BSN Outcomes: Clinical Performance Evaluation BSN Outcome Objectives N361

Excellent Exceeds Expectations Satisfactory Needs Improvement Unsatisfactory

Leader
REQUIRED: Continues to demonstrate Level 1 (NRSG 360) indicators. Check all that apply: Demonstrates understanding of own unique role in the provision of high quality nursing care, aligning self with the patient care initiatives on the clinical unit and the missions/values/philosophy of the institution at large. Recognizes and seeks to emulate nurses and other staff who provide quality, patient-centered care. Collaborates with the interdisciplinary health care team in the provision of care to his/her client(s). Demonstrates initiative by integrating feedback from faculty and staff to improve clinical decision making, collaboration, and communication in the care of his/her client(s). Presents an evidence-based, nursing research article during clinical conference, including its impact on the care of his/her client(s). Assumes a leadership role in discussions during clinical conference on more than one occasion. Applies nursing assessments pertaining to continuous quality improvement initiatives (e.g. fall risk, central line audits, functional assessment) to improve the quality/safety of care given to his/her client(s). Additional comments: Sara exhibits great leadership skills in the clinical area. She is often seen as a leader by her peers as she assists them, as well as in her interactions with staff and the interdisciplinary team. She opened and assumed a leadership role amongst her peers at many post-conference discussions, often bringing in evidence-based articles or books to increase learning. She communicated with staff on her patients needs in an assertive way and also posed research type questions to the clinical nurse specialist on the unit to assist in unit-based functioning.

X-7G

Scholar
REQUIRED: Continues to demonstrate Level 1 (NRSG 360) indicators. Check all that apply: Identifies sources for current, clinical practice guidelines (e.g. AHRQ, AACN, JCAHO). Formulates formal questions regarding evidence-based practice. Performs self-assessment and reflection of clinical practice, identifying areas requiring growth. Uses appropriate texts, internet sources, and journal articles to find current research relevant to clinical practice setting and population. Discusses with faculty and peers the applicability of research findings to specific clinical situations.

X-7G

Draft: Spring 2010 (CA/DT)

Prepares a plan of care for his/her client(s) that is evidence-supported, reality-based, and takes into account patient preferences. Utilizes library and/or internet resources to seek answers to unclear or unknown information regarding patient care. Explains rationale for nursing action which demonstrates understanding and application of course content.

Additional comments: As stated above, Sara often went above and beyond in seeking new knowledge and resources from databases and the Emory library to aid in her learning, as well as sharing with her peers and hospital staff. Sara has an inquisitive nature and seeks to find evidence-based and research materials to aid in the care of her patients and the patient population seen on 7G.

Socially Responsible Provider

REQUIRED: Continues to demonstrate Level 1 (NRSG 360) indicators. Check all that apply: Observes and constructively evaluates the quality of health care services provided in the clinical practice setting. Identifies resources available to vulnerable populations (e.g., language interpretation, social workers, clergy, discharge planners, nursing leadership). Prepares plan of care that is patient/ family-centered and health promotional, taking into account patients learning needs, socioeconomic/cultural influences, behavioral patterns, and age. Demonstrates awareness of cost containment issues in the delivery of nursing care. Evaluates ways to prevent gaps in care created by transitions between providers, units, levels of care and/or discharge from current care setting. Demonstrates understanding of how own culture, values and beliefs influence behavior. Demonstrates respect for client's different cultural values and beliefs and their right to make health care decisions. Continues to develop self awareness and uses constructive criticism to improve performance. Identifies and discusses with faculty individual learning needs and goals. Actively seeks learning experiences. Additional comments:

X-7G

Ethical Clinician
REQUIRED: Continues to demonstrate Level 1 (NRSG 360) indicators. REQUIRED: Meets core clinical competencies for Professional Accountability.

X-7G X-7G

Draft: Spring 2010 (CA/DT)

Check all that apply: Performs nursing care that is respectful of clients privacy and adherent to ethical/legal requirements for confidentiality. Demonstrates awareness of patient goals for health, which are based on the patients own values, beliefs and right to participate in their own health care decisions. Practices in a nondiscriminatory manner, regardless of patient ethnicity, gender, age, wealth, or religious belief. Reflects on the influence of own values, culture and religion on clinical decision-making. Reports real and potential clinical practice errors honestly and immediately. Initiates discussion with appropriate individuals when ethical issues arise. Additional comments:

Critical Thinker
REQUIRED: Continues to demonstrate Level 1 (NRSG 360) indicators. Check all that apply: Demonstrates beginning use of patient information, standard of practice and evidence-based literature in making decisions for nursing care. Identifies critical thinking behaviors in self and others. Asks pertinent questions in clinical to aid understanding. Demonstrates clinical judgment and questioning of assumptions at a beginning level. (e.g., holding medication until appropriate lab results return, prioritizing pain medication over scheduled medications). Care plans and case presentations demonstrate logical and prioritized thinking. Demonstrates analysis of clients problem list and prioritization of care. Additional comments: Sara has excellent critical thinking skills, always asking why and how questions, and seeking out resources to answer these questions. She often thinks in terms of future research and thinks beyond the obvious. She is excellent at drawing connections between concepts and determining the best options in planning her care activities based on her findings.

X-7G

Clinician
REQUIRED: Continues to demonstrate Level 1 (NRSG 360) indicators. REQUIRED: Meets core clinical competencies for safety and universal precautions.

X-7G X-7G

Draft: Spring 2010 (CA/DT)

Check all that apply: Demonstrates increasing independence in the performance of technical skills and documentation. Demonstrates awareness of limitations and seeks assistance and validation to assure safe practice. Notifies faculty or RN immediately of any significant change in clients health status and begins to formulate an appropriate plan. Arrives for clinical practice promptly, prepared with working knowledge of patient-specific data, unit-specific policies and general literature regarding the patients health history and current medical condition. Elicits client and family values, preferences and needs when planning and implementing care. Reports to multidisciplinary team in carrying out nursing care for the client. Identifies and evaluates strengths and limitations of teamwork in self and other team members. Begins to practice appropriate delegation to assistive personnel. Begins to report to multidisciplinary personnel in carrying out nursing care for the client. Demonstrates increased independence with the use of patient care technologies (e.g. monitors, pumps, medication administration system). Additional comments:

Educator
REQUIRED: Continues to demonstrate Level 1 (NRSG 360) indicators. Check all that apply: Relates patient education to the patients current level of knowledge and motivation to change. Involves client & family in plan of care including identification of desired outcomes. Relates to client & family the rationale for interventions, medications and/or treatments. Incorporates discharge needs into the weekly nursing care plan. Evaluates clients learning needs and selects a health promotional teaching topic. Presents teaching topic to one or more clients utilizing a variety of teaching methods. Additional comments:

X-7G

Effective Communicator
REQUIRED: Continues to demonstrate Level 1 (NRSG 360) indicators REQUIRED: Meets core clinical competency for communication.

X-7G X-7G

Check all that apply: Interacts in a professional manner with clients and members of health care team.

Draft: Spring 2010 (CA/DT)

Consults multidisciplinary staff when questions arise regarding patient care, including any language and/or cultural barriers identified. Verbally presents an individual client in a comprehensive and organized fashion to peers in clinical conference in a format similar to medical rounding. Demonstrates accurate documentation of assessment findings, nursing care and client response to nursing care, medication and treatments using the electronic medical record and/or according to hospital procedure. Performs shift-to-shift and situational report utilizing SBAR communication format. Written work exemplifies scholarly, grammatically correct, clear, and organized thought processes.

Additional comments:

Comments:

I have reviewed the above evaluation and agree with the clinical performance evaluation. Student Signature __Sara McClintock________Date _05/16/2011 Faculty______Olga N. Turner, RN, MSN_______Date__05/11/2011____

Excellent = Consistently exceeds performance expectations for beginning practitioner, independent thinker, takes initiative Exceeds Expectations = Occasionally exceeds performance expectations for beginning practitioner, independent thinker, takes initiative Satisfactory = Meets performance expectations for beginning practitioner, requires minimum guidance Needs Improvement = Performance adequate but requires guidance Unsatisfactory = Performance not improved in spite of guidance and feedback

Draft: Spring 2010 (CA/DT)