Nursing
Practice Immersion Clinical Evaluation Tool - Agency/Site
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Agency/Site Criteria |
Student Evaluation |
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Faculty Evaluation |
Comments |
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Does Not Meet |
Meets |
Excels* |
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Does Not Meet |
Meets |
Excels* |
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1. Agency/site was able to provide the opportunities for the student to meet practice immersion clinical objectives. | ☐ | ☐ | ☐ |
| ☐ | ☐ | ☐ |
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2. Agency/site was able to establish a comfortable, yet stimulating, practice environment. | ☐ | ☐ | ☐ |
| ☐ | ☐ | ☐ |
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Criteria:
Does Not Meet: Elements are missing.
Meets: Agency/site meets this criterion.
Excels: Agency/site meets this criterion and further a teaching point opportunity or expanded information, guidance, or other element to further enhance student learning.
Agency/site - strengths:
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Student Evaluation |
Faculty Evaluation |
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Agency/site - areas of improvement needed:
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Student Evaluation |
Faculty Evaluation |
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Agency/site - Suggestions to incorporate more responsiveness to student learning needs:
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Student Evaluation |
Faculty Evaluation |
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Practice Immersion Clinical Evaluation Tool - Mentor
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Clinical Criteria |
Student Feedback of Mentor Experience |
Comments |
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Does Not Meet |
Meets |
Excels* |
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3. Exemplify professionalism in diverse health care settings. | ☐ | ☐ | ☐ |
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4. Utilize the nursing process to provide safe and effective care for patients across the health-illness continuum: promoting, maintaining, and restoring health; preventing disease; and facilitating a peaceful death as opportunity presents. | ☐ | ☐ | ☐ |
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5. Implement patient care decisions based on evidence-based practice. | ☐ | ☐ | ☐ |
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6. Utilize patient care technology and information management systems. | ☐ | ☐ | ☐ |
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7. Communicate therapeutically with patients. | ☐ | ☐ | ☐ |
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8. Professionally communicate and collaborate with the interdisciplinary health care teams to provide safe and effective care. | ☐ | ☐ | ☐ |
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9. Understand the human experience across the health-illness continuum. | ☐ | ☐ | ☐ |
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10. Provide culturally sensitive care. | ☐ | ☐ | ☐ |
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11. Preserve the integrity and human dignity in the care of all patients. | ☐ | ☐ | ☐ |
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Criteria:
Does Not Meet: Elements are missing; mentor did not achieve.
Meets: Mentor meets this criterion.
Excels: Mentor meets this criterion and further incorporates a teaching point scenario or expanded information, guidance, or other element to further enhance student learning.
Practice Immersion Clinical Evaluation Tool - Student
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Clinical Criteria |
Mentor Sign Off |
Faculty Sign Off |
Comments |
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Does Not Meet |
Meets |
Excels* |
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12. Exemplify professionalism in diverse health care settings. | ☐ | ☐ | ☐ | ☐ |
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13. Utilize the nursing process to provide safe and effective care for patients across the health-illness continuum: promoting, maintaining, and restoring health; preventing disease; and facilitating a peaceful death as opportunity presents. | ☐ | ☐ | ☐ | ☐ |
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14. Implement patient care decisions based on evidence-based practice. | ☐ | ☐ | ☐ | ☐ |
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15. Utilize patient care technology and information management systems. | ☐ | ☐ | ☐ | ☐ |
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16. Communicate therapeutically with patients. | ☐ | ☐ | ☐ | ☐ |
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17. Professionally communicate and collaborate with the interdisciplinary health care teams to provide safe and effective care. | ☐ | ☐ | ☐ | ☐ |
|
|
18. Understand the human experience across the health-illness continuum. | ☐ | ☐ | ☐ | ☐ |
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19. Provide culturally sensitive care. | ☐ | ☐ | ☐ | ☐ |
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20. Preserve the integrity and human dignity in the care of all patients. | ☐ | ☒ | ☐ | ☐ |
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Criteria:
Does Not Meet: Elements are missing; student is required to remediate this element to pass the course
Meets: Student meets this criterion.
Excels: Student meets this criterion and further incorporates a teaching point scenario