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Eval Tool Medical

This document is a clinical performance checklist for nursing students on a medical ward rotation. It evaluates students on their knowledge and cognitive skills, psychomotor/technical skills, and attitudes/professionalism. The checklist contains 30 criteria across the three categories and uses a 4-point rating scale to assess student performance in each area. It is signed by both the student and clinical instructor to document the student's progression during their rotation.

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0% found this document useful (0 votes)
206 views1 page

Eval Tool Medical

This document is a clinical performance checklist for nursing students on a medical ward rotation. It evaluates students on their knowledge and cognitive skills, psychomotor/technical skills, and attitudes/professionalism. The checklist contains 30 criteria across the three categories and uses a 4-point rating scale to assess student performance in each area. It is signed by both the student and clinical instructor to document the student's progression during their rotation.

Uploaded by

api-3739910
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOC, PDF, TXT or read online on Scribd
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CU-QMS-NURSING-0011

CAPITOL UNIVERSITY
COLLEGE OF NURSING

CLINICAL PERFORMANCE CHECKLIST FOR MEDICAL WARD

Name:______________________________ Period of Rotation:___________________


Level:______________________________ Rating:____________________________

I. KNOWLEDGE/COGNITIVE (40%) RATING


J.
1. Identifies significant assessment parameters, diagnostic exams and 4 3 2 1
laboratory findings pertinent to the patient’s condition.
2. Correlates significant clinical manifestations with the pathophysiology 4 3 2 1
of the disease condition.
3. Discusses nursing considerations in the care of clients undergoing 4 3 2 1
invasive diagnostic procedures and provide care when appropriate.
4. Formulates appropriate, relevant and realistic nursing care plan. 4 3 2 1
5. Identifies nursing diagnosis supported by appropriate assessment 4 3 2 1
parameters and prioritizes them accordingly.
6. Formulates specific, measurable and attainable nursing goals and objectives. 4 3 2 1
7. Identifies independent/interdependent nursing functions and discuss 4 3 2 1
comprehensively the rationale of such interventions.
8. Explains the indications of drugs and solutions used in patient care. 4 3 2 1
9. Anticipates discharge planning. 4 3 2 1
10. Evaluates and assesses the effectiveness of care rendered to patients. 4 3 2 1

II. SKILLS/PSYCHOMOTOR (40%)


1. Performs accurate physical assessment and obtain comprehensive 4 3 2 1
nursing history.
2. Implements plan utilizing appropriate and available resources. 4 3 2 1
6 3. Observes and assists other members of the health team during 4 3 2 1
7 invasive diagnostic procedures.
4. Performs independent and interdependent nursing functions 4 3 2 1
effectively and efficiently.
5. Records and reports significant data/observations about the patient’s 4 3 2 1
condition with promptness, accuracy, and conciseness.
6. Demonstrates nursing procedures skillfully (such as pulmophysiotherapy, 4 3 2 1
specimen collection, NGT feeding, exercises, positioning, O2 therapy,
hygiene measures, assisting with elimination, etc.)
7. Prepares, administers and documents medications given as ordered. 4 3 2 1
8 8. Records appropriately on flow sheets and narrative nurses’ notes. 4 3 2 1
9. Imparts effective health teachings to promote health and 4 3 2 1
prevent complications.
10. Organizes work and manages time effectively. 4 3 2 1

III. ATTITUDES/AFFECTIVE ( 20 %)
1. Abides with all institutional policies. 4 3 2 1
2. Accepts nursing service responsibilities with interest and 4 3 2 1
eagerness to work.
3. Allows considerable time to be with the patient and give 4 3 2 1
physical, emotional and spiritual support to patient and
significant others.
4. Accomplishes assigned task with competence, calmness, confidence, 4 3 2 1
compassion, initiative, resourcefulness and creativity.
5. Establishes professionalism with patients, co-students, 4 3 2 1
nurses and other health team members.
---------------------------------

_____________________
STUDENT SIGNATURE ____________________________________
CLINICAL INSTRUCTOR’S SIGNATURE

Issue: 05 April 2006 Revision Code: 003

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