PSW Final Evaluation: Professional Practice 2

PSW Professional Practice *

Final Evaluation

Student name:

Facility/Agency name:

Supervisor/Preceptor name:

# of late Arrivals

# of Early Departures

# of Absences

For the following boxes please indicate a Y, N or N/A as the student completes each task. This performance tool is to be completed on a weekly basis for the next 7 weeks. At the end of 7 weeks both the preceptor and student are to sign the bottom stating they agree with the information. The form is then submitted to the coordinator via MyCanvas.

Yes=Student demonstrated skill, consistently and competently

No=Student lacks consistency and/or competence in demonstrating skill.

N/A= there was no opportunity for the student to complete this skill.

Skill

Y/N/NA

Comments

Professionalism:

The student is in uniform (Mohawk College burgundy scrubs, Mohawk College One card, WH name tag, White shoes, hair pulled back) and appropriately groomed.

The student is punctual. (Arrives on time on the unit in uniform, Informs faculty and unit when ill or not coming in)

The Student is organized

The student demonstrates time-management skills, including planning work load, preparing, balancing multiple demands on time.

The student maintains professional boundaries and confidentiality when working with clients.

Accountability:

The student can describe and appropriately demonstrate the scope of the PSW and works within this capacity

The student refers to the care plan in order to provide safe, consistent client care.

The Student reports relevant information to the appropriate team member.

The students engages in reflective practice both oral and written including submitting weekly reflections

The student engages in self-directed learning seeking opportunities within the scope of the PSW

Client Care:

The student provides and demonstrates the understanding of client needs utilizing the DIPPS model

The student is able to follow and understand client’s care plan for the execution of ADL’s and principles behind the skill

The student demonstrates an understanding of different cultural beliefs and provides care in a culturally sensitive way.

The student demonstrates adaptability within the context of care being provided for the client, including accepting assignment and carrying out tasks.

Safety:

The student complies with legislation policies, ethical policies, college & employer policy and WHMIS.

The student demonstrates safe use of assistive devices when transferring and/or lifting clients.

The student only uses mechanical lifts with another staff member

The student utilizes proper body mechanics and self-care.

Communication:

The student communicates appropriately with staff, colleagues, clients, family and instructor.

Therapeutic Communication

Therapeutic Relationship Building

The student demonstrates a positive, caring attitude and is respectful of diversity.

The student seeks feedback and incorporates constructive criticism into his/her practice to improve client care.

The student observes and reports accurately to the appropriate team member via written, verbal or computer documentation

Check List if Performed

Please Comment on the performance of these skills

Hand Washing

Donning/Doffing PPEs

Unoccupied Bed Making

Occupied Bed Making

Client Repositioning

Transfers (one person/two person)

Mechanical Lifting (with staff)

Bed Bath

Bath/Shower

Shaving (razor,electric)

Perineal Care

Elimination: bedpan

Application of brief

Ostomy care

Empty Catheter bag

Attach leg bag

Attach condom catheter

TED stockings

Oral and/or Denture Care

Feeding

Other Skills (describe in Comments section)

Satisfactory/Unsatisfactory:

Improvement Comments:

Resources need (Lab Practice and/or Tutoring):

Evaluation Meeting Date:

X X

Student Preceptor/Supervisor

Contact this candidate