Eval 2

Student Name:
Tanya Johnson
Southwestern Oregon Community College Nursing Program

Nursing 111
Foundations of Nursing in Chronic Illness I
Clinical Evaluation Tool
The purpose of the weekly clinical performance evaluation tool is to provide feedback about achievement of the course
outcomes and competencies and to assist the student to meet the standards of care for nurses in Oregon as outlined in the
Nurse Practice Act.
Explanation of Rating Scale:
(S) Satisfactory = Clinical performance is safe and student adequately demonstrates application of the nursing
process/clinical judgment, required skills, and expected synthesis of learning appropriate to level in the program. Verified by
direct instructor observation.
(NI) Needs Improvement = Indicates that additional learning and attention to detail is required for a particular item or that
the overall performance for the week is at a minimum level. The instructor will write an explanation of the rating on the
comments page.
(U) Unsatisfactory = Clinical performance is unsafe and inadequately demonstrates application of the nursing
process/clinical judgment model, required skills, and expected synthesis of learning appropriate to level in the program. The
instructor will write an explanation of the rating on the comments page.
(NA) Not applicable = Particular item does not apply to the clinical performance.
(NO) Not observed = Instructor did not observe or has no knowledge of the students performance of the activity.
Students with a grade of NI or U will be required to meet with their advisor and clinical instructor and discuss a plan for
change in their behavior before their next clinical experience.
Safety and legal/ethical concepts are considered critical to the profession and will be graded as NI or U if any violation
occurs.
If a student is assigned a U or NI for two weeks, the faculty will review the students clinical performance and consider the
options of either placing the student on probation or dismissing from the program.
In cases of potential failure, notification of the student by the instructor that she/he has been assigned a grade of U or NI for
one week constitutes proper warning of the grade status.
If a student is placed on probation and then receives a grade of U, the faculty will review the students performance and
determine whether or not the student will be dismissed from the program.
Nursing 111 Clinical Evaluation Tool
Student Name:
.
Compete
ncy (C)
Course
Outcome
(CO)
C9
CO 1, 2
C1,
CO4
C5,
CO5
C8,
CO6
C4,
CO7
C6, 7, 8
CO2
C10
Clinical Week
1
1/13
p
BAH
1/20
P
BAH
1/27
P
BAH
2/4
P
BAH
2/10
p
bah
2/19
P
CC
2/24
p
BAH
3/3
P
BAH
na
ni
ni
na
na
na
na
ni
na
na
na
Recognizes cultural issues and interact with

clients in culturally sensitive ways
n/o
n/o
Uses research and evidence to support clinical

decision making
n/o
n/o
na
Dates
Attendance: P=Present, A=Absent, T=Tardy
Facility/Unit
Applies concepts and theory to clinical practice
in client care and written assignments:
1. Collects data and conducts a health
assessment on a client with a chronic illness
2. Analyzes and interprets the data/assessment
findings.
3. Prioritizes health problems.
4. Develops a plan of care that considers the
individual, family, age of client,
developmental stage, psycho-socio-cultural
issues, and/or learning needs.
5. Evaluates and reflects on plan of care.
Applies ANA Code of Ethics in care of chronically
ill
Identifies roles and functions of members of the
health care team involved in providing care for
the chronically ill.
Uses therapeutic communication with patients
and agency staf
Recognizes potential legal and ethical issues
related to client autonomy across the lifespan in
at risk populations.
Makeup
C6
Utilizes resources as needed
na
s
3
Competen
cy (C)
Course
Outcome
(CO)
C9, CO2
C3
C4
C3
C4
C1
C1
C3
C2
C4
Demonstrates responsibility and accountability

for professional behavior:
1. Performs safely in clinical.
2. Prepared for clinical (Appropriate attire,
appropriate tools such as stethoscope, skills
list, evaluation tool, assessment tools).
3. Takes initiative in making decisions and
assuming responsibility for decisions.
4. Looks for opportunities for continued learning
and self-development.
5. Identifies behaviors and attitudes influencing
professional behavior.
6. Demonstrates growth in coping with stressful
situations in a calm and dependable manner.
7. Maintains patient confidentiality.
8. Completes and submits assignments on time.
9. Organizes and manages time efectively.
10.Attends and participates at post-conference.
Instructor Initials
Student Initials
n/o
na
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s
s
na
na
na
s
s
s
s
s
s
s
s
mjs
tj
mjs
tj
mjs
tj
mjs
tj
mjs
tj
mjs
tj
mjs
tj
mjs
tj
Makeup
Week
Student
Initials
Instructor include comments that are positive, areas that need improvement or are
unsatisfactory. Reference the course outcomes listed in the syllabus and/or the OCNE
Competencies from the Nursing Student Handbook (Date/Sign all entries)
First clinical in acute care. Comes prepared with pre-clinical work and cares for patient safely.
Care plan at Orients to hospital and unit. Care plan is in beginning stages. Work on making
assessment more in-depth and care plan more patient focused and
specific----------------------------------------------------------------------------------------Msperry RNc
Tanya-please review your care planyour assessment includes skills that are beyond your
scope of practice. You also need to be very careful when paraphrasing your references. Your
wording is extremely close to the original content. Use the skills and wording you knowdo
not do more than this it is getting you in over your head.
--------------------------------------------------------------------------------------------------------------------------------Msperry RNc BSN
Improved documentation of assessment. Work on being clearer and less subjective. Words
such as diminished, soft, gentle are not very clear and can be interpreted many ways. Better
patho write up- please refer to APA 6th edition for referencing and in text citation. Leaves
early this clinical due to illness. Will not need to be made up MSperry RNc BSN
Care for respiratory client. Work on identifying best dx for patient. How would you determine
altered comfort level vs Pain? Beginning to prioritize dx for patient. Improved documentation
and getting better at clear and concise charting. Continue working on
this.------------------------------------------------------------------------------MSperry RNc BSN
tj
tj
tj
tj
tj
5
Fresh post op patient. Improving on care planning and becoming more concise. Identifies 3
dx and patient centered care
plan----------------------------------------------------------------------------------------------------------------Msperry
RNc BSN
Works with clients at community caf clinic. Does dental screening and IM injections.
Interacts very well local clients across the life span including 3 year olds to adult. Very
professional in her approach and genuine with the client. Nicely
done---------------------------------------------------------------------------------------------------------MSperry RNc
BSN
Tanya- your assessment data does not match you care plan. You contradict yourself multiple
times in your assessment and care planning. This can cause legal issues and unsafe care to
patients. You need to be consistent in your charting and care planning. This does not meet
competencies 1,2 and 9. --------------------------MSperry RNc BSN
tj
Cares for patient with bilateral knee replacements. Review your care plan and reflect on how
to create a realistic care plan for mobility. Improved in assessment documentation.
-------------------------------------------MSperry RNc BSN
tj
tj

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Student Name:

Southwestern Oregon Community College Nursing Program

Clinical Evaluation Tool

Nursing 111 Clinical Evaluation Tool

Recognizes cultural issues and interact with

Uses research and evidence to support clinical

Utilizes resources as needed

Demonstrates responsibility and accountability

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