Medical Surgical

Pre-Clinical CCT Activity: Pre-clinical CCT

Course: Fa21 Acute and Complex Care 2910 Secs

10-11

Name: Doyin Cole

ASSESSM

ENT met 1 point

not met 0 points

Criterion Score

1. Obtains

pertinent

data

1 / 1 Performs

systematic

head to toe

assessment

Orien

tation

, LOC,

pain/

nause

ASSESSM

ENT met 1 point

not met 0 points

Criterion Score

a, IV

site,

heart,

lungs,

GI,

extre

mities

(pulse

s,

CMS)

ASSESSM

ENT met 1 point

not met 0 points

Criterion Score

3. Assess

the

environme

nt in an

orderly

manner

1 / 1 Attentive to

the

environment

Provi

des

privac

y,

gathe

rs

suppli

es &

equip

ment

(NS

flushe

s etc.)

COMMUN

ICATION met 1 point

not met 0 points

Criterion Score

COMMUN

ICATION met 1 point

not met 0 points

Criterion Score

5.

Communic

ates

effectively

with

patient

and

significant

other

(verbal,

nonverbal,

teaching)

1 / 1 Explains

what they

are doing for

the patient

and explains

the

medication

being given

to the

patient

COMMUN

ICATION met 1 point

not met 0 points

Criterion Score

6.

Document

s clearly,

concisely,

&

accurately

1 / 1

7.

Responds

to

abnormal

findings

0 / 1 Discerns

abnormal

findings in

assessment

Medication

is

documented

Barco

de

scann

ing is

done

with

all 3

meds

COMMUN

ICATION met 1 point

not met 0 points

Criterion Score

appropriat

ely

Crackl

es/wh

eezes,

OR irregul

ar AP,

OR absen

t/hyp

oactiv

e

bowel

sound

s

Criterion Feedback

Missed the abnormal finding on this

patient: absent bowel sounds

COMMUN

ICATION met 1 point

not met 0 points

Criterion Score

8.

Promotes

profession

alism

1 / 1

CLINICAL

JUDGEME

NT

met 1 point

not met 0 points

Criterion Score

In uniform

according to

handbook

policy,

maintains

psychologica

l safety for

patient

CLINICAL

JUDGEME

NT

met 1 point

not met 0 points

Criterion Score

12.

Prioritizes

appropriat

ely

1 / 1

PATIENT

SAFETY met 1 point

not met 0 points

Criterion Score

Organized in

assessment

and in IVP

med admin

Asses

sment

compl

ete in

about

10

minut

es

PATIENT

SAFETY met 1 point

not met 0 points

Criterion Score

18 Uses

patient

identifiers

1 / 1 Identifies

patient prior

to giving

meds with

the chart

and

wristband

using 2

identifiers

PATIENT

SAFETY met 1 point

not met 0 points

Criterion Score

19.

Utilizes

standardiz

ed

practices

and

precaution

s including

hand

washing

1 / 1 Hand

hygie

ne

perfor

med

befor

e

patien

t

conta

ct and

skills

Verifi

es

allergi

es

Bed

safety

PATIENT

SAFETY met 1 point

not met 0 points

Criterion Score

20.

Administer

s

medicatio

ns safely

1 / 1 Verifies

medication

with chart

(RIGHTS

method

Three

med

check

s for

med

and

for

NS

flushe

s _ _ _

/ _ _ _

/ _ _ _

PATIENT

SAFETY met 1 point

not met 0 points

Criterion Score

21.

Manages

technolog

y and

equipment

1 / 1

22.

Performs

procedure

s correctly

1 / 1

Criterion Feedback

Manage EHR only

Able to

manage EHR

and drug

dispensing

unit

Gives the

IVP

medication

correctly,

PATIENT

SAFETY met 1 point

not met 0 points

Criterion Score

aseptically

and over

correct time

Scrub

s site

15

secon

ds

Med

over

minim

um

time,

secon

d

flush

slow

Total 12 / 13

PATIENT

SAFETY met 1 point

not met 0 points

Criterion Score

23.

Reflects

on

potential

hazards

and errors

1 / 1

Criterion Feedback

This is a required submission. You are getting

this point in advance for completing it. See

deadlines.

Safety

reflection

paper

submitted

Overall Score

Level 4 11 points

minimum

Level 3 8 points

minimum

Level 2 5 points

minimum

Level 1 0 points

minimum