NURS 3020H
Clinical Evaluation
 Midterm Evaluation
Student Name: Emily Coxhead
Clinical Instructor: Aimee Gannon
Missed Clinical Hours: 0
Missed Lab Hours: 0
Program Goals
Graduates are generalists entering a self-regulating profession in situations of health and illness.
Graduates are prepared to work with people of all ages and genders (individuals, families, groups,
communities and populations) in a variety of settings.
Graduates continuously use critical and scientific inquiry and other ways of knowing to develop and
apply nursing knowledge in their practice.
Graduates will demonstrate leadership in professional nursing practice in diverse health care
contexts.
Graduates will 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
Graduates will establish and maintain therapeutic, caring and culturally safe relationships with
clients and health care team members based upon relational boundaries and respect.
Graduates 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.
Objectives
1
Explain the experience of acute illness in
individuals receiving care in acute setting
2
Interpret critical aspects of the person’s
experience of acute illness in relation to
common signs and symptoms, responses to
treatment, patterns of coping, and impact on
individual and family relationships
3
Identify common medical treatments and
potential consequences/complications of
selected acute illnesses
Progress
Indicators/Evidence
- Emily can identify the outcomes of acute
illness and how acute illness plays a role in
the individuals life
- Emily understands the pathophysiological
process of acute illness and seeks more
information where necessary
- Emily is able to identify and respond
effectively to common abnormalities she
finds in her patients (vital signs, pain,
sedation)
- Emily is able to adequately anticipate
responses to treatments (pain
management)
- Emily identifies her patient’s coping
mechanisms and highlights area’s where
her patients may require extra assistance
with maintaining or building coping
mechanisms
- Emily is able to effectively discuss the
impact acute illness can have on individual
and family relationships and is
knowledgeable regarding the discharge
process
- Emily is able to discuss the common
medical treatment seen in her patient
population
- Emily is able to identify her patients
diagnosis quickly and uses the appropriate
scholarly resources to seek information she
may be lacking to provide safe patient care
- Emily always looks for opportunities to
continue learning about common
treatments, diagnosis, tests etc.
- Emily ensures awareness of potential
complications related to the interventions
her patients experience and makes herself
aware of how to assess her patients for
these potential outcomes (i.e. bladder
scanning patients after removal of a
catheter, dressing changes using sterile
technique, monitors effectiveness of pain
medications)
S U
S
S
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4
5
Demonstrate selected nursing and collaborative
interventions related to clinical pathways, perioperative care, IV medication administration,
cardiac assessment and rhythm strips,
neurological assessment, wound care, blood
component therapy, TPN and central lines,
pulmonary care including chest tubes and
tracheotomy, initiating IVs, rapidly changing
conditions, and resuscitation
- Emily performs head-to-toe assessments S
fully on two patients, and in a timely
fashion; she is able to identify abnormalities
and seeks assistance with the
abnormalities she discovers. She is
learning what comes next when one finds
an abnormality
- Emily is familiar with the clinical pathway
followed on A5 and the interventions that
her patients require
- Emily is adequately able to set up a sterile
field and perform simple post-op dressing
changes
- Emily practices with evidence based
practice and always seeks out more
information when she requires it
- Emily has practiced priming IV lines,
wound care, repositioning post-operative
patients, transferring post-operative
patients, male catheterization, removal of
catheters, removal of saline locks, providing
assistance with ADL’s to post-operative
patients
- Emily was able to view an OR and has
become knowledgeable about the OR
process and how patients flow through the
OR and recovery
Under the supervision of a Registered Nurse,
- Emily always practices with evidence
S
demonstrate safe, competent, evidence-based, based practice in mind. She provides
holistic nursing practice with clients with acute
holistic nursing care in a safe and
illness
competent way.
- Emily is mindful of nursing theories and
1. Apply relevant nursing models,
evidence based practice
philosophical frameworks, theories and - Emily is exceptional at building
evidence
therapeutic relationships with her patients
2. Demonstrate therapeutic use of self
and their families
3. Engage with patients in an ethical and
- Emily is able to identify potential ethical
culturally safe manner
issues
4. Understand and anticipate emerging
- Emily is learning the bio-psycho-social
bio-psycho-social needs of persons with needs of her patient population and is
acute illness and apply this knowledge
learning how this plays a role in nursing
to care:
care delivery
a. Plan appropriate nursing care
- Emily seeks information from her
b. Predict outcomes of nursing
Kardex’s, charts and scholarly resources to
care
plan her nursing interventions, predict the
c. Evaluate client response to
expected outcomes of this care and seeks
5.
6.
7.
8.
nursing care
Demonstrate health promotion and
illness prevention practices
a. Engage with patients and
families to identify healthrelated situational challenges
b. Work with patients and families
to create reasonable and
effective solutions
Demonstrate patient advocacy
Demonstrate accountability
Demonstrate reliability
6
Critically appraise own practice in relation to
nurse-client/family interactions and as a
member of the health care team
7
Participate in professional development based
on reflective practice and critical inquiry
to understand what nursing assessment
skills are required post intervention (i.e.
monitoring for signs or symptoms of
bleeding, monitoring for hypotension)
- Emily engages in health promotion
practices by encouraging her patients to
adhere to physiotherapy exercises and
creates opportunities to educate her
patients about the benefits of these
exercise
- Emily seeks to collaborate with patients
and their families to identify potential
challenges for the post-op patient and
seeks information regarding solutions
- Emily advocates for her patients by
informing her primary nurse when her
patients require analgesics or anti-emetics
- Emily demonstrates accountability for her
actions and behaviours during clinical time
- Emily demonstrates reliability by coming
on time, prepared for clinical and ready to
learn while at clinical
- Emily has begun to understand the
S
importance of building relationships with
clients and their families and is very good at
doing so
- Emily is beginning to see the importance
of professional relationships and has begun
to develop knowledge around the different
roles and members of the health care team
(i.e. physiotherapy, occupational health,
medical doctors)
- Emily is learning how involving all
members of the interdisciplinary team
provides holistic care for her patients
- Emily has submitted one formal piece of
S
reflective writing which is satisfactory
- through ongoing discussion with Emily, it
is clear that Emily reflects on her clinical
experiences regularly and uses the
outcomes of these reflections to shape her
progress moving forward
Clinical Instructor Comments (All areas marked as unsatisfactory must have a comment)
Emily is meeting the expectations for clinical thus far. She presents herself professionally and uses
professional language where appropriate. Emily understands a wide range of disease processes and uses
scholarly articles to further research when she identifies gaps in her knowledge. Emily has experience
viewing an OR and understands the process and flow of these patients. Emily has been a part of the
admission and discharge process and is learning what resources can be offered to clients as they are
discharged home. Emily is also learning the roles different members of the disciplinary team play and how
this team facilitates effective transitions home. Emily has attended presentations from PRHC staff on
documentation and pain management and has implemented what she learned into her practice. Emily is
able to document effectively and timely for two patients; documentation includes vital signs, bowel
movement record, progress notes, and in’s and out’s records. Emily practices mindfully, seeks information
and assistance where necessary and is working on building her confidence.
Next Steps: practice medication administration with assistance of myself; continue to expand knowledge
regarding pathophysiology and disease states; continue to look up medications and understand their use
and what nursing implications come with these medications; continue to practice safe patient transferring
and repositioning. Continue to build knowledge and identify learning needs, build confidence with the
above mentioned skills.
Signature of Instructor_______________________________________ Date __________________
Signature of Student_________________________________________ Date ___________________