Clinical Evaluation Tool – Scoring Sheet

FUNDAMENTALS OF NURSING

Learner: ___________________________________________ Clinical Faculty: __________________________________________

Course Student Learning Outcomes:

• Use safe, patient-centered nursing care when caring for patients. (PSLO 1)
Mid-term Grade Final Grade
Evaluation Tool
S NI U S U
DECS Demonstrates application of standard Observation
IIIB precautions and/or isolation precautions as Discussion with
appropriate to the assigned clients. faculty
DECS Identifies client prior to all client Observation
IIIB interaction. Discussion with
faculty
DECS Implements measures to ensure physical Observation
IIIB and environmental comfort and safety of Clinical
the client, self, and others. documentation
Discussion with
faculty
DECS Complies with safety standards and policies Observation
IIE of facility, local, state, and federal regulatory Discussion with
agencies. faculty
DECS Performs nursing skills in accordance with Observation
IIID evidence-based practice. Discussion with
faculty
Course Student Learning Outcomes:
• Demonstrate caring behaviors when providing nursing care to patients. (PSLO 2)
Mid-term Grade Final Grade
S NI U S U
DECS Provides care in a non-judgmental and Observation
IID nondiscriminatory manner. Discussion with
faculty and peers
DECS Demonstrates compassion for clients by Observation
IID displaying a caring attitude. Discussion with
faculty and peers
DECS Performs nursing actions to help meet the Observation
IIB client’s basic needs or to alleviate client Clinical
problems. documentation
Discussion with
faculty and peers
DECS Respects privacy and dignity of the client. Observation
IID Discussion with
faculty and peers
Course Student Learning Outcomes:
• Practice effective communication skills when caring for patients. (PSLO 3)
Mid-term Grade Final Grade
S NI U S U
DECS Uses therapeutic communication when Observation
IVA interacting with client and family.
DECS Communicates in a timely manner with Observation
IVA members of the interdisciplinary healthcare

PN/VN Fundamentals of Nursing Revised 12/14/21

 team to promote and maintain optimal Discussion/report
health status of clients and their families. with faculty and
peers
DECS Collects client data accurately and Clinical
IIH independently through assessment, documentation
client/family interview, and medical record Discussion with
review. faculty
Course Student Learning Outcomes:
• Apply clinical judgment to ensure safe, quality outcomes when caring for patients. (PSLO 4)
Mid-term Grade Final Grade
Evaluation Tool
S NI U S U
DECS Organizes data collected and uses to plan Clinical
IVD and deliver care; completes clinical documentation
documentation packet according to its
criteria.
DECS Contributes to the development of a client’s Observation
IIE plan of care. Clinical
documentation
Discussion with
faculty and peers
DECS Identifies, discusses, and documents client Observation
IIC problems. Clinical
documentation
Discussion with
faculty and peers
DECS Identifies interventions related to client Observation
IIC problems. Clinical
documentation
Discussion with
faculty and peers
DECS Identifies anticipated outcomes of nursing Observation
IIC care and discusses with nursing instructor. Clinical
documentation
Discussion with
faculty and peers
DECS Uses self-evaluation, reflection, peer and Observation
ID faculty feedback to modify and improve Clinical
practice. documentation
Discussion with
faculty and peers
DECS Demonstrates flexibility by adapting to Observation
IA changes in priorities and/or assignments. Clinical
documentation
Discussion with
faculty and peers
DECS Implements evidence-based care as Observation
IIA discussed and practiced in theory and Clinical
learning lab. documentation
Discussion with
faculty and peers

PN/VN Fundamentals of Nursing Revised 12/14/21

 Course Student Learning Outcomes:
• Examine relationships needed to provide and improve care for patients. (PSLO 5)
Mid-term Grade Final Grade
Evaluation Tool
S NI U S U
DECS Actively participates in pre and post Discussion with
IC conference to enhance knowledge. faculty and peers
DECS Demonstrates teamwork by working with Observation
IVA staff, peers, and faculty. Discussion with
faculty and peers
DECS Collaborates with the healthcare team in Observation
IVA the modification of a plan of care. Discussion with
faculty and peers
Clinical
Documentation
DECS Collaborates with clients and families to Observation
IIB accommodate individual preferences. Discussion with
faculty and peers
Clinical
Documentation
Course Student Learning Outcomes:
• Examine leadership skills required to provide care for patients. (PSLO 6)
Mid-term Grade Final Grade
Evaluation Tool
S NI U S U
DECS Demonstrates initiative and seeks out Observation
IIID clarification and assistance to improve or Discussion with
learn new skills. faculty and peers
DECS Demonstrates responsibility for own Observation
IB behavior and institutes chain of command Discussion with
as needed. faculty and peers
DECS Demonstrates respect and ability to Observation
IC maintain professional boundaries and Discussion with
behaviors with clients and families, staff, faculty and peers
and peers.
DECS Functions within the student nurse’s legal Observation
IA scope of practice and in accordance with Discussion with
the policies and procedures of the School of faculty and peers
Nursing and the healthcare practice setting.

PN/VN Fundamentals of Nursing Revised 12/14/21