LEARNING PLAN

Learning Objectives Resources and Strategies Types of Evidence of

achievement
Criteria to validate
objectives achieved

Standard 1

6.03-Recognizes and
identifies own feelings


















Will continue to work on self-
awareness while on the floor. Being
mindful of the presence of feelings
and stopping to interpret these
feelings and identify them.

Read the article Making the
workplace healthier, one self-aware
nurse at a time from
http://www.americannursetoday.com
/article.aspx?id=9292
Focusing on the importance of being
in tuned with myself, taking care of
myself and my own feelings and
being self-aware.

Will continue to utilize my journal
and post-conference to discuss my
experience and feelings from the day
on the floor.

Will pick a feeling every day that I
experienced on the floor and identify
it
I did focus on self-awareness,
and identified when I was
feeling anxious, nervous,
stressed or overwhelmed. I
became mindful of these
feelings, and then worked on
ways to decrease these
feelings (i.e. taking a few
deep breaths)

I read the article noted, and
really acknowledged the
importance of being aware,
and mindful of myself and
feelings and how the
influence my care, my
presence, and my well-being.

Have utilized my journal and
post-conference to recognize
and discuss feelings- such as
feeling really overwhelmed @
clinical sometimes, and how
this affecting my ability to
think clearly or competently!
5/5- I feel very confident in
my ability to recognize and
identify my feelings. We have
focused on self-awareness
extensively in this program,
and I more than recognize
and understand the
importance of this for overall
well-being and my practice as
a nurse.
Learning Objectives Resources and Strategies Types of Evidence of
achievement
Criteria to validate objectives
achieved

Standard 2

1.05- identifies and prioritizes
client needs

















Will utilize my head-to-toe
assessment skills as well as
communication to identify
client needs. Reviewing
resources on Stenberg med-
surg clinical site such as
reassessment of the
hospitalized patient and head-
to-toe assessment as well as
the nursing process.

Will utilize critical thinking
skills in determining priority of
client needs- as well as problem
solving for appropriate
organization.

Will read chapter 6 from
foundations of nursing p. 121-
136, nursing process and
critical thinking focusing on a
systemic method, problem
solving, and time management

Will work on
identify/prioritizing needs each
day on the floor with patients.
Have utilized my assessment
and communication skills, in
combination with my critical
thinking skills to prioritize my
care and client needs for the
day.
I have reviewed the Stenberg
resources and refreshed on
assessments, reassessments and
the nursing process.

Example: I have an IV
medication to give at 0900 to
one of my patients, and it is
0900, however my other
patients pain level was rated at
a 9/10, therefor I will address
the pain first, as I dont want
my patient sitting there in pain,
and then I will do my IV
medication (as I have an hour
window).

Read chpt.6, and took notes on
the nursing process and critical
thinking, focusing on problem
solving and time management.
4.5/5- I feel much more
confident in this skill now. I
feel like I can competently
prioritize my clients needs and
have my own flow of how to
manage my time and day while
doing so.
Learning Objectives Resources and Strategies Types of Evidence of
achievement
Criteria to validate objectives
achieved

Standard 2

3.36- Follows policy on
admission, transfer and
discharge procedure

















Will read policies and
procedures for floor 4- and
determine what I would need to
know for their protocol for
admission, transfer and
discharge. Take notes of things
to remember.

Will watch a nurse who takes
an admission or discharge (if
possible) and identify the
process/steps/routine, asking
questions if need be.

Ensure to follow care plan
under discharge plans, any care
actions to take prior to
discharge or transfer.

Ask the appropriate persons for
any additional information, and
seek guidance if unsure.

I did determine the protocol for
admission/transfers/discharges,
and definitely understand the
whole process.

I observed what I could of
admissions and discharges, and
how the nurses went about this;
i.e. paperwork, preparation,
collaborating with unit clerk
and doctor, etc.

I spent more time looking at
discharge plans in the pt.
charts, and identified different
goals/plans for different
patients.


3.5/5-
I didnt actually get to do a
discharge, admission of transfer
on this floor. However I did
observe the process and
became familiar with the policy
and protocols of the unit. I feel
confident that I would be able
to follow these policies when
the opportunity came my way.
Learning Objectives Resources and Strategies Types of Evidence of
achievement
Criteria to validate objectives
achieved

Standard 3

5.01- Evaluates own nursing
performance


















After completing skills and
nursing actions, I will use my
critical thinking and evaluation
skills to determine ways in
which I could have improved
on this skill, what I could do
differently, and what I will do
in the future.

I will continue to utilize my
journal and post conference to
evaluate my nursing
performance and discuss what I
did well and where I can
improve.

Will continue to reflect on the
clinical competencies and
ensure I am achieving these,
and thus setting future goals to
do so

Will seek guidance and
feedback on my performance
and reflect on this.

I have been focusing more on
evaluating myself after I
perform a skill, and using my
critical thinking as to what I
could have done differently,
what worked, what didnt, and
what I will do next time.

Example- the catheter, I
evaluated my performance,
noted what worked and what I
could improve on. Also the SQ
butterfly injection, I evaluated
myself on the first time ever
doing this, and noted that next
time I would just do it quicker,
to ensure less pain.

Have been reflecting on clinical
competencies in my journal,
and really working on critically
reflecting on my nursing
performance. Also have set
goals for the future- i.e.-get
more experience/confidence
with insulins and blood sugars.

4.5/5- I feel confident in my
ability to evaluate my own
nursing performance, as I have
focused on building this skill
and ensuring I am doing so. I
have used my critical thinking
skills in my reflections and
evaluations, and have been
identifying where my strengths
and weaknesses are.
Learning Objectives Resources and Strategies Types of Evidence of
achievement
Criteria to validate objectives
achieved

Standard 4

7.04- Verbalizes observations
to appropriate persons

















Will continue to communicate
with the nurse and the team
lead in regards to my patient.

Will identify when
observations need to be directly
communicated to a doctor, and
thus take this action.

Will review policies and
procedures on floor 4, to ensure
I know what observations
should be reported to who, and
ensure I am following protocol.

Will continue to actively
verbalize my observations on
the floor to appropriate persons,
and ensure I am doing so
correctly.

Will review my resources on
nursing process and
assessments, to ensure my
observations are accurate and
appropriate to be reporting.

Have really been working on
and focusing on
communicating with the other
nurses independently, and
making sure I am reporting my
observations to the team lead as
well as the nurse on my team.

I have identified when
something is of importance and
needs to be reported verbally
(abnormally high BP, high
temp, vomiting, blood in stool,
edema in one arm, etc.).

I have noted protocols on the
floor for verbalizing to
appropriate persons and thus
followed these protocols.
(Ive made doctors notes for
important matters, such as pt.
left arm newly edematous).

Have reviewed resources, and
ensured I am appropriately
reporting.

4.5- I feel I have gotten a lot
better at this within the last
couple weeks, mainly gaining
more confidence to speak with
these appropriate persons and
verbalize my observations and
concerns, and discuss my
patients.
I will continue to build this
skill!