#CLINICAL practice evaluation tool.doc
- 1. ………………………………………………………………………............................................................................................................ SCHOOL OF NURSING AND MIDWIFERY DEPARTMENT OF GENERAL NURSING CLINICAL PRACTICE EVALUATION TOOL NAME OF STUDENT: …………………………………......................................................Registration Number :……………… YEAR / LEVEL : ……………………………………………………………………………………….. ……………………………… CENTER OF EXAMINATION: ………………………………………………………………………………………………………. WARD / SERVICE : …………………………………………………………………………………………………………………….. DATE: ………………………………………………………………………………………… TIME:………………………………… NO MAXIMUM MARKS RECEIVED RESULT EVALUATORS COMMENTS AND OBSERVATIONS 1 Training book completed 1mark 2 Professional appearance and personal cleanliness 1. Present in appropriate clean, 2. fitting full uniform (Head and hair tied and covered with a cap) 3. Present with short nails and clean 4. Watch and jewels removed 5. Closed- toe footwear 6. Has identification card 2.5marks 0.5 0.5 0.5 0.5 0.5 College of Medicine and Health Sciences
- 2. 3 Introduction 1. Student is introduced to examiner 2. Student is introduced to staff and asking permission to see his/her own client 3. Hand washing 4. Identify client correctly 5. Introduced to client 6. Explain the client and care taker the reason 7. Asking consent form 3.5 marks 0.5 0.5 0.5 0.5 0.5 0.5 0.5 4 Material preparation for assessment 1. Hand washing 2. Proper material preparation (clean and disinfect the plate or the trolley) 3. Checking of material working and appropriate repositioning of materials 4. Good manipulation of materials 5. Respect the asepsis during preparation 6. Stress management during material preparation 7. Time management during material preparation / 5marks 0.5 1 0.5 1 1 0.5 0.5 5 Assessment 1. Hand washing / Hand rubbing 2. Environment and observation skills 3. Privacy and intimacy of patient 4. Use of materials correctly and appropriately 5. Use of correct questions and obtain correctly information from the client 6. Use of appropriate and correctly the approach of physical examination (inspection, palpation, percussion and auscultation) 7. Asepsis during assessment 8. Time management in assessment 9. Reposition of client comfortably 10. Collaborate well with client * / 20 marks 1 1 1 3 3 5 2 1 1 1
- 3. 11. Material discarding 1 6 Client presentation to the examiner(s) 1. Present completely the client identification all component of history taking are mentioned 2. The parts of care plan are presented 3. Content is critical, meaningful coherent to client needs 4. Make appropriate and prioritized nursing diagnosis 5. Sets SMART goals /expected outcomes 6. Select appropriates interventions 7. Set appropriates priorities during clinical interventions 8.The interventions are rationalized / 10 marks 1 1 2 2 1 1 1 1 7 Skills performance Preparation of care: 1. Inform and explain the procedure to the client /family and obtain consent 2. Wash hand / hand rubbing by respecting the steps of technique 3. Prepare materials correctly * 4. Respect of asepsis during preparation* 5. Proper manipulation of material Carry out nursing care procedures 6. Positioning of client correctly 7. Good position of materials 8. Maintain client privacy 9. Hand rubbing 10. Demonstrate competency by respecting steps and appropriate acquisition of each steps* 11. Respect principles of asepsis during performing* 12. Manage time effectively 13. Efficient use available materials 14. Maintain a collaboration with client and /or relative 15. Provide appropriate health education to client / 40 marks 1 1 4 3 1 1 1 1 1 5 5 1 1 1 3
- 4. Completion of procedures: 16. Thanking the client 17. Repositioning of client and his or her belongs 18. Discard and arrange materials appropriately 19. Hand washing 20. Documents assessment done 21. Document procedure done 22. Document and report relevant observations made during procedures 23. Document of outcomes of interventions 24. Provide oral report to nurses 1 1 1 1 1 1 2 1 1 8 Professional behavior and attitudes 1.Communicate with the team staff, client/family* 2. Use of appropriate language 3. Advocate for client 4. Show critical thinking and observation skill 5. No unnecessary movement done 6. Acceptance of feedback accurately 7. Honest 8. Respect/ Modesty / 5marks 1 0.5 0.5 1 0.5 0.5 0.5 0.5 9 Theory 1. Answer all questions concerned to client condition 2. Able to explain the benefit and risk related to procedure performed 3. Describes therapeutic interventions for patient, and their appropriateness based on patient situation (includes medications, procedures, labs, etc.) / 10 marks 4 2 4 10 Self evaluation 1. Identify her/his own strengh,weakness ( Recognize well her/his own mistakes and where needed crucial improvement ) 2. Recognize the gaps and able to honestly in scoring he/her self / 3marks 1.5 1.5
- 5. TOTAL MARKS :………../100MARKS General Comments: Strengths:………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………… Areas for Improvement: …………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………………………………………………………………………………… …………………………………………………………………………………… Names, signature of student and date:……………………………………………………………………………………………… Names, signature of first examiner and date :……………………………………………………………………………………… Names, signature of second examiner and date:…………………………………………………………………………………… Date:……………………………………………………………………………………………………………………………………….