Cabrillo College Adn Program

Cabrillo College ADN Program N25 Clinical Evaluation

Student ______Faculty ______Agency ______

Rotation: Medical-Surgical Date(s) of Absence ______

*Critical elements: foundation competencies the faculty consider critical to safe and effective patient care See N25 intro page

EO =Exceeds Objectives MO =Meets Objectives NI = Needs Improvement U = Unsatisfactory NA = Not available/applicable

outcomes / Midterm Date: / Final Date:
Assessment / EO / MO / NI / U / NA / EO / MO / NI / U / NA
*Refines assessment skills and increases ability to identify subtle alterations with validation
Demonstrates focused assessments for assigned clients
Accurately identifies nursing diagnoses
Begins to prioritize nursing diagnoses
Begins to interrelate pathophysiology concepts
Comments:Midterm
Final:
SAFE AND CARING INTERVENTIONS
Planning / EO / MO / NI / U / NA / EO / MO / NI / U / NA
Identifies and individualizes standard goals
Plans relevant, accurate and individualized interventions
Implementation/Intervention
States rationale for individualized nursing interventions
Recognizes variations and adapts skill performance to
specific needs of individual client w/moderate prompt.
Implements age and socio-culturally relevant plans
*Uses standard precautions in all care provided
*Administers assigned medications safely and accurately
*Incorporates risk assessment into plan of care
*Maintains safe work environment for self and others
Evaluating Outcomes
Evaluates client responses and begins to identify necessary modifications to care
Comments:Midterm
Final:
Communication / EO / MO / NI / U / NA / EO / MO / NI / U / NA
Uses therapeutic communication skills when providing care
*Communicates assessment data and client status to appropriate team members
Documents client care following agency policy
Uses information technology to gather data and document
Comments:Midterm
Final:
Critical Thinking and clinical decision
making / EO / MO / NI / U / NA / EO / MO / NI / U / NA
Searches for missing or concealed information for routine problems
Applies theoretical knowledge to routine clinical practice
Distinguishes levels of priority
Comments:Midterm
Final:
Teaching and Learning / EO / MO / NI / U / NA / EO / MO / NI / U / NA
Assesses client/family learning needs
Modifies and implements standardized teaching plan
Evaluates outcomes of client/family learning and adapts teaching style accordingly
Comments:Midterm
Final:
Professional behaviors / EO / MO / NI / U / NA / EO / MO / NI / U / NA
*Adheres to program, agency and college policies
Identifies role of health care team members
*Demonstrates responsibility and accountability for own actions
Begins to identify own learning needs
Uses available resources to problem solve
Collaborates with client and family in planning care
Identifies situations where clients’ rights may be a concern
With instruction, assists client/family to communicate needs to health care team
Identifies community agencies appropriate for clients’ health care needs
Comments:Midterm
Final:
Managing care / EO / MO / NI / U / NA / EO / MO / NI / U / NA
Differentiates data that needs to be reported immediately.
Recognizes nursing tasks which can be delegated
Identifies sources of conflict within the health care setting
Demonstrates awareness of cost containment measures
Uses time management principles to organize and complete care
Comments:Midterm
Final:
Clinical Activities / Midterm / Final
______activity
Weekly Preparation
Care Plans
Comments
Midterm Summary
Faculty Signature: Student Signature:
Date: Date:
Student Comments
Final Summary
Faculty Signature: Student Signature:
Date: Date:
Student Comments

Revised: 12/05; 12/08; 6/09