Victoria Krogg, Elizabeth Jones, & Brooke Pregibon
N7530 Group Assignment
9/18/2019
Clinical Progress Template
Outpatient Hematology Clinical Experience Checklist
(BSN students)
Name of Student: __________________________________________________
Name of Preceptor: __________________________________________________
Assigned Clinical Site: __________________________________________________
Professionalism
| Does not meet expectations | Meets expectations | Exceeds expectations | Comments: | |
| Arrives to clinical on-time and prepared | ||||
| Follows university/hospital dress code | ||||
| Communicates professionally and respectfully with others | ||||
| Respects patient privacy and confidentiality in accordance with HIPAA | ||||
| Alerts preceptor / clinical instructor of any issues in a timely and responsible manner (ill days, late arrivals, patient issues, etc) |
Clinical Skills
| Does not meet expectations | Meets expectations | Exceeds expectations | Comments: | |
| Uses patient identifiers as warranted | ||||
| Checks orders and verifies high risk medications | ||||
| Demonstrates proper hand hygiene | ||||
| Uses PPE and follows isolation/neutropenic precautions | ||||
| Demonstrates proper venipuncture and central line accessing for blood draws | ||||
| Checks orders and verifies high risk medications | ||||
| Documents notes or events in a timely manner | ||||
| Administers medications according to the “five rights” | ||||
| Gives and receives report to/from oncoming staff accurately and succinctly | ||||
| Observes or assists with chemotherapy administration | ||||
| Observes or assists with blood product transfusions | ||||
| Obtains vitals accurately and communicates abnormal values to preceptor/APP/MD | ||||
| Labels obtained lab specimens while in the patient’s room / sends labs in a timely manner | ||||
| Observes/assists with clinic patient admissions and discharges |
Interpersonal Skills
| Does not meet expectations | Meets expectations | Exceeds expectations | Comments: | |
| Communicates effectively with staff | ||||
| Demonstrates good customer service when interacting with patients | ||||
| Works well within a team | ||||
| Presents patients to medical team | ||||
| Effective listening skills | ||||
| Demonstrates cultural sensitivity and a respect for all persons |
Critical Thinking
| Does not meet expectations | Meets expectations | Exceeds expectations | Comments: | |
| Understands rationale/indications for placed orders (imaging, medications, etc) | ||||
| Develops a plan for each clinical day | ||||
| Questions/clarifies orders | ||||
| Demonstrates adept problem-solving skills |
Student Signature: __________________________________________________ Date: _________________________
Preceptor Signature: __________________________________________________ Date: _________________________
Instructor Signature: __________________________________________________ Date: _________________________
All the above skills are necessary to be a competent nurse. Use of personal protective equipment (PPE) is a safety factor for both the patient and the nurse. Using patient identifiers, checking orders, verifying high risk medications and hand washing is standard of care. The list under professionalism is important because as nurses we are professional and should act accordingly. Interpersonal skills are important because we should treat everyone like we would want to be treated or like we would want our loved ones to be treated. Communication is key in all relationships even temporary ones, so having good communication skills improves patient care. Critical thinking is an important skill that allows nurses to not just do our job but to be able to track patterns and predict possible outcomes as well as implement interventions as needed.