Thursday, July 16, 2009

Mid Term Self Evaluation

Mid Term Self Evaluation


2 Course Clinical Objectives and 2 Personal Objectives so far in the course
Course Clinical Objective

1. Leadership Skills: Demonstrates leadership in the development of online unit communication tool. Improving communication and satisfying system requirement for documentation of continuous improvement and shared governance. Developed a blog for distribution and intake of information from staff. For example the change of process in documenting charges is communicated in person and on the blog. The blog allows staff to provide feedback regarding changes.

2. Critical Thinking: Gathers data regarding undetected deviations from policy in patient identification. Makes direct observation of patient intake procedure on mobile unit. Identify point of deviation and develops a plan to re-education staff. Numerous patient identification errors have taken place. I identified the source of error as being a failure to follow patient identification procedure at many points. A staff meeting was held and re-education begun. This included placement of reminder flyers in patient intake areas to prompt staff and educate patients.

3. Professional Accountability: Follows university’s policies, seeks own learning. Seeks opportunity to be of assistance to preceptor in projects and completes projects in timely manner. Working with preceptor’s schedule changes to accomplish clinical goals.

4. Client Advocate: Worked to correct billing issues for patients. Worked to advocate for patient privacy protection and safety in observance of patient identification policy.

5. Cultural Competence: Worked to promote culturally competent care while serving the Vietnamese community. Encouraged signage in mobile units include translations for common languages of people served.
Course Objectives and relate them to your work in your specific clinical site, by providing examples

Discuss current trends and issues in the nursing profession – Discussed the role of the Wellness Clinic and Mobile Units in emergency preparedness. Questioned about role of center in possible pandemic H1N1 response. Also discussed need for more participation and spearheading in preparation effort.

Communicate effectively, both verbally and in writing, with individuals, groups and health care providers. – Communicating with community partners via email, phone, and fax. Communicating with unit staff, delegating tasks related to patient identification policy re-education. Communicating with Nurse Practitioner regarding care of patients and flow of work.

Demonstrate critical thinking in the delivery, collaboration, and coordination of nursing care. – Assist in coordinating mobile unit scheduling at various mulitple sites while allowing for one unit to go in for service.

Incorporate professionalism and personal accountability in the implementation of nursing care. – Encouraging staff to be personally accountable to following procedures for patient safety. Encouraged to strive for excellence even when not being directly supervised. Shared personal story to staff demonstrating transparency of practice and personal accountability regarding a personal error in practice and method used in reporting and correcting error.

Function as a client advocate through collaboration with health care providers. – Worked to clear up numerous billing errors as client advocate. Clarified services provided, charges to account, insurance coverage. Developed spreadsheet and delivered to preceptor showing data related to incorrect billing.

Demonstrate leadership skills in health promotion and health maintenance of individuals and groups. – Demonstrate leadership in increasing preparations for H1N1 demand for services with fall flu season. Working to protect community through promoting preparation for individuals and families according to CDC recommendations.

Incorporate research into the practice of professional nursing. – Educate men regarding research in prostate health recommendations. Encouraging them to know their own PSA number and take ownership of their health.

Enact the nurse’s role in health promotion and health maintenance for individuals and groups from various cultures. – Coordinate culturally competent care to Vietnamese community in Arlington through utilization of translators and observing common Asian cultural norms.


Statement of your personal objectives and discuss how you have or have not accomplished them, supporting them with reasons and/or examples

· Enhance communication with peers with a focus on delegation, through the application of communication theory.
Spoke to unit at staff meeting regarding new UBC communication tool and appropriate professional communication.
· Use time management principles in the scheduling of clinical days.
Established schedule with preceptor at beginning of semester. As a professional courtesy, be flexible with preceptor as her schedule changes. Still assure that my clinical goals are being met in time allotted by adding days when needed.
· Objectively evaluate the Wellness Programs ability to meet the Fort Worth community’s needs.
Identified a need for preparation for possible increased demand of services with the H1N1 and seasonal flu this fall.
· Identify at least one opportunity for enhanced community service in the Wellness Program
Identified a need for preparation for possible increased demand of services with the H1N1 and seasonal flu this fall.
· Identify one process improvement issue in the mobile units.
Encouraged preparation of administration paper work packet in office prior to taking on the mobile unit. Utilize patient stickers to label paperwork whenever possible to streamline paperwork.
· Identify one patient safety issue in the mobile units.
Identified failure to comply with patient identification policy by numerous staff at multiple encounters within mobile unit. Worked to address the problem through re-education.
Statement and discussion of 1 way in which these items discussed above have enabled or fostered your growth as a professional nurse.

My experience in this clinical with community health has reinforced to me the need to continue my education. The community needs nursing to seek higher education and help fill the gaps in the current healthcare system. My preceptor has inspired me that an individual can make a significant difference in the community they serve.

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