Clinical Performance Evaluation Form Page 3

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4.5) Protect and promote the client’s dignity.
_____
4.6) Demonstrate caring behavior towards the client, significant others, peers
and other members of the healthcare team.
_____
4.7) Implement the prescribe care regimen for management of clients within the
legal and ethical and regulatory framework of nursing practice.
_____
4.8) Adapt care in consideration of the client’s values, customs, culture and/or
habits.
_____
Course/Program Outcome #5
Demonstrate effective clinical judgment and decision making utilizing critical thinking
supported by scientific knowledge and evidence based practice.
5.1) Assess the client for changes in health status and identified needs.
_____
5.2) Prioritize client care.
_____
5.3) Implement an individualized plan of care.
_____
5.4) Make clinical judgments and management decisions to ensure accurate and
safe care.
_____
5.5) Analyze and utilize assessment and reassessment data to plan care.
_____
5.6) Evaluate the effectiveness of care provided in meeting client outcomes.
_____
5g) Modify client care as indicated by the evaluation of outcomes.
_____
5h) Use evidence-based information collected electronically or through other
means to support clinical decision making.
_____
Course/Program Outcome #6
Implement client/family centered teaching plans that promote self-care and optimal health.
6.1) Assess client and significant others for learning strengths, capabilities, barriers,
and educational needs.
_____
6.2) Develop an individualized teaching plan based on assessed needs.
_____
6.3) Teach the client and significant others the information and skills needed
to achieve the desired learning outcomes.
_____
6.4) Evaluate the progress of the client and significant others toward achievement
of the identified learning outcomes.
_____
6.5) Modify the teaching plan based on evaluation of progress toward meeting
the learning outcomes.
_____
TOTAL POINTS EARNED
____________
Student’s grade for this evaluation: ______(total points) /132 = _______%
Ex. Total points = 119
119/132 = 90%
NU: Sp ’13 Adopted. July ‘13 REV.
3

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