Nurse Clinic Walkthrough
Name:Evaluator:
School:Date:
Readily Identifies Need for Clinic Visit(s):
Engages in Effective Communication:
AlwaysUsually SometimesNever
Strategies to Ensure Engagement:
- Noticing and Reacting when student/parent/staff are not engaged
- Applies Principals of Growth and Development to Guide Interaction with Students
- Adapts Communication to Persons Comprehension Level
- Sets Clinic Expectations
- Triages Appropriately
- Maintains Eye Contact
- Asks Open Ended Questions
- Offers Help and/or Encouragement
- Uses Therapeutic Touch
- Uses Empathy
- Uses Distraction Techniques to Assist with Discomfort
- Using Praise/Recognition
- Use of Humor
- Using Physical Movement/Activity
- Respects Personal Space
- Cultural/Identity Awareness
- Effectively Addresses Problem Behaviors
- Building/Supporting Student-Adult relationships
- Health Education Structured to Support Student Learning
- Nurse is Able to “Read” Nonverbal Behavior and Social Cues of Individual
Health Education/Counseling:
- Demonstrates Sound Knowledge and Understanding of Subject Matter
- Maintains/Respects Confidentiality
- Anticipates Confusion and Misconceptions
- Clarifies Health Concerns/Misconceptions
- Differentiates instructions to individual’s learning level
- Uses Explanatory Devices
- Explicitness
- Identifies Similarities and Differences
- Provides Strategies for Self-Care
- Uses Visual Cues/Manipulative
- Requests Hypothesis/Predictions
- Integrates Technology
- Identifies Critical Information
- Uses Higher Order Thinking and Questioning
- Uses Questions, Prompts and Cues to Improve Understanding
- Uses Inquiry, Role Playing and Experimental Learning Activities
- Consistently Defines High Expectations for Clinic Behavior
- Uses Rituals, Routines, and Appropriate Resources that Create and Maintain a Safe Physical and Intellectual Clinic Environment
- Promotes Home-School Connection
Nurse Instruction:
- Individualized Student Instruction
- Facilitating/Providing Feedback
- Whole Class Instruction
- Small Group Instruction
- Presentation
- Leading Discussion
- Video
- Parent Instruction
- Staff Instruction
- Peer Consultation/Collaboration
Direct Care:
- Elicits Chief Complaint
- Triages Appropriately
- Nurse is Able to Handle Multiple tasks
- Nurse Reacts Calmly in Emergency Situations
- Provides Comprehensive Assessment
- Nurse Provides Reassurance and Comfort
- Interventions are Congruent with Assessment
- Evaluates Interventions
- Appropriate Disposition
Mandated Screenings:
- Follows State Guidelines
- Provides Privacy and Protects Confidentiality
- Maintains Respectful Environment
- Rescreens Students
- Makes Referrals for Students who do not Pass Rescreens
- Follows-up for Completed Referrals
Disposition:
- Communicates to the Student/Parent/Staff instructions Pertaining to the Clinic Visit
- Works collaboratively with Parents, Staff and Colleagues to Best Meet the Needs of the Student
- Provides Information/Parameters as to when to Return to the Clinic
- Student/Parent/Staff is instructed on Need for Further Outside Evaluation
- Communication with Parent/Guardian is Timely and Appropriate
- Communication with Staff is Timely and Appropriate
- Appropriate Follow-up as Needed
Comments on Observation: