Level 3 Consolidated Practice Experience Student Evaluation

Instructor Name: Caroline Brunt Student Name: Dave Jay S. ManriquezClass Number: 201509 CPE Site: Station Street Type of Unit: Low Income Housing under PHSAbsences: 0 Lates: 0 Final Grade: S____ U____

This practice experience will introduce learners to community care settings and an opportunity to apply and adapt knowledge gained in Levels I, II, III, within a continuum of care for clients across the lifespan. Learners may gain experience through simulation and in a variety of community and residential care agencies and settings.

Each of the goals in Level 3 CPE has a number of indicators which must be satisfactorily met by the student in order to complete the Consolidated Practice Experience. If an indicator is rated as either Self-directed (SD) or Expected Behavior (EB) it is considered satisfactorily met. Provide specific examples to support your choice of descriptor in the comments section if the student receives either an “In Development” (ID) or “Unsatisfactory” (U).

When completing this evaluation tool, choose the appropriate descriptors to rate each indicator. See descriptors and indicators for each Standard on the following pages.

CPE Policies:

Attendance for CPE is mandatory. The college reserves the right to ask you for a doctor´s certificate to justify any absence due to illness. At any time, a student may be asked to leave the clinical area for behavior detrimental to client safety, unprofessional conduct or lack of preparation/research.

N.B.Vancouver Community College uses the CLPNBC Professional standards to teach practical nursing students about safe, competent and ethical practice, and to support practical nursing students to understand their professional obligations once they become licensed. NB: This evaluation tool has been adapted from the CLPNBC Professional Standards for Licensed Practical Nurses 2014 document.NB. Client refers to: tenant/resident/client/patient/family/community

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Standard 1: Responsibility and Accountability

Under the supervision and guidance of the instructor the student will maintain standards of nursing practice and professional conduct established by the College of Licensed Practical Nurses of BC, Vancouver Community College, and the PN Department as follows:

Self-directed (SD):

Accepts responsibility for own errors/actions even if not observed. Consistently follows facility and VCC policy and procedures. Initiates self-directed learning. No incidents of lateness or absenteeism. Always well groomed and adheres to college dress code without any reminders.

Expected Behavior (√ ):

Needs periodic guidance to acknowledge and accept responsibility for own errors/actions even if not observed. Needs periodic guidance to follow facility and VCC policy and procedures. Initiates learning with guidance. Notifies appropriately when late or absent. Needs periodic reminders to follow dress code as specified in the student handbook (1-2 reminders).

In Development (ID):

Identifies own errors in discussion with instructor. Omits aspects of nursing care. Proceeds with care when specifically directed not to do so. Requires repeated guidance to follow facility and VCC policy and procedures. Has difficulty initiating self-directed learning. Late or absent without notification (1-2 incidents). Requires frequent guidance to follow the dress code as specified in the student handbook (more than 2 reminders).

Unsatisfactory (U):

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Does not accept accountability and responsibility for errors – i.e. Tries to deny obvious errors; blames others for errors. Ignores facility policy and procedures. Frequently late or absent from clinical. Fails to notify appropriate person(s) when late or absent (greater than 1-2 incidents). Does not take responsibility for own learning. Does not seek guidance. Does not follow dress code as specified in the student handbook.

Indicator MT Final MIDTERM COMMENTS FINAL COMMENTS

1.1 Practices within the expectations for PN students as set out in the VCC Practical Nursing Student Guide for CPE 3 and PN Student Handbook

SD > I always asked question when in doubt especially with medication administration and other nursing procedures done in the agency.

> I asked the LPN that I am shadowing the do’s and don’ts in the agency policies when I first started.

> I do research about the medication, do a quick drug study, review the medication on MAR for the right dose, patient, time and route, and any special instruction before giving the medication to the resident.

> Before doing any nursing procedures such as wound dressing, I reviewed first my notes and then prepared all the materials I need before I start do the dressing. There are times as well

1.2 Practices within agency and/or departmental polices and evidenced-informed care standards

SD

1.3 Assumes primary responsibility and accountability for remaining current in previously learned knowledge and skills

SD

1.4 Identifies gaps in own knowledge, skills, judgment and abilities

SD

1.5 Develops a learning plan to address the identified gaps in knowledge, skills, judgment and abilities

SD

1.6 Maintains own physical, psychological and emotional fitness to practice

SD

1.7 Is accountable and responsible for own nursing decisions, actions and professional conduct

SD

1.8 Seeks guidance and direction as required SD

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for specific residents that I watched the LPN first do the dressing and the following day I tried it.

> I submitted all my assignment on time. These includes: the 3 journals, one for each week; health teaching as giving back to the community, I did it on the third week; and lastly participated in the group presentation on the last day.

> I do not have any late and absent during this CPE3. I am always punctual and arrive in the agency before the start time.

> I always dress appropriately and well-groomed in coming to duty.

> I communicate with the resident therapeutically with no judgment and keep an open minded approach.

1.9 Takes action to promote safe, competent and ethical care for clients

SD

1.10 Advocates for, contributes to, and participates in, changes to improve client care and nursing practice

SD

1.11 Advocates for client care consistent with CLPNBC Standards of Practice

SD

1.12 Demonstrates a beginning understanding of the role of the CLPNBC and its relationship to one’s own practice

SD

1.13 Clarifies the PN student role in relation to the roles of other members of the health care team

SD

1.14 Uses established lines of communication within the school and agency

SD

1.15 Submits assignments and client research according to course requirements

SD

1.16 Attends regularly and is punctual SD

1.17 Is well groomed and adheres to college dress code SD

Standard 2: Competency-Based Practice

Under the guidance and supervision of the instructor the student will apply appropriate knowledge, skills judgement

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and attitudes consistently in nursing practice as follows:

Self-directed (SD): Clinical preparation:

Collects and understands current and relevant research and is prepared for client assignment. Requires minimal assistance to comprehend relationships and significance of research. Assessment: Independently and consistently performs relevant assessments. Nursing Process: With minimal guidance, formulates, initiates and evaluates nursing care plans using appropriate nursing diagnoses.

Expected Behavior ( √): Clinical Preparation:

Needs periodic guidance to collect and understand relevant research and is prepared for client assignment. Needs periodic guidance to explain research. Assessment: Needs periodic guidance to perform relevant assessments. Nursing Process: Needs periodic guidance to formulate, initiate and evaluate nursing care plans using appropriate nursing diagnoses.

In Development (ID): Clinical Preparation:

Does not use current and relevant sources of knowledge to prepare research. Inconsistent with explanation of research. Assessment: Inconsistent ability to perform relevant assessments. Nursing Process: Requires frequent guidance to formulate, initiate and evaluate nursing care plans using appropriate nursing diagnoses.

Unsatisfactory (U): Clinical Preparation:

Written research incomplete. Unable to discuss research. Assessment: Unable to perform relevant assessments. Nursing Process: Does not formulate, initiate or evaluate nursing care plans using appropriate nursing diagnoses.

Indicator MT FINAL MIDTERM COMMENTS FINAL COMMENTS

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2.1 Bases nursing practice on current evidence from nursing science, other sciences and the humanities

SD > I always keep myself updated with the latest trend on nursing procedures by reading and doing a research in the internet, for example a particular nursing procedure such as wound dressing, and giving injection.

> I always observed the nursing process before doing anything else. I always assessed the patient first, take vital signs if needed, prepare all the things I need, before doing any nursing procedures.

> If a resident have question about the medication they are taking I am always ready to explain it to them, what is use for.

> I always keep myself available for the residents to talk to if they have some concern, wants, and questions.

> Together with the LPN we plan

2.2 Access information to support and provide safe, competent and ethical nursing practice and care for clients

SD

2.3 Demonstrates critical thinking when collecting and interpreting data, implementing and evaluating nursing care

SD

2.4 Collects information on client status and care needs from a variety of sources using assessment skills and a review of pertinent client data

SD

2.5 Explains research related to client profile: pathophysiology, pharmacology, specific nursing interventions, signs and symptoms of disease and potential complications

SD

2.6 Performs holistic nursing assessments in a timely manner

SD

2.7 Implements nursing interventions (including comfort care, personal care), considering the unique needs of the client as directed by a nursing care plan, in a timely manner

SD

2.8 Analyzes and interprets data from various sources to identify client’s actual and/or potential problems based on assessments

SD

2.9 Identifies priorities of care and makes practice decisions about client-care requirements and client outcomes

SD

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ahead what our priorities within a particular day and implement it on time. In station street they have the MAP program for the alcoholic dependent, I make sure that I am always on time in serving their drinks in an hourly basis.

> If there are issues that I have a hard time in handling it, I always asked help from the LPN in a timely manner to resolve an issue with a resident.

> I always talk professionally to the staff in the clinic as well as to the residents.

> Every time I gave medications or served a drink to a resident, I always document it on their record sheet on time.

2.10 Develops a care plan SD

2.11 Performs client care and implements interventions in a timely manner

SD

2.12 Documents client assessments, care needs, planned interventions and outcomes in a timely manner

SD

2.13 Communicates client status to instructor and appropriate members of the health care team in a timely manner

SD

2.14 Evaluates client responses to care and revises the plan of care as necessary in collaboration with the health care team

SD

2.15 Responds and adapts to changes in the practice environment in collaboration with the health care team

SD

2.16 Shares nursing knowledge with clients, colleagues, peers and others as appropriate

SD

2.17 Communicates professionally in interactions with clients, members of the Health care team, instructors, peers and others.

SD

2.18 Demonstrates congruent verbal and nonverbal behaviour

SD

2.19 Uses clear, proficient and timely verbal communication to facilitate the consistency of client care

SD

2.20 Uses clear, proficient written communication to facilitate the consistency of client care

SD

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> In doing medication administration, I always make sure that I have already assessed the condition of the resident and did a drug study before doing a preliminary review of the meds on MAR. Perform all the checks, compare the MAR on the medication label itself before handling the medication to the resident and signed the MAR.

> Last April 20, 2016, I did an honest mistake of not signing right away on MAR after I gave medications to two residents. I honestly forget about it, and I just signed it after I return from break and the LPN need to remind me on it.

> I always asked the LPN when in doubt before proceeding.

2.21 Assumes a leadership role in selected client situations and nursing care settings with support and guidance

SD

2.22 The student utilizes critical thinking and clinical judgment to apply principles of pharmacology to administer medications safely in acute care. As such the student:

SD

Prepares and explains drug research prior to dispensing medications.

SD

Applies critical thinking when administering medications to selected clients

SD

Performs a preliminary MAR review SD

Critically evaluates physician’s orders/directives SD

Recognizes and responds appropriately to questionable orders

SD

Performs necessary pre-medication administration focused assessments

SD

Implements the rights of drug administration. SD

Administer medications in a systematic, organized and timely manner.

SD

Performs necessary post-medication administration assessments and interventions

SD

Implement appropriate nursing considerations related to specific medications as needed.

SD

Documents in an accurate, clear, concise, legible and timely manner

EB

Standard 3: Client-Focused Provision of Service

Under the guidance and supervision of the instructor the student provides nursing services and works with others in

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the best interests of clients.

Self-directed (SD):

Consistently demonstrates a professional and positive attitude. Seeks support appropriately. Sound knowledge of the PN role. Consistently develops effective partnerships with clients, health care team members, faculty and peers. Active team participant.

Expected Behavior (√ ):

Needs periodic guidance to demonstrate a professional and positive attitude. Requires periodic guidance to seek appropriate support. Knowledge of the PN role is appropriate with periodic assistance. Needs periodic guidance to develop effective partnerships with clients, health care team members, faculty and peers. Active team participant with periodic encouragement.

In Development (ID):

Requires frequent guidance to demonstrate a professional and positive attitude. Requires frequent guidance to seek appropriate support. Knowledge of the PN role is not clear. Requires frequent guidance to develop effective partnerships with clients, health care team members, faculty and peers. Requires frequent assistance to actively participate in team activities.

Unsatisfactory (U):

Unable to demonstrate a professional and positive attitude. Does not seek appropriate support. Knowledge of the PN role is incorrect. Unable to develop effective partnerships with clients, health care team members, faculty and peers. Unable to participate in team activities

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Indicator MT Final MIDTERM COMMENTS FINAL COMMENTS

3.1 Makes the client the primary focus when providing nursing care

SD > When communicating with a resident, I always make sure that my attention is on them, making them aware that they are heard.

> I always keep an open minded approach about their addiction, values, and beliefs in life. I am not being judgemental.

> With the nursing procedures that I did in the agency, I always asked the residents on how they want to be care with, like in doing wound dressing and giving injection.

> I did my health teaching and demo of NARCAN injection for drug overdose cases on the third week of my CPE 3 exposure.

> I always collaborate my care with the LPN that I am shadowing as well to the mental health worker, staffs, and the residents.

> Every time I do a procedure, I always ask permission, explain the procedure, and answer question about the procedure if there is any.

3.2 Demonstrates awareness and respect for how clients’ backgrounds, beliefs, values, needs and culture impact on their health and healing practices

SD

3.3 Involves clients in identifying and prioritizing their own health goals and learning needs

SD

3.4 Encourages, supports, and advocates for client self-care and health promotion

SD

3.5 Supports clients to learn about the health care system and accessing appropriate health care services

SD

3.6 Supports clients to meet own spiritual, psychological, emotional and physical needs

SD

3.7 Advocates for clients experiencing difficulty protecting and/or caring for themselves

SD

3.8 Implements, reinforces, and supports information given to clients by other health-care providers

SD

3.9 Understands and communicates the contribution of nursing to the health of clients

SD

3.10 Communicates, collaborate and consults with clients and other members of the health care team about client care

SD

3.11 Identifies self and communicates in a respectful, caring manner while informing client of proposed care

SD

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> Every day I make sure that I am talking to some of the residents, knowing them better, and establishing rapport through skills learned in professional communication.

3.12 Coordinates and facilitates continuity of care services for the client

SD

3.13 Supports and guides other members of the health care team to meet client care needs

SD

3.14 Participates in and advocates for changes that improve client care and nursing practice

SD

3.15 Recognizes and reports the incompetent or impaired practice or unethical conduct of another health professional to the appropriate person (instructor/Dept. Head)

SD

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Standard 4: Ethical Care

Under the supervision and guidance of the instructor the student understands, upholds and promotes the ethical standards of the nursing profession

Self-directed (SD): Consistently demonstrates awareness of ethical implications of care (As per CLPNBC standards).

Expected Behavior (√ ): Needs periodic guidance to demonstrate awareness of ethical implications of care (As per CLPNBC standards).

In Development (ID): Needs frequent guidance to remain aware of ethical implications of care (As per CLPNBC standards).

Unsatisfactory (U): Remains unaware of ethical implications of care regardless of instructor guidance (As per CLPNBC standards).

Indicator MT Final MIDTERM COMMENTS FINAL COMMENTS

4.1 Demonstrates integrity and honesty at all times SD > I always show respect and talk professionally to the residents in Station Street.

> I always keep in mind the policy of VCC, as well as the agency.

> There is one instance that I was caught off guard by a resident

4.2 Represents self clearly and accurately with respect to name, title and role (VCC Student Nurse)

SD

4.3 Respects and protects client worth, dignity, uniqueness and diversity

SD

4.4 Protects client information and maintains privacy and confidentiality

EB

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question where me and the LPN was discussing something about a medication of another resident, and right ahead I shared an information which should not supposed to be. I recognized my mistake and take note about it as a past learning experience.

> I always keep my own values and beliefs on check.

> I always asked help from the LPN if conflict arises between me and a resident.

> I always put in mind that the safety of the residents as well as myself are my greatest priorities.

> I am always thankful for the help I get from the LPN, mental health worker, and staffs that are working in Station Street.

> I am always respectful to my colleagues.

4.5 Recognizes, respects and promotes the clients right to be informed and make informed choices

SD

4.6 Initiates, maintains and ends nurse-client relationships in a way that puts the client’s needs first

SD

4.7 Identifies the effect of own values, beliefs, and experiences when providing nursing care

SD

4.8 Identifies ethical issues and discusses with instructor

SD

4.9 Recognizes potential conflicts and takes action to prevent or resolve them through effective communication with the health care team

SD

4.10 Evaluates the effectiveness of actions taken to prevent or resolve conflict

SD

4.11 Recognizes and reports situations that are unsafe, or potentially unsafe, for clients and health care team members in consultation with the instructor

SD

4.12 Advocates for resources to support safe practice to improve client care

SD

4.13 Makes decisions about the allocation of resources under one’s control based on the needs of the client

SD

4.14 Recognizes and respects the contribution of others on the health care team

SD

4.15 Treats peers, instructor and other health care workers in a respectful manner

SD

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4.16 Establishes and maintains effective partnerships with peers, instructors and health care team members

SD

CPE 3 Evaluation Criteria NB all components of course must be passed in order to achieve an overall grade of Satisfactory

S U

Client/Agency Portfolio Poster Presentation

Collaboration with Peers: Poster Presentation

Nursing Care Plan

Moral/Ethical Client Dilemma

Reflective Journal

Self-Evaluation

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Midterm FinalSummary

# of clients at Midterm: _____ Absences: _____

# of clients at Final: 85 residents Absences: 0

Areas to work on

Midterm Evaluation

Instructor Signature:__________________________________________ Date:_________________________________

Student Signature:____________________________________________Date:_________________________________

Final Evaluation

Instructor Signature:__________________________________________ Date:_________________________________

Student Signature: dave Manriquez Date: April 26, 2016

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PERSONAL LEARNING PLAN

Name: Dave Jay S. Manriquez Date: April 26, 2016

Goals: (What are you going to learn?)

Resources: (How are you going to learn it?)

Evaluation: (How will you know you have learned it? How will you show you have learned it?)

1. At the end of CPE 3 exposure, I will be able to apply what I have learned in the classroom to the residents in Station Street.

a. Professional Communication

b. Health Promotion

c. Variation

d, INP

e. Professional Practice

1. Reviewing class discussion notes, reading the book, researching in the internet, Moodle slides, asking question to the LPN.

a. By exposing myself and talk to the residents every day.

b. To familiarize self with harm reduction supplies, providing education, and advocating for the residents.

c. To be able to recognize different mental health condition, drug and alcohol addiction.

d. By doing nursing procedures and doing medication administration with the LPN guidance.

e. By being open-minded and non-judgmental.

a. If I am confident enough and relax in communicating with the residents. If the residents will give their trust to me and open their selves for me to know them better. If I can converse well and sustain the conversation.

b. If I can provide the harm reduction supplies to the resident in a timely manner with no more doubt if I am giving the right supplies. If I am able to share some information and do a health teaching. If I can advocate to them by referring their concerns to the right personnel to help them within the PHS organization.

c. If I will be able to recognize the different characteristics of the different mental health related problems.

d. If I am confident in doing the different nursing procedure that is available in the agency to perform such as wound dressing and injections with minimal supervision form the LPN. If I am able to administer medications with less supervision from the LPN.

e. If I am going to observe ethics in everything that I will be doing in the agency. If I can protect client information and maintain privacy and confidentiality.

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