Está en la página 1de 3

Nursing 110 Clinical Evaluation Tool Student Name: L rllrt gft

Clinical Week
MS Fn l
Competen
cy (c)
2 3 4 5 6 tflrt 7 I 9 10
r.l
QSEN al
Competncle Coune
Dates '/3 ldtt la/dl rcbt tt l'7 r.t Itq {ttl.&. lll
3
(A)
Outcomes
(co) Attendance: P=Present, A=Absent, T=Tardy p f l/ v I -(rt
Y
I

Faclity/Unit !.V t+ utr+ 1.{t 0fir QJJh w?t O,\JJ+ ( t]-lt


c9 Applies concepts and theory to clinical practice in client

I
E
E

o
co L,2 care and wrtten assignments:
t. Collects data and conducts a health assessment on
client.
a g t-
5 5 2 5 5 5
5 1
h
c 2. Analyzes and interprets the data/assessment findngs. 5 3 5 a 2 t \\ t7
o
U
z
.E

3.
4.
Prioritzes health problems.
Develops a plan of care that considers the individual,
ru /t 5 2 v t 1 4

family, age of client, developmental stage, psycho- rtlA i . fuft 5 5 5 I 2
Y soco-cultural issues, and/or learning needs. 5 2
5. Evaluates and reflects on plan of care iv"
t ll JA AJ& tu{1 t 5 1 t a
.9

o
l
3
o
U
c8,co
5

c6,7,8
Uses
staff
therapeutic communication with patients and agency
5 5 5 5 t 1 t t t
o
J co 1,4
55 I t
o
Recognizes cultural issues and interact with clients in
d
.0,

,
culturally sensitive ways ,
7 5 5 5 ,

v

c
c10,
co2
Uses research and evidence
making
to support clinical decision
5 5 5 ? 5 5 5
c6, co2 Utilizes resources as needed 5 + 4 1 3 5 4 2
*o
c9, co2 De m onstrate res ponsi bil ity a nd acco u ntabil ity fo r
professional behavor:
t. Performs safely in clinical.
5 5 t ) I a q 2 7 t
t
G

<
Y

.e
2. Prepared for clinical (Approprate attire, appropriate
tools such as stethoscope, skills list, evaluation tool, 3 5 t 5 - 2 f t
tt
assessment tools).
G
.9
o
c4 3. Takes initiatve in making decisions and assuming
responsibility for decisions. 5 5 q q 5 4 5 ?
g
CL
sl
c3 4. Looks for opportunities for continued learning and
self-development, 5 5 1 II 5 q t 9 f
.c
6
ts
o
c4 5.
6.
ldentfies behavion and attitudes influencing
professo na I behavior. 4v t 5 5 4 q 5 \ t2
cL,2 Demoilstrates growth in copng wth stressful
situations in a calm and dependable manner. 5 I 3 5 5 5 t 3 pc.
c&e 7 Documents accurately and thoroughly within the
health record where aoolicable to clinical settine 5 5 \ 5 5 5 t 4
cl, co3 8. Maintainspatentconfidentiality. 5 3 \ K 5 5 1 1 I,'
c3, co8 9. Completes and submits assignments on tme. _a -1 I 5 1 ,4
5
c2 10. Organizes and manages tme effectirly. 5 1 5 ) 4 4 1 t
c4, co8 11. Attends and participates at post-conftrence. 3 2-- 4 3 a 4 1 a
qt
3 t
lnstructor lntials >,( - t - 0- I'a- 9n ?o
Student lnitials -f q, t. /.t, 4.4t jdl 9- t" Ve
Y.r,{, , '/,
Key: C;Competency, CO=Course Outcome, QSEN=Quality and Safety Education fur Skills & Attitudes (QSEN Cornpetencies)

pc.
Week
lnstructor - include cornments th are positive, areas that need impmvement or are unsatisfactory. Refercnce the couse outomes listed in Strdent lnltlals
the frcm the Student Handbook the all
o Db 5{4"ax 1<-,J \ furv.-$a.+c,';-.*o- L "^^d*
2 \

feu b -t /fi \t I
3 ck ) n t f'l u3
lel

4
{,r}e-e.9 ,rj:le, D A--
\
,J
ffi
Uv-\

la
5
Cnrn uu) w pd.
G \o {r"
6 r\
Vr
L (- ro fa / L\t J4
Midterm a CL,')t u^|1 \{ lt\) D
\- o f
w_ b
7 ;F
G.q
fr Ir\
VV<
o
wrJ t p
11
.-)
h uDs
.<,1
L)
U*^-f
K- )
a7.
8 Crr>,rrb rT\,\3* I

13fD d rue rLA c/, / n


9 L. V. 5 st N- ntUl -,

10 4c^P
44tlqa
Final (
Job
nr.A-V

pc

También podría gustarte