Carroll Community College

Division of STEM, Nursing and Allied Health

Department of Nursing
NURS 242 – Nursing Concepts 4
SUMMATIVE Student Clinical Performance Evaluation

Student Lindsey Bohli Date 3/6/18 CSE # ACC- CVSD Faculty Professor Stein
S = Satisfactory N = Needs Improvement U = Unsatisfactory NA = Not applicable (*) Critical behavior
Students who meet any of the following criteria will be given a remediation plan and may be placed on probation.
Failure to progress in these areas may result in failure of the course.
-One unsatisfactory grade in a critical behavior -Two needs improvements in a critical behavior
-Two unsatisfactory grades in a non-critical behavior -Four needs improvements
Student Instructor
Self- Eval of
Outcome 1 Eval Student
Use the nursing process to optimize client health (CSLO1) S/N/U S/N/U
1. *Prioritizes patient care based on assessment S S
2. *Demonstrates accurate patient assessment skills S S
3. Analyzes and incorporates data from the patient’s medical record in the provision of S S
care
4. Uses patient assessment data to implement individualized plan of care S S
5. Establishes appropriate nursing diagnoses based on collected evidence and patient S
assessment S
6. Establishes measurable patient outcomes based on nursing diagnosis S S
7. Establishes appropriate nursing interventions based on assessment S S
8. Evaluates patient response to care and revises plan as needed S S
Student Instructor
Self- Eval of
Outcome 2 Eval Student
Assimilate into the profession of nursing (CSLO2) S/N/U S/N/U
9. Demonstrates professional behavior and appearance S S
10. Seeks input from patient, instructor, and healthcare team in the delivery of patient- S
centered care S
11. *Demonstrates accountability and accepts responsibility for own actions and attitudes S S
12. *Adheres to attendance policy S S
13. Participates actively in all clinical experiences S S
14. Engages in self-reflection and communicates learning needs to instructor S S
15. Completes assignments as required and submits on time S S
16. Demonstrates initiative in assisting peers and healthcare team members in the clinical S
setting S
Student Instructor
Self- Eval of
Outcome 3 Eval Student
Provide patient-centered care (CSLO3) S/N/U S/N/U
17. *Implements appropriate infection control precautions S S
18. Provides culturally sensitive care S S
19. Documents patient care accurately S S
20. Uses therapeutic communication skills S S
21. Follows through with all patient care S S
22. Demonstrates knowledge of medications for assigned patients S S
23. *Administers medication safely using six rights of medication administration S S
24. Demonstrates caring behaviors S S
Approved 12/4/14. Revised 12/10/2014; 01/2015
 Carroll Community College
Division of STEM, Nursing and Allied Health
Department of Nursing
NURS 242 – Nursing Concepts 4
SUMMATIVE Student Clinical Performance Evaluation

25. Uses SBAR effectively S S

26. Acts as an advocate for patients and families S S
27. *Demonstrates physical and mental competence S S
28. *Identifies safety concerns and notifies instructor and appropriate healthcare team S
members S
29. Organizes time efficiently S S
30. Evaluate effectiveness of patient and family teaching and revises plan as needed S S
31. *Updates instructor and healthcare team regarding changes in the patient’s condition S S
32. *Provides nursing care based on the policies and procedures of the facility S S
33. *Provides nursing care in accordance with the Maryland Nurse Practice Act S S
34. *Adheres to HIPAA guidelines S S
35. *Provides care according to ANA Scope and Standards of Nursing Practice S S
Student Instructor
Self- Eval of
Outcome 4 Eval Student
Engage in evidence based care (CSLO4) S/N/U S/N/U
36. Critiques current practice based on evidence S S
Student Reflection (Thoroughly answer all questions)
How has this clinical rotation helped to define your role as a nurse? Please explain.
This rotation has been an amazing experience all the way around. I was able to go to the OR on 3 different occasions, as
well as perform skills learned throughout the program. I observed the start of an aortic valve replacement procedure, a full
CABG x 3 (on pump) procedure, and a full Maze Procedure (and followed this particular patient to recovery in the ICU to
see what all they do there immediately post-op: setting up IVs/giving pain meds, completing assessments, and lab work
drawn from the peripheral IV line). I also went with a patient down for his PFT evaluation. I was able to perform a bladder
scan on 2 different patients, one of which I was able to also perform a straight catheter insertion on (under the supervision
of Professor Stein). I have seen multiple pre-op checklists carried out and performed on patients prior to them going to the
OR. I observed a central line removal on one of my patients too. I have had 2 patients with difficult to locate pedal pulses,
where I was able to use a doppler to find them and assess them that way (at the already marked areas on their
feet/ankles). This clinical rotation has allowed me to see multiple areas of the nursing field and has given me many
opportunities throughout it.

Which objective did you accomplish during this rotation? How did you do it?
I continued to work on therapeutic communication, assessment skills, and seeing the big picture/connecting the dots with
all my patients. I was able to complete a medication pass, which allowed me to get more comfortable with doing so and to
remind me to watch the simplest of things (like the scanner working on all the meds/information to put into it). The
constant practice with determining heart monitor rhythm strips was extremely beneficial throughout this rotation. I feel like
I finally have a better grasp on how to interpret the rhythms and what they could mean for my patient(s) at hand. This also
helps to tie in the purpose of certain medications being used. Each experience obtained through this rotation has allowed
me to practice my skills and grow as a nursing student and future RN.

What are your goals for future work in the clinical setting?
My goals for future work in the clinical setting are to continue to work on therapeutic communication, building rapport with
my patients, perfecting assessment skills and clinical skills (injections, foley catheter insertions, etc), and seeing the big
picture/connecting the dots for each of my patients. I will continue to work on prioritizing appropriate nursing diagnoses for
each patient as well. A lot of this will come with time and experience, but it is nice to be able to say I feel a lot more
comfortable and confident in the nursing field and with my skill set than I did at the start of this program.

Approved 12/4/14. Revised 12/10/2014; 01/2015

 Carroll Community College
Division of STEM, Nursing and Allied Health
Department of Nursing
NURS 242 – Nursing Concepts 4
SUMMATIVE Student Clinical Performance Evaluation

Faculty Comments/ Student Learning Goals (Goals must be established even if performance is satisfactory.
If an item was identified as N or U, narrative comments are necessary to clarify student performance along
with goals to improve performance).

Lindsey, you made excellent progress and improvement this rotation demonstrating your ability to identify
abnormal cardiac rhythms, connect pathophysiology with symptom presentation and abnormal lab values, and
participating in multiple patient care specialties including CCU, OR, PT, OT, and respiratory therapy. You were
able to participate in multiple cardiac procedures including CABG, TAVR, and MAZE; you successfully straight
catheterized a patient, and administered medications to 2 patients. Your ability to perform competent and
quality nursing care is evident, while documenting thorough assessments, lab values, and rhythm
identification. You will do well in the nursing world.

Your patient load included but was not limited to:

- Post-op day 4 of CABG x 3 and MAZE with runs of V. Tach placed on amiodarone drip
- Post-op day 3 of TAVR and pacemaker placement (study patient)
- Post-op day 5 of CABG x 3 with CHF, on CPAP and transitioning to nasal cannula
- Post-op day 2 of AVR with elevated WBCs and numerous abnormal electrolytes from an unknown
cause
- Pre-op work up for MAZE procedure with symptomatic atrial fibrillation
- Post-dop day 5 of CABG x 3 with bursts of atrial fibrillation and medication altering for management
- Pre-op CABG work up with PFTs (discussed chronic bronchitis versus COPD)
- Post-op day 4 of CABG x 4 with runs of SVT and issues with post-hospital placement due to conflicting
patient wants and needs
- Pre-op work up with MAZE procedure
- Post-op day 3 of CABG x 4 with low H & H and chronic thrombocytopenia

Student Signature: Lindsey Bohli Date: 3/12/2018

Instructor Signature: Lindsay Stein, BSN, RN Date: 3/12/2018

Approved 12/4/14. Revised 12/10/2014; 01/2015