Practice Immersion Clinical Evaluation Tool – Agency/Site Paper
Practice Immersion Clinical Evaluation Tool – Agency/Site Paper
Practice Immersion Clinical Evaluation Tool – Agency/Site
Practice Immersion Clinical Tools
The attached document contains all three required Practice Immersion Clinical Tools.
The “Practice Immersion Clinical Evaluation Tool – Student” will be completed by the student’s Course Mentor and the faculty at the course conclusion.
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The “Practice Immersion Clinical Evaluation Tool – Mentor” will be completed by the student and submitted to the course faculty at the course conclusion.
The “Practice Immersion Clinical Evaluation Tool – Agency” will be completed by both faculty and student in regards to the clinical site, and will also be submitted to course faculty at the course conclusion.
My topic was nosocomial infections.
| Agency/Site Criteria |
Student Evaluation |
Faculty Evaluation | Comments | |||||
| Does Not Meet | Meets | Excels* | Does Not Meet | Meets | Excels* | |||
| 1. Agency/site was able to provide the opportunities for the student to meet practice immersion clinical objectives. | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ||
| 2. Agency/site was able to establish a comfortable, yet stimulating, practice environment. | ☐ | ☐ | ☐ | ☐ | ☐ | ☐ | ||
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:
| Student Evaluation | Faculty Evaluation |
Agency/site – areas of improvement needed:
| Student Evaluation | Faculty Evaluation |
Agency/site – Suggestions to incorporate more responsiveness to student learning needs:
| Student Evaluation | Faculty Evaluation |
Practice Immersion Clinical Evaluation Tool – Agency/Site
Practice Immersion Clinical Evaluation Tool – Mentor
| Clinical Criteria |
Student Feedback of Mentor Experience |
Comments | ||
| Does Not Meet | Meets | Excels* | ||
| 3. Exemplify professionalism in diverse health care settings. | ☐ | ☐ | ☐ | |
| 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. | ☐ | ☐ | ☐ | |
| 5. Implement patient care decisions based on evidence-based practice. | ☐ | ☐ | ☐ | |
| 6. Utilize patient care technology and information management systems. | ☐ | ☐ | ☐ | |
| 7. Communicate therapeutically with patients. | ☐ | ☐ | ☐ | |
| 8. Professionally communicate and collaborate with the interdisciplinary health care teams to provide safe and effective care. | ☐ | ☐ | ☐ | |
| 9. Understand the human experience across the health-illness continuum. | ☐ | ☐ | ☐ | |
| 10. Provide culturally sensitive care. | ☐ | ☐ | ☐ | |
| 11. Preserve the integrity and human dignity in the care of all patients. | ☐ | ☐ | ☐ | |
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
| Clinical Criteria | Mentor
Sign Off |
Faculty Sign Off |
Comments | ||
| Does Not Meet | Meets | Excels* | |||
| 12. Exemplify professionalism in diverse health care settings. | ☐ | ☐ | ☐ | ☐ | |
| 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. | ☐ | ☐ | ☐ | ☐ | |
| 14. Implement patient care decisions based on evidence-based practice. | ☐ | ☐ | ☐ | ☐ | |
| 15. Utilize patient care technology and information management systems. | ☐ | ☐ | ☐ | ☐ | |
| 16. Communicate therapeutically with patients. | ☐ | ☐ | ☐ | ☐ | |
| 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. | ☐ | ☐ | ☐ | ☐ | |
| 19. Provide culturally sensitive care. | ☐ | ☐ | ☐ | ☐ | |
| 20. Preserve the integrity and human dignity in the care of all patients. | ☐ | ☒ | ☐ | ☐ | |
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.
