COMMUNITY/MENTAL HEALTH



Community/Mental Health

Journaling Assignment

|ASSIGNMENT ELEMENTS |POINTS POSSIBLE |POINTS EARNED |

|1. Prepare 2-3 personal objectives specific to your Community /Mental|1 | |

|Health experience. (See “How to build a good objective” on the following | | |

|page) | | |

|2. Daily Journal (narrative format, approx. 1 paragraph for each of the 3 | | |

|items per day) |2 | |

|Describe your day: | | |

|Identify 2-3 things you learned from this experience | | |

|Describe any challenges or problems you encountered and how you dealt with | | |

|them | | |

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|Describe your continued progress toward meeting each of your written | | |

|objectives | | |

| |3 | |

|Analyze your experience (what was good, what went wrong), and what would be | | |

|your professional role in improving your performance and client/patient | | |

|outcomes |3 | |

|3. Describe the role of the nurse in the Community Health/Mental Health |1 | |

|setting during your rotation- (eg teacher, advocate, direct care giver, case| | |

|manager, etc- see community readings) | | |

|TOTAL |10 | |

DUE DATES

|Rotation |Clarkston |Walla Walla |

|#1 |Consult Instructor |Consult Instructor |

|#2 |Consult Instructor |Consult Instructor |

How To Build A Good Objective

1. The subject of your objective (you) is assumed. Thus, either leave out “I will…” or start your objectives like this:

I will:

1. Perform…

2. Demonstrate…

2. Start each objective with an action word:

• perform, demonstrate, provide, educate, care, participate, document, communicate, utilize, use, manage, coordinate, implement, etc.

3. Next, identify the particular skill or intervention you are choosing to perform:

• manage clients, therapeutic communication, technical skills, lab interpretation, professional communication, medication administration, collaboration with other disciplines, patient education, documentation, thinking critically, nursing process, etc.

4. Next, identify the quality of how you want to do it:

• effective(ly), appropriate(ly), efficient(ly), competent(ly), careful(ly), safe(ly), accurate(ly), thorough(ly), precise(ly), complete(ly), correct(ly), pertinent, optimal, etc. (Avoid using “proficiently”; that will require an experience level beyond the bounds of your nursing education).

5. Next, indicate how you will know you achieved the objective; i.e., what will be the evidence that you achieved your objective?

• You must provide specific, measurable, evaluative data.

• Typically, you should state: “as evidenced by…”

• Alternatively, “…per, or, in accordance with agency policy/procedure” works for skills/procedures, as would “minimal instruction required from preceptor.”

• Evidence may also be per “validation by preceptor”.

6. Then, include a time frame:

• “throughout this clinical rotation”, “on a daily basis”, “at least once a day”, “a minimum of six times”, etc.

EXAMPLE:

Implement therapeutic communication effectively as evidenced by problem identification of an emotional state,

(action) (intervention) (quality) (specific, measurable evaluative data)

development of a measurable expected outcome, use and identification of therapeutic communication techniques and evaluation of the therapeutic exchange in terms of the expected outcome at least once each day throughout this clinical rotation (time frame)

7. Lastly, the order of these components may be altered on occasion. For example:

(A) ADMINISTER MEDICATIONS SAFELY AND EFFECTIVELY AS EVIDENCED BY…THROUGHOUT THIS CLINICAL ROTATION

(B) SAFELY AND EFFECTIVELY ADMINISTER MEDIATIONS AS EVIDENCED BY…THROUGHOUT THIS CLINICAL ROTATION

(C) THROUGHOUT THIS CLINICAL ROTATION I WILL ADMINISTER MEDICATIONS SAFELY AND EFFECTIVELY AS EVIDENCED BY…

COMMUNITY/MENTAL HEALTH

PRECEPTOR’S EVALUATION OF STUDENT

NURS 210

EVALUATOR _________________________ DATE ___________ STUDENT __________________________

Please rate the student’s performance on each criterion:

NA = not applicable

1 = needs improvement to meet expectations

2 = meets expectations at a minimum level

3 = meets expectations at an average level

4 = meets expectations at an above average level

5 = meets expectations at an exceptional level

|1. Demonstrate critical thinking in the use of the nursing process. |4. Use therapeutic communication |

| A. Uses the nursing process to meet the |NA 1 2 3 4 5 | A. Purposefully uses therapeutic communication. |NA 1 2 3 4 5 |

|physiologic, psychosocial and developmental needs| | | |

|of clients/patients from all age groups. | | | |

| B. Demonstrates critical thinking in the |NA 1 2 3 4 5 | B. Assists the client/patient and significant support |NA 1 2 3 4 5 |

|provision of nursing care. | |persons to cope with and adapt to situations related to | |

| | |illness and stressful life events. | |

| C. Meets needs for client/patient-focused |NA 1 2 3 4 5 |5. Demonstrate professional behaviors. |

|education using teaching/learning principles. | | |

| D. Completes documentation that is accurate,|NA 1 2 3 4 5 | A. Demonstrates sensitivity and attentiveness to the |NA 1 2 3 4 5 |

|organized, client/patient specific and meets | |client/patient, family, and others including their life | |

|agency requirements. | |experience and cultural/social background. | |

|2. Demonstrate use of management/leadership principles in the delivery | B. Demonstrates accountability and responsibility. |NA 1 2 3 4 5 |

|of client/patient care. | | |

| A. Manages care for multiple clients/patients.|NA 1 2 3 4 5 | C. Practices within ethical, legal, and regulatory |NA 1 2 3 4 5 |

| | |guidelines. | |

| B. Participates in providing comprehensive |NA 1 2 3 4 5 | D. Demonstrates professional behaviors. |NA 1 2 3 4 5 |

|care with an interdisciplinary team. | | | |

| C. Accesses resources appropriately and |NA 1 2 3 4 5 | E. Participates in the processes that affect |NA 1 2 3 4 5 |

|manages them effectively. | |healthcare practice. | |

|3. Perform interventions in a safe and effective manner. |Additional Comments: |

| A. Administers medications safely, evaluating|NA 1 2 3 4 5 | |

|the need for and the response to prescribed | | |

|medications. | | |

| B. Performs technical procedures safely and |NA 1 2 3 4 5 | |

|effectively. | | |

Community-BASED NURSING

CLIENT/PATIENT DATA SHEET/PLAN OF CARE

Student Name _______________________ Date of Care _______________________________

Instructor Name ______________________ Community Site ____________________________

Directions: Complete one sheet per week of your community rotation. Turn into your instructor’s box by 0900 on the first class day following your rotation.

|For one client’s/patient’s primary diagnosis (or potential diagnosis), integrate knowledge of physiology, pathophysiology, and psychosocial elements with |

|pertinent client/patient medical history, physical assessment data, labs and medications. (If labs not available, what would you expect to see). |

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PLAN OF CARE

| PRIORITY FOCUSED ASSESSMENT |PRIORITY NURSING DIAGNOSIS with EXPECTED OUTCOME |NURSING INTERVENTIONS |

|(INCLUDE RATIONALE) |(INCLUDE RATIONALE) |(minimum 3) |

| | |Only one may pertain to assessment |

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| |EXPECTED OUTCOME: | |

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MEDICATION

• Identify one patient medication by TRADE & (generic) name that relates directly to the clients condition.

• Provide specific rationale for medication ( what is most common reason this medication being used)

• Identify pharmacological classification, mechanism of action, major side effects, critical nursing implications and labs pertinent for this medication.

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*Must cite references of resources utilized.

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