NUR239 Clinical Evaluation
Students Name: Click or tap here to enter text. Instructor: Lynnette Meurer
Semester: Click or tap here to enter text.
Absences: Click or tap here to enter text.
Click or tap here to enter text. / Grading:
I.
Tardy: Click or tap here to enter text.
Clinical Score:
End-of-Program SLO: Advocate for patients and families, recognizing them as a partner for the
promotion of patient centered care that is self-determined, growth producing, and respectful of
diversity, preferences, values, and needs.
Course SLO: Advocate for patients and families, recognizing them as a partner for the promotion of
patient centered care that is self-determined, growth producing, and respectful of diversity,
patient/family preferences, values, and needs
Behaviors
Progressive Behavior: Communication
• Maintain therapeutic relationships with patients and families while promoting the patient’s right to
self-determination, growth, and respect.
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Determine needs of patients/families through assessment of objective and subjective data while
respecting the client’s preferences and values.
Appraise referral needs of clients in the acute care setting.
Communicates the patient values, preferences, and their expressed needs to other members of the
health care team
Assesses levels of physical and emotional comfort and makes recommendations to help improve
such
Identifies culturally specific assessments; nursing care; and attitudes, values, and beliefs (Cultural
Competence Self-Assessment Tool)
Recognize personally held attitudes about working with patients from different ethnic, cultural and
social backgrounds
Achievement of student learning outcomes for each clinical day: Give specific behavioral examples of how this SLO was
achieved for the clinical day.
Evidence from direct observation and
completion of SLO’s identifies the student to
perform:
☐ 2 Satisfactory
☐ 1 needs improvement
☐ 0 Unsafe
II.
Faculty Comments:
End-of-Program SLO: Develop a professional identity through behaviors that reflect integrity,
respect, responsibility, ethical practice, teamwork, collaboration, and open communication
Course SLO: Create a professional identity through behaviors that reflect integrity, respect,
responsibility, ethical practice, teamwork, collaboration, and open communication.
Behaviors
Progressive Behavior: Professionalism
• Use evidence based communication methods to share information.
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Seek appropriate guidance to assist in decision-making.
Appreciate importance of intra- and inter-professional collaboration
Appreciate the risks associated with handoffs among providers and across transitions in care
Identify examples of delegation
Demonstrate leadership behaviors
Achievement of student learning outcomes for each clinical day: Give specific behavioral examples of how this SLO was
achieved for the clinical day.
Evidence from direct observation and
completion of SLO’s identifies the student to
perform:
☐ 2 Satisfactory
☐ 1 needs improvement
☐ 0 Unsafe
III.
Faculty Comments:
End-of-Program SLO: Establish a foundation for lifelong learning through active involvement in
professional development.
VII. End-of-Program SLO: Integrate nursing practice knowledge that is substantiated by evidence, to
provide safe and effective quality care across healthcare settings.
Course SLO: Evaluate nursing practice knowledge that is substantiated by evidence, to provide
safe and effective quality care across healthcare settings.
Behaviors
Progressive Behavior: Evidence Based Practice
• Create and apply knowledge identified through reading current literature to the care of adult
medical surgical patients to improve the quality of care for patients and families.
• Demonstrate safe performance of skills taught in previous nursing courses and those skills
identified in the unit outlines. (Utilize the “rights” system to safely administer all medications.)
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Recognize unsafe practices by self and others.
Base individualized care plan on patient values, clinical expertise and evidence
Design, implement, and modify teaching plans based on clients' assessed learning needs.
Acknowledge the tension that may exist between patient rights and the organizational
responsibility for professional, ethical care
Employ foundational and evidence based knowledge from behavioral, biological, safety, and
nursing science and incorporate this knowledge when giving care.
Achievement of student learning outcomes for each clinical day: Give specific behavioral examples of how this SLO was
achieved for the clinical day.
1/26/22 – EH. Administered Hydrocodone, Potassium Chloride ER Tab, and Mag Sulfate IV. Utilized the five rights of
medication administration. Verified all dosages with clinical instructor and why each medication was to be given.
Inspected IV site. Obtained a new line since the original one was not labeled. Primed and hung Mag. Cleaned hub and
attached new line. Flushed site. Programmed pump for infusion and started infusion. Educated patient on what each
medication was being prescribed for. This was performed in the presence of my clinical instructor.
Evidence from direct observation and
completion of SLO’s identifies the student to
perform:
☐ 2 Satisfactory
☐ 1 needs improvement
☐ 0 Unsafe
Faculty Comments:
IV.
End-of-Program SLO: Evaluate information to manage the systems and outcomes of care for the
promotion of quality improvement and patient safety.
Course SLO: Judge the quality improvement initiatives on the units assigned with how individual
care of clients contributes to these initiatives.
Behaviors
Progressive Behavior: National Pt Safety Goals.
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Use national patient safety resources for own professional development and to focus attention on
safety in care settings (specific examples of use of NPSG in clinical)
• Appreciate that continuous quality improvement is an essential part of the daily work of all health
professionals
• Describe approaches for changing processes of care
Achievement of student learning outcomes for each clinical day: Give specific behavioral examples of how this SLO was
achieved for the clinical day.
Evidence from direct observation and
completion of SLO’s identifies the student to
perform:
☐ 2 Satisfactory
☐ 1 needs improvement
☐ 0 Unsafe
V.
Faculty Comments:
End-of-Program SLO: Utilize technology to communicate, manage knowledge, mitigate error, and
support decision making.
Course SLO: Apply technology to communicate, manage knowledge, mitigate error, and support
decision making.
Behaviors
Progressive Behavior: Technology
• Utilize computer library resources and web-based applications to provide evidence-based care to an
adult medical surgical patient.
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Utilize the electronic medical record to manage knowledge, support decision making, prevent
error, and document/communicate information.
Utilizes clinical technologies effectively and safely.
Protect confidentiality of protected health information in electronic health records
Achievement of student learning outcomes for each clinical day: Give specific behavioral examples of how this SLO was
achieved for the clinical day.
1/19/22 – SAH Orientation Day. Acclimated myself with the EPIC software for patient care. When
finished, I completely shut down the computer to ensure that patient health information is secured and
that no other person would be able to chart under my username.
1/26/22 – EH. Used the MAR to obtain labs and medication administration to look for trends in the
labs and to administer medication safe and effectively.
Evidence from direct observation and
completion of SLO’s identifies the student to
perform:
☐ 2 Satisfactory
☐ 1 needs improvement
☐ 0 Unsafe
Faculty Comments:
VI.
End-of-Program SLO: Synthesize data to evaluate and manage the patient/family outcomes of
care across healthcare settings.
Course SLO: Interpret data to evaluate and manage the patient/family outcomes of care across
healthcare settings.
Behaviors
Progressive Behavior: Nursing Process
• Create and apply the nursing process in managing care of adult clients with acute, complex
alterations in health.
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Demonstrates ability to anticipate risks and identify changes in patient conditions.
Integrated data from physical assessment of client to inform the nursing process
Formulate priorities of care for clients with complex health problems and identify care
interventions that can be delegated.
Analyze prescribed labs, diagnostics, and drugs, and relate their actions to the therapeutic plan;
recognize nursing implications.
Achievement of student learning outcomes for each clinical day: Give specific behavioral examples of how this SLO was
achieved for the clinical day.
Evidence from direct observation and
completion of SLO’s identifies the student to
perform:
☐ 2 Satisfactory
☐ 1 needs improvement
☐ 0 Unsafe
Comments: