NURS1020 Clinical Course Evaluation Final Evaluation Student: ____Hyunjeong Park__________ Clinical Instructor: Cindy Davidson_______________________ Missed Clinical Hours: 0____ Missed Lab Hours: _0_____ Satisfactory Unsatisfactory Please check the appropriate box ☐ 1 NURS1020 Clinical Course Evaluation Program Goals Students graduating from this program are prepared as generalists entering a self-regulating profession in situations of health and illness. Students graduating from this program are prepared to work with people of all ages and genders (individuals, families, groups, communities and populations) in a variety of settings. Students graduating from this program are prepared to work with people of all ages and genders (individuals, families, groups, communities and populations) in a variety of settings. Graduates will learn to continuously use critical and scientific inquiry and other ways of knowing to develop and apply nursing knowledge in their practice. Students graduating from this program will be prepared to demonstrate leadership in professional nursing practice in diverse health care contexts. Graduates will be prepared to contribute to a culture of safety by demonstrating safety in their own practice, and by identifying, and mitigating risk for patients and other health care providers. Students will demonstrate the ability to establish and maintain therapeutic, caring and culturally safe relationships with clients and health care team members based upon relational boundaries and respect. Graduates of this program will be able to enact advocacy in their work based on the philosophy of social justice. Graduates will effectively utilize communications and informational technologies to improve client outcomes. Graduates will be prepared to provide nursing care that includes comprehensive, collaborative assessment, evidence-informed interventions and outcome measures. 2 Course Objective Established therapeutic nurse-resident relationships in residential long-term care settings. Performed skills relevant to situating an individual within his/her personal, familial and community context Developed and demonstrated skills in basic assessment techniques relevant to the long-term Progress Evidence/Indicators: (The student has ...) - Built empathetical relationship with various residents, trying to understand their perspectives. Tried different communication methods learned in class for people with dementia (ex. repeat the same sentence twice and if the resident still doesn’t understand, paraphrased; made sure the resident could see my face by making sure the light was on my face). It was especially hard to communicate with a Down’s syndrome resident, but tried to keep sentences simple for better comprehension. - helped put lotion on the resident’s back and hands, which the resident was happy for. - tried to used humour to enlighten resident’s day. - Aided with resident’s personal hygiene such as combing hair and help with oral care (ex. washing dentures before placing in their mouth, helped with brushing teeth) - had conversations regarding residents’ past and spent time appreciating their achievements. Showed understanding and complimented their actions (ex. a resident told me that she is still able to walk without any aid and that she makes sure she exercises; I complimented her and told her that it is important to continue trying.) - aided residents to the dining room. - Attempted to do a full head-to-toe assessment on my assigned resident. Took Satisfactory Unsatisfactory ☐ ☐ ☐ 3 care population Demonstrated skills in providing (resident) client-centered support for activities of daily living - Developed knowledge about the experience of residents living in a long-term care setting - Demonstrated safe and ethical clinical practice at the level appropriate for a year one nursing student - blood pressure, pulse, breathing rate, and oxygen saturation. Auscultated for bowel sounds and lung sounds. Examined resident’s cognitive status. - assessed skin status during product changing and bathing -assessed swallowing during feeding Respected resident’s preferences (ex. did not wake them up when they wanted a bit more sleep; asking before I perform any type of care; gave choices to which clothes resident wished to wear), which demonstrated clientcentered care. - before leaving the room, always asked what else they would like me to do (ex. resident asked to place the call bell near her reach; asked to tell the nurse that he needs some eye-drops for his pain) Learned thoroughly how to perform AM and PM routines. - learned that residents do not remember everything, so it is important to tell them step-by-step of what activities you will be performing in order for them to not look puzzled / agitated - learned that residents do appreciate the work you are doing and do recognize your beneficience. Ensured that I was supervised when using lifts and with two-person transfers - obtained consent before performing care - if I did not understand something, I made sure to ask the PSW and clinical instructor to ☐ ☐ ☐ 4 promote safety - kept confidentiality by not mentioning the resident’s names in paper work Participated in professional development based on reflective practice and clinical inquiry - Examined personal attitudes regarding the elderly and other residents of long-term care homes - Developed a basis knowledge of the clinical manifestations and relevant nursing interventions of chronic diseases - Whenever there was something I did not understand or wanted more knowledge of, I asked the RPN, PSW, and clinical instructor (ex. if it was okay to put lotion on the resident’s back without supervision) - reflective journals were done to talk about what I have learned and how I can improve my practice - ex. My stereotypes of older adults has dimished from practicing in the LTC homes and from NURS 1002H course. I understand the physical deterioration of elderly and the normal and abnormal changes in the elderly. - I learned that older adults need more time to process and organize their thoughts. It is not always due to absolute deterioration of cognitive abilities. I learned some clinical manifestations and relevant nursing interventions of chronic diseases by writing weekly clinical care card and medical cards. I was able to observe an infected skin on a resident on the heels. - I was able to gather more knowledge about dementia and how I need to communicate to establish a therapeutic relationship with my resident. ☐ ☐ ☐ 5 Identify 3 personal strengths developed in this placement. 1. Ability to perform am and pm care Identify 3 areas requiring further development. 1. Communication skills with cognitively adept 2. Being organized 2. Not rushing through things but taking time 3. Communicating with PWD (showing empathy) 3. Taking vital signs effectively Clinical Instructor Comments Click here to enter text. Attendance Week 1 Week 4 6 hours 6 hours Week 2 Week 5 6 hours 6 hours Week 3 Week 6 6 hours 6 hours Week 7 6 hours Week 8 6 hours Week 9 6 hours Week 10 6 hours Week 11 6 hours Week 12 6 hours 6 Total number of clinical hours completed: 72 hours__ Peer Evaluation Completed Signature of Instructor: __ Signature of Student: _ _ Date __ Date _01/01/1900__ 7