Assessment Demo 2

Name

Date

Day

Professionalism, Safety and Ethics Professionalism, Safety and Ethics Applicable Not Applicable

Knowledge: Theory - Student demonstrates knowledge of documentation required for advanced nursing foot care practice including, but not limited to, client consent, nursing foot care plan, charting, policies and procedures, auditing, and privacy legislation. Knowledge: Theory - Student demonstrates knowledge of documentation required for advanced nursing foot care practice including, but not limited to, client consent, nursing foot care plan, charting, policies and procedures, auditing, and privacy legislation. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Theory - Students have knowledge of basic ergonomic principles and workplace policies in the provision of nursing foot care. Knowledge: Theory - Students have knowledge of basic ergonomic principles and workplace policies in the provision of nursing foot care. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - Student attends course and arrives prepared (has all necessary paperwork, tools, PPE, handouts, assessment forms, ID, proof of insurance, certificates, etc). Knowledge: Practice - Student attends course and arrives prepared (has all necessary paperwork, tools, PPE, handouts, assessment forms, ID, proof of insurance, certificates, etc). Satisfactory Needs improvement Unsatisfactory N/A

Quality and Safety - Student in appropriate attire, wears appropriate PPE, as per Clinical Course policies and procedures. Quality and Safety - Student in appropriate attire, wears appropriate PPE, as per Clinical Course policies and procedures. Satisfactory Needs improvement Unsatisfactory N/A

Ethical Practice - Student practices within, and adhere to BPGs, nursing standards, established procedures and policies for advanced nursing foot care. Ethical Practice - Student practices within, and adhere to BPGs, nursing standards, established procedures and policies for advanced nursing foot care. Satisfactory Needs improvement Unsatisfactory N/A

Comments and Goals

Clinical Performance- Professionalism and Preparation Clinical Performance- Professionalism and Preparation Applicable Not Applicable

Knowledge: Theory - Student demonstrates knowledge of documentation required for advanced nursing foot care practice including, client consent, nursing foot care plan, charting, policies and procedures, auditing, and privacy legislation. Knowledge: Theory - Student demonstrates knowledge of documentation required for advanced nursing foot care practice including, client consent, nursing foot care plan, charting, policies and procedures, auditing, and privacy legislation. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - Student completes foot care documentation in accordance with legal, ethical and professional requirements. Knowledge: Practice - Student completes foot care documentation in accordance with legal, ethical and professional requirements. Satisfactory Needs improvement Unsatisfactory N/A

Risk Assessment & Health Promotion - Student utilizes a validated, standardized assessment tool to assign risk stratification to clients and apply the relevant advanced nursing foot care interventions to ameliorate the risk. Risk Assessment & Health Promotion - Student utilizes a validated, standardized assessment tool to assign risk stratification to clients and apply the relevant advanced nursing foot care interventions to ameliorate the risk. Satisfactory Needs improvement Unsatisfactory N/A

Quality - Student engages with educator in obtaining mentoring and support to enhance quality of practice. Quality - Student engages with educator in obtaining mentoring and support to enhance quality of practice. Satisfactory Needs improvement Unsatisfactory N/A

Professional Communication - Student interactions provide therapeutic benefit for the client. Professional Communication - Student interactions provide therapeutic benefit for the client. Satisfactory Needs improvement Unsatisfactory N/A

Advocacy - Student educates clients regarding expectations, required credentials and competencies of advanced nursing foot care services. Advocacy - Student educates clients regarding expectations, required credentials and competencies of advanced nursing foot care services. Satisfactory Needs improvement Unsatisfactory N/A

Comments and Goals

Anatomy & Physiology Anatomy & Physiology Applicable Not Applicable

Knowledge: Theory - Student has knowledge of anatomy and physiology, and pathophysiology of the lower limb and can name and locate at least 10 different bones, pulses, muscles, nerves on the feet; and discuss 2 related foot disorders. Knowledge: Theory - Student has knowledge of anatomy and physiology, and pathophysiology of the lower limb and can name and locate at least 10 different bones, pulses, muscles, nerves on the feet; and discuss 2 related foot disorders. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Theory - Student has knowledge of terminology specific to advanced nursing foot care and can pronounce and use at least 10 foot terms verbally to client and written on the foot chart. Knowledge: Theory - Student has knowledge of terminology specific to advanced nursing foot care and can pronounce and use at least 10 foot terms verbally to client and written on the foot chart. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - Student uses terminology specific to nursing foot care in all documentation. Knowledge: Practice - Student uses terminology specific to nursing foot care in all documentation. Satisfactory Needs improvement Unsatisfactory N/A

Comments and Goals

Instruments/Tools & Clinical Practice Settings Instruments/Tools & Clinical Practice Settings Applicable Not Applicable

Knowledge: Theory - Student describes the relevant national guidelines for single use item disposal. Knowledge: Theory - Student describes the relevant national guidelines for single use item disposal. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - Student uses instruments required for foot care only for the purposes for which they are designed. Knowledge: Practice - Student uses instruments required for foot care only for the purposes for which they are designed. Satisfactory Needs improvement Unsatisfactory N/A

Risk Assessment & Health Promotion - Student recognizes the benefits of health promotion, community resources and self-care management as they relate to advanced nursing foot care. Risk Assessment & Health Promotion - Student recognizes the benefits of health promotion, community resources and self-care management as they relate to advanced nursing foot care. Satisfactory Needs improvement Unsatisfactory N/A

Quality - Student critically appraises their own practice to identify opportunities to enhance their clinical competence. Quality - Student critically appraises their own practice to identify opportunities to enhance their clinical competence. Satisfactory Needs improvement Unsatisfactory N/A

Professional Communication - Student maintains professional boundaries in the provision of care to clients in all contexts of care. Professional Communication - Student maintains professional boundaries in the provision of care to clients in all contexts of care. Satisfactory Needs improvement Unsatisfactory N/A

Ethical Practice - Student practices within, and adhere to, best practice guidelines, nursing standards, established procedures and policies for advanced nursing foot care. Ethical Practice - Student practices within, and adhere to, best practice guidelines, nursing standards, established procedures and policies for advanced nursing foot care. Satisfactory Needs improvement Unsatisfactory N/A

Comments and Goals

Clinical Performance – Assessment & Client Communication Clinical Performance – Assessment & Client Communication Applicable Not Applicable

Knowledge: Theory - Student identifies the components of a comprehensive lower limb health assessment. Knowledge: Theory - Student identifies the components of a comprehensive lower limb health assessment. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - Student assesses biomechanics, including : gait, strength, balance, footwear, assistive and off-loading devices, and physical environment. Knowledge: Practice - Student assesses biomechanics, including : gait, strength, balance, footwear, assistive and off-loading devices, and physical environment. Satisfactory Needs improvement Unsatisfactory N/A

Risk Assessment & Health Promotion - Student identifies risk factors for ulceration, wounds and amputation, including, : diabetes mellitus, peripheral vascular disease, peripheral arterial disease, neuropathy, skin changes, structural abnormalities (e.g. range of motion of ankle and toe joints, callus pattern, bony deformities) skin temperature (by touch), and evidence of infection. Risk Assessment & Health Promotion - Student identifies risk factors for ulceration, wounds and amputation, including, : diabetes mellitus, peripheral vascular disease, peripheral arterial disease, neuropathy, skin changes, structural abnormalities (e.g. range of motion of ankle and toe joints, callus pattern, bony deformities) skin temperature (by touch), and evidence of infection. Satisfactory Needs improvement Unsatisfactory N/A

Comments and Goals

Professional Communication - Student utilizes client-centered communications in the provision of advanced nursing foot care. Professional Communication - Student utilizes client-centered communications in the provision of advanced nursing foot care. Satisfactory Needs improvement Unsatisfactory N/A

Infection Prevention and Control Infection Prevention and Control Applicable Not Applicable

Knowledge: Theory - The student is able to: Explain the principles of infection prevention and control as they relate to foot care practice, instruments and equipment. Knowledge: Theory - The student is able to: Explain the principles of infection prevention and control as they relate to foot care practice, instruments and equipment. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Theory - The student is able to: Have knowledge of the safe use, care and maintenance of critical and non-critical instruments for foot care. Knowledge: Theory - The student is able to: Have knowledge of the safe use, care and maintenance of critical and non-critical instruments for foot care. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Theory - The student is able to: Maintain currency in reprocessing medical devices, reprocessing standards and guidelines. Knowledge: Theory - The student is able to: Maintain currency in reprocessing medical devices, reprocessing standards and guidelines. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Theory - The student is able to: Understand the principles of personal/ public safety in relation to management of sharps. Knowledge: Theory - The student is able to: Understand the principles of personal/ public safety in relation to management of sharps. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Theory - The student is able to: Describe the relevant national guidelines for single use item disposal. Knowledge: Theory - The student is able to: Describe the relevant national guidelines for single use item disposal. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Theory - The student is able to: Identify infection prevention and control best practices. Knowledge: Theory - The student is able to: Identify infection prevention and control best practices. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Theory - The student is able to: Have knowledge of the safe use, care and maintenance of ultrasonic cleaner and autoclave. Knowledge: Theory - The student is able to: Have knowledge of the safe use, care and maintenance of ultrasonic cleaner and autoclave. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - The student is able to: Adhere to best practices for cleaning, disinfection and sterilization of instruments and the workplace environment. Knowledge: Practice - The student is able to: Adhere to best practices for cleaning, disinfection and sterilization of instruments and the workplace environment. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - The student is able to: Utilize PPE to prevent the transmission and spread of infection. Knowledge: Practice - The student is able to: Utilize PPE to prevent the transmission and spread of infection. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - The student is able to: Maintain the sterility of instruments up to the point of use. Knowledge: Practice - The student is able to: Maintain the sterility of instruments up to the point of use. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - The student is able to: Clean and sterilize equipment according to manufacturer’s instructions and in accordance with Canadian Standards. Knowledge: Practice - The student is able to: Clean and sterilize equipment according to manufacturer’s instructions and in accordance with Canadian Standards. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - The student is able to: Use locking, secure, biohazard sharps containers to maintain personal and public safety. Knowledge: Practice - The student is able to: Use locking, secure, biohazard sharps containers to maintain personal and public safety. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - The student is able to: Dispose of single use instruments according to relevant (national) guidelines and MFU. Knowledge: Practice - The student is able to: Dispose of single use instruments according to relevant (national) guidelines and MFU. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - The student is able to: Use instruments required for foot care only for the purposes for which they are designed. Knowledge: Practice - The student is able to: Use instruments required for foot care only for the purposes for which they are designed. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - The student is able to: Use instruments designed specifically for use on the human body and, specifically, feet Knowledge: Practice - The student is able to: Use instruments designed specifically for use on the human body and, specifically, feet Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - The student is able to: Differentiate between treatments requiring sterile and/or clean instruments. Knowledge: Practice - The student is able to: Differentiate between treatments requiring sterile and/or clean instruments. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - The student is able to: Use a new set of instruments - disposable or sterilized - for each client interaction. Knowledge: Practice - The student is able to: Use a new set of instruments - disposable or sterilized - for each client interaction. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - The student is able to: Utilize enzymatic transport gel/spray for soiled instruments. Knowledge: Practice - The student is able to: Utilize enzymatic transport gel/spray for soiled instruments. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - The student is able to: Store sterile instruments as per best practice guidelines. Knowledge: Practice - The student is able to: Store sterile instruments as per best practice guidelines. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - The student is able to: Adhere to their obligation to sterilize critical instruments. Knowledge: Practice - The student is able to: Adhere to their obligation to sterilize critical instruments. Satisfactory Needs improvement Unsatisfactory N/A

Comments and Goals

Clinical Performance – Foot Care Skills Clinical Performance – Foot Care Skills Applicable Not Applicable

Knowledge: Theory - Student able to identify 2 proper uses for each podiatric instrument. Knowledge: Theory - Student able to identify 2 proper uses for each podiatric instrument. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Theory - Student able to identify 2 risks and 2 reducing risks associated with use of each podiatric instrument. Knowledge: Theory - Student able to identify 2 risks and 2 reducing risks associated with use of each podiatric instrument. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - Student demonstrates proper support when handling podiatric rotary instrument, moves constantly to avoid heat, and appropriately assesses skin throughout procedure independently. Knowledge: Practice - Student demonstrates proper support when handling podiatric rotary instrument, moves constantly to avoid heat, and appropriately assesses skin throughout procedure independently. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - Student demonstrates setting of podiatric rotary instrument speed and use of vacuum feature independently when available. Knowledge: Practice - Student demonstrates setting of podiatric rotary instrument speed and use of vacuum feature independently when available. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - Student performs podiatric instrument skills competently and requires little to no cueing from instructor. Knowledge: Practice - Student performs podiatric instrument skills competently and requires little to no cueing from instructor. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - Student sets up and maintains clean work surface throughout procedure. Knowledge: Practice - Student sets up and maintains clean work surface throughout procedure. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - Student follows available pre-cleaning procedure including placing soiled instruments into appropriate soiled container and products when necessary. Knowledge: Practice - Student follows available pre-cleaning procedure including placing soiled instruments into appropriate soiled container and products when necessary. Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - Student follows available sterilization procedures Knowledge: Practice - Student follows available sterilization procedures Satisfactory Needs improvement Unsatisfactory N/A

Knowledge: Practice - Student demonstrates proper use of PPE’s as per P&P manual. Student able to explain rationale behind wearing N95 mask. Knowledge: Practice - Student demonstrates proper use of PPE’s as per P&P manual. Student able to explain rationale behind wearing N95 mask. Satisfactory Needs improvement Unsatisfactory N/A

Risk Assessment & Health Promotion - Reduce risks and promote health by implementing client-centered teaching and resources. Risk Assessment & Health Promotion - Reduce risks and promote health by implementing client-centered teaching and resources. Satisfactory Needs improvement Unsatisfactory N/A

Quality - Student performs foot care skills confidently and requires little to no cueing from instructor. Quality - Student performs foot care skills confidently and requires little to no cueing from instructor. Satisfactory Needs improvement Unsatisfactory N/A

Quality - Critically appraise their skill level and identifies opportunities to enhance their competence. Quality - Critically appraise their skill level and identifies opportunities to enhance their competence. Satisfactory Needs improvement Unsatisfactory N/A

Professional Communication - Critically appraise their skill level and identifies opportunities to enhance their competency Professional Communication - Critically appraise their skill level and identifies opportunities to enhance their competency Satisfactory Needs improvement Unsatisfactory N/A

Coordination & Collaboration - Student effectively explains procedure to client and answers any concerns client may have prior to procedure. Coordination & Collaboration - Student effectively explains procedure to client and answers any concerns client may have prior to procedure. Satisfactory Needs improvement Unsatisfactory N/A

Coordination & Collaboration - Student obtains consent for procedure. Coordination & Collaboration - Student obtains consent for procedure. Satisfactory Needs improvement Unsatisfactory N/A

Coordination & Collaboration - Student displays confidence in interaction with client throughout procedure. Coordination & Collaboration - Student displays confidence in interaction with client throughout procedure. Satisfactory Needs improvement Unsatisfactory N/A

Advocacy - Student showed up on time, prepared to work, in appropriate attire. Completed required reading and video prior to lesson. Advocacy - Student showed up on time, prepared to work, in appropriate attire. Completed required reading and video prior to lesson. Satisfactory Needs improvement Unsatisfactory N/A

Comments and Goals