 2015 - Final NURS - 208 Course Learning Outcomes (201509)

NUR 208 Practical Nursing Practice 4 (PN, 06-Sep-2015 - 31-Dec-2015)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Period :
Student hours :
Required Hours :
Validated hours :

Navjyoti Suri
Vertel Spence
Judy Martin
William Osler Health Centre/Brampton Civic Hospital
Agency
N4 PC
06-Sep-2015 To 31-Dec-2015
168
168
168

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

1. 1 Comply with regulatory standards, relevant legislation and the practice settings policies

Satisfactory

Satisfactory

and procedures.
N.S. : Yes, I comply with regulatory standards by wearing uniform, ID card visible and being 15 mins before time.

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

Satisfactory

Satisfactory

N.S. : Yes, I do act in responsible and ethical manner and am accountable for giving medication after doing three checks to my patients
and taking care of them with accountability.

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

Satisfactory

Satisfactory

care.
N.S. : Client centered care in the hospital setting following the policies and guidelines are provided by the student nurse in holistic and
therapeutic manner considering the needs of client and his well being as priority.

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

Satisfactory

Satisfactory

N.S. : Learnt a lot by experience and learned by reading text books to enhance my knowledge. I do my readings from different sources
and use my clinical experience for proving care for my clients

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

Satisfactory

Satisfactory

and a safe environment.

N.S. : Yes i followed the hospital policies , week 12 my patient assigned had a great risk of fall and patient wanted to be in washroom
alone, so I provided him with proper assistive devices and asked family member to be with him, charge nurse was informed.

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

Satisfactory

Satisfactory

N.S. : Always ask our instructor and peers if i have any doubts.

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

Satisfactory

Satisfactory

unsafe,
unacceptable and/or unprofessional behavior.
N.S. : Yes, i behave professionally with regard to patients safety for eg by lowering the bed of clients, side rails up. I took my instructor,s
help to take off the gown of drowsy patient with IV in situ because i didn't want to do any thing which may harm my client in any way. As
mentioned took help of family members to take care of patient at risk of fall, bed side mats were arranged for his safety and patient was
reinforced for calling before getting up from bed in week 12.

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

Satisfactory

Satisfactory

N.S. : Yes, I understand the role of nurse in health care and am accountable for my actions related to client care. I understand the
importance of timely actions e.g doing blood sugar at time, giving insulin and other meds at time, know the importance of PRN medications
and providing safety to my client and his well being is my priority .

Teacher comments for COMPETENT AND SAFE PRACTICE WITHIN A PROFESSIONAL, LEGAL, AND ETHICAL FRAMEWORK :
Navjyoti maintained attendance over the course of the 14 weeks of clinical and was always punctual. She arrived on time and was always
dressed in full uniform with her name badge visible to identify herself as a student. She demonstrated the ability to maintain competence
by utilizing her knowledge to provide safe competent and compassionate care. As well, she consistently demonstrated responsibility for
her actions by ensuring that she sought assistance when necessary. She maintained confidentiality by ensuring that her personal values
did not conflict with her practice. In addition, she demonstrated regard for commitments for self, peers and patients.

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in team sharing and discussions.

Satisfactory

Satisfactory

N.S. : Yes i love sharing my experiences and want my peers to share their experiences because i believe it is always helpful to know about
different people, different cultures, and expectations of patient and family members.

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

Satisfactory

Satisfactory

methods.
N.S. : I learnt documentation, i am able to do my documentation timely, i do enter vital signs immediately after i am done, and after doing
doing assessments if i am free i do documentation as early as possible. I do enter PRN medication FDA note after giving medication and
after 30 min again assessments i am able to enter response and evaluations as i did in my patient for week 9 after giving Hydromorphone
2mg PRN.

2. 3 Report relevant information to the appropriate personnel.

Satisfactory

Satisfactory

N.S. : yes, i do report to my instructor and nurse regularly. If their is a need of PRN medication i report to my instructor about the need,
also in week two my patient was not swallowing meds and i reported nurse and my instructor about it so that antibiotics can be given in
another form than orally by informing to physician. Physician was informed by the nurse and i documented it.If my patient refused to take
laxative medications , i informed my charge nurse and my instructor too in week 8.

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

Satisfactory

Satisfactory

N.S. : Yes, I use communication techniques with the client and inter-professional health care team. Sometimes there is a need of using my
first language punjabi to make thing more clear to clients and family members if their first language is punjabi too. I helped the Spiritual
helper in translating to punjabi patient on my floor, and also to a Social worker when a patient needed me to convey her full message to
social worker in English.Feel very good by helping anyone with language barriers.

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

Satisfactory

Satisfactory

Protection Act (PHIPA).

N.S. : yes, I take care of privacy of patients and pull the curtains before providing personnel care and confidentially is maintained by not
disclosing any information related to patients

2. 6 Use technology to retrieve and share information including research, data and other

Satisfactory

Satisfactory

information.
N.S. : Yes i do use technology to retrieve and share information including research, data and other information by use of computers in
hospitals, med tech and online drug book. I do online evolve modules timely and enhance and test my knowledge using quizlet for various
subjects online.

Teacher comments for ACCURATE AND RELEVANT COMMUNICATION :

Over the course of the semester, Navjyoti learnt to communicate effectively with her patients and with the inter-professional team. For
example, she ensured that she received a report of her patient's status every morning and learnt to explain to the patients the care she was
about to provide prior to initiating the actual care. Initially, she struggled with documentation but by week 8 she was documenting
accurately and concisely and in a timely manner. In addition, she developed the habit of maintaining eye contact with her patients during
conversations. Good job!

3. CARING RELATIONAL PRACTICE

3. 1 Use effective communication techniques.

Satisfactory

Satisfactory

N.S. : Yes, I use communication techniques with the client and inter-professional health care team. Sometimes there is a need of using my
first language punjabi to make thing more clear to clients and family members if their first language is punjabi too.

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

Satisfactory

Satisfactory

and health care team members.

N.S. : Yes, i establish therapeutic caring, compassionate, and culturally safe relationships with clients and health care team members by
understanding their needs and respecting their cultural values and considering their well being as my priority. One of my patient in her
terminal stage wanted to use her some spiritual things to help her to relieve pain and i helped her to use them by taking them out from her
bag and providing privacy by pulling curtains.

3. 3 Demonstrate therapeutic use of self to foster client well-being.

Satisfactory

Satisfactory

N.S. : I use therapeutic use of self by bringing myself to level of client, making eye contact, speaking in soft humble voice and letting them
express themselves.

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

Satisfactory

Satisfactory

N.S. : I know the importance of values and beliefs. All clients have their our cultural values which need to be considered as a comfort
measure for the client.

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

Satisfactory

Satisfactory

consult appropriately.
N.S. : I collaborate with clients and let them know that I will be taking care of them and their due timings for medication and personnel
care. I collaborate with my primary nurse about the condition of client timely and if i have any doubts i ask my instructor for help.I was
unable to start IV line of my patient because it was my first time in week six and i collaborated with my classmate and my instructor to
teach me. I need to improve by watching videos and doing more and more practice of IV medications.

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

Satisfactory

Satisfactory

N.S. : Yes i support the diversity by respecting their believes and values. Week three my patient called their GURU to do prayers for him
and i allowed them to sit and do their spiritual prayers.Also week 2 my partner's client wanted a female nurse for care instead of male
nurse, so i respected their choice and cared for the client.

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

Satisfactory

Satisfactory

influencing their choices and decisions.

N.S. : Yes I provide respect for clients cultural, religious, and other beliefs and values influencing their choices and decisions.One of my
patient in her terminal stage wanted to use her some spiritual things to help her to relieve pain and i helped her to use them by taking them
out from her bag and providing privacy by pulling curtains.One of patient's was chanting her prayer with beads in her hands and wanted to
eat after her prayer was done. So i waited for prayer to be done and then i helped her to take her breakfast.

3. 8 Provide effective client education.

Satisfactory

Satisfactory

N.S. : Week five my client was getting discharged and doctor's order said that same IV medication will continue at home and community
nurse will be calling them and doing their meds at home. Patient was unable to understand because of english not being their first
language and they misunderstood that have to go to some community nurse. I clarified them the whole situation and educated them about
the visit of community nurse.

Teacher comments for CARING RELATIONAL PRACTICE :

Navjyoti demonstrated an appropriate relationship with her patients who welcomed the care she provided. She contracted with her teacher,
peers and inter-professional team when initiating patient care. Her behavior and attitude was appropriate in the clinical setting and in the
lab as well. She shared her knowledge with her peers, patients and back up nurse. For example, she was instrumental in assisting her
peers to program the IV pumps in the last few week of clinical. Good job!!

4. LEADERSHIP AND ADVOCACY

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

Satisfactory

Satisfactory

N.S. : There were not any moments when i had to resolve the conflict with client or our nurses but if there were i would have resolved them
in a therapeutic way.

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

Satisfactory

Satisfactory

N.S. : I always take initiatives for learning new things, i went to nurse practioner and requested her to give me some information for the
infection control system in hospital, and also i took her help for teaching me quick head to toe assessment technique, which was very
helpful. I discussed the cardiac drugs in post conference and always with collaboration with my peers always ready for discussing new
topics for learning purposes . I always ask for new opportunities to learn IV medication and catheterization.

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

Satisfactory

Satisfactory

professional health care team.

N.S. : I always provide feedback to peers , week four my partner was unable to answer few questions related to IV medications then i
showed him the resource to learn and also i accepted feedback from my instructor when i failed to start IV line because of doing it first time
and unable to see videos r/t to that skill. I took it positively and watched all videos r/t to skills used in hospitals

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

Satisfactory

Satisfactory

N.S. : I advocate for my clients. My patient was unable to swallow food and even was not accepting medications. family members were
forcefully feeding him and expecting a sooner discharge. I discussed the case with my primary nurse and my instructor so that patient can
be started with maintenance IV for medications and can be protected from getting malnourished because of inability to swallow. Primary
nurse called physician and discharge was postponed.

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

Satisfactory

Satisfactory

N.S. : Yes, i support clients rights for self-determination and choice by asking their needs and listening to them and understanding their
verbal and nonverbal signals and explaining whole process of my assessment to them.e.g if i take vital signs i always let them know their
findings to reduce the anxiety if patient is in condition to understand.While giving medication i tell them with colour difference the given
medication's purpose and how much it is given.

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

Satisfactory

Satisfactory

N.S. : Yes i respond to unsafe, unacceptable, and unprofessional behaviours. One of my client after head injury was so agitated and had
stroke. He was on chemical restraints and i lowered his bed to avoid any falls and removed any clutter around in the room to avoid any
injuries. My client in week 12 had a risk of fall and wanted to be in washroom alone, i involved family member for care and respected his
choice of being alone and in a professional way i reinforced my client for not getting up from the commode until i arrive after the bell.

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

Satisfactory

Satisfactory

the best interests of the public and protect the public through collaboration and consultation.
N.S. : Yes i collaborate with my instructor, my primary nurse and my peers and consult before implementing health care and nursing
practices that are in the best interests of the public and protect the public through collaboration and consultation.i also follow hospital
polices and guidelines for clients care.

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

Satisfactory

Satisfactory

N.S. : Need to learn for creating a quality practice solutions and strategies have not got any chance to do quality practice , only i could do
was by reading my books and asking our instructor.

Teacher comments for LEADERSHIP AND ADVOCACY :

Navjyoti demonstrated excellent leadership skills in the last few weeks of clinical. For instance, In week 11 she demonstrated the ability to
function as a facilitator helping and guiding her peers to check and administer medication. She was instrumental in encouraging her peers
to share their knowledge and expertise with each other and by working together as a team. She demonstrated an increased knowledge and
understanding of her role as a student and functioned accordingly. She advocated for effective patient care as well, by ensuring that she
provides the best possible care and by assisting her peers as much as possible with safe medication administration and decision making.
Well done!

5. PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES

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

Satisfactory

Satisfactory

centred plans of
care.
N.S. : Yes i incorporate the clients unique needs , when my client needed to be alone in washroom and expected outcomes into holistic
and client-centred plans of care by involving family member for care.

Satisfactory

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

Satisfactory

articulated competently in writing and orally.

N.S. : In week four made care plan for my client's care ,did my readings, understood my patient's history and diagnosis thoroughly and
developed theory based plan that was holistic and client centered , always read and understand the diagnosis and try to know why my
client was getting particular medication and why he requires those specific lab investigations.

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

Satisfactory

Satisfactory

N.S. : I use my knowledge , skill and judgement to assess client e.g if client is in pain i use pain scale to assess pain level , see the last
PRN medication used and understand the outcome after the use of that medication.

working on assignments provided will enhance my

skills. I prioritize my tasks according to need of client.

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

Satisfactory

Satisfactory

N.S. : With my peers and nurse i collaborate and if after the rounds the changes in MAR are there and new orders to follow i discuss with
my instructor and charge nurse.

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

Satisfactory

Satisfactory

interventions in a manner that demonstrates knowledge and skill.

N.S. : Yes i do my assessment and evaluations on all my clients and apply my knowledge what i got through readings and watching videos
and implement them safely and competently.I do my documentations and make the progress and FDAR notes on the incidences required.

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

Satisfactory

Satisfactory

N.S. : Client centered care in the hospital setting following the policies and guidelines are provided by the student nurse in holistic and
therapeutic manner considering the needs of client and his well being as priority.

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

Satisfactory

Satisfactory

physical
resources.
N.S. : In week 9 i was able to do interventions by writing everything on a sheet to do's , in order to manage time and prioritize my tasks
according to need of my patients.

Teacher comments for PLANS OF CARE: MEET CLIENTS NEEDS AND MUTUALLY AGREED EXPECTED OUTCOMES :
Navjyoti utilized her theoretical knowledge to prioritize care. Initially, she was very unorganized but by week 10 she was prioritizing and
organizing appropriately. She endeavored to collect the materials necessary to perform a particular skill a head of time to avoid going in
and out of the rooms to search for equipment. She prepared two concept mapping satisfactorily to include interventions necessary to
provide optimal health for her patients. Good Job

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

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

Satisfactory

Satisfactory

clients, determine health needs, and to achieve mutually agreed expected outcomes.
N.S. : Yes i collaborate with my instructor, my primary nurse and my peers and consult before implementing health care and nursing
practices that are in the best interests of the public and protect the public through collaboration and consultation
I also follow hospital polices and guidelines for clients care.Also collaborate with clients and assess their demands. One of my clients
refused to take assisted shower bath on week two and i notified nurse and charted .

6. 2 Contribute as a member of the inter-professional health care team to respond to the

Satisfactory

Satisfactory

changing needs and expected outcomes of clients.

N.S. : I always keep in my the clients choice and behave in a therapeutic manner to help him in the way my client wants and also follow the
policies of hospital.

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

Satisfactory

Satisfactory

N.S. : Yes i seek my instructors for my learnings and clarifying doubts, partner's for helping in giving care to patient ,and my nurse's
assistance for knowing the history of previous night and consult

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

Satisfactory

Satisfactory

outcomes.
N.S. : Collaborate with my partner and primary nurse and my instructor taking care of my client.For giving bath to my client which needs
two person assistance and cleaning them i collaborated with my partner and helped them whenever they need my help.

6. 5 Use effective, collaborative, and consultative strategies to meet clients needs within a

Satisfactory

Satisfactory

changing
environment.
N.S. : Yes i use effective, collaborative, and consultative strategies to meet clients needs within a changing environment. I let client feel
comfortable and give chance to express him , give medications after doing three checks and consult my instructor for any doubts.

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

Satisfactory

Satisfactory

competencies.
N.S. : I interact with nurse practitioner for guiding me regarding proficiency in assessment and my instructor for clarification if any doubts,
and to expertise my skills.

Teacher comments for COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM :

Navjyoti demonstrated this outcome by consulting and collaborating with the inter-professional team and with her instructor to provide
safe compassionate care. She interacted well with the team and with much respect. In addition, she made herself available to assist the
inter-professional team when necessary. She functioned very well in a team environment.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

7. 1 Act in the best interests of clients and protect clients from harm through collaboration

Satisfactory

Satisfactory

and consultation with members of the inter-professional health care team and through
competent and safe practice.
N.S. : Yes, i behave professionally with regard to patients safety for eg by standing besides them if risk of fall is there, lowering the bed of
clients, side rails up, putting bed side mats on. I took my instructor,s help to take off the gown of drowsy patient with IV in situ because i
didn't want to do any thing which may harm my client in any way.

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

Satisfactory

Satisfactory

integrate feedback into practice.

N.S. : Yes I do my self reflection, for eg week two I was going to give insulin to my patient when my nurse told me his blood sugar level
verbelly. But then my instructor made me realized that i should check blood sugar level written on MAR. Week 6 I found that I need to
improve my IV medication skills I am working to improving by seeing video and seeking for opportunity from my instructor.

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

Satisfactory

Satisfactory

program (CNO).
N.S. : I have created my time management plan, prioritizing work load and do my documentation timely and worked on in . It was helpful to
organize my things and to do's list was helpful . Worked on body mechanics and will keep on improving.

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

Satisfactory

Satisfactory

integrate these into practice.

N.S. : I am always looking for learning new skills, i requested my charge nurse to get a chance for catheterization for any patient on floor,
and always requested my instructor for practice for IV medication,

7. 5 Use nursing research to foster professional development.

Satisfactory

Satisfactory

N.S. : Do my research using text books, online websites from elsevier and do my evaluations timely.

7. 6 Use a theory-based approach and evidence-informed practice.

Satisfactory

Satisfactory

N.S. : Read my text books and use theory based and use my experience to get evidence for further references.If i learn anything by taking
care of one patient i remember that for my next week's patient and it is always helpful.

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

Satisfactory

Satisfactory

these affect nursing practice.

N.S. : Didn't got chance to see many changes in health care system, we were shifted to oncology floor from palliative and here the pain
management was the priority and i focused always on doing pain assessment during my morning vital signs and also filled form for
assessing pain .Yes there are changes in health care system , which we can learn by quality assurance programs e.g recognising my
strengths and weakness and work to improve them.

Teacher comments for QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE :

Navjyoti demonstrated this outcome by participating in peer review and by preparing a learning plan and self evaluation indicating her
strengths and areas of development. As well, she prepared two concept mappings according to her patients assessments with the
necessary interventions

8. USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING

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

Satisfactory

Satisfactory

of nursing care.
N.S. : yes i use critical thinking and problem-solving skills to inform decision-making in all aspects of nursing care.
To prioritize the needs of client i use my critical thinking and understand MAR instructions critical thinking is used. Blood sugar level of my
patient was 3.2 on day one and MAR sliding scale says no insulin if blood sugar is less than 4.0 so no insulin was given to patient.Also my
patients blood pressure was too low 76/54 mm of Hg and he was on amlodipine, which i had to hold ,on week 7 and charge nurse was
informed about that.

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

Satisfactory

Satisfactory

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

criteria.
N.S. : Yes, i do use critical thinking, problem-solving and decision-making skills to assess clients and to determine nursing diagnoses,
expected outcomes, nursing interventions, and evaluative criteria.
I gave laxatives according to bowel history and assessment of GI system as the MAR said laxatives to be given if no BM for more than two
days.

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

Satisfactory

Satisfactory

to improve
these.
N.S. : Yes i do evaluate critical thinking, problem-solving, and decision-making skills and design a plan to improve these.

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

Satisfactory

Satisfactory

practice to provide safe and competent care.

N.S. : Yes i do my reading , use elsevier website for seeing scenarios, do online quizzes given by humber, learn meditech from hospital
and do my research using various books in library.Post conference discussions helped us a lot , i gave presentation on cardiac drugs,
other students gave presentations on effect of bedrest on all systems, sickle cell anemia and several more topics which added to my
knowledge.

8. 5 Prioritize effectively.

Satisfactory

Satisfactory

N.S. : I am learning how to prioritize nursing care manage work load and time by making a to do's list after taking report.I need more
practice and efficiency to do all planned things on time by knowing my patient's requirement and planning accordingly.

8. 6 Demonstrate professionalism and accountability.

Satisfactory

Satisfactory

N.S. : Yes i always give my introduction to client and see his identification by checking ID band and then give medications after doing my
assessments and explaining process to client. I am responsible for giving medications after doing my three checks.I give details of
medications to patient before giving them, and reach on time 15 min before my shift starts.

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

Satisfactory

Satisfactory

and guide practice.

N.S. : Yes i use practice decision making and the nurse-client-environment frameworks to inform and guide practice. Client centered care
in the hospital setting following the policies and guidelines are provided by the student nurse-( me) in holistic and therapeutic manner
considering the needs of client and his well being as priority.

Teacher comments for USE CRITICAL THINKING, PROBLEM-SOLVING & DECISION-MAKING :

Navjyoti has demonstrated improvement in this out come as evidenced by her ability to think through and carry out a task with minimal
instruction from her instructor by week 14. She was able to make conscious decisions as to what interventions to perform for her patients
after receiving report from the assigned nurse.

Student Final Summary with Strategies for Continued Growth

This semester,I am learning and getting experienced in giving oral and IV medication and learning new communication skills in hospital . Because of
the diverse population of patients in hospital I am getting much more exposure to patients of different cultures and hence learning to respect and
understand values and beliefs of different cultures..In the initial weeks i was not fully prepared to give medications , but with practice and with
guidance of our instructor, i could develop that confidence to give medications at right time and in organized manner.I learned to do IV medications
skill. I am getting more chances to apply my critical thinking. I am learning every week something new. Learned to make a care plan which is client
centered plan of care. It helps us to use our knowledge, skill and judgement skills . I get different experience with different patients every week.I am
getting more efficient in bed baths and client personal care. I want to practice more and more for giving IV medications, so that i can be perfect in
giving them by week 14. I worked on my time management and prioritizing the actions by making my to do's list for whole day in my clinical after
taking report which helped me a lot in organising my tasks and prioritising them as per the requirement. My another weakness where i want to
improve is documentation and i am working by charting the progress notes on rough sheet and showing it to my instructor. I will keep on watching
videos this semester to learn more and more and do my full readings.Need to learn skills for body mechanics and shifting patient comfortably without
hurting my back and without ant discomfort to patient,I will watch online videos for learning them.

Teacher Final Summary with Strategies for Continued Growth

Navjyoti is very knowledgeable and functions well in all aspects of patient care. She has successfully met most of the goals and objectives that she
planned to achieve in the beginning of the semester. For example, she was able to administer oral and subcutaneous medications independently by
week 14, and was able to administer IV medication with minimal assistance from her instructor. She sometimes struggled with the programming of the
IV pump when hanging a secondary line, but for the most part was able to prime the line and prepared and mixed the medication after having her
instructor double checking to ensure that she had the right medication for the right patient at the right time. As well, she keeps the primary nurse up to
date about the patients at all times, and she ensures that she gives a thorough report to her peers when going for break. She demonstrated the ability
to care for two patients and completed their care in a timely manner. Her documentation skills have improved as well, but there is still room for further
development. She was informed that her critical thinking, problem solving and decision making skills, physical assessment skills will develop overtime
as she continues to review and watch the nursing videos provided for her by the college. She was encouraged as well to review the document
published by the CNO on documentation standards.

Student's References
My text book of Medical surgical Nursing Canada 3rd edition by Sharon L . Lewis.
Gerontological Nursing and Healthy Aging Canadian edition by Toughy
Mosby's drug guide for nursing 11th edition
Pharmacology for Canadian Healthcare practice 2nd edition
Elsevier online study guides and modules.

Grade

Satisfactory

Unsatisfactory

Referred to Clinical Excellence Committee (CEC)

Grade

Satisfactory

Program Coordinator Feedback

The Program Coordinator has reviewed the evaluation

Yes

No

Student Sign Off

I met with my Clinical Teacher/Preceptor and discussed my evaluation

Yes

No

In general this evaluation accurately reflects my performance

Yes

No

Student Comment
It was a good learning experience. My instructor had good knowledge and skills and guided me to learn a lot. Thanks for the guidance.