Community/Mental Health
Journaling Assignment
ASSIGNMENT ELEMENTS
/ POINTS POSSIBLE / POINTS EARNED1. Prepare 2-3 personal objectives specific to your Community /Mental Health experience. (See “How to build a good objective” on the following page) / 1
2. Daily Journal (narrative format, approx. 1 paragraph for each of the 3 items per day)
- Describe your day:
- Identify 2-3 things you learned from this experience
- Describe any challenges or problems you encountered and how you dealt with them
- Describe your continued progress toward meeting each of your written objectives
- Analyze your experience (what was good, what went wrong), and what would be your professional role in improving your performance and client/patient outcomes
3
3
3. Describe the role of the nurse in the Community Health/Mental Health setting during your rotation- (eg teacher, advocate, direct care giver, case manager, etc- see community readings) / 1
TOTAL / 10
DUE DATES
Rotation / Clarkston / Walla Walla#1 / Consult Instructor / Consult Instructor
#2 / Consult Instructor / Consult Instructor
How To Build A Good Objective
1. The subject of your objective (you) is assumed. Thus, either leave out “I will…” or start your objectives like this:
I will:
1. Perform…
2. Demonstrate…
2. Start each objective with an action word:
- perform, demonstrate, provide, educate, care, participate, document, communicate, utilize, use, manage, coordinate, implement, etc.
3. Next, identify the particular skill or intervention you are choosing to perform:
- manage clients, therapeutic communication, technical skills, lab interpretation, professional communication, medication administration, collaboration with other disciplines, patient education, documentation, thinking critically, nursing process, etc.
4.Next, identify the quality of how you want to do it:
- effective(ly), appropriate(ly), efficient(ly), competent(ly), careful(ly), safe(ly), accurate(ly), thorough(ly), precise(ly), complete(ly), correct(ly), pertinent, optimal, etc. (Avoid using “proficiently”; that will require an experience level beyond the bounds of your nursing education).
5.Next, indicate how you will know you achieved the objective; i.e., what will be the evidence that you achieved your objective?
- You must provide specific, measurable, evaluative data.
- Typically, you should state: “as evidenced by…”
- Alternatively, “…per, or, in accordance with agency policy/procedure” works for skills/procedures, as would “minimal instruction required from preceptor.”
- Evidence may also be per “validation by preceptor”.
6. Then, include a time frame:
- “throughout this clinical rotation”, “on a daily basis”, “at least once a day”, “a minimum of six times”, etc.
EXAMPLE:
Implement therapeutic communication effectively as evidenced by problem identification of an emotional state,
(action) (intervention) (quality) (specific, measurable evaluative data)
development of a measurable expected outcome, use and identification of therapeutic communication techniques and evaluation of the therapeutic exchange in terms of the expected outcome at least once each day throughout this clinical rotation (time frame)
7. Lastly, the order of these components may be altered on occasion. For example:
(A) Administer medications safely and effectively as evidenced by…throughout this clinical rotation
(B) Safely and effectively administer mediations as evidenced by…throughout this clinical rotation
(C) Throughout this clinical rotation I will administer medications safely and effectively as evidenced by…
Community/Mental Health
Preceptor’s Evaluation Of Student
NURS 210
Evaluator ______Date ______Student ______
Please rate the student’s performance on each criterion:
NA = not applicable
1 = needs improvement to meet expectations
2 = meets expectations at a minimum level
3 = meets expectations at an average level
4 = meets expectations at an above average level
5 = meets expectations at an exceptional level
1. Demonstrate critical thinking in the use of the nursing process. / 4. Use therapeutic communicationA. Uses the nursing process to meet the physiologic, psychosocial and developmental needs of clients/patients from all age groups. / NA 1 2 3 4 5 / A. Purposefully uses therapeutic communication. / NA 1 2 3 4 5
B. Demonstrates critical thinking in the provision of nursing care. / NA 1 2 3 4 5 / B. Assists the client/patient and significant support persons to cope with and adapt to situations related to illness and stressful life events. / NA 1 2 3 4 5
C. Meets needs for client/patient-focused education using teaching/learning principles. / NA 1 2 3 4 5 / 5. Demonstrate professional behaviors.
D. Completes documentation that is accurate, organized, client/patient specific and meets agency requirements. / NA 1 2 3 4 5 / A. Demonstrates sensitivity and attentiveness to the client/patient, family, and others including their life experience and cultural/social background. / NA 1 2 3 4 5
2. Demonstrate use of management/leadership principles in the delivery of client/patient care. / B. Demonstrates accountability and responsibility. / NA 1 2 3 4 5
A. Manages care for multiple clients/patients. / NA 1 2 3 4 5 / C. Practices within ethical, legal, and regulatory guidelines. / NA 1 2 3 4 5
B. Participates in providing comprehensive care with an interdisciplinary team. / NA 1 2 3 4 5 / D. Demonstrates professional behaviors. / NA 1 2 3 4 5
C. Accesses resources appropriately and manages them effectively. / NA 1 2 3 4 5 / E. Participates in the processes that affect healthcare practice. / NA 1 2 3 4 5
3. Perform interventions in a safe and effective manner. /
Additional Comments:
A. Administers medications safely, evaluating the need for and the response to prescribed medications. / NA 1 2 3 4 5B. Performs technical procedures safely and effectively. / NA 1 2 3 4 5
Community-BASED NURSING
CLIENT/PATIENT DATA SHEET/PLAN OF CARE
Student Name ______Date of Care ______
Instructor Name ______Community Site ______
Directions: Complete one sheet per week of your community rotation. Turn into your instructor’s box by 0900 on the first class day following your rotation.
For one client’s/patient’s primary diagnosis (or potential diagnosis), integrate knowledge of physiology, pathophysiology, and psychosocial elements with pertinent client/patient medical history, physical assessment data, labs and medications. (If labs not available, what would you expect to see).PLAN OF CARE
PRIORITY FOCUSED ASSESSMENT(INCLUDE RATIONALE) / PRIORITY NURSING DIAGNOSIS with EXPECTED OUTCOME
(INCLUDE RATIONALE) / NURSING INTERVENTIONS
(minimum 3)
Only one may pertain to assessment
EXPECTED OUTCOME:
MEDICATION
- Identify one patient medication by TRADE & (generic) name that relates directly to the clients condition.
- Provide specific rationale for medication ( what is most common reason this medication being used)
- Identify pharmacological classification, mechanism of action, major side effects, critical nursing implications and labs pertinent for this medication.