NUR 247 Nursing Experience I Obstetric and Pediatric Nursing

Transcription

1 Registered Nursing (LPN to RN Ladder) Program NUR 247 Nursing Experience I Obstetric and Pediatric Nursing CURRICULUM Course syllabus, daily clinical goals, skills record, nursing care plan, and clinical evaluation tool Developed by SOUTH SEATTLE COMMUNITY COLLEGE Funded by the Seattle Community-Based Health Care Training Partnership Project Seattle CENTRAL Community College NORTH Seattle Community College SOUTH Seattle Community College SVI Seattle Vocational Institute This product was funded by a grant awarded under the President s Community-Based Job Training Grants as implemented by the U.S. Department of Labor s Employment & Training Administration. The information contained in this product was created by a grantee organization and does not necessarily reflect the official position of the U.S. Department of Labor. All references to nongovernmental companies or organizations, their services, products, or resources are offered for informational purposes and should not be construed as an endorsement by the Department of Labor. This product is copyrighted by the institution that created it and is intended for individual organizational, non-commercial use only.

2 NUR 247 Nursing Experience I Obstetric and Pediatric Nursing Course Syllabus Fall 2007 COLLEGE MISSION: South Seattle Community College is a constantly evolving educational community dedicated to providing quality learning experiences which prepare students to meet their goals for life and work. The College values and promotes a close involvement with the community and strong partnerships with business, labor and industry. The college commits to meeting the diverse needs of students by providing: College transfer programs and technical and professional programs which prepare students to succeed in their careers and further their education. Responsive technical and professional training programs developed in collaboration with business, labor and industry. Student-centered and community centered programs and services which value diversity, support learning, and promote student success. Lifelong learning opportunities for the cultural, social, professional and personal development of the members of our communities. NURSING PROGRAM PHILOSOPHY: Congruent with the South Seattle Community College mission and student learning objectives, the philosophy of nursing education is one of commitment to lifelong learning and the provision of safe, compassionate, quality nursing care to individuals, families and communities. The graduate will be trained to work independently and alongside other healthcare professionals in multiple healthcare settings. The RN is committed to: the promotion and restoration of health, the prevention of illness in individuals, families, groups and communities, safe, competent and compassionate nursing care for all across life span. Nursing is a science and an art whose main concern involves the life processes that positively affect the health status and integrity of persons, families and communities. These life processes involve physiological, psychological, sociological, and spiritual life components. A focus on the interaction of these components delineates nursing science and art. Nurses value and respect diversity and provide culturally sensitive and competent care NUR 247 Nursing Experience I Obstetric & Pediatric Nursing Syllabus (Fall 2007) 1

3 Purpose The purpose of the SSCC evening and weekend is to prepare graduate nurses who have increased knowledge, critical thinking and decision-making skills to provide safe, competent and compassionate care to individuals in multiple care settings. It also serves to expand and enhance the educational and career ladder opportunities in nursing, and to provide a pathway within South Seattle Community College and the Seattle Community College District. Special emphasis is placed on ethnic minority students and students with emerging English. English as a Second Language programs are incorporated into the curriculum throughout the program. The graduate nurse will be prepared to sit for the National Council for Licensure Examination for Registered Nurses Exam. NURSING PROGRAM EDUCATIONAL OUTCOMES 1. Utilize knowledge, critical thinking and decision making through the nursing process of assessment, analysis, planning, implementation and evaluation to meet the complex needs of the client/family, in a variety of settings. 2. Utilize theory and clinical practice to ensure critical thinking; clinical expertise and human caring that treat all clients/families with respect and dignity. 3. Apply knowledge of the concepts of health and illness, client medications, treatments and diagnosis and self-care concepts to maintain and restore the highest level of wellness of the client/family throughout the life cycle. 4. Assess health and incorporate principles and methods of health promotion and education to facilitate informed decision-making, achieve positive outcomes, and support self-care activities. Provide effective client/family education and evaluate response to teaching. 5. Provide safe and competent care utilizing advanced knowledge, skills, informational technology and resources in an interactive process to promote effective communication between clients/families from various socio-cultural and linguistic backgrounds, and members of the health care team. 6. Assess family systems/dynamics and collaborates and shares planning, decision-making, problem solving and goal setting to meet clients complex needs. 7. Demonstrate professional standards regarding cultural, ethical, legal and professional nursing values. 8. Demonstrate awareness of own capabilities and limitations and actively seek learning opportunities for continued growth. 9. Function as a registered nurse within various health care settings recognizing management and leadership qualities, accountability, decision-making tools, and ethical and legal basis for practice 10. Describe the dynamic aspects of health care delivery in America and the professional role of the registered nurse in the health care delivery system. NUR 247 Nursing Experience I Obstetric & Pediatric Nursing Syllabus (Fall 2007) 2

4 Student Learning Outcomes SSCC is committed to the following seven student learning outcomes for every student graduating with a certificate or degree: 1. Communication 1. Read and listen actively to learn and communicate 2. Speak and write effectively for personal, academic and career purposes 2. Computation 1. Use arithmetic and other basic mathematical operations as required by the program of study. 2. Apply quantitative skills for personal, academic and career purposes 3. Identify, interpret and utilize higher level mathematical and cognitive skills 3. Human Relations 1. Use social interactive skills to work in groups effectively 2. Recognize diversity of cultural influences and values 4. Critical Thinking and Problem-Solving 1. Think critically in evaluating information, solving problems, and making decisions 5. Technology 1. Select and use appropriate technology tools for personal, academic and career tasks 6. Personal Responsibility 1. Be motivated and able to continue learning and adapt to change 2. Values one s own skills, abilities, ideas and art 3. Take pride in one s work 4. Manage personal health and safety 7. Information Literacy 1. Access and evaluate information from a variety of sources and contexts, including technology 2. Use information to achieve personal, academic and career goals, as well as to participate in a democratic society COURSE DESCRIPTION: Supervised obstetric and pediatric nursing care that permits the student to further develop nursing skills in order to plan and implement care for these clients. Emphasis is on safe medication administration and safe, effective nursing care. Also focuses on promoting normal growth and development and adaptation of children and families to wellness/illness. This course is designed to apply the nursing concepts discussed in NUR 245 and 246. Coreq: NUR 245, 246. NUR 247 Nursing Experience I Obstetric & Pediatric Nursing Syllabus (Fall 2007) 3

5 COURSE OBJECTIVES: 1. Plan and implement care for clients with normal and complex conditions in obstetric and pediatric clinical settings, meeting clinical evaluation criteria 2. Apply the nursing process in the care of clients with complex conditions 3. Demonstrate effective, independent, flexible problem solving skills in the care of clients with complex conditions 4. Demonstrate ability to collaborate with other healthcare disciplines. 5. Plan and implement safe and effective nursing care to obstetric and pediatric clients. 6. Complete assessment on obstetric and pediatric clients 7. Promote the normal growth and development and the adaptation of children and families to illness 8. Performs nursing skills in a safe and effective manner that demonstrates a caring ethic in the obstetric and pediatric care settings 9. Demonstrate safe medication administration 10. Assess current knowledge level and learning readiness of client in regard to his/her health status 11. Utilize appropriate channels of communication with client, family, faculty and staff 12. Collaborate with healthcare team to develop plan of care to achieve desired outcomes 13. Adheres to standards of professional practice in nursing FACULTY: Pediatric Instructor: Heidi Denham, RN BSN Office: RAH 101C Phone: TBA heididenham@gmail.com Office Hours: by appointment only Pediatric Instructor: Tiffany Jasperson RN, BSN MSN Candidate, SPU Office: RAH 101E Office Phone: (206) Cell Phone: (206) tjasperson@sccd.ctc.edu Office Hours: Mondays and Tuesdays 4:30-5:30 pm or by appointment OB Instructor: Suzann Martin CNM, MSN Office: RAH 101C Cell Phone: (425) smartin@sccd.ctc.edu Office Hours: Tuesdays, 2:00-4:00 pm or by appointment CLASS TIMES: See attached clinical schedule NUR 247 Nursing Experience I Obstetric & Pediatric Nursing Syllabus (Fall 2007) 4

6 Students Subject to Provisions of the Americans with Disabilities Act: Any student who feels she/he may need an accommodation based on the impact of a disability should contact the instructors privately to discuss your specific needs. You should also contact the Disability Support Services office at (206) in room RS 12 in the Robert Smith Building to coordinate reasonable accommodations for students with documented disabilities. Expectations of students: There are a number of expectations to achieving the goals of this course and successfully passing the NCLEX-RN. They include: NURSING CLINICAL POLICIES 1. Clinical instruction and experience are provided throughout the program in longterm care facilities, acute care hospitals, and clinics. It is the student s responsibility to arrange transportation to and from these facilities. 2. Clinical placements are made to ensure that all students receive the appropriate variety of experiences. Long term care facilities and acute care facilities generally have a ratio of 6-8 students per instructor and clinics, 1:1 utilizing the agency s nurses as preceptors. 3. Students are to adhere to the standards, policies, and regulations of the clinical sites during their clinical education program. These standards include wearing appropriate attire, including nametags, and patches ironed on the left upper arm at the shoulder, and conforming to the standards and practices of the site. Nametags and patches must remain visible at all times and must not be covered by a sweater while on the floor. A sweater or T-shirt may be worn under the scrubs. 4. If the clinical site requires a special orientation of students, students MUST attend or they will be unable to attend clinical. Each facility has unique policies, procedures, and documentation practices. Students must attend the orientation in order to be prepared to attend clinical and provide safe care for patients within these facilities. Students who do not attend the orientation will meet with the Nursing Faculty and the Program Director and referred to the VP of Student Services. 5. Students are to remain at the site during the clinical assignment. Leaving the floor without notifying the staff and instructor where patients are assigned is considered abandonment of patients. If a student is found to have abandoned his/her patients, the student may be referred to the VP of Student Services, which may lead to dismissal from the program. If the student needs to leave the floor for any reason he/she must let the nurse in charge and the instructor know. NUR 247 Nursing Experience I Obstetric & Pediatric Nursing Syllabus (Fall 2007) 5

7 6. Students will be assigned to weekend days, evenings, or weekday days. The assignments will be posted by the 1 st day of the quarter. (If the student has not completed the skills check off portion of the course with a 2.0 (78%), or if the student is failing in the theory portion, the student will not be permitted to go to clinical the following clinical day. The grade must be raised to 2.0 (78%) or higher in order to return to the clinical site.) Clinical assignments are not negotiable and are final upon posting. 7. The procedure for reporting clinical absences is to notify the unit assigned and the instructor a minimum of 1 hour prior to the start of the clinical day. Students must call the instructor to report an absence. Sending a message with a fellow student will not be accepted. A No Call, No Show is a serious offense and not permitted in the facilities by students. Not calling or showing may be grounds for dismissal and will be referred to the VP of Student Services. All clinical absences will be reviewed by the nursing faculty and the Nursing Director. Clinical objectives must be met daily and absences will jeopardize the meeting of these objectives, which are necessary to pass the course. 8. There are NO make-up clinicals. Any absence for any reason prevents the student from meeting course objectives and will result in a 0 grade for the day. 9. Students are to be fully prepared prior to arrival at clinical. This means getting the information on the patient the day/night before and looking up all pertinent information on the patient sufficient to provide care. All students will be caring for patients with diverse diagnoses and needs, including patients with communicable disease and HIV infection (See Appendix: HIV/AIDS Guidelines). Students are expected to follow standard precaution guidelines when working directly with patients; these are taught during the first quarter or in the CNA quarter prior to entry into the clinical area. A student will be required to refrain from providing patient care in the clinical facility if the instructor does not have adequate assurance that the student is prepared to deliver safe care. The student be asked to leave the clinical site will receive a 0 for the clinical day. These cases will be reviewed by the Nursing Faculty and the Program Director and referred to the VP of Student Services. 10. Students are expected to follow the Standard Precautions with ALL patients regardless of whether they have a communicable disease or not. 11. Each student is to maintain a skills record which will be given to each clinical instructor at the beginning of each quarter. Any required skill that is not performed in the clinical area must be practiced in the lab and be successfully checked off by the end of the quarter in order for the student to progress. 12. Clinical errors must be reported immediately to the charge nurse and the clinical instructor. An SSCC Practical Nursing Program Student incident report must be filled out, even if the instructor catches the error before the student NUR 247 Nursing Experience I Obstetric & Pediatric Nursing Syllabus (Fall 2007) 6

8 administers the medicine or treatment. In the event that the student does give the wrong med or perform the wrong procedure a facility incident report must also be made out. The student incident report will be placed in the student s file until graduation. Serious errors will be reviewed by the faculty and administration and may be referred to the VP of Student Services. (See Student Clinical Incident Report in Section VII.) 13. The role of the clinical instructor is one of instruction and evaluation. It is the student s responsibility to seek instructor guidance and support in performing nursing care. The instructor must supervise ALL medication administration until the student is deemed safe to proceed alone. CLINICAL EVALUATION OF STUDENTS 1. Clinical portions of the courses are graded Pass or Fail and are based on 2.0 (78%). To arrive at the Pass or Fail grade a numerical system is used. 2.0 (78%) and higher equals a pass. Anything less than 78% equals a fail, and the student will receive a 1.9 for the quarter, regardless of their theory or lab grades. a. Each student receives a formal, written clinical performance evaluation from the instructor at midterm and at the end of the quarter. (One evaluation after the pediatric rotation and one evaluation after the obstetric rotation). The written clinical evaluation measures the student s performance of the course objectives, outlines strengths and weakness, and makes appropriate recommendations for improvement if necessary. Students in danger of failing will receive a Learning Agreement, which remains in the student file until graduation from the program. (See Section VII for the Learning Agreement) b. The student must sign the evaluation to show that he/she has read the evaluation. If the student does not agree with the instructor s evaluation he/she may make comments on the document. A copy will be given to the student. (See Clinical Evaluation Objectives/Clinical Evaluation in Appendix) c. Each student must fill out a self-evaluation using the same format as the instructor s evaluation, and present it at the time of the midterm and the final evaluation meeting. However, the student should self-evaluate daily and include the self-evaluation form in the clinical process packet. This will facilitate discussion about the performance of the student from the student s perspective as well. d. Clinical performance will be evaluated on a weekly basis and discussed with the student. If the student is deemed unsafe, a Learning Agreement will be issued and the student will plan for improvement with the instructor. If the safety issue continues the student will meet with the NUR 247 Nursing Experience I Obstetric & Pediatric Nursing Syllabus (Fall 2007) 7

9 faculty and administration to discuss the student s ability to progress in the program. Mid-term performance evaluations will be written by the instructor, reviewed by the student, and MUST be signed as evidence of having been read. The student will receive a copy. Students may write a response to instructor s anecdotal notes. Final evaluations are written, shared with the student, and must be signed by both parties before they are placed in the student s file. 2. Clinical Process Packets will be used to grade students on a weekly basis. a. Each clinical day, students should complete the following and turn into their clinical instructor the next clinical day: i. Three personal/professional daily goals related to pediatric or maternal/child nursing (DUE at BEGINNING of clinical day) ii. Care Plan iii. Overall Clinical Self-Evaluation (using the evaluation form) b. The above materials should be organized in a folder or three-ring binder. c. Your clinical instructor will use the NUR 247 Clinical Evaluation Tool to grade your clinical process packet weekly. d. Self-evaluation of personal/professional daily goals will be DUE at the END of each clinical day. e. Weekly goals and care plans MUST be typed. The Medication Section MUST be written out by hand! CLINICAL EVALUATION OF SITE AND INSTRUCTOR 1. The following forms will be given to the clinical groups in the classroom at the end of the quarter. a. CLINICAL SITE EVALUATION Students are expected to evaluate the clinical sites after their rotation. Classroom instructors will administer these evaluations. See form in Appendix. b. CLINICAL INSTRUCTOR EVALUATION Students are expected to evaluate the clinical instructors after their rotation. Classroom instructors will administer these evaluations. See form in Appendix. WEBSITE NUR 247 Nursing Experience I Obstetric & Pediatric Nursing Syllabus (Fall 2007) 8

10 Weeks 1-5: September 29-October 28 Friday, Saturday, Stevens Hospital OB Swedish Pediatrics Instructor: Suzann Martin Instructor: Heidi Denham Saturday, Children s Hospital Instructor: Tiffany Jasperson Sunday, Stevens Hospital OB Instructor: Suzann Martin Weeks 6-11: November 3-December 9 (No Clinicals November 24 th or 25 th ) Friday, Saturday, Stevens Hospital OB Swedish Pediatrics Instructor: Suzann Martin Instructor: Heidi Denham Saturday, Children s Hospital Instructor: Tiffany Jasperson Sunday, Stevens Hospital OB Instructor: Suzann Martin NUR 247 Nursing Experience I Obstetric & Pediatric Nursing Syllabus (Fall 2007) 9

11 NUR DAILY CLINICAL PERSONAL/PROFESSIONAL GOALS Personal/Professional Goals (filled out prior to clinical) Goal 1 How to Meet These Goals (filled out prior to clinical) Evaluation (due at end of clinical day) Goal 2 Goal 3 NUR 247 Personal-Professional Goal Template RN Program at SSCC (Fall 2007) 1 of 2

12 NUR DAILY REFLECTION: Due at end of clinical day. Description of Clinical Experience (What happened in clinical today?) Reflection on Clinical Experience (How did you feel about what happened today in clinical?) Source: The Seattle Community Colleges are an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. This project was funded in part by a grant awarded under the President s Community-Based Job Training Grants, as implemented by the U.S. Department of Labor s Employment & Training Administration. NUR 247 Personal-Professional Goal Template RN Program at SSCC (Fall 2007) 2 of 2

13 NUR 246/247 SKILLS RECORD PROGRESSING FROM LAB TO CLINICAL Lab Skill EFM interpretation/nursing care Postpartum and newborn assessment Pediatric vital signs (May have been done at LPN level if at SSCC) PCA Use IV Pump Use/ IVMedications Syringe Pump Use Central Line/PICC Care Central Line Blood Draws Trach tie changes and suction (May have been done at LPN level if at SSCC) Performed Competently in the Lab Setting (Instructor Signature) Performed Competently in the Clinical Setting (Instructor Signature) * If a skill is not on this list, and the student has never performed the skill, the nursing instructor or preceptor will ensure that the student is properly trained and competent before completing any nursing skill upon an actual patient. Students, staff, and nursing instructors are to follow all hospital policies on the limitations of student nurses in the clinical setting. Source: The Seattle Community Colleges are an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. This project was funded in part by a grant awarded under the President s Community-Based Job Training Grants, as implemented by the U.S. Department of Labor s Employment & Training Administration.

14 NUR Nursing Care Plan Pediatrics Student Name: Date of Clinical Experience: Patient s Physical Age: Patient s Actual Stage of Development: (use Erikson) Admit Diagnosis/Condition Pathophysiology S/Sx of Diagnosis/ Condition S/Sx of Pt. (History of Present Illness) Surgical Procedure & Date Medical Management of Diag./Condition Patient History (medical/surgical) Discharge Plans/Teaching 1 of 6

15 NUR Nursing Care Plan Pediatrics Student Name: Date of Clinical Experience: Nursing Diagnosis Patient Goal Nursing Interventions Rationale Outcomes Evaluation 2 of 6

16 NUR Nursing Care Plan Pediatrics Student Name: Date of Clinical Experience: Diagnostic Tests/Procedures Purpose of Test/Procedure Nursing Implications Education 3 of 6

17 NUR Nursing Care Plan Pediatrics Student Name: Date of Clinical Experience: Lab Test Purpose of Test Lab Value Comparison to NL/Previous Values Cause of Lab abnl/change Nursing Implications 4 of 6

18 NUR Nursing Care Plan Pediatrics Patient weight: Student Name: Date of Clinical Experience: Medication: Category: mg/kg dose Safe dose for this patient Purpose: Nursing Implications (5 most significant): Lab Values to Watch &Why: 5 of 6

19 NUR Nursing Care Plan Pediatrics Student Name: Date of Clinical Experience: Physical Exam (system) Subjective Objective Significance to Diagnosis/Condition Neurological System Musculoskeletal System Integument System Cardiovascular System Respiratory System Gastrointestinal System Genital/Urinary System Psycho/Social Source: The Seattle Community Colleges are an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. This project was funded in part by a grant awarded under the President s Community-Based Job Training Grants, as implemented by the U.S. Department of Labor s Employment & Training Administration. 6 of 6

20 NUR 247 NURSING EXPERIENCE I OBSTETRIC AND PEDIATRIC NURSING CLINICAL EVALUATION SUMMARY Self-Evaluation Instructor Evaluation STUDENT LOCATION INSTRUCTOR DATES: FROM TO ABSENCES TARDIES I. PROVIDER OF CARE: A. ASSESSMENT B. DIAGNOSIS C. PLAN D. IMPLEMENTATION E. EVALUATION F. RELATING INFORMATION/CRITICAL THINKING II. MANAGER OF CARE: A. ORGANIZATION/PRIORITIZATION B. ROLE IN HEALTH CARE TEAM C. LEADERSHIP III. MEMBER OF THE DISCIPLINE: A. LEGAL/ETHICAL/POLICY ISSUES B. COMMUNICATION C. KNOWLEDGE BASE D. SELF IMPROVEMENT E. PROFESSIONALISM IV.CDS/ASSIGNMENTS: A. CLINICAL DAILY SHEETS/ASSIGNMENTS Clinical Day: AVERAGE: TOTAL POINTS: 53-60= EXCEEDS EXPECTATIONS (MASTERY) 45-52= MEETS EXPECTATIONS CONSISTENTLY (SATISFACTORY CARE) 37-44= MEETS EXPECTATIONS >/= 78% OF THE TIME (PASS) <37 = DOES NOT MEET EXPECTATIONS <77% (FAIL) NUR 247 Clinical Evaluation Tool RN Program at SSCC (Fall 2007) 1 of 6

21 NUR 247 NURSING EXPERIENCE I OBSTETRIC AND PEDIATRIC NURSING CLINICAL EVALUATION OBJECTIVES EVALUATION OBJECTIVES DESCRIPTION I. PROVIDER OF CARE: A. ASSESSMENT Complete physical assessment w/ attention to systems relevant to patient condition/dx; hx collection; psychosocial status; review of lab work & dx test results; compares actual to baseline. B. DIAGNOSIS Student identifies and formulates at least two significant nursing diagnoses for assigned clients (actual and/or potential) and writes these in correct format. C. PLAN Reviews plan of care & revises as needed; sets realistic, measurable goals, identifies appropriate nursing interventions and gives text referenced rationales for them. D. IMPLEMENTATION Implements interventions and identifies modifications needed to individualize care. Performs skills competently. Nursing care provided by student reflects an understanding of the significant client issues and/or problems. E. EVALUATION Evaluates effectiveness of interventions and patient response. Compares to patient goals and revises as needed. Follows up with abnormal assessment findings; follows up with clients response to treatments and interventions. F. RELATING INFORMATION/CRITICAL THINKING Identifies significant assessment findings and relates them to the plan of care; Use of critical thinking skills evident. II. MANAGER OF CARE: A. ORGANIZATION/PRIORITIZATION Able to plan care for the shift; able to adjust plan of care as needed; able to prioritize tasks and care; able to delegate appropriately and/or seek assistance as needed. Timely completion of care for 1-2 pts. Organized & safe environment. B. ROLE IN HEALTH CARE TEAM Identifies role in health care team. Delegates tasks/care appropriately. Supervises and follows up with delegated tasks/care appropriately. Functions within scope of practice. Supports and assists peers. C. LEADERSHIP Supports and assists peers. Models problem solving and critical thinking skills. Identifies appropriate and needed resources. NUR 247 Clinical Evaluation Tool RN Program at SSCC (Fall 2007) 2 of 6

22 NUR 247 NURSING EXPERIENCE I OBSTETRIC AND PEDIATRIC NURSING CLINICAL EVALUATION OBJECTIVES continued III. MEMBER OF THE DISCIPLINE: A. LEGAL/ETHICAL/POLICY ISSUES Follows school/agency policies; Documents according to legal/agency policies; Reviews agency policies/procedures. Develops strategies for resolving legal & ethical dilemmas. HIPPA. B. COMMUNICATION Clear and through appropriate channels; Accurate & objective in oral reports and documentation; Respect for diversity; Identifies pt health beliefs and knowledge level; Initiates conflict resolution; Active participant in group discussions; Provides constructive & positive feedback to other team members; Responds positively and exhibits recommended behaviors when receiving feedback. C. KNOWLEDGE BASE Preparation for care evident. Has reviewed patient dx, kardex, chart, treatments. Integrates sources of information; Applies concurrent and previous theory to clinical practice; Identifies rationale and significance of dx & tx. Awareness of implications of current trends/issues. D. SELF IMPROVEMENT Sets personal learning goals and evaluates weekly. Seeks feedback. Performs self assessment. Develops strategies for improvement. E. PROFESSIONALISM Complies with NSCC dress code. Professional work behaviorshonesty, integrity, patient advocate. Attendance & punctualitybegins work on time, notifies instructor of absence or illness per NSCC policy. Accepts responsibility for own behavior and actions. IV.CDS/ASSIGNMENTS: A. CLINICAL DAILY SHEETS/ASSIGNMENTS Clinical daily sheets show evidence of understanding client condition, medications, treatments, labs and nursing care. CDS are detailed and thorough. Assigned research and papers are completed according to instructions. CDS and Assignments are turned in by due date. NUR 247 Clinical Evaluation Tool RN Program at SSCC (Fall 2007) 3 of 6

23 NUR 247 NURSING EXPERIENCE I OBSTETRIC AND PEDIATRIC NURSING EVALUATION TOOL SCORING Directions: Each of the clinical objectives is scored on each clinical day using the following point scale* 4- Student exceeds expectations (objectives) and is able to perform previously acquired tasks and providing client care, meeting the objective with no prompting or reminders. 3- Student meets expectations (objective) consistently by performing previously acquired tasks and providing client care with no prompting or reminders and performing newly acquired tasks and client care with 1-2 occasional reminders or prompting given throughout the shift. 2- Student meets expectations (objectives) inconsistently by performing previously and newly acquired tasks and client care with 1-3 reminders or prompting given throughout the shift. 1- Student does not meet expectations (Objective). Student is unable to perform previously or newly acquired tasks and provide client care unless provided with more than 3 reminders and/or step-by-step instruction from instructor. N/A- No opportunity to observe *Note: Partial points (i.e. 0.5 or 0.25) may be given. Any score of <2 requires a separate anecdotal note to be written and placed with the student s evaluation. The instructor should meet with the student to discuss the anecdotal note & inform the student of inconsistency in meeting the clinical objectives. The clinical expectations and objectives should be reinforced and the student assisted in forming a plan to meet those objectives. If during any clinical day or week the student receives a total of <37 points, the student may be dismissed immediately from the clinical rotation. This indicates that the student is not safe in the clinical setting. NUR 247 Clinical Evaluation Tool RN Program at SSCC (Fall 2007) 4 of 6

24 NUR 247 NURSING EXPERIENCE I OBSTETRIC AND PEDIATRIC NURSING NUR 247 CLINICAL EVALUATION (Midterm) This is the midterm evaluation for NUR 247. NUR 247 MIDTERM CLINICAL GRADE: INSTRUCTOR SIGNATURE DATE (Signature indicates that you have reviewed this document with the student and provided an opportunity for the student to read the document and ask questions) STUDENT SIGNATURE DATE (Signature indicates that you have read this document and been offered the opportunity to ask questions) COMMENTS: NUR 247 Clinical Evaluation Tool RN Program at SSCC (Fall 2007) 5 of 6

25 NUR 247 NURSING EXPERIENCE I OBSTETRIC AND PEDIATRIC NURSING NUR 247 CLINICAL EVALUATION (Final) This is the final evaluation for NUR 247. OB Clinical Grade: + Pediatric Clinical Grade: = NUR 247 FINAL CLINICAL GRADE: = EXCEEDS EXPECTATIONS (MASTERY) = MEETS EXPECTATIONS CONSISTENTLY (SATISFACTORY CARE) 74-88= MEETS EXPECTATIONS >/= 78% OF THE TIME (PASS) <74 = DOES NOT MEET EXPECTATIONS <77% (FAIL) INSTRUCTOR SIGNATURE DATE (Signature indicates that you have reviewed this document with the student and provided an opportunity for the student to read the document and ask questions) STUDENT SIGNATURE DATE (Signature indicates that you have read this document and been offered the opportunity to ask questions) COMMENTS: Source: The Seattle Community Colleges are an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. This project was funded in part by a grant awarded under the President s Community-Based Job Training Grants, as implemented by the U.S. Department of Labor s Employment & Training Administration NUR 247 Clinical Evaluation Tool RN Program at SSCC (Fall 2007) 6 of 6