Clinical Outcome | Date and initials | Date and initials | Date and initials | Date and initials |
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Accurately obtain and document vital signs |
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Demonstrate competency in completing accurate head-to-toe assessments |
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Provide ADLs (i.e., oral care, hygiene, peri-care) based on EBP |
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Accurately document assessment, feeding, I&O, ADLs, and activity in EPIC |
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Strictly adhere to isolation guidelines and utilize PPE as applicable |
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Incorporate CREATION Life |
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Writes down information in a notebook to help retain information learned |
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Clinical Outcome | Date and initials | Date and initials | Date and initials | Date and initials |
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Work in tandem to formulate and implement* nursing care plans for clients |
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Actively participate in I-SBAR report |
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Interventions: access policy, utilize evidence, predict complications, correctly complete skill, and evaluate outcomes (minimum of 3 different skills) |
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Correlate classroom content with the clinical experience |
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Demonstrates motivation to learn |
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Prioritizes the order to assess clients based on acuity |
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Clinical Outcome | Date and initials | Date and initials | Date and initials | Date and initials |
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Formulate and implement* a nursing care plan for one client with only DEU PRECEPTOR oversight or with the assigned nurse/mentor |
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Delegate appropriate tasks to the correct team member |
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Accurately gives I-SBAR report to promote continuity of care |
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Demonstrate clinical decision making and clinical judgment in nursing practice |
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Administer medications and documents using BCMA (Bar Code Med Administration) technology |
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Clinical Outcome | Date and initials | Date and initials | Date and initials | Date and initials |
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Formulate and implement* a nursing care plan for 2 clients with only DEU preceptor oversight or with the assigned nurse/mentor |
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Actively participate in IPC rounds |
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Assist with discharge or an admission |
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Chart by exception in EHR |
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Clinical Outcome | Date and initials | Date and initials | Date and initials | Date and initials |
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Formulate and implement a nursing care plan for 3 or more clients with only DEU preceptor oversight or with the assigned nurse/mentor |
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Participate in provider rounds |
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