PRACTICUM EVALUATION TOOL TEMPLATE

SCHOOL OF NURSING
JAMES MADISON UNIVERSITY
Student: Breanna Bosley Name of Preparer: Marjorie Scheikl
Practicum Site: SRMH Family Birthplace Unit Course #: NSG 355L Section #: 5 Date: SPRING 2017

CLINICAL HOURS
Direct Patient Care: 16 Simulation: 4.0 Observation: 0
Missed Clinical Hours: 0 Precepted: 16 Other: 9.0 Total Clinical Contact Hours: 45

Grade Criteria: Students must achieve a passing rating in every outcome in order to pass a practicum course

Demonstrates satisfactory development of knowledge and skills. Objectives are met consistently and comprehensively, with progressive
Pass
independence and self-direction. Shows insight into strengths and areas for growth.

Mastery of skills and objectives inconsistent. Conduct is unsafe, unprofessional, offensive, or fails to maintain therapeutic alliance with clients
Fail
or resource personnel. Fails to construct or submit documentation in a professional or timely manner.

Rating
Outcomes/Objectives Pass/Fail
1. Health Promotion/Illness Care: Provide health protection and promotion, risk reduction, disease prevention, illness
care, rehabilitation, and end of life care to diverse populations within a holistic framework in a variety of settings. Pass

Course Objectives: Provide safe and effective nursing care to women/newborn/family units of various cultural/ethnic backgrounds incorporating
health promotion and education necessary to meet the needs of the family.
Behaviors: Provides safe and effective nursing care to all patients with whom there is contact. Provides education during all patient interactions
to enable family to care for infant during hospitalization as well after discharge. Able to identify health care needs, goals and interventions
suitable for healthy outcomes for mother/baby dyad during practicum as well as in written work.

Pass
2. Critical Thinking: Synthesize knowledge, skills, and technology from the established practice and science of nursing,
the biological and psychosocial sciences, and the humanities to engage in critical thinking, clinical reasoning and the
nursing process in the care of clients.

Course Objectives: Apply nursing interventions with an understanding of the rationale for those actions supported by evidence based research.
Behaviors: Completes and documents patient assessment in a timely fashion. Able to analyze/interpret data. Able to write, verbally present,
and link pathophysiology, diagnostic tests, medications, lab results, and nursing interventions to patient care. Able to interpret and prioritize
these components during clinical as well as in written work. Able to evaluated effectiveness of interventions and suggest additional measures for
meeting goals.
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3. Therapeutic Relationships: Develop caring culturally competent relationships with clients that are sensitive to diverse Pass
personal, socio-cultural, and environmental characteristics, which encourage clients to assume primary responsibility for
health care decisions, and in which the nurse functions as advocate and advisor.

Course Objectives: Integrate health/illness beliefs, values, attitudes, and practices of all the individuals, families, and groups into the care
provided.
Behaviors: Initiates care anticipating mother/infant/ and family needs as well as coordinating efforts to provide time for bonding and privacy.
Provide sensitive care to culturally diverse families while working to communicate with them. Provides safe learning environment for families.
Documents all care in a timely fashion.
4. Communication: Use effective communication and information technology to communicate interpersonal and health Pass
care information.

Course Objectives: Utilize professional communication and collaborative skills to provide patient/family centered care.
Behaviors: Maintains good communication concerning patient status with faculty and staff during clinical rotation. Interacts professionally and
positively with faculty, staff, patient and family. Receptive to concerns and questions voiced by patient and able to respond appropriately. Uses
technology effectively and professionally only when required for patient care and/or family emergencies Pass
5. Professional Role Development: Enhance professional role development.

Course Objectives: Examine the role, responsibilities, and scope of practice of nurses within the specialty of women’s health.
Behaviors: Demonstrates safe, prepared and professional behavior during all clinical learning experiences. Demonstrates core values while participating in
observational experiences. Prioritizes care. Completes administration of medications/tasks in a safe and timely manner. Able to organize self to provide
comprehensive care for mother/baby dyad. Accepts responsibility for RN role development. Can perform skills and understands their underlying concepts.

Pass
6. Ethical and Professional Values: Engage in activities to promote self-awareness, self-growth, ethical accountability,
and legal responsibility in the practice of nursing.

Course Objectives: Critically analyze ethical dilemmas and policy issues related to women/newborn healthcare.
Behaviors: Demonstrates respect/confidentiality. Is prepared prior to the clinical experience. Assists staff and peers when needed. Is motivated and takes
responsibility for completing all patient care. Documents in a legal, ethically sound, professional manner. Is accountable for mistakes. Accepts constructive
feedback. Follows dress code. Is punctual and cooperative. Follows agencies policies.
7. Scholarship: Contribute to excellence in nursing care by scholarly contributions through discovery, integration, Pass
application, and teaching. Contribute to excellence in nursing practice by identifying and critiquing research evidence
and integrating it with clinical practice, patient preference, cost-benefit, and existing resources.
Course Objectives: Integrate evidence, clinical judgment, inter-professional perspectives, and patient preferences in planning, implementing,
and evaluating outcomes of care.
Behaviors: Uses resources to promote learning and seeks out new learning opportunities. Able to incorporate assessment, outcomes and plan
of care from clinical experience into comprehensive patient care. Able to identify evidence based rational for care provided. Provides evidence
based rationale for interventions used in written work.
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Areas of strength:
Professionalism: Adheres to dress code, Name badge on, Prepared, On time. Integrates peer- reviewed articles into
journal reflections about patient care experiences. Cites sources in APA.
Communication: Communicates well with peers, patient, staff, and instructor.
Positive attitude towards learning. Uses time efficiently on the unit.
Areas for growth:
With experience, expanded skill set and knowledge
Continue to reflect after clinical experiences to determine what went well (and why) and what areas you would like to
improve (and how?)
Self-identified areas for growth: Bre indicated the following areas in maternal/newborn care she would like to be able
to learn or improve upon:
~Recognize abnormal newborn findings during time of transition
~Recognize fetal distress signals during labor including being able to interpret fetal heart rate strips
~Recognize normal v abnormal maternal lochia discharge amounts
~Improve efficiency in performing new skills such as newborn assessments and vital signs
Skills performed or Observed (OBV):
Medications: Administered with primary nurse
Newborn Vital Signs and Physical Assessment
Newborn comfort care: diaper change, swaddling, holding
Care of the newborn in bili blanket for phototherapy
Bottle fed premature newborn under phototherapy
Postpartum Vital Signs and physical assessment
Patient teaching: Newborn Care and Bathing Demonstration provided to mother in the room.
Post Conference: Actively participates in discussions. Offers information to peers to enhance learning (for example: Bre
reviewed the medication Hemabate with her peers; looked up the two types of newborn hearing tests available and how
they work).
Assisted in care of patient during 1st stage of labor: vital signs, comfort measures.
Assisted in care of post cesarean section patient in the recovery room
Reviewed external fetal heart rate and contraction monitoring strips with primary RN
External Fetal Heart Rate and Contraction Monitoring (OBV)
Newborn delivery via cesarean section (OBV)
Epidural administration (OBV)
Lactation Consultation (OBV)
Newborn Circumcision (OBV)
Newborn 24 hour screenings: Hearing, Cardiac, PKU (OBV)
It was a pleasure working with Bre during this clinical rotation! ~ M. Scheikl, MSN, RN, CNE
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