YES Critical thinking Critical thinking ability for effective Identification of cause/effect clinical reasoning and clinical judgment relationships in clinical situations ;Use consistent with level of educational NO of the scientific method in the preparation development of patient care plans; Evaluation of the effectiveness of nursing interventions YES Professional Relationships Interpersonal skills sufficient for Establishment of rapport with professional interactions with a patients/clients and colleagues; diverse population of individuals, NO Capacity to engage in successful families and groups conflict resolution; Peer accountability YES Communication Communication adeptness sufficient Explanation of treatment procedures, for verbal and written professional initiation of health teaching. interactions Documentation and interpretation of NO nursing actions and patient/client responses YES Mobility Physical abilities sufficient for Movement about patient's room, work movement from room to room and in spaces and treatment areas; small spaces NO Administration of rescue resuscitation YES Motor skills Gross and fine motor abilities Calibration and use of equipment; sufficient for providing safe, effective Therapeutic positioning of patients nursing care NO YES Hearing Auditory ability sufficient for Ability to hear monitoring device alarm monitoring and assessing health needs and other emergency signals; Ability to discern auscultatory sounds and cries NO for help YES Visual Visual ability sufficient for observation Ability to observe patient's condition and assessment necessary in patient and responses to treatments care NO YES Tactile Sense Tactile ability sufficient for physical Ability to palpitate in physical assessment examinations and various therapeutic interventions NO YES NO Lifting Physical abilities sufficient to stand for Therapeutic positioning of patients long periods of time lift and move and equipment heavy objects Physician Signature: ___________________________________________________ Student signature: ______________________________________Date ________
YES NO Critical thinking Critical thinking ability for effective clinical reasoning and clinical judgment consistent with level of educational preparation Identification of cause/effect relationships in clinical situations ;Use of the scientific method in the development of patient care plans; Evaluation of the effectiveness of nursing interventions YES NO Professional Relationships Interpersonal skills sufficient for professional interactions with a diverse population of individuals, families and groups Establishment of rapport with patients/clients and colleagues; Capacity to engage in successful conflict resolution; Peer accountability YES NO Communication Communication adeptness sufficient for verbal and written professional interactions Explanation of treatment procedures, initiation of health teaching. Documentation and interpretation of nursing actions and patient/client responses YES NO Mobility Physical abilities sufficient for movement from room to room and in small spaces Movement about patient's room, work spaces and treatment areas; Administration of rescue resuscitation YES NO Motor skills Gross and fine motor abilities sufficient for providing safe, effective nursing care Calibration and use of equipment; Therapeutic positioning of patients YES NO Hearing Auditory ability sufficient for monitoring and assessing health needs Ability to hear monitoring device alarm and other emergency signals; Ability to discern auscultatory sounds and cries for help YES NO Visual Visual ability sufficient for observation and assessment necessary in patient care Ability to observe patient's condition and responses to treatments YES NO Tactile Sense Tactile ability sufficient for physical assessment Ability to palpitate in physical examinations and various therapeutic interventions YES NO Lifting Physical abilities sufficient to stand for long periods of time lift and move heavy objects Therapeutic positioning of patients and equipment Physician Signature: ___________________________________________________ Student signature: ______________________________________Date ________