Student:

Practical Nursing Diploma Program

Mid-term/Final Clinical Evaluation Form
Marco Giannotta
Student Number: 821441219

Course:

Practical Nursing Practice, NURS208

Dates:

02/09/2014

S: Satisfactory

to

Section
24/11/2014

U: Unsatisfactory

Summary of Areas of
Practice

Competent and safe practice

in a professional, legal and
ethical framework

Student Comments:
Summary of clinical
experience
S:

U:

(i)Comply with regulatory

standards by showing up to
clinical in proper uniform.
Following rules given on the
unit
(ii)Acting in a responsible
way by informing nurse
information I find, informing
nurse that I am leaving
(v)Carrying out safety-based
procedures such as sterile
technique when performing
trach/gastro care. Wearing
PPE when patient is in
isolation
(vi)using computer to
research on med I am no
familiar with
(vii)Demonstrating
professional behavior by
asking teacher/colleagues
questions to ensure I am on
track
(viii)Demonstrate
understanding about the
role of the nurse by
ensuring all meds are given
and signed, Care for patient

Faculty Comments:
Summary of clinical
Experience
S:

U:

Communication

S:

U:

S:

U:

S:

U:

(i) Participating in team

sharing and discussions by
informing colleagues what
procedures I have done in
post conference
(ii) Document my
findings/procedures at end
of shift using meditech
(iii) Reporting relevant
information to the nurse
informing the nurse what I
have done prior to leaving
unit
(iv) Using communication
techniques such as telling
patient what I am doing.
Telling teacher/nurse when I
am leaving unit for break.
Telling Nurse all the
procedure I have done
(v) Maintaining privacy and
confidentiality by not
speaking of patient outside
of unit to maintain privacy
and confidentiality
(vi) Using drug dictionary
and computers to research
meds given to patient.
Looking up videos for
procedures I will eventually
perform (fleet enema, trach
suctioning, g-feeding, Sub Q
injections)

Caring relational practice

S:

U:

(i)Communicating using
correct terms to
teacher/colleagues
(ii,vii)building therapeutic

relationship with client.

Respecting cultural beliefs
for patient
(iv,vii)Being aware of others
beliefs, values and personal
experiences before
performing procedures
(v)Collaborating with clients
and members of the
interprofessional health care
team by asking around to
see if anyone needs help
when I am done with my
own work
(viii)Providing effective client
education by Informing
client every step I am doing
when providing vitals, trach
care.

Leadership and advocacy

S:

U:

(i)Applying appropriate
conflict resolution skills
when 2 individuals in clinical
group did not know what
time to come back to the
unity during break, I told
them in 5minutes
(iii)Providing feedback to
peers by accepting all
feedback given to me from
colleagues, teacher, and
nurse when doing
suppository, trach care,
bedbath, and g feed
(vi)Responding
appropriately to unsafe,
unacceptable, and
unprofessional behaviours
by informing a colleague
that the area was no longer
sterile when performing

S:

U:

trach care

Plans of care: Meeting

Clients Needs and Mutually
Agreed Expected Outcomes

S:

U:

S:

U:

S:

U:

(v)Safely and competently

doing abdominal,
respiratory, cardiac and skin
assessment to client and
reporting any significant
finding to nurse and teacher
(vii)Created a mini schedule
stating how I will be
spending my day on the
unit. Bringing que cards with
medication research.
Reading the MAR and
cardex to see if anything
has changed

Collaborative Practice

S:

U:

(i,v)Collaborate with clients

and members of the
interprofessional health care
team by Informing the nurse
that patient had puss
coming out of right eye.
Both decided to keep the
area clean from puss.
Informing nurse results of
fleet enema given. Informing
nurse what the secretion
looked like from suctioning.
(iii)Seeking out assistance
by asking help from
colleagues to do complete
bedbath, assist with trach/gtube care and suctioning
(iv,)Interacting with
members of the health care
team by working together

with colleagues to get work

done faster and more
effectively

Quality Assurance

S:

U:

S:

U:

S:

U:

(i)Act in the best interests of

clients and protect clients from
harm by ensuring side rails

are up at all times, call bell

placed near patients, trach
and g tube in place,
checking bag is empty of
isosource, and making sure
hands are not near tubing in
case of pulling out
(ii)doing weekly reflections.
Asking
colleagues/nurse/teacher if I
am doing my work correctly
(when acceptable)
(iv)Watching another
colleague perform a fleet
enema to learn how he does
it. Observing how blood
transfusion is done.
Observing how MRSA swab
test is done.
(vi)Uniform policies changed
this year so I made sure
what I wore to clinical was
acceptable. Learning how to
use meditech

Critical Thinking, Problem

Solving and Decision Making

S:

U:

(i,ii,iii)Noticed that client had

rectal bleeding therefore did
not do fleet enema. Nurse
had administered drops into
eye therefore I did not clean

eye when doing bedbath.

Applied cream to rectal area
on patient. Moments later
client had a BM therefore I
applied cream again.
Noticed that patient had
small bleeding from shaving
and immediately put
bandage on him because he
was on enoxaparin.
Continually repositioning
patient when necessary.
(iv)Seeing how other
colleagues and nurses
perform procedures and
realizing that everyone has
their own ways to perform
procedures
(vi)Demonstrate
professionalism and
accountability by showing
up on time and in proper
uniform, respecting nurses
on unit

I have read and understand this form and its contents

Student Signature:
Faculty Signature:

Marco Giannotta

Date:24/11/2014
Date: