Course: ADN 140 – Nursing Fundamentals

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DES MOINES AREA COMMUNITY COLLEGE NURSING PROGRAM PRACTICUM EVALUATION The practicum evaluation tool is used to document the student’s progress towards meeting practicum competencies for the course. The evaluation is applicable to all practicum settings where a clinical instructor is present including, but not limited to, acute care, long-term care, and community. W ​ hen attending simulated clinical experiences, a tool specifically designed to evaluate students in simulation will be utilized. The simulation evaluation tool scores will be incorporated into the student’s summative practicum evaluation. The practicum evaluation tool is divided into ​formative​ and ​summative​ sections. The emphasis during formative evaluations is on monitoring progress/improvement towards achievement of criteria, whereas summative is a final evaluation to determine if performance criteria have been met. The student is expected to retain the skills and abilities of performance criteria achieved in previous courses. FORMATIVE EVALUATIONS will be completed once (1 time) per week/practicum setting. If the student is in more than one (1) practicum setting in a week, a formative evaluation will be completed for each practicum setting. Additional formative evaluations may be completed at the discretion of the instructor. Formative evaluations include student self-evaluation and instructor feedback. The performance criteria for the formative part of the evaluation tool are: “SP”

(Satisfactory Progress)​ – student demonstrates steady, consistent performance related to identified clinical competencies. Student will receive the number score associated with the competency.

“NI”

(Needs Improvement)​ – student needs to demonstrate more independent performance of clinical competency on a continuing basis. Student requires much or repeated assistance/redirection and requires verbal and/or physical cueing from instructor. Student will receive a zero (0) for the competency.

Total score and percent will be calculated for each formative evaluation. A percentage of 79 or less requires a remediation plan. Remediation may be required at the discretion of the instructor at any time regardless of the percentage. The SUMMATIVE EVALUATION will be completed at the end of the course. Percent for each formative evaluation will be totaled and divided by the number of formative evaluations in the course. In order to pass the practicum component of this course, the student must achieve a total average percentage of 78 or greater. A total average percentage of 78 or less will result in a failure for the course. The performance criteria for the summative part of the evaluation tool are: ​“S”

(Satisfactory)​ – total average of 78% or greater

​“U”

(Unsatisfactory)​ – total average of less than 78%

Completion of the current course requires meeting both practicum competencies and theory components successfully.

Revised 7/2016, 12/2016

Course: ADN 140 – Nursing Fundamentals

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_ FORMATIVE

DES MOINES AREA COMMUNITY COLLEGE NURSING PROGRAM PRACTICUM EVALUATION ADN 140 – Nursing Fundamentals FORMATIVE EVALUATION Student ___​Tyler Sungram​__Term __​1​_________ Date(s) __​4/5/2017​______Clinical Location ​Methodist West 4th Floor Using the sub competencies (listed under each Global Concept) as a guide, student will provide ​one example​ of how he/she ​met each of the seven global concepts.​ Student ​needs to address a different sub competency each week. Do not use any patient specific identifiers (name, initials, room number). Communication

1. 2. 3. 4. 5.

Communicates in a respectful manner. Identifies common nonverbal and verbal therapeutic communication skills. Identifies appropriate boundaries to develop a therapeutic nurse client relationship. Identifies barriers to effective communication. Utilizes appropriate documentation for care provided to clients with guidance. Total Possible Points Total points Achieved Student examples and discussion of how Global concept was met:

S 5 5 5 1 1

NI 0 0 0 0 0 17

During my experience with my patient at the acute care setting I came across a barrier to communication that made me change how I normally interact with a patient. Normally I am able to ask open ended questions, but with my patient they were only oriented to person and their speech was mostly unintelligible. They were able to answer yes and no easily enough so I had to switch to more direct questions. I also had to simplify and shorten my sentence because the patient had a hard time staying focused on me long enough if they went on too long. I also found that lowering myself down to be eye level with them and making sure they were focused on me before talking helped them understand what I was saying better.

Safe Practice

1. 2. 3. 4. 5.

Uses principles of safe practice with guidance from faculty or staff Follows infection control principles. Recognizes special precautions for safe client care. Identifies how to prevent injury to self and client. Identifies how to report safety issues

Revised 7/2016, 12/2016

S 5 5 5 5 1

NI 0 0 0 0 0

Course: ADN 140 – Nursing Fundamentals

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Total Possible Points Total points Achieved Student examples and discussion of how Global concept was met:

21

My patient was in droplet precautions, so I made sure to wear a mask every time I went in. My patient also had a colostomy bag so I made sure to check it routinely to make sure it wasn't filling up with gas, and I also made the patient care tech aware of the colostomy bag. I reported to the nurse I was with about the sores appearing behind the patients right ear, and I applied some cushions to the nasal cannula to help prevent them from getting worse.

Nursing Process

1. 2. 3. 4.

Collects and identifies client problems based on data collected Implements nursing plan of care in a timely manner Identifies goals/expected outcomes and interventions Identifies the effects of nursing interventions on the client

Total Possible Points Total points Achieved Student examples and discussion of how Global concept was met:

S 5 5 1 1

NI 0 0 0 0 12

Going back to the nasal cannula that starting to create a sore spot behind the patient's right ear I found that during the assessment portion of the nursing process. I then used that information, combined with my instructor letting me know that it would be a good thing to cushion that area, to create a plan to get some gauze/padding to tape around the nasal cannula. I then implemented that.

Care Across the Life Span

1. 2. 3. 4.

Individualizes assessment based on age of client. Identifies specific communication skills appropriate for developmental level of the client. Adapts nursing cares to meet the needs of clients across the life span. Recognizes individual teaching needs across the life span. Total Possible Points Total points Achieved Student examples and discussion of how Global concept was met:

S 5 5 1 1

NI 0 0 0 0 12

I think the biggest thing I noticed was that there were two patients that were unable to move there lower body. In one case it was a younger adult, and the other was an older adult. I noticed when the nurses went into the room of the younger adult they allowed them to move do things for themselves a lot more, and even allowed them to transfer themselves to their wheelchair. On the other hand with the older adult they were assisted with being transferred, and a lot more actions seemed to be performed for them or at least helped with.

Revised 7/2016, 12/2016

Course: ADN 140 – Nursing Fundamentals

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Professionalism

1. 2. 3. 4.

Identifies and follows related policies and procedures with guidance. Identifies personal behaviors that have a positive or negative effect on client care. Identifies role within the healthcare team. Participates in clinical post-conferences/debriefing with direction. Total Possible Points Total points Achieved Student examples and discussion of how Global concept was met:

S 10 5 1 5

NI 0 0 0 0 21

Got to participate in a nurse shift change. Saw bedside report being done, which I found helpful to put a face with each patient while discussing their needs/diagnoses. During an assessment I was able to act professional in the sense that I respected the patients right to privacy when the maintenance/cleaning staff walked in by not exposing certain areas of the patient that I normally would for an assessment.

Culture

1. 2.

Demonstrates respect for the cultural beliefs and practices of others. Is aware of personal cultural beliefs, values, and practices that may influence care delivery. 3. Recognizes how culture impacts health behaviors of individuals. 4. Demonstrates understanding of what is culture Total Possible Points Total points Achieved Student examples and discussion of how Global concept was met:

S 5 5

NI 0 0

1 1

0 0 12

I was able to have a discussion with a patient about their spiritual beliefs. The patient was a youth group leader, and I was able to give them ideas from back when I used to be part of a youth group on trips we took. I also noticed while talking with the patient about their beliefs it was able to distract them from their pain, and their demeanor became more relaxed.

Health Promotion

1. 2. 3.

Identifies how health behaviors relate to client condition. Identify available community and facility resources. Collects health promotion information during assessments.

Total Possible Points Total points Achieved Student examples and discussion of how Global concept was met:

Revised 7/2016, 12/2016

S 2 1 2

NI 0 0 0 5

Course: ADN 140 – Nursing Fundamentals

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I think one of the best things I learned was how my instructor described teaching a patient about colostomy care. I was told to relate cleaning the colostomy bag to wiping after having a bowel movement so that the action doesn't seem quite as foreign to the person. I also liked how my nurse I was following would ask a patient what they normally do for their blood sugar at home when it gets low. I think it definitely helps promote health and gets the patient involved when asking them what they do at home for certain things.

Total Points for each Concept: Communication

____/17

Safe Practice

____/21

Nursing Process

____/12

Care Across the Life Span

____/12

Professionalism

____21

Culture

____/12

Health Promotion

____/5

Total Points Achieved

​_____/100 = ___________________%

78% or higher = Satisfactory Less than 78% = Requires remediation

Student Identified Strengths: I was willing to ask questions about why certain things were done the way they were. I made sure to ask not only if nurses needed help with something but also the patient care techs. I was able to stay positive through the day, and was able to take criticism positively instead of dwelling on it and sulking about it. Revised 7/2016, 12/2016

Course: ADN 140 – Nursing Fundamentals

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Student Identified Areas for Growth: I feel I need to become a little more independent. I am quick to resort to asking an instructor or a nurse why something is done, rather than trying to find the answer myself. I also need to work on delegating, and possibly learning the ability to say no to tasks that don't necessarily need my level expertise.

Faculty comments: Areas of Strength:

Identify Areas for Growth.

Faculty Name______________________________ Revised 7/2016, 12/2016

Date________________

Course: ADN 140 – Nursing Fundamentals

Revised 7/2016, 12/2016

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