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Practice Appraisal Form.docx - Student Name: Sigourney...

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Student Name: Sigourney GalangPractice Appraisal FormProfessional Practice1.Demonstrates accountability and accepts responsibility for own decisions and actions.Example: We’re assigned to administered medications to our residents, and before giving themedications, I did research about the medication, indication, SE, and nursing considerations aspart of our SN responsibility, and I am held accountable of my actions. I also did pre assessmentas part of the medication administration as safety of the resident is the priority in providingcare.2.Practices autonomously within legislated scope of practice.Example: First thing during the shift, I did a general survey by checking the environmental safety– made sure that the bed is at its lowest position, locked, alarm on, and side rails are up for thesafety of the resident. Also, call bell is within reach of the resident.3.Displays self-awareness and recognizes when to seek assistance and guidance.Example: When we choose our residents, we have to know their ADLs and we seek guidancefrom the regular care aids about the resident’s specific routine, in that way I will be able toperform my tasks well and I can save time.4.Adheres to regulatory requirements of jurisdictional legislation.Example: During medication administration, our instructor was with me all through out theprocess from doing the 3 medications checks and followed by 7 rights of medicationadministration. I didn’t administer the medication without the go signal from my instructor andmaking sure that I did all my part within scope of care in medication administration like researchabout the medicine and preassessment.5.Practices within own level of competence.Example: Since the beginning of the practicum, I am assisting the resident with his ADLs byassisting him with his morning care and mobility transfer from bed to his wheelchair by usingSara Lift.6.Initiates, maintains and terminates the therapeutic nurse-client relationship.Example: At the beginning of the practicum, I have introduced myself to my resident that I willbe his student nurse for about 4 weeks. I have gained my resident’s trust all throughout the daysas I am constantly assisting him with his ADLs and medication administration. And at the end ofthe practicum, I have to tell my resident that it will be our last in our clinicals and I thanked himfor the opportunity to provide care for him.7.Provides client care in a non-judgmental manner.Example: My resident loves to sing and every time we’re doing his ADLs, he is singing. As hiscaregiver, I am showing that I am supporting him by also singing along with him. And
Student Name: Sigourney GalangPractice Appraisal Formsometimes, he’s talking about travelling so I am listening to him and responding to him with nojudgement.

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