CONCEPTS 1

CLINICAL EVALUATION TOOL

Student Name: ___________________________________________ Course Name: ______________________

Clinical Rotation Inclusive Dates: ____________________________ Clinical Site: _______________________

All students are required to adhere to the School Catalog and Student Handbook pertaining to
professional behaviors and academic performance throughout the nursing program. Failure to meet
expected requirements may result in a failing clinical grade or withdrawal from the program. Faculty
will provide written documentation throughout the semester for any low performance than what is
required. Lower than expected performance is indicated in the evaluation tool as need improvement or
designated as unsatisfactory. Students must be satisfactory in all areas by the end of the semester to pass
this course.
CLINICAL EVALUATION ACHIEVEMENT LEVELS

SATISFACTORY: A student who earns a grade of satisfactory:

 Meets all standards identified under Core Components

 Complete 2 nursing care plans
 Perform head to toe assessment
 Perform a focused assessment on a client
 Perform nursing skills required to learn in Concepts 1 including
 Medication administration
 IV and Parenteral Therapies including Blood Transfusion
 Enteral and Parenteral Nutrition
 Urinary catheterization/removal and care
 Pass the critical thinking exam
 Completed all required class hours
 Submit a course evaluation survey

UNSATISFACTORY: A student who earns a grade of unsatisfactory:

 Fails to meet all standards identified under Core Components.

 Fails to comply all other requirements to pass the class:
 Unable to complete 2 nursing care plans
 Inability to perform accurate head to toe assessment
 Inability to perform accurate focused assessment on a client
 Fails to perform nursing skills required to learn in Concepts 1 including:
 Medication administration
 IV and Parenteral Therapies including Blood Transfusion
 Enteral and Parenteral Nutrition
 Urinary catheter insertion/removal and care
 Failed the critical thinking exam
 Incomplete required class hours
 Failed to submit a course evaluation survey
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 S=Satisfactory N/I= Needs Improvement U=Unsatisfactory

Midterm Final
EVALUATION OF CORE COMPONENTS
S N/I S U
Provision of safe, effective, and accurate care to client
 Performs hand washing before and after each patient situation and each
skill.
 Follows Universal and Standard Precautions
 Promotes the patient’s dignity and privacy.
 Identify client using (two) identifiers correctly
 Maintains an environment free from potentially harmful elements.
 Initiates patient contact only when the instructor is in the clinical
setting.
 Asks instructor’s guidance before performing new or invasive
procedures, or administering medications.
 Develops a preliminary plan of care for each assigned patient
 Is sensitive to non-verbal cues that are relevant in determining client’s
condition
 Reports and documents assessment findings, interventions, skills,
medication administration and progress toward patient outcomes
while maintaining confidentiality
 Completes a health history on one patient.
 Performs a head-to-toe assessment on a patient.
 Administers oral and parenteral medications demonstrating the
“rights of medication administration”.

Implementation of personalized care to clients based on individual culture

and background
 Identifies cultural diversity within the community.
 Assesses cognitive, psychosocial, cultural, and spiritual status of
assigned patients
 Demonstrates nonjudgmental behaviors and attitudes.
 Treats others with respect.
 Observes and maintains client confidentiality and privacy.
 Avoids abusive, threatening, patronizing, or familiar communications
patterns
 Assesses special learning needs of individuals and groups in the
community in terms of resources and strengths.
 Observes internal and external factors when communicating to
individual clients.
 Assesses assigned patients and significant others for learning strengths,
capabilities, barriers, and educational needs.
 Develops a plan of care to meet patient’s individual needs.

Collaboration with clients, family, and other members of the health team
 Introduces self before each initial client interaction
 Cooperates and coordinates with other members of the health care
team.
 Uses therapeutic communication techniques to collect pertinent patient
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 data.
 Identifies therapeutic/non-therapeutic statements during patient
interactions
 Develops and implements at least one teaching intervention for each
assigned patient
 Identifies the role of each member of the health care team.
 Attends interdisciplinary rounds as applicable
 Explains the role of affiliating agencies in the health care delivery
system
 Accepts constructive feedback.

Utilization of evidence-based practice in caring for the client

 Applies knowledge from all previous courses.
 Practices nursing in the clinical setting using legal/ethical principle
 Consistently adheres to all overriding critical elements regarding
asepsis, communication, safety, professional behaviors,
universal/standard precautions.

Implement nursing process, critical thinking, and clinical judgment skills in

making clinical decisions
 Identifies components of a care plan.
 Uses assessment data to plan care.
 Completes a care plan on an assigned patient.
 Identifies clinical judgments to support safe nursing care
 Evaluates the effectiveness of nursing care towards meeting patient
outcomes.
 Participates in group critical thinking activities
 case studies
 critical thinking and clinical judgment
situations
 concept mapping concept
 Practice NCLEX questions
 Demonstrates proficiency on the critical situation
examination, within two attempts.
 Identifies principles of growth and development throughout the life
span and during end-of-life care.
 Demonstrates proficiency on a care plan within two attempts.

Make use of appropriate information technology

 Reports all pertinent information and abnormal findings to the
instructor and assigned staff member.
 Identifies components of a shift report between nurses. Uses SBAR as a
communication tool.
 Uses therapeutic communication techniques to collect pertinent patient
data.
 Determines and accesses appropriate resources and equipment to meet
patient needs.
 Identifies cost-efficient use of equipment and resources.
 Utilizes equipment in the clinical setting consistent with its purpose.

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 Demonstrate behavior and attitude of a professional nurse and according to
professional nursing standard and practice
 Adheres to the policies and guidelines of the School of Nursing and
affiliating agencies.
 Maintains personal appearance according to the policies of the FVI-
School of Nursing, and affiliating agencies.
 Reports to the clinical area, pre-conferences, and post conferences, on
time as scheduled
 Informs the clinical instructor and course lead instructor regarding
absence or tardiness at least one hour prior to the start of clinical
sessions.
 Reports to the clinical instructor and assigned staff member(s) when
entering and leaving the clinical area.
 Attends all clinical sessions or completes alternative assignment.

 Submits completed assignments by the due date.

 Accepts responsibility for own assignments (e.g., completes

assignments, completes own work, performs ongoing chart review for
changes).
 Identifies components of time management and principles of
organization
 Demonstrates organizational and time management skills when
providing basic care for assigned patients.
 Attends campus health initiatives as applicable

 Explains the role of affiliating agencies in the health care delivery

system

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MIDTERM PROGRESS:

Satisfactory Needs Improvement

Dates Of: Absences Tardiness

Instructor comments

Instructor Signature Date

Student Comments

Student Signature Date

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