Nursing Student Evaluation Form
Student Name
First Name
Last Name
Semester/Year
Clinical Site
Final Grade
Communication
Rows
Satisfactory
Unsatisfactory
Not Observed
Comments
Forms therapeutic relationships with clients.
1
2
3
Makes appropriate use of nonverbal communication to express meaning.
4
5
6
Verifies the meaning of non-verbal communication cues.
7
8
9
Patient-centered communication, goals, and concerns are the focus.
10
11
12
Uses language that is appropriate for the patient's comprehension level.
13
14
15
Explains nursing actions to be taken.
16
17
18
Respects the dignity, values, and culture of others when interacting with them.
19
20
21
Reports pertinent data to staff and instructor in a timely manner.
22
23
24
Documentation is accurate, complete and organized.
25
26
27
Utilizes appropriate medical terminology in oral and written communication.
28
29
30
Asks pertinent questions related to patient condition and care.
31
32
33
Safety
Rows
Satisfactory
Unsatisfactory
Not Observed
Comments
Implements proper safety measures to protect the patient from physical harm.
34
35
36
Uses appropriate ambulation and transfer techniques
37
38
39
Performs psychomotor skills in a safe and efficient manner, as dictated by skill guidelines and hospital protocols.
40
41
42
Complies with all precautionary measures.
43
44
45
Hand Washing
46
47
48
Medical asepsis
49
50
51
Surgical asepsis
52
53
54
Uses gloves and masks and other barriers appropriately.
55
56
57
Disposes of wastes appropriately.
58
59
60
Uses patient care equipment appropriately and safely.
61
62
63
Nursing Process
Rows
Satisfactory
Unsatisfactory
Not Observed
Comments
Collects information about the client's condition and current issues.
64
65
66
Assesses appropriate labs and diagnostic data.
67
68
69
Assesses teaching/learning needs.
70
71
72
Uses an appropriate database to identify nursing diagnoses.
73
74
75
Utilizes critical thinking in applying the nursing process.
76
77
78
Prioritizes a thorough examination based on the client's condition.
79
80
81
Uses appropriate terminology to record findings.
82
83
84
Is able to tell the difference between normal and abnormal findings.
85
86
87
Creates a care plan that indicates a thorough awareness of the client's requirements.
88
89
90
Follows hospital policies and procedures when performing interventions.
91
92
93
Strengths
Areas of Growth
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