N502 Core Skills Competency Check Lists

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Student’s Name ______The Ohio State University

Instructor’s Name______College of Nursing

Preceptor’s Name ______N7258.01-Foundational Knowledge for Nursing & Health Systems Management

Instructions to student: Complete the beginning of semester statement on p. 2 before beginning clinical, and discuss with your preceptor and clinical instructor. Record your progress in meeting your goals and your comments at your mid-semester and final end of semester evaluations during those clinical conferences with your preceptor and instructor. Refer to the guidelines for self-reflection and self-evaluation that were distributed in class.

Instructions to clinical instructor: Review and discuss the student’s beginning of semester statement with the student and preceptor. At the mid-semester and final end- of-semester clinical evaluation conferences, complete your evaluation of the student’s progress in meeting Clinical Objective 8, (page 2) and review and discus the preceptor’s ratings and comments and the student’s comments at each evaluation.

Instructions to preceptor: At the beginning of the semester, review and discuss the student’s goal statement with the student and instructor. Complete your mid-semester (approximately the 7th week of the semester) and final (end of semester) evaluations of the student’s clinical performance before the clinical evaluation conferences with instructor and the student. Please review the rating criteria below and circle the letter (E, SU, or U) that best represents your rating of the student’s performance in the clinical area. Circle NYA (not yet addressed) at mid-semester if the objective has not been addressed up to that point.

S= Satisfactory; meets clinical objective with occasional, frequent, or continuous supportive or directive cues from preceptor

E = Exceeds expectations; meets clinical objective without supportive or directive cues from preceptor.

U = Unsatisfactory; does not meet clinical objective even with continuous supportive or directive cues from preceptor

CLINICAL OBJECTIVE / MID-SEMESTER Rating & comments / END OF SEMESTER Rating & comments
1. Analyze components of organizational structure of the clinical site, including but not limited to mission statement, philosophy, strategic plan, and organizational chart. /

E S U NYA

E S U

2. Analyze how the various structural components are operationalized within the organization/unit. /

E S U NYA

E S U

3. Describe the client populations served by the organization/unit. /

E S U NYA

E S U

CLINICAL OBJECTIVE / MID-SEMESTER Rating & comments / END OF SEMESTER Rating & comments
4. Describe data types, sources, and linkages (including software programs and other resources) used by the organization/unit for evaluation and planning. /

E S U NYA

E S U

5. Evaluate various approaches used for gathering, analyzing, applying, and disseminating data within and outside the organization/unit. /

E S U NYA

E S U

6. Analyze the organization/unit strategic processes. /

E S U NYA

E S U

7. Analyze the top priority problems with respect to feasibility for change. /

E S U NYA

E S U

CLINICAL INSTRUCTOR GIVES RATING FOR OBJECTIVE 8.
8 . Actively participates in clinical discussion during class by reporting on own experiences and discussing with instructors and peers. /

E S U

STUDENT’S BEGINNING OF SEMESTER STATEMENT

Student: Record your personal clinical goals for the semester.

How can your preceptor assist you in meeting these goals? How can your clinical instructor assist you in meting these goals?

MID-SEMESTER EVALUATION

Student: Comment on your ability to meet the clinical objectives and the clinical goals that you set for yourself at the beginning of this semester. Identify any revisions to your clinical goals for the remainder of the semester:

How can your preceptor assist you in meeting these goals? How can your clinical instructor assist you in meting these goals?

Studentsignature______Date:______

Preceptor’s comments:Clinical Instructor’s comments:

Preceptor ______Instructor ______

Date:______Date: ______
FINAL EVALUATION

Student: Describe your ability to meet the clinical objectives and your clinical goals this semester, and record your final evaluation comments.