Midterm clinical eval.

I'm four weeks into med/surg and l find it to be difficult. My grades in lecture are good and my other clinical rotations went well. I want to improve myself and clinical and found this great site.

I am curious what you all think of my eval and what I can do to improve. I've spoke to the instructor about coming in early to get my assignment and research it. The toughest part is most of my clinical are LPN's.

This is my eval

Fab provides excellent care to his clients. He interacts well with the staff, clients and peers. Fab Continues to build on skills learned and is eager to learn new ones. He navigates through the chart with assistance obtains pertinent info in planning care of his client.

Fab's written work is an area he will need to continue to focus on for a better understanding of client care and critical thinking. I will provide oppourtunity over the next four weeks for fab to demonstrate an understanding of labs, meds, dx, and PMH as they relate to each other and hte plan of care. It is expected that he will become a more independant thinker and with this will become more confident. Fab needs to come to the med room with pertinent info to adminster meds safely. Fab needs to spend time reseaching and thinking critically when completing his prep sheets.

I have enjoyed watching Fab's progress during the past four weeks and expect he will continue to engage in learning and improving his skills and knowlege over the next four weeks.

I've find some great links from this site. I'm concerned and want to do my best to improve your suggestions?

It sounds like your clinical instructor has spelled it out for you. They "want you to come to the med room with pertinent info to administer meds safely and spend (more) time researching and thinking critically when completing your prep sheets."

That sounds like a good, promising evaluation. You're obviously making progress and your instructor wants to see you improve and succeed. What in particular concerns you about this evaluation? I think it's great that you've been offered specific feedback.

I think overall you had a good evaluation. It sounds to me as if your instructor wants you to improve upon care plans and meds. Perhaps, when you find out what meds your patient has every week you could make drug note cards for yourself. Basically listing what they are/do, how that relates to your patient, how to administer....etc. As far as the care plans go they really just take practice. Do you have a book called "Nursing Diagnosis Handbook" by Betty Ackley and Gail Ladwig? It is really useful for doing care plans. It gives you the nursing diagnosis, expected outcomes, client teaching.....etc. Really helpful book-Good Luck!:)

Thank you dayton your replies are always very good.. Keep up the good work