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Clinical Evaluation N124L IN Summer 2013 CLINICAL EVALUATION FORM STUDENT: INSTRUCTOR: FACILITY: CLINICAL DATES: DAY 1: DAY2: CLINCAL EVALUATION UNIVERSAL PRECAUTIONS Student arrives prepared physically and mentally for nursing care and has preparatory paperwork complete Completes care with regard for safety and infection control PATIENT INTERACTION Demonstrates therapeutic interactions Demonstrates therapeutic listening Provides social stimulation Respect, provides dignity and observes cultural aspects for all interactions CRITICAL DECISION MAKING Demonstrates understanding of diagnosis and pathophysiology Integrates theory component into practice Demonstrates problem solving skills Demonstrates patient/resident understanding of medications administered Demonstrates understanding of lab values related to diagnosis Seeks out instructor to report abnormal findings, & assistance PROFESSIONAL ROLE BEHAVIOR Demonstrates professional accountability Completes nursing care in timely fashion Medications and treatments administered correctly Initiates and completes activities toward plan of care INTEGRATION OF EVIDENCE BASED PRACTICE Bases care on evidence based practice, knowledge and standards Adapts care based on resident/patient outcomes/responses CLINICAL DOCUMENTATION Documents physical assessment Documents therapeutic treatments and nursing care Documents plan of care, responses, and adjustments made Document instruction given to resident/patient/caregivers 110 Total points Clinical Evaluation (60% of total grade) Deductions Clinical Evaluation WRITTEN EVALUATION Medication Cards Identifies priorities for care Clinical Reasoning Questions: Pre-Clinical Clinical Reasoning Questions: Clinical Clinical Reasoning Questions: Post-Clinical 25 Total Points Written Evaluation (40% of total grade) Deductions Written Evaluation DAY 3: DAY4: DAY 1 DAY 2 DAY 3 DAY 4 DAY 1 DAY 2 DAY 3 DAY 4 COMMENTS Clinical Evaluation N124L IN Summer 2013 GRADING CRITERIA 5 = 100% - Always demonstrates this trait, critical thinking skills and behaviors. Performs tasks independently and without prompting. Correctly completes paperwork 4 = 90-99% - Usually demonstrates this trait, critical thinking skills and behaviors, requires some assistance with decision making. 3 = 80-89% - Often demonstrates this trait, more frequently needs reminders and prompting from instructor or staff. Requires assistance with some critical thinking skills and decision making behaviors. 2 = 70-79% - Occasionally demonstrates this trait. Inconsistent performance requires ongoing assistance and prompting, as well as supervision with tasks and critical thinking skills and behaviors. 1 = 60-69% - Unable to demonstrate this trait 50% of the time. 0 = <60% - Never demonstrates this train. made little to no effort for this clinical experience CLINICAL PERFORMANCE 60% Day 1 Day 2 Day 3 Clinical Performance Deductions: Does not provide for patient privacy -5 for each occurrence Critical Behaviors - unsafe practice: In the event of documented unsafe practices, the clinical grade for the rotation will be no greater than 76 Documentation of a pattern of unsafe practice will result in the student's failure of this course. Day 4 Rotation Average Clinical Performance 60% of Grade SCORE DEDUCTIONS CLINICAL TOTAL WRITTEN PERFORMANCE 40% SCORE DEDUCTIONS Day 1 Day 2 Day 3 Day 4 Written Performance 40% of Grade WRITTEN TOTAL Point Deduction from Final Grade: 2 - Tardiness 9 - Absence 20 - Delayed notification of absence Point Deduction from Daily Grade: 5 - Unprofessional dress 5 - Unprofessional behavior 5 - Unprepared for skill Rotation Grade Deduction Final Rotation Grade