Rating Rating Rating Rating Rating B: Nursing Process (1-5) (1-5) (1-5) (1-5) (1-5) B-1 Performs health assessment of client using 2 assessment techniques and a systematic process. B-2-2 Implements the planning process and 2 establishes client priorities involving client in planning. B-2-3 Identify and analyze nursing diagnosis. 2 B-3 Implements nursing interventions to out 2 nursing care plan. B-3-2 Reassess, review, and modify plan of care to 2 meet the needs of the client. B-4 Evaluates the clients’ response to care and 2 treatment. Rating Rating Rating Rating Rating C: Safety (1-5) (1-5) (1-5) (1-5) (1-5) C-1 to Applies critical thinking and clinical judgment 3 when responding to emergency situations. C-4 C-5-1 Effectively uses protective devices to protect 2 client, self, and others. C-6-1 Demonstrates the consistent application of 3 standard precautions. C-7-1 Applies principles of medical and surgical 2 asepsis in the delivery of care. C-12 Applies nursing knowledge and clinical 2 judgment to maintain physical safety of client. Rating Rating Rating Rating Rating D: Communication and Interpersonal Skills (1-5) (1-5) (1-5) (1-5) (1-5) D-1 Uses effective verbal and written 3 communication in the practice setting. D-2 Appropriately establishes, maintains, and 1 closes the nurse-client relationship. D-3 Collaborates with health care team to function 2 as an effective team member. Adheres to the channels of communication D-3-7 2 within the employing agency. D-4 Provides client and family teaching. 2 D-5 Reports and documents following legal 2 protocols, agency policy and procedure. D-7 Applies clinical judgment in identifying problems 2
B: Nursing Process Rating (1-5) Rating (1-5) Rating (1-5) Rating (1-5) Rating (1-5) B-1 Performs health assessment of client using assessment techniques and a systematic process. 2 B-2-2 Implements the planning process and establishes client priorities involving client in planning. 2 B-2-3 Identify and analyze nursing diagnosis. 2 B-3 Implements nursing interventions to out nursing care plan. 2 B-3-2 Reassess, review, and modify plan of care to meet the needs of the client. 2 B-4 Evaluates the clients’ response to care and treatment. 2 C: Safety Rating (1-5) Rating (1-5) Rating (1-5) Rating (1-5) Rating (1-5) C-1 to C-4 Applies critical thinking and clinical judgment when responding to emergency situations. 3 C-5-1 Effectively uses protective devices to protect client, self, and others. 2 C-6-1 Demonstrates the consistent application of standard precautions. 3 C-7-1 Applies principles of medical and surgical asepsis in the delivery of care. 2 C-12 Applies nursing knowledge and clinical judgment to maintain physical safety of client. 2 D: Communication and Interpersonal Skills Rating (1-5) Rating (1-5) Rating (1-5) Rating (1-5) Rating (1-5) D-1 Uses effective verbal and written communication in the practice setting. 3 D-2 Appropriately establishes, maintains, and closes the nurse-client relationship. 1 D-3 Collaborates with health care team to function as an effective team member. 2 D-3-7 Adheres to the channels of communication within the employing agency. 2 D-4 Provides client and family teaching. 2 D-5 Reports and documents following legal protocols, agency policy and procedure. 2 D-7 Applies clinical judgment in identifying problems 2
clpna_ccp_self_assessment.docx