CLINICAL EVALUATION

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CLINICAL EVALUATION

• A Sample Of A Completed Evaluation Tool

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PURPOSE OF EVALUATION

• Allows students to evaluate strengths and
  weaknesses
• Allows students to develop goals for their own
  learning
• Assists students in demonstrating progression of
  learning
• Provides feedback to improve knowledge base
• Provides feedback to improve performance
• Provides documentation to support student
  progression or lack thereof

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EXAMPLEOF A COMPLETED CONCEPTS IN CLINICAL
NURSING I EVALUATION TOOL
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OBJECTIVE I-The nursing student will utilize the
nursing process to organize and deliver safe,
effective care for clients various developmental
stages.Sub-objective 1

• Collects data from the clients record and from
  other health team members prior to providing
  care.

• U-process tool not complete. Patient care
  categories must be addressed for patient safety,
  i.e.. how many to transfer, ambulate

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Objective I Sub-objective 2

• Compares collected data with established
  standards using the appropriate resources.

• U-need to identify reason for abnormal lab values
  as identified in the Labs Diagnostic book based
  on patient condition

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Objective ISub-objective 9

• Clusters and interprets data
  appropriately, including basic need and
  abnormal labs dx tests.

• U-abnormal labs not identified as to why
  patients are abnormal

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Objective ISub-objective 10

• Identifies correct functional pattern based on
  assessment data

• U-functional pattern selection should be based on
  patients condition as indicated by chart review
  and physical assessment-your patient was hypoxic
  with an O2 sat of 80, your functional pattern
  selection should have been identified as
  Activity/Exercise, not Health Maintenance

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Objective ISub-objective 11

• Ranks each functional pattern in order of
  priority.

• U-Functional patterns must be ranked in order of
  priority 1 or 2-next week make sure you rank

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Objective ISub-objective 12

• States appropriate desired outcomes or goals for
  client's problem/strength in each functional
  pattern.

• U-Goals must be specific to patients cognitive,
  physical, and developmental abilities. A patient
  with dementia will not be able to design a
  brochure about the ADA diet

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Objective ISub-objective 16

• Interventions reflect assessments, cares,
• treatments, and teaching.

• U-Interventions did not reflect the cares
  appropriate to this patient. You did not address
  ROM, ambulation, assistance with feeding
  teaching importance of mobility and repositioning
  to prevent skin breakdown and immobility
  complications.

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Objective ISub-objective 17

• Cites rationale and resources (including page
  numbers) to support the interventions
• selected to assist the client in reaching
  their goals.

• U-Text and page number not cited for each
  rationale.

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Objective ISub-objective 20

• Completes assigned care within an appropriate
  time frame.

• U-Bath not completed within appropriate time, if
  you are not going to be able to complete cares
  you must notify the primary nurse and myself,
  including information regarding why you are not
  able to complete

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Objective ISub-objective 23

• Revises goals and
• interventions in response to the clients'
  changing condition.

• U-Goals not revised as we discussed on Thursday,
  that the goals needed to be more patient specific
  and measurable

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Objective ISub-objective 27

• Evaluation completed and written according to
  criteria.

• U-Goals not evaluated on Friday as to why
  partially met or not met.

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Objective II-The nursing student will effectively
communicate with the client, based on their
developmental stage, and health team
members.Sub-objective 10

• Reports significant
• information accurately
• to other members of the
• health team in a
• professional concise
• manner.

• U-You did not report a change in your pts.
  condition to the primary nurse. Any changes in
  condition or abnormal findings, must be reported
  to the primary nurse, and to me, so proper
  treatment can be initiated.

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Objective IISub-objective 11

• Verbalizes client
• information from the nursing process tool in a
  concise manner before starting care.

• U-Not able to verbalize pathophysiology of
  disease, normal lab values, antidote to Coumadin,
  what to do if pt. has hypoglycemic reaction.

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Objective IISub-objective 12

• Verbalizes pertinent information about
• prescribed medications.

• U-Not able to verbalize classification of MOM,
  that it is a saline laxative, and that you dont
  give to someone with undiagnosed abdominal pain.

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Objective IISub-objective 13

• Documents according to the policy of the
  clinical facility.

• U-Student altered nurses notes after instructor
  approved documentation documented nurses notes
  on physicians progress notes. Documentation must
  not be altered once instructor approves.

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Objective IISub-objective 14

• Utilizes correct medical and nursing terminology
  and spells correctly.

• U-Documentation is a legal document-spelling and
  grammar must be correct use only facility
  approved abbreviations (SOB is not approved here)
  per our conversation last week.

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Objective III-The nursing student will
demonstrate professional behavior in fulfillment
of responsibility to self and others.
Sub-objective 1

• Work on self-control-need to maintain control and
  not raise voice or use sarcastic tone when given
  feedback on your performance. Although
  constructive criticism does not always feel good
  at the time, it is part of professional growth
  and we learn from it. We continue to receive
  feedback on our performance throughout our career
  and it is not professional to raise your voice or
  get sarcastic with the person giving you the
  feedback. Take from it, evaluate its benefits to
  you, and grow from it to become a better nurse.
  Remember, it is not a personal assault. In the
  future I expect you to remain calm and approach
  me in a professional manner, or ask to take a
  break to regroup. You shared with me that others
  have expressed you raise your voice when given
  constructive criticism, so I would encourage you
  to be alert to cues this is happening and develop
  a technique to minimize.

• Maintains professional standards of conduct at
  all times.

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Objective IIISub-objective 2

• Protects clients confidential status.

• U-Must not release info about pt. to anyone who
  does not have direct need to know to provide
  care. I recognize you did not understand the
  ramifications of releasing info about my sons
  surgery to me However, this could have resulted
  in a lawsuit under the circumstances. In the
  future, this could result in a critical incident.

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Objective IIISub-objective 5

• Adheres to dress code as addressed in Nursing
  Student Handbook.

• U-Per Nursing Student Handbook, only clear nail
  polish is acceptable. On Thursday, you came to
  clinical with bright pink polish. In the future,
  any dress code violations will result in you
  being sent home.

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Objective IIISub-objective 9

• Maintains self-control.

• U-See Objective III 1

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Objective IIISub-objective 10

• Completes documentation in the proper time

• U-Per my instructions during orientation,
  documentation is to be completed by assigned time
  to facilitate staff access to the chart and prior
  to physicians rounds. You did not complete your
  documentation until 930am and it was to be
  completed by 8am. In the future, you must notify
  me by 745am if you are having difficulty
  completing your assessment/documentation.

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INSTRUCTOR EVALUATION of STUDENT

• Unsatisfactory Clinical Week
• Objective I 14/2556
• Objective II 10/1567
• Objective III 7/1258
• This week you did well with patient cares and
  interaction. However, your med, lab, and disease
  knowledge was not at the level expected for
  Concepts I. In order to be successful next week

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• Know and be able to verbalize pathophysiology of
  diseases
• Know and be able to verbalize classification,
  pertinent side effects, and nursing implications
  for medications.
• 3. Know and be able to verbalize norms for lab
  values that apply to your patient
• 4. Functional patterns and goals need to be
  specific to patient

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• Functional patterns must be ranked 1 and 2, in
  order of priority
• Goals need to be measurable
• Process tool must be complete when you arrive at
  clinical Tuesday/ Thursday morning. If unable to
  complete a section you must notify me when you
  arrive with reason why area unable to be
  completed, i.e., not on chart
• 8. Documentation must be completed by 8am. If
  unable to complete you must notify me by 745am.

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• I understand that this is a difficult week for
  you. You have shown great compassion to your
  patients and have possessed a strong
  knowledge-base in the previous 2 clinical weeks.
  I trust that you will again demonstrate these
  next week.
• Barb Schneckloth, RN