Patient Concept Care Map Level I

Trinity Valley Community College Associate Degree Nursing Program Level I – Weekly Clinical Reflection

Student Name: ______Date: ______Clinical Week #: ______

Weekly Concepts: ______Possible Student Faculty Comments Component/Concep Points Evaluation Evaluation (Required for score of 75% or less) t Safety 4 Concept Care Map 7 Clinical Judgment Patient-Centered 3 Care Patient Education 3 Communication 2 Informatics (HIT) 3 Professionalism 2 Teamwork and 2 Collaboration Leadership & 2 Management Quality improvement 2 Evidence-Based Practice 30 TOTAL

Weekly Clinical Guided Reflection/Analysis (HINT: You cannot answer, analyze and reflect the question all in one sentence.) 1. (Safety) How did you incorporate a standard precaution and infection control guideline? (Choose one you have not chosen before.)

2. (Safety) Which National Patient Safety Goals did you use in your practice? (Give reference number, goal and explain how you used it in the clinical environment. Choose one you have not chosen before.)

3. (Safety) What potential safety issues did you notice today in the clinical environment and what did you do about them?

4. (Concept Care Map) What is the highest priority problem for your patient(s)? What is the rationale for this choice?

5. (Concept Care Map) What is the pathophysiology for the highest priority patient problem for your patient(s) as it applies to the patient’s situation? 1

Revised 4/2016 6. (Concept Care Map) Evaluate the patient’s goal and explain whether patient reached the goal or not. (Use goal from your concept care map).

7. (Clinical Judgment) What did you learn about the concepts of the week from your patient(s) and experiences at clinical?

8. (Clinical Judgment) Based on today’s experiences, think of one clinical decision you made which enhanced your patient(s) care by addressing their cultural, developmental and/or social characteristics.

9. (Clinical Judgment) Describe a moment of insight you experienced or witnessed today during clinical that helped you understand what you had been learning in lecture and from your readings.

10. (Clinical Judgment) Share one thing you plan to do differently next week in clinical and why?

11. (Patient Education) How did you assess the readiness of your patient and family member(s) to learn and what was their preferred method of learning?

12. (Patient Education) Describe the content you taught your patient?

13. (Patient Education) Describe the teaching strategies you used?

14. (Patient Education) Describe the teaching aides you used?

15. (Patient Education) What did the patient do to show you that they learned what you taught?

16. (Communication) Describe a therapeutic conversation you had with a patient or family member. Which communication techniques (Yoost pgs. 47-49, Table 3-2 and3-3) were most effective and upon reflection, what would you have said differently? If you would not have done anything differently then explain why?

17. (Professionalism) Which standard of practice from the Texas Board of Nursing Rule 217.11 did you implement and how did you implement it (Give the reference number and the rule. Choose one you have not chosen before)?

18. (Leadership & Management) List all the interventions from your Concept-Care Map that you could legally delegate to a UAP. Would you delegate in this patient situation and why?

19. (Quality Improvement or Evidence-Based Practice) Identify and explain a quality improvement project at your hospital – or – identify an evidence-based practice used in the care of your patients.

20. (Concept Care Map) Attach list of all the interventions from your concept care map with cited scientific rationale.

Feedback from Instructor: Trinity Valley Community College Associate Degree Nursing Program Level I – Weekly Clinical Reflection

Instructor Signature: Date:

Revised 4/2016