CHAMBERLAIN
ss National Management Office | 3005 Highland Parkway, DownersUNIVERSITY
Grove, IL 60515 | 888.556.8226 |
Please visit for location specific address, phone and fax information.
CLINICAL LEARNING EVALUATION – LEVEL 2 CLINICAL
COURSES
Student Name: Christopher Aldrich Student D#: 41054533 Date: 2/7/21 PAGE 1 OF 6
a
Designated Faculty Names: Kimberly Palma & Dusty Pickering
vi
Course Coordinator Signature: Final Review Date:
Course Number and Name: NR226 Fundamentals Care
e d
Session/Year: Jan 2021 Campus Location: PHX If other, please list:
ar
Total Hours Completed: Date(s) Tardy: Date(s) Absent:
sh
Simulation-Based Experience (SBE) Completion #1: Pre-briefing Simulation Participation De-briefing Simulation-Based Experience (SBE) Completion #2: Pre-briefing Simulation Participation
De-briefing Simulation-Based Experience (SBE) Completion #3: Pre-briefing Simulation Participation De-briefing
as
Final Evaluation: SATISFACTORY UNSATISFACTORY
w
• Student Learner (SL): Place self-assessment in the “SL” column • S=Satisfactory • NI=Needs Improvement
Performance Rating Criteria:
• Designated Faculty (DF): Place assessment of the student’s performance in the “DF” column (Meets or to Meet
Evaluate Using One of
• If the student learner does not have a satisfactory rating, complete the Formative Comments section with specific Exceeds) • NA=No
These Four Options
m e
recommendations for improvement to meet the expectation. Additional comments are encouraged even when • U=Unsatisfactor Opportunity for
expectations are met y (Fails to Evaluation
co rc Meet)
o. ou
Nursing Skills Record of Return Demonstrations Faculty Signature and Initials for Return Demonstrations
Return Return
Demonstration Demonstration Faculty Initials
(1st Attempt) (2nd Attempt) Signature
Skil
er res
l Date/Faculty Date/Faculty
Initials Initials
S U S U
eH y
rs udt
ss
hi
12- ©2019 Chamberlain University LLC. All rights 0119pflcpe
, National Management Office | 3005 Highland Parkway, Downers Grove, IL 60515 | 888.556.8226 |
Please visit for location specific address, phone and fax information.
CLINICAL LEARNING EVALUATION – LEVEL 2 CLINICAL
COURSES
PAGE 2 OF 6
Student Name Christopher Aldrich Student D#: 41054533
a
vi
Performance Rating Criteria: Evaluate Using One of These Performance Rating
Clinical Learning Competencies Four Options (S/U/NI/NA)
d
(CLCs) & Performance Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8
• S=Satisfactory (Meets or • NI=Needs Improvement to meet
Descriptors
e
exceeds) • NA=No opportunity for SL DF SL DF SL DF SL DF SL DF SL DF SL DF SL DF
• U=Unsatisfactory (Fails to evaluation
ar
meet)
Prioritize appropriate nursing care based on theories and principles of nursing. (PO 1)
sh
• Demonstrates appropriate knowledge, skills and attitudes required for performing basic nursing S S S
skills while maintaining a safe environment
as
• Identifies data and nursing interventions to provide individualized and comprehensive nursing care S S S
• Demonstrates effective assessment skills in obtaining subjective and objective data S S S
w
• Examines patient preferences and values when providing basic nursing care S S S
Evaluate a plan in collaboration with the patient, family and interdisciplinary healthcare S S S
m e
team, using the nursing process and leadership skills for adequate health promotion,
maintenance and restoration. (PO 2)
co rc
• Constructs a plan of care based on assessment findings and nursing diagnoses S S S
o. ou
• Identifies risk factors that influence the health of the patient with regard to health maintenance and health S S
restoration
• Identifies spiritually and culturally appropriate health promotion, health maintenance and illness prevention S S S
er res
interventions
• Interprets patient outcomes to determine effectiveness of nursing interventions
Model Chamberlain Care® when communicating with patients, families and other healthcare S S S
eH y
providers. (PO 3)
rs ud
• Builds therapeutic relationships with patient and family
• Identifies changes in patient care or condition within an appropriate time frame S S S
S
t
• Reports changes within appropriate time frame to instructor and healthcare team
ss
Combine clinical reasoning skills, current evidence, clinical expertise, patient and family
preferences/values in the implementation of the nursing process. (PO 4)
S S S
hi
• Demonstrates problem-solving and decision-making skills when providing patient care
ss National Management Office | 3005 Highland Parkway, DownersUNIVERSITY
Grove, IL 60515 | 888.556.8226 |
Please visit for location specific address, phone and fax information.
CLINICAL LEARNING EVALUATION – LEVEL 2 CLINICAL
COURSES
Student Name: Christopher Aldrich Student D#: 41054533 Date: 2/7/21 PAGE 1 OF 6
a
Designated Faculty Names: Kimberly Palma & Dusty Pickering
vi
Course Coordinator Signature: Final Review Date:
Course Number and Name: NR226 Fundamentals Care
e d
Session/Year: Jan 2021 Campus Location: PHX If other, please list:
ar
Total Hours Completed: Date(s) Tardy: Date(s) Absent:
sh
Simulation-Based Experience (SBE) Completion #1: Pre-briefing Simulation Participation De-briefing Simulation-Based Experience (SBE) Completion #2: Pre-briefing Simulation Participation
De-briefing Simulation-Based Experience (SBE) Completion #3: Pre-briefing Simulation Participation De-briefing
as
Final Evaluation: SATISFACTORY UNSATISFACTORY
w
• Student Learner (SL): Place self-assessment in the “SL” column • S=Satisfactory • NI=Needs Improvement
Performance Rating Criteria:
• Designated Faculty (DF): Place assessment of the student’s performance in the “DF” column (Meets or to Meet
Evaluate Using One of
• If the student learner does not have a satisfactory rating, complete the Formative Comments section with specific Exceeds) • NA=No
These Four Options
m e
recommendations for improvement to meet the expectation. Additional comments are encouraged even when • U=Unsatisfactor Opportunity for
expectations are met y (Fails to Evaluation
co rc Meet)
o. ou
Nursing Skills Record of Return Demonstrations Faculty Signature and Initials for Return Demonstrations
Return Return
Demonstration Demonstration Faculty Initials
(1st Attempt) (2nd Attempt) Signature
Skil
er res
l Date/Faculty Date/Faculty
Initials Initials
S U S U
eH y
rs udt
ss
hi
12- ©2019 Chamberlain University LLC. All rights 0119pflcpe
, National Management Office | 3005 Highland Parkway, Downers Grove, IL 60515 | 888.556.8226 |
Please visit for location specific address, phone and fax information.
CLINICAL LEARNING EVALUATION – LEVEL 2 CLINICAL
COURSES
PAGE 2 OF 6
Student Name Christopher Aldrich Student D#: 41054533
a
vi
Performance Rating Criteria: Evaluate Using One of These Performance Rating
Clinical Learning Competencies Four Options (S/U/NI/NA)
d
(CLCs) & Performance Week 1 Week 2 Week 3 Week 4 Week 5 Week 6 Week 7 Week 8
• S=Satisfactory (Meets or • NI=Needs Improvement to meet
Descriptors
e
exceeds) • NA=No opportunity for SL DF SL DF SL DF SL DF SL DF SL DF SL DF SL DF
• U=Unsatisfactory (Fails to evaluation
ar
meet)
Prioritize appropriate nursing care based on theories and principles of nursing. (PO 1)
sh
• Demonstrates appropriate knowledge, skills and attitudes required for performing basic nursing S S S
skills while maintaining a safe environment
as
• Identifies data and nursing interventions to provide individualized and comprehensive nursing care S S S
• Demonstrates effective assessment skills in obtaining subjective and objective data S S S
w
• Examines patient preferences and values when providing basic nursing care S S S
Evaluate a plan in collaboration with the patient, family and interdisciplinary healthcare S S S
m e
team, using the nursing process and leadership skills for adequate health promotion,
maintenance and restoration. (PO 2)
co rc
• Constructs a plan of care based on assessment findings and nursing diagnoses S S S
o. ou
• Identifies risk factors that influence the health of the patient with regard to health maintenance and health S S
restoration
• Identifies spiritually and culturally appropriate health promotion, health maintenance and illness prevention S S S
er res
interventions
• Interprets patient outcomes to determine effectiveness of nursing interventions
Model Chamberlain Care® when communicating with patients, families and other healthcare S S S
eH y
providers. (PO 3)
rs ud
• Builds therapeutic relationships with patient and family
• Identifies changes in patient care or condition within an appropriate time frame S S S
S
t
• Reports changes within appropriate time frame to instructor and healthcare team
ss
Combine clinical reasoning skills, current evidence, clinical expertise, patient and family
preferences/values in the implementation of the nursing process. (PO 4)
S S S
hi
• Demonstrates problem-solving and decision-making skills when providing patient care
