Self Assessment

2014 - 2014 - Final NURS-101 Practical Nursing Practice 1

NURS 101 Practical Nursing Practice 1 (PN, 09-Sep-2014 - 11-Dec-2014)
Student :
Clinical Teacher/Preceptor :
Program Coordinator :
Location :
Placement Setting :
Unit/Office/Clinic :
Period :
Student hours :
Required Hours :
Validated hours :

Valentina Ramirez
Wendy Chow
John Stone
NoSite
Class
U1
18-Nov-2014 To 12-Dec-2014
75
75
75

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 Humber College Institute of Technology and Applied learning (ITAL) policies,

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the Practical Nursing Program Student Handbook, Clinical Simulation Lab Code of Behaviour
contract, and professional nursing standards and guidelines.
V.R. : I adhere to all policies enforced by Humber.

1. 2 Accept responsibility for own actions and for self-directed learning.

V.R. : I would accept responsibility for anything I have done.

1. 3 Demonstrate professionalism with attendance, punctuality, dress code, behavior,

language, and timely submission of assignments.
V.R. : I will focus on coming in a timely manner for each class. I will be present for each class.

1. 4 Use theory-based approach.

V.R. : I Have used what I learned in theory class to apply it during my practice time in the lab.

1. 5 Ensure a safe environment.

V.R. : I make sure the equipment I use on my partner is cleaned and properly handled.

1. 6 Ask relevant questions and answer questions based on thorough preparation.

V.R. : I am able to talk to my peers questions about certain topics, and in return I can understand the response I am given.

1. 7 Apply knowledge of the role of the student nurse.

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V.R. : I use what I learned from other classes to help with my hands on skills.

2. ACCURATE AND RELEVANT COMMUNICATION

2. 1 Participate in group sharing and discussions.

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V.R. : I will speak when necessary. I learn best from observing and listening.

2. 2 Document clearly, accurately, and concisely using written and electronic methods.
V.R. : I have yet had the chance to work with electronic methods of documenting in lab.

2. 3 Demonstration reporting relevant information to the appropriate personnel.

V.R. : I let my instructor know when I leave the room.

2. 4 Use communication techniques with the health care team.

V.R. : I have asked for clarification on certain tasks before.

2. 5 Maintain privacy and confidentiality.

V.R. : I maintain my classmates privacy and confidentiality at all times.

2. 6 Use technology to retrieve information from texts and other resources.

V.R. : I do not use this type of resource in class, but I do use it at home.

3. CARING RELATIONAL PRACTICE

3. 1 Apply knowledge of the therapeutic nurse-client relationship and effective

communication techniques furing the provision of nursing skills and assessments.

V.R. : I introduce myself when meeting the client for the first time. I ask if there are any preferences before I begin. I also make sure they
are comfortable, and I ask permission to touch them during the assessment.

3. 2 Establish respectful, polite, and honest relationships with peers, Professors/Clinical

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Teachers, and the Lab Technologist.

V.R. : I show respect to both the proffesors and my peers. In return, I am shown the same courtesy.

3. 3 Exhibit cooperative, helpful, and collaborative relationships with team members.

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V.R. : i am able to work with other team members when my partner is absent. A team member had trouble finding the radial pulse, and I
was able to help them locate the point where it could be felt the strongest.

3. 4 Apply knowledge of strategies for conflict resolution.

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V.R. : When another group needs to use the bed to further their assessment practise, my partner and I find a way to either collaborate or
move onto practicing on a sim.

3. 5 Recognize how ones behavior affects peer relationships and practice.

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V.R. : I show courtesy and I encourage them through our lab time.

3. 6 Respect the diversity of peers in the learning environment.

V.R. : I understand the variety of cultures that are present in class. If some of my peers feel uncomfortable being touched in specific
regions or exposing skin in certain areas then I respect their wishes and move onto the next step. I then use the sim for any areas I have
missed.

3. 7 Apply knowledge of health teaching and learning strategies.

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V.R. : I often use notes from classes to help strengthen my hands on portion of the assessment.

4. LEADERSHIP AND ADVOCACY

4. 1 Recognize situations that could lead to conflict and apply knowledge of conflict
resolution.

V.R. : When other peers need to use the lab equipment then I am able to share the time we have with the it equally between us.

4. 2 Demonstrate leadership skills that foster group work and a positive learning environment.

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V.R. : I am able to work with my partner in a positive way. We both learn from one another.

4. 3 Provide feedback to peers and accept feedback from peers.

V.R. : I have offered feedback to peers in the past to help them better their nursing skills. In addition, I have learned better and efficient
ways of performing tasks.

4. 4 Advocate for self and peers for a quality learning environment.

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V.R. : If there are multiple students using one sim then each of us takes turns to assess the sim.

4. 5 Ask relevant questions to clarify understanding.

V.R. : If I notice a team member performing a task with confidence and I am finding it awkward, then I kindy ask if I can watch them in
action. This usually clarifies anything that I noticed I missed the first time.

4. 6 Respond appropriately to unsafe and unacceptable behaviours.

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V.R. : I have noticed the sim models being played with and I have asked my peers to stop that behaviour so we can get on with practicing
our nursing skills.

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

5. 1 Identify the importance of assessing clients unique needs.

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V.R. : If my client was unable to move around to much because they just had surgery then I take that into consideration while doing my
assessmen; I would limit the movement.

5. 2 Plan holistic, client-centred assessments and interventions that are based on appropriate

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rationale.
V.R. : I a able to accommodate clients with specific requests. As well as work with their regions beliefs to help them feel comfortable with
the care given.

5. 3 Complete health assessments, interviewing, and nursing skills in an organized and timely

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manner.
V.R. : I feel that I still need to get used to the speed at which the nurses work. I will have to practice more to gain the speed.

5. 4 Perform health assessments, interviewing, and nursing techniques and skills accurately,

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safely, competently and in a timely manner.

V.R. : Again, I still have to work at the speed at which I perform each nursing task.

5. 5 Perform initial assessments of clients vital signs, neurological, cardiovascular,

respiratory, and gastrointestinal systems.

V.R. : I am cormfortable performing vitals since I practice at home. I am also able to perform the assessments from the other systems.

5. 6 Use the nursing process as a decision-making tool.

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V.R. : I am able to recognize when something is abnormal. It helps me establish my next plan of action.

5. 7 Utilize the nursing process to meet clients healthcare needs related to hygiene, including

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integumentary care, nutrition, hydration, digestion, elimination, mobility, and safety.

V.R. : I can inspect the clients skin while providing their bed bath. I can determine then, if they need foot care etc. Their stool can help me
determine if they are hydrated and if they are on the right diet for them.

5. 8 Discuss environmental strategies that promote health safety, and reduce risk including

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infection control, emergency codes, and ethically appropriate and safe use of restraints.
V.R. : Restraints are a last resort effort as they are harmful to the patient. If the patients window is open during the summer then flies have
the opportunity of flying in and laying eggs under the bandage. It is my job to check the bandage daily and prevent further infection. It is
also my job to leave at least three side rails down on the patients bed, unless otherwise stated by a physician to have them up, to ensure
clients safety.

5. 9 Utilize infection prevention and control practice, including, but not limited to: hand

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washing and basic personal protective equipment (PPE).

V.R. : I always wash my hands before and after assessing a client, sometimes during, if I am changing their briefs.

6. COLLABORATIVE PRACTICE: INTERPROFESSIONAL HEALTH CARE TEAM

6. 1 Participate knowledgably in discussions with peers and faculty.

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V.R. : I am able to engage in conversation with peers and faculty and provide my own knowledge to the given topic.

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6. 2 Acts as an effective and valuable member of the group.

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V.R. : I allow my team mates to practice their nursing skills on me and vice versa.

6. 3 Ask knowledgeable questions and answer questions knowledgeably.

V.R. : When I am in doubt I ask another one of my peers for their expertise, they offer their wisdom and I am able to use that information to
further my practise.

6. 4 Seek out assistance

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V.R. : When I had trouble percussion, I asked another to help show me how I better my technique.

6. 5 Use group process and conflict resolution skills to build consensus and collaboration.

V.R. : While working on one of the sim each of us got to listen to the respiration and since it was our first time hearing it, we all
collaboratively decided it sounded like crackling. This ended up being the correct verdict.

6. 6 Demonstrate respect for peers and others.

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V.R. : I will ask my peer if it is okay to practice my nursing skills on them before I touch them. I also ask if they are okay with me raising up
their sleeve or placing the stethoscope on the apical pulse, if they are not, then I ask if they can place it there for me.

7. QUALITY ASSURANCE: CONTINUE AND IMPROVE COMPETENCE

7. 1 Identify strengths and areas for improvement using reflective practice.

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V.R. : My strengths would include introducing myself to the client and performing their vitals. I could improve on speeding up the time that
I perform the MSK assessments.

7. 2 Utilize self-reflection and feedback from Professors / Clinical Teachers and peers to

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identify strengths and areas for improvement.

V.R. : Since the first test I have improved my skills. I used what my instructor said about the areas I lacked in and I practiced to impove
them.

7. 3 Assume responsibility to seek out learning opportunities that foster professional

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development.
V.R. : I would take responsibility for my actions in any setting.

7. 4 Create a learning plan to address areas for improvement.

V.R. : I make plans with my partner to use the access lab time and re-practice areas I felt weak in.

7. 5 Come prepared to apply theory by reviewing all required preparatory learning materials
and completing all activities.
V.R. : I have always completed any assignments due for this class.

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

8. 1 Utilize problem-solving and decision-making skills related to foundational aspects of

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nursing interventions, skills, and practice.

V.R. : When working on the sim, the limbs were sometimes stiff, so I would adjust the bed to accommodate their range of motion.

8. 2 Use a theory-based approach, problem-solving, and decision-making skills in a

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professional and accountable manner.

V.R. : My decisions are made in the clients best interest. I choose the right plan of care depending on the status of the patient at that time.

8. 3 Use relevant theory to explain the rational underlying the health assessment and

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interviewing strategies and techniques and the foundational nursing skills being used.
V.R. : If the client comes in for a broken arm and appears uncomfortable, looks away, or changes the subject when asked about any
bruises, I would not only focus on sending them off to get an x-Ray, but I would try to get them to open up and let them know I am here to
help. This may be a sign of physical abuse.

8. 4 Apply knowledge from nursing, health, biological and social sciences.

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V.R. : I use the knowledge I leRned from other classes to help me in practical nursing. During lab for anatomy, the instructor shown us
where different organs are located in the cadaver, and this has helped my with my abdominal assessment.

8. 5 Demonstrate professionalism and accountability.

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V.R. : I respond with courtesy and I show respect to the people around me.

8. 6 Recognize strengths and limitations and seek appropriate assistance and support.
V.R. : I ask for assisstance when I am unsure I am doing something the right way.

Student Final Summary with Strategies for Continued Growth

I will continue to practise the neuro and MSK assessment, during lab time and at home, in order to increase the speed at which I perform them in.

Teacher Final Summary with Strategies for Continued Growth

Valentina has done well throughout the semester. She is progressing well and is meeting the expectations of a semester 1 PN student.
Skills Testing: SAT
Assessment Testing: SAT
Final Exam: pending
Overall final grade pending Final Exam.

Program Coordinator comment

Congratulations

Grade

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Referred to Clinical Excellence Committee (CEC)

Grade

Satisfactory

Program Coordinator Feedback

The Program Coordinator has reviewed the evaluation

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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

Submitted Date: 20-Nov-2014 19:19