Practice Immersion Clinical Evaluation Tool

Practice Immersion Clinical Evaluation Tool – Agency/Site

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. Practice Immersion Clinical Evaluation Tool

Criteria:

Does Not Meet:  Elements are missing.

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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
Practice Immersion Clinical Evaluation Tool

 

 

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 – 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

 

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.

Practice_Immersion_Clinical_Evaluation_Tool

Practice Immersion Clinical Evaluation Tool

 

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