Clinical Evaluation Tool

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An - Najah National University

Medical &Health Sciences College


Nursing &Midwifery Department
Children and Adolescents Health Nursing /
Clinical Course

Children and Adolescents Health Nursing / Clinical


Clinical Evaluation Tool
St. Name: _____________________ Date: _____________________
Clinical Instructor:__________________________ Clinical setting:__________________

Behavioral objectives 0.5 1 1.5 2


Interventions:
1. Identifies nursing interventions that are realistic for client and correlate with stated outcomes
2. Uses etiology in diagnostic statement to identify appropriate interventions
3. Describes nursing actions with descriptive qualifiers
4. Includes a variety of approaches to achieve stated outcomes
5. Modifies standard measures to individualize for client
6. Provides specific parameters for implementation
7. States rationale for actions that demonstrate theoretical/scientific principles
8. Provides holistic nursing care to patients
9. Demonstrates correct techniques for health assessment
10. Relates pathophysiology of disease(s) to patients’ assessment findings, medications, laboratory and diagnostic test results, and
medical and nursing information
Caring
1. Establishes and maintains therapeutic relationships with clients and families.
2. Incorporates client and family diversity into the plan of care.
3. Acts as a client advocate
4. Demonstrates caring behaviors while recognizing the uniqueness of the individual when providing care.
Collaboration
1. Contributes to group/team activities
2. Identifies & reports pertinent client information.
3. Protects and advocates for patient rights (privacy, autonomy, confidentiality)
4. Complies with hospital policies and regulations
1
Critical Thinking 0.5 1 1.5 2
1. Uses physical assessment techniques to evaluate the client on an ongoing basis.
2. Uses client data to correctly identify prioritized client problem list.
3. Develops appropriate plan of care.
4. Provides scientific rationale for nursing interventions.
5. Evaluates achievement of client outcomes.
6. Modifies patient nursing care as indicated by the evaluation outcomes
7. Recognizes own limitations
Maintains Professional Student Nurse Role(s)
1. Uses safety measures in the delivery of care.
2. Accepts and reacts appropriately to constructive feedback
3. Displays professionalism and maintains personal composure
4. Documents in a neat and accurate manner.
5. Carries all delegated responsibilities
6. Actively seeks opportunities for learning
7. Accepts responsibility & accountability for own actions.
8. Adheres to professional dress code including hair, and nails
9. Demonstrates professional, ethical, and legal standards of nursing practice.
Perform Safe Practice
1. Uses universal/standard precautions (washing hands, wearing appropriate personal protective equipment, avoiding needle
sticks)
2. Maintains an environment free from hazards
3. Describes drug action, use, side effects, dosage ranges, contraindications, and interactions as it relates to the individual client.
4. Correlates treatment regimen with medication administration & laboratory testing.
Performance Criteria
1. Uses appropriate terminology, spelling, and grammar in written documentation
2. Documents accurate, complete, and pertinent information in a timely manner according to hospitals guidelines (format,
timing, abbreviations, etc..) by using information technology

Rating Scale: 0.5, Not acceptable 1, Below average 1.5, Average 2, Above average :
Total scores: 40 points= 80marks Score: ...............

Clinical Instructor Comments: ____________________________________________________________________________________________

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