NUR 308 BPO Updated 9-27-18

Page 1
UNIVERSITY OF THE VIRGIN ISLANDS

SCHOOL OF NURSING
Student: Naikah Liburd
Semester: Fall 2018
Faculty: Rosa Rios, RN
Nursing 308- Adult Health Nursing I: Behavioral Performance Objectives Final Clinical Grade: _______________
These objectives and accompanying guidelines are designed to allow the student to demonstrate progress toward meeting student learning outcomes. The “%
required” column, which is based on the total number of clinical days for the course identifies the amount of “S” needed to pass. Each week students must
comment on at least 3 objectives and. indicate the date, a self-evaluation rating and give a specific example to document how selected objectives were met. By
the end of each semester, ALL “Student Comment” sections must have been filled in.
% Req* 9/13 9/2 Faculty Comments

9/20 7
Concept: Patient-centered care
Outcome: Implement nursing care to individuals and families from diverse backgrounds in acute care and community-based settings that is compassionate, age
appropriate, culturally sensitive, and based on a patient's preferences, values and needs.
Perform a general assessment of adults 60% S S S
and older adults including physiological,
psychological, sociocultural, and spiritual
needs of patients and families
experiencing common acute and chronic
health problems in acute care and
community-based settings.
Use the nursing process to prioritize the 60% S S
implementation of patient care to achieve
optimal outcomes.
Provide culturally sensitive care to 60% S

patients and families from diverse
backgrounds.
Use clinical decision making when 60% S S S
providing nursing care based on
evaluation of patient needs
NUR 308 KEY S = Satisfactory NI = needs improvement U = unsatisfactory If additional room for comments is needed, please use reverse side of each page and
identify which behavior is being addressed.
Page 2

9/20 7
Demonstrate psychomotor skills S S
appropriate to course level, practice 80%
setting, and specialty area
Advocate for patients and families 20% S

regarding nursing care issues and
health care decisions.
Use verbal and nonverbal 60% S S S

communication that promotes
compassionate, therapeutic
relationships with patients and
families.
Provide health-related education 60% S S
to individuals and families.
Concept: Teamwork and Collaboration

Outcome: Participate as a member of the interprofessional healthcare team in the provision of safe, quality patient-centered care
Provide nursing care within the scope of 70% S

practice as a member of the
interprofessional healthcare team.
Communicate patient related 70% S

information to designated members of
the healthcare team in the provision of
patient- centered care.
Concept: Evidence based practice

Outcome: Demonstrate use of best current evidence and clinical competence when making clinical decisions in the provision of patient-centered
care.
Identify best current evidence for its 20%
application to practice.
Page 3

9/20 7
Implement patient-centered care based 70%

on best current evidence and clinical
competence.
Concept: Quality Improvement
Outcome: Participate in data collection processes that support established quality improvement initiatives.
Use recognized nursing standards to 10%
improve and advance the quality of
health care services.
Identify a measurement tool to gather 10%

data related to the gap between
current and desired patient outcomes.
Participate in the collection of data 10%

related to a Nurse Sensitive Indicator.
Implement strategies that minimize risk 10% S S

and provide a safe environment for
patients, self, and others.
Concept: Safety
Outcome: Implement strategies that minimize risk and provide a safe environment for patients, self, and others.
Demonstrate effective use of technology 60% S S S
and standardized practices that support a
culture of safety.
Implement actions that minimize safety 70% S S S
risks and environmental hazards in
healthcare settings.
Comply with National Patient Safety S
Goals that promote safety in healthcare 80%
settings.
Concept: Informatics
Outcome: Use evidence-based information and patient care technology to communicate relevant patient information in order to provide safe,
quality patient-centered care
Page 4

9/20 7
Demonstrate ability to access, enter, and 60% S S S

retrieve data used for patient-centered
care.
Use patient care technologies 60% S S S
effectively when assessing and
monitoring patients.
Implement strategies that uphold patient Only 1 S S
rights while conserving the integrity of U
patient information when providing allowed
patient-centered care.
Concept: Professionalism
Outcome: Practice nursing in a professional, ethical, and legal manner while providing patient- centered, standard-based nursing care
Maintain professional standards of 70% S S
practice in the delivery of patient-
centered care.
Maintain professional accountability and Only 1 S S S
responsibility in the delivery of patient- U
centered care. allowed
Maintain nursing practice that supports Only 1 S S S
ethical decision making and complies U
with legal tenets in the delivery of allowed
Maintain nursing practice that complies 70% S
with regulatory guidelines and
institutional policies in the delivery of
patient- centered care.
Concept: Leadership
Outcome: Apply leadership, management, and priority setting skills to the practice of safe, quality patient- centered care.
Use organizational, time management, 70% S S

and priority setting skills in the provision
of safe, quality patient-centered care.
Page 5

9/20 7
Delegate patient care tasks to 10%

appropriate members of the health care
team.
Each week students must comment on at least 3 objectives and. indicate the date, a self-evaluation rating and give a specific example to document how
selected objectives were met. By the end of each semester, ALL “Student Comment” sections must have been filled in.
Date Student Comments Faculty Comments

% Req*
Concept: Patient-centered care
Outcome: Implement nursing care to individuals and families from diverse backgrounds in acute care and community-based settings that is compassionate, age
appropriate, culturally sensitive, and based on a patient's preferences, values and needs.
Page 6

% Req*
Perform a general assessment of adults and 60% 9/13 While shadowing the PCT and RN, I was able 9/13/18- NI
older adults including physiological, to obtain a patient’s general assessment:
psychological, sociocultural, and spiritual “L.W. 36-year-old African American female; WAS YOUR PT ON O2 SINCE SHE WAS SHORT
needs of patients and families experiencing complain of left-sided rib/chest pain with OF BREATH? WHAT WAS HER O2 SAT? PAIN
common acute and chronic health shortness of breath. Patient stated that she SOMETIMES CAUSES YOUR HR AND B/P TO GO
problems in acute care and community- exercised her upper body on 9/12, however UP. WHAT WERE HER VITAL SIGNS?
based settings. today she fell while at work and injured the left
side of her rib, pain started yesterday (9/12) @
3 pm. Hx: 2 children, 1 c-section. 02: 100%
room air; R: 9; T: 95; HR: 89; BP: 150/80.
Updated 9/20
9/20 09/20/18-R.RIOS RN
B, S. 55-year-old African American male
diagnosed with diabetic ketoacidosis and
wound infection. Obtained vital sign: T: 98.1,
R:16; BP: 140/85; HR: 84; 02: 100% room air. GOOD YOU DID A FULL ASSESSMENT. WHAT
Pt remained on room air, 02 saturation is 100. ABOUT HE PSYCHO/SOCIAL NEEDS /CULTURAL
IV access #22 in right hand with no signs of NEEDS WERE THERE ANY?
infiltration. Lungs are clear; normal breathing
pattern. Skin intact, no sign of skin breakdown.
Positive abdomen bowel movements in right
lower quadrant. Multiple abrasions noted on his
left lower leg. He allowed permission of his
penile are, no abnormalities and skin break
down noted. Patient denied discomfort or
itching in penile area. No breakdown noted in
the back area. THIS LAST STATEMENT IS NOT NEEDED FOR
THIS BEHAVIORAL OBJECTIVE.
Page 7

% Req*
Use the nursing process to prioritize the 60% 9/27 I identified my patient with the nursing
implementation of patient care to achieve diagnosis: Risk for falls because my patient was
optimal outcomes. over 60 years of age and reported with left
sided weakness. My patient outcomes were: to
remain free from injury or unplanned outcomes
by the end of the shift, to verbalize an
understanding of safe limit setting by the end of
the shift and be able to move about within
environment safely as needed with appropriate
adjuncts by the end of the shift. My patient’s
interventions were, assess patient’s perception
of environment/self, keep bed in lowest locked
position, and call light and essential personal
items are within reach.
Provide culturally sensitive care to patients 60%
and families from diverse backgrounds.
Use clinical decision making when 60% 9/20 While looking at my patient’s lab results, I 9/20/18- OK RRIOS RN
providing nursing care based on noticed he was resistant to Penicillin antibiotics;
evaluation of patient needs alerted the MD of my discovery and MD
discontinues the penicillin order.
Demonstrate psychomotor skills 9/13 While in the ER, a patient had ineffective 9/13/18 – R.RIOS RN
appropriate to course level, practice 80% breathing pattern, I was able to auscultate pts
setting, and specialty area lungs using the zig-zag method; Pts unilateral, OK
right lung sound was diminished.
Page 8

% Req*
Advocate for patients and families 20% 9/27 While caring for my patient, I alerted my nurse
regarding nursing care issues and health about any abnormal findings that she should be
care decisions. aware of. For example, at 1100, I checked the pt
blood sugar and it was 213 mg/dL, I reported
the finding to my nurse and she contacted the
provider on the pt’s level to find out what
should be done.
Use verbal and nonverbal 60% 9/13 Pt was admitted into the ER for left-sided rib 9/13- Was pain medication given? Tell her that you will
communication that promotes pain due to a fall; I was able to ask the patient administer her pain medication and check back in an ½
compassionate, therapeutic relationships to rate her pain on a scale of 0-10, 0 meaning no hour to see if her pain level has dropped.
with patients and families. pain and 10 meaning intense pain; Pt rated her
pain as a 10; I assured her that everything will
be fine and asked patient if she would like
assistance in getting into bed, patient said, no
she can do it. Pt was given Toradol 60 mg IM
(right gluteus) & Tramadol Hcl PO.
9/20 While assessing the patient, I asked the patient 9/20/18- R.RIOS RN
if he is experiencing any pain, patient
responded by nodding. Asked patient about his DID YOUR PT NODDING MEANT YES OR NO. IF
day and how he’s feeling. IT WAS YES WHAT DID YOU DO ABOUT IT?
Provide health-related education to 60% 9/20 While completing a full body assessment on my 09/20/18- R.RIOS RN
individuals and families. patient, I would alert the patient of what exactly
I am palpating and auscultating for; for
example, I asked my patient for permission to
examine his penile area and told him I’m OK, INCLUDE SKIN BREAKDOWNS
looking for any abnormalities such as, dryness DISCHARGES /SORES
or odor.
After questioning my patient about his status of

9/27 the influenza and pneumococcal vaccination
and not getting a clear response, I
communicated with my nurse and my instructor
about his status and was able to gather
information from CDC regarding the
importance of a pneumococcal vaccination to
share with my patient.
Page 9

% Req*
Concept: Teamwork and Collaboration
Outcome: Participate as a member of the interprofessional healthcare team in the provision of safe, quality patient-centered care
Provide nursing care within the scope of 70% 9/27 Before my patient was discharged, I was able to
practice as a member of the conduct a discharge teaching with him
interprofessional healthcare team. explaining what his daily activity restrictions
were, what medications to continue while at
home, and to schedule his next check-up with
his provider.
Communicate patient related information 70% 9/27 Every hour I assessed my patient by obtaining
to designated members of the healthcare his vital signs and pain levels on a scale of 0 to
team in the provision of patient- centered 10, administering medications, and checking
care. blood glucose level. After every assessment, I
made sure to alert my co-assigned nurse of my
findings. While noting my findings, I made sure
I shared with her what medication was given
and his blood glucose levels.
Concept: Evidence based practice
Outcome: Demonstrate use of best current evidence and clinical competence when making clinical decisions in the provision of patient-centered care.
Identify best current evidence for its 20%
application to practice.
Implement patient-centered care based on 70%

best current evidence and clinical
competence.
Page 10

% Req*
Concept: Quality Improvement
Outcome: Participate in data collection processes that support established quality improvement initiatives.
Use recognized nursing standards to 10%

improve and advance the quality of health
care services.
Identify a measurement tool to gather 10%

data related to the gap between current
and desired patient outcomes.
Participate in the collection of data 10%

related to a Nurse Sensitive Indicator.
Implement strategies that minimize risk 10% 9/20 Frequently using proper hand hygiene before 09/20/18-R.RIOS-RN
and provide a safe environment for entering my patient’s room, donning gloves
patients, self, and others. while introducing myself and the procedure to
my patient, removing gloves after assessing VERY GOOD
patient, and using hand hygiene techniques.
Assuring that 3 side rails were up, call light and
urinal panel is in reach, before exiting patient’s
room.
Page 11

% Req*
Concept: Safety
Outcome: Implement strategies that minimize risk and provide a safe environment for patients, self, and others.
Demonstrate effective use of technology 60% 9/20 Properly logging out of Meditech before exiting 09/20/18 R.RIOS RN
and standardized practices that support a nurse’s station to avoid exploiting patient’s
culture of safety. information. Avoided leaving patient’s VERY GOOD
information accessible to anyone.
Made sure I used proper aseptic techniques
while administering medications such as,
cleaning the medication vial with an alcohol
swab, discarding the syringes in the appropriate
disposal after use.
Implement actions that minimize safety 70% 9/20 Before I exited my patient’s room, I double 09/20/18- R.RIOS RN
risks and environmental hazards in check to make sure that my patient’s bed was in Ok. You can also state that any equipment in the
healthcare settings. the lowest position to reduce fall risks, 3 side hallway, too many visitors, wet floors, were addressed.
rails were up, call light was in reach, and urinal These can be environmental hazards
was in reach.
9/27 Before administering enoxaparin sodium

(Lovenox inj.) to my patient, I checked his
blood pressure 30 minutes prior to
administration.
Comply with National Patient Safety Goals 9/27 Before administering medications to my patient,
that promote safety in healthcare settings. 80% I verified by asking the patient to state his name
and date of birthday while I double checked his
wristband. I also made sure to use proper hand
hygiene and donning gloves while in patient
care.
Concept: Informatics
Outcome: Use evidence-based information and patient care technology to communicate relevant patient information in order to provide safe, quality patient-centered
care
Page 12

% Req*
Demonstrate ability to access, enter, and 60% 9/13 I accessed pts medical records to gather her 9/13/18- R.RIOS RN
retrieve data used for patient-centered care. general information, diagnoses, and medication
ordered for her pain, while maintaining HIPAA GOOD!
guidelines of securing privacy.
9/27 While accessing my patient’s medical records, I

used medical drug websites to learn more about
an unfamiliar drug and I also used my nursing
diagnoses book to help me find a diagnosis
relatable to my patient’s condition.
Use patient care technologies effectively 60% 9/13 While assisting the RN in caring for a stab- 9/13/18- R.RIOS RN
when assessing and monitoring patients. wound victim, I applied a sphygmomanometer
on pts right arm (left arm was injured) and
applied the pulse oximeter on pts index finger GOOD
to obtain vital signs based on RN’s request.
9/20 I used the glucometer to get an approximate

concentration of the patient’s glucose level at 09/20/18-R.RIOS RN
routinely checks; in addition, I used a doppler
ultrasound during my physical assessment to GOOD
auscultate patient’s posterior tibial artery.
Implement strategies that uphold patient Only 1 U 9/13 While accessing pts medical record, I ensured 9/13/18- R.RIOS RN
rights while conserving the integrity of allowed pts privacy by closing his/her records before I
patient information when providing left the station. GOOD
Concept: Professionalism
Outcome: Practice nursing in a professional, ethical, and legal manner while providing patient- centered, standard-based nursing care
Page 13

% Req*
Maintain professional standards of 70% 9/27 While alerting my nurse about my patient’s
practice in the delivery of patient-centered abnormal glucose level findings, I confronted
care. her in an assertive and respectful manner
Maintain professional accountability and Only 1 U 9/13 I arrived on the ER unit on time (7 am) in 9/13/18- R.RIOS RN
responsibility in the delivery of patient- allowed appropriate attire (clean and neat), ID visible,
centered care. hair above shoulder length; with stethoscope, VERY GOOD!
watch, pen light, and black pen visibly insight.
9/27 I arrived on the Surgical Unit at 6:50 a.m. in

full uniform with completed clinical
worksheets; consulted my assigned nurse and
nursing assistant that I would be caring for the
patient; at 7 a.m. I obtained my patient’s blood
glucose level and reported my findings; and
double checked all my medications with my
instructor prior to administration.
Maintain nursing practice that supports Only 1 U 9/13 I achieved to the ANA Social Media Policy by 9/13/18- R.RIOS RN
ethical decision making and complies with allowed avoiding the use of smartphones and taking
legal tenets in the delivery of patient- photos while in front of patients and on the unit. GOOD
centered care.
Maintain nursing practice that complies 70% 9/20 Before I entered my patient’s room, I made sure 09/20/18- R.RIOS RN
with regulatory guidelines and institutional I used proper hand antiseptic techniques before THIS IS MORE OF A SAFETY COMPLIANCE. AN
policies in the delivery of patient- centered entering my patient’s room. Before I checked EXAMPLE WOULD BE BEFORE YOU CHECK
care. the patient blood sugar, I verified it was the THE PT BLOOD SUGAR,YOU MADE SURE HE
right pt by checking and scanning his WAS THE RIGHT PATIENT BYCHECKING AND
wristband. Updated 9/27 SCANNING HIS WRIST BAND.
Page 14

% Req*
Concept: Leadership
Outcome: Apply leadership, management, and priority setting skills to the practice of safe, quality patient- centered care.
Use organizational, time management, and 70% 9/20 Administered my patient’s medication based on 09/20/18- R.RIOS RN
priority setting skills in the provision of time management by preparing my medication
safe, quality patient-centered care. 30 minutes before and administering exactly on
time. Before administering medications, I GOOD.
doubled check the provider’s order and
patient’s MAR and gathered all my equipment’s
needed for the medication (syringes, alcohol
wipes, patient’s medication MAR).
Delegate patient care tasks to appropriate 10%

members of the health care team.

NUR 308 BPO Updated 9-27-18

Uploaded by

Copyright:

Available Formats

NUR 308 BPO Updated 9-27-18

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

NUR 308 BPO Updated 9-27-18

Uploaded by

Copyright:

Available Formats

Page 1

UNIVERSITY OF THE VIRGIN ISLANDS

% Req* 9/13 9/2 Faculty Comments

Provide culturally sensitive care to 60% S

% Req* 9/13 9/2 Faculty Comments

Advocate for patients and families 20% S

Use verbal and nonverbal 60% S S S

Concept: Teamwork and Collaboration

Provide nursing care within the scope of 70% S

Communicate patient related 70% S

Concept: Evidence based practice

% Req* 9/13 9/2 Faculty Comments

Implement patient-centered care based 70%

Identify a measurement tool to gather 10%

Participate in the collection of data 10%

Implement strategies that minimize risk 10% S S

% Req* 9/13 9/2 Faculty Comments

Demonstrate ability to access, enter, and 60% S S S

Use organizational, time management, 70% S S

% Req* 9/13 9/2 Faculty Comments

Delegate patient care tasks to 10%

Date Student Comments Faculty Comments

Date Student Comments Faculty Comments

Date Student Comments Faculty Comments

Date Student Comments Faculty Comments

After questioning my patient about his status of

Date Student Comments Faculty Comments

Implement patient-centered care based on 70%

Date Student Comments Faculty Comments

Use recognized nursing standards to 10%

Identify a measurement tool to gather 10%

Participate in the collection of data 10%

Date Student Comments Faculty Comments

9/27 Before administering enoxaparin sodium

Date Student Comments Faculty Comments

9/27 While accessing my patient’s medical records, I

9/20 I used the glucometer to get an approximate

Date Student Comments Faculty Comments

9/27 I arrived on the Surgical Unit at 6:50 a.m. in

Date Student Comments Faculty Comments

Delegate patient care tasks to appropriate 10%

You might also like