1. 1
ANRS 411 Clinical Evaluation Tool-OB
Student: Emily Tarrell Instructor: Nancy Patrick Advisor: Katie Selle Semester: Summer I
Course Description: Clinical course focused on nursing care for the maternal-infant/family unit during the transitional periods of ante-, intra, and postpartum time period. The
course is designed to further develop and utilize nursing care plans based on sound nursing theory and individual /family needs. It is a continuation of the topics of patient safety,
quality improvement, and information management. Continued development and application of professional practice standards are addressed and critical thinking and clinical
reasoning are developed.
Student Signature: Emily Tarrell
I am willing to have subsequent clinical instructors review this evaluation for the purpose of promoting my learning in future clinical experiences.
Course assignments are designed to allow students to demonstrate the knowledge and behaviors essential to meet each clinical objective and succeed in the course. The
interdependent nature of the objectives precludes having any one assignment sufficiently correlate with or measure student progress. Instructor ratings and comments on
the various assignments, do however serve to document the student’s growth and areas for development. Ratings of – or + should be supported with comments.
Each critical behavior is considered essential and must be satisfactorily demonstrated to pass the course. Passing the course includes satisfactory completion of all the
assignments.
Rating Key: Progressing (√) Needs Improvement (NI) Failing (-)
Evaluation Standards
Meets the standard Fails to meet the standard
• Demonstrates expected behavior consistently.
• Initiates expected behaviors constantly.
• Requests assistance as needed and appropriate.
• Rarely requires reminders to demonstrate expected behavior.
• Demonstrates competence in expected behavior.
• Performance improves with practice and experience.
• Consistently solves routine problems.
• Makes accurate clinical decisions in routine situations.
• Demonstrates expected behavior only occasionally or inconsistently.
• Requires promoting or reminders from others to initiate executed behaviors.
• Requires assistance from others to demonstrate the behavior.
• Seldom initiates expected behavior.
• Performs expected behavior inaccurately or incompletely.
• Makes errors in performance and/or judgment, or would make errors without the
intervention of others.
• Does not recognize need for assistance and/or does not request assistance when
needed.
• Performance is not significantly improved with practice and experience.
• Often fails to solve simple problems or make routine clinical decisions.

2. 2
Essential II. Apply skills in leadership,
quality improvement, and patient
safety to provide high quality health
care in a systems environment.
Competencies:
1) Apply quality improvement processes to effectively implement patient safety initiatives and monitor performance measures, including
nurse sensitive indicators, in the microsystem of care.
2) Apply leadership concepts, skills, & decision making in the provision of high quality nursing care, health care team coordination, & the
oversight & accountability for care delivery.
3) Implement & monitor strategies to promote safety & participate in quality and patient safety initiatives
Evaluated by: Date Rating Comments
Competency 2
1) Adheres to organizational safety and comfort
assessments as evidenced by documentation- fall
risk assessment
2) Takes initiative in patient care & approaches
nurse/instructor with plan for direct nursing care
Competency 3
1) Uses appropriate strategies to reduce risk of harm:
 Checks ID bands with mother & infant consistently
 Adheres to safety practices of transporting infant
only in crib
 Observes precautions with infant security system.
2) Safe medication administration
3) Discuss potential & actual impact of national patient
safety resources, initiatives, & regulations in post
conference
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I successfully documented two fall risk assessments for my first patient on the PP unit via
Epic. Additionally, I maintain a safe atmosphere within the room by removing clutter and
creating clear pathways. 5/20 Important safety initiatives observed.
On my first day on the floor, I formulated a care plan for my patients. I was flexible with their
needs, yet complete with my cares and charting. In the future, I will be able to accomplish
cares, assessments, and documentation with greater ease and fluidity. 5/22 Working
through care plans with patients
Upon passing my first medication, a vaccine, I completed the 6 R’s necessary in the nursing
process prior to administration.
I went through the steps to scan the neonate, double checked the number through Epic,
and verified the neonate with the mother.
I received verbal consent twice prior to administration.
My patient did not require transportation, as she had the baby rooming in with her.
My professor and I drew up the vaccination together, in order to confirm the correct drug,
dose, and route. We wasted together, as the vial contained more medication than the
necessary dose.
5/21 Observed safe medication administration to reduce patient risk.
Essential III: Translate current
evidence into the practice of nursing.
Competency: Integrate evidence, clinical judgment, inter-professional perspectives and patient preferences in planning, implementing and
evaluating outcomes of care. *
Evaluated by: Date Rating Comments
1) Weekly worksheets will demonstrate evidence
based practice including:
 Medication information completed
thoroughly, including OB indications &
fetal & lactation side effects
 Clinical worksheets (L&D, Triage, NICU)
completed thoroughly
 Post-conference topic explained
thoroughly to classmates
2) Weekly journal entries demonstrate increasing
analytical skills, increasing depth of inquiry, and
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I have completed two sets of medication cards thus far. I write thorough cards,
addressing each of the categories listed on the syllabus/rubric. These cards indicate the
effects on both mother and fetus through the pregnancy or after while breastfeeding.
Through the cards, I identify when the medication would be appropriately administered—
antepartum, intrapartum, or postpartum, as well as operative states.
5/20 Needed 4 medication revisions first week.
My first day at St. Mary’s began on the L&D unit; therefore, I fulfilled the daily readings
before arriving on the unit. My assignment is ready to be turned in 5-22.

3. 3
evidenced based practice
3) Base individualized care plans, concept
maps/SOAP notes on patient values, clinical
expertise, and evidence-based practice.
4) Post conference discussions and weekly journal
entries include descriptions of the strength &
relevance of available evidence & this influence
on the choice of interventions in provision of
patient centered cared information
5) Participates in first simulation session at the CHES
to demonstrate assessment skills and translation
of simulation into practice.
6) Participates in the second simulation session to
demonstrate increased obstetric and pediatric
knowledge in clinical judgment planning &
implementing during a scenario and evaluating
outcomes of care during debriefing sessions.
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One weekly journal been written to reflect my experiences observing on the L&D unit.
My first SOAP notes indicates the CP that I followed to individualize care for my first
patients. 5/21 Needed revision on second SOAP note for patient. Has understanding of
format, needs to make care plans patient not nurse centered.5/21 Made effective revisions
.
5/26 SOAPnotes: Cesarean section pain & Safe sleep. SOAP notes are patient centered but
needs to make sure to demonstrate her increasing OB knowledge and make them more
applicable to other OB patients.
5/30 SOAP Notes. PP Blues/Depression & PP activity and exercise. Continued to improve her
SOAP notes to indicate her increasing OB knowledge.
5/31 L&D worksheet # 2. Received 9/10 on rubric.
NICU worksheet 9.5/10
L&D #1 Received 7.5/10 but corrected to 10/10
I was able to identify the phases of labor as I observed three women on the L&D unit. I
reported the differences in each case to my classmates during post-conference. 5/21 Good
description in post conference relating back to labor worksheet concepts
After my first day on the PP unit, I shared the new experiences with my classmates,
addressing the PP assessment, as well as a story about the “taking in” phase.
On the initial simulation, I came with an open attitude and a readiness to learn. I felt
engaged in each of the stations, and I actively took notes to improve my readiness for
clinical experiences. I was prepared to discuss the assigned article, and my group debated
our section as diligently as possible to convey the technocratic perspective.
5/22Worked effectively as team member to identify tenets of technocratic paradigm of
childbirth.
Essential IV: Demonstrate knowledge
and skills in information management
and patient care technology
Competencies:
1) Demonstrate skills in using patient care technologies, information systems & communication devices that support safe nursing practice.*
2) Apply safeguards & decision making support tools embedded in patient care technologies & information systems to support a safe
practice environment for both patients & healthcare workers.*
3) Recognize the role of information technology in improving patient care outcomes and creating a safe care environment.
4) Implement & monitor strategies to prevent risk & promote quality & safety in the nursing care of a mother and infant
Evaluated by: Date Rating Comments
Competency 1
1) Complete clinical organization Epic Charting
course/training.
2) Uphold HIPPA policies regarding use of a patient’s
Prior to
clinical
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Before the clinical experience began, I accomplished the Epic training modules, sent in my
confidentiality statement, and reviewed hospital policies.
I am aware of the privacy needs for each patient, and I strive to uphold dignity in each

4. 4
electronic medical record & signed confidentiality
agreement
does not discuss patient information in
inappropriate settings, including use of social
media
3) Competent use & appropriate application of all
bedside technology systems (pulse oximetry, IV
pumps, TC Bilirubin tester)
4) Appropriately documents in computerized
informational systems.
5) Uses appropriate strategies to reduce reliance on
memory (such as checklists)
Competency 2
1) Use of patient’s medical record to retrieve
relevant information for planning,
implementation, & evaluation of clinical data to
develop a safe & specific action plan of care.
2) Communicates observations/concerns related to
hazards & errors to patients, families, & the
health care team
Competency 3
1) Use high quality electronic sources of health care
information & evidenced based practice
guidelines
2) Able to delineate the benefits & limitations of
selected safety-enhancing technologies (such as
barcodes, computer provider order entry,
medication pumps, & automatic alerts/alarms.
Competency 4
1) Understanding of the unique health care needs of
obstetric and neonatal patients & national safety
concerns regarding appropriate care of obstetric
and pediatric patients within technological health
care settings.
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situation. I do not disclose patient information, use Epic inappropriately, or fail to comply
with hospital standards. I refer to my patients via gravida and parity, instead of using
their name. In assignments, I utilize initials to convey privacy.
St. Mary’s provides technologic machines in order to gain accurate information about the
patients. I am able to complete vital signs, as well as assessments, successfully with these
machines.
I spend adequate time charting on my patients in order to document all important
information. 5/21 Please use examples
 I fulfill the necessary charting in all appropriate categories by putting in VS as
ordered each shift, completing the PP assessment each shift, marking the
newborn assessment each shift. I make sure to add any information that may be
gathered by the mother, such as feeding assessments, voids, and stools changed
by the parents.
Often, I write short notes on a small notepad to remember important details for report
and documenting purposes. However, the notebook is small enough that it is
nonintrusive in patient rooms. 5/21 Good method to reduce reliance on memory and
increase patient safety by correct information.
I looked up information regarding the Hepatitis B vaccine through the St. Mary’s intranet
sources.
On my second PP day, I go to the med room with professor to get two doses of Percocet.
In each instance, I stop, review the medication, reread the MAR, and go through the 6 R’s.
Upon entering the room, instead of scanning and administering, I go through the steps
one more time. 5/26 Effectively uses electronic sources of health care information and EVP
guidelines also cited EVP studies in post conference topic of SIDS
I utilize hand hygiene as the most efficient way to safely handle this susceptible patient
population. I gel in and out of each room, the nursery, and I paid even closer attention to
minute details on my 5-27 rotation in the NICU. I followed the 15 second scrub in
technique, as well, as the sanitizer. 5/27 Demonstrated understanding of unique heatlh
needs of immune compromised infants by using effective handwashing techniques in NICU
Essential VI. Perform communication
and collaboration skills consistent
with professional standards when
working in inter-professional settings
to improve health services
Competencies:
1) Use inter-and intra-professional communication skills to deliver evidence-based, patient-centered care.*
2) Incorporate effective communication techniques, including negotiation and conflict resolution to produce positive professional working
relationships.*
Evaluated by: Date Rating Comments
Competency 1 5-21  I requested a PP client that I had cared for on L&D in order to provide continuity.

5. 5
1) Initiates relationship building with client, unit staff
& other health care professionals
2) Demonstrates individual accountability through
weekly journals.
3) Functions competently within own scope of
practice as a member of the health care team.
4) Participates in inter-professional collaboration
through thorough & concise shift-shift report.
5) Collaborates with health care team in planning
and delivering nursing care and making agency
referrals as needed.
Competency 2
1) Demonstrates knowledge of SBAR & uses these
communication techniques to communicate with
other health care professionals
2) Communicates effectively using verbal and
nonverbal techniques & assesses own level of
communication skill in encounters with patients &
families
3) Involves the client in decision-making when
making initial plan for day to incorporate visitors
and medication regimen as well as feeding
schedules.
4) Arrives at resolutions to conflict through
brainstorming, questioning, active listening or
negotiation.
5) Participates in SBAR exercise to practice
communication strategies
6) Debates Holistic, Humanistic, Technocratic views
of childbirth using information synthesized from
the Business of Being Born video and journal
article
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I am respectful and polite to other members of the staff in order to maintain a positive
and professional working environment.5/21 Requested continuity of patient from L&D
through postpartum. This effectively encouraged relationship building-good for patient
care.
On my second day on the PP unit, I am more confident and comfortable in my cares. I
am able to assess, provide cares, and document with less questions. I can verbalize my
POC and sign off report to various members of the IDT—RN, lactation consult, nursey.
I maintain thorough communication with my RN, Alissa, throughout the day. I keep her
updated with pertinent information throughout her twelve hour shift, and I report off to
her with key information before lunch, as well as our end of the day sign off.
I discuss the methods of breastfeeding and supplementing that I have observed from my
patient, SL, with the lactation consultant.
I provide the evening RN with a change of shift report based on the SBAR technique,
utilizing proper privacy in the hallway. She jokes that my report is too detailed, and she
only needed the basics.
Therapeutic communication is my goal while interacting with patients. I strive to provide
encouragement through verbal and nonverbal cues. I find that it is a bit harder to get
onto the patient’s level on this unit, so I maintain eye contact throughout interactions. I
allow patient’s time to voice their concerns, and I answer to the best of my ability before
having professor reiterate. I use post-conference to discuss my performance with my
classmates.
Each day, upon meeting the patient(s), I go through my POC, in which I always state, “I
will be here for you in the next twelve hours, so my plan is really based on your plan for
the day.” I hope that this approach helps the mother to feel like my care is centered
around care for her and baby, and that her decisions are important in the decision-
making process.
In the nursery, I question the effects of nicotine withdrawal while I am caring for a
particular neonate. After attending to the neonate in the nursery, I soon recognize signs
of irritability and feeding cues. After brainstorming with an RN, I make the decision to
wake the mother from her nap in order to breastfeed and soothe her infant. 5/26 Arrived
at resolution to conflict of how to respond to newborn at risk for NAS by brainstorming with
another RN
Monroe Street campus communication techniques seminar day. 5/28 This has not been
done yet, it is planned for 6/2
At the CHES, I successfully participate in the debate regarding the three various views of
childbirth. I came prepared with the readings completed and highlighted notes to
address for any of the three sections. My team creates a winning argument to “win
over” our guest mother, Professor Bourdeaux. 5/19 Good debate technique and
demonstration of knowledge of childbirth paradigms

6. 6
Essential VIII:
1) Integrate professional standards of
moral, ethical and legal conduct in
nursing practice.
2) Formulate a personal professional
practice model that addresses
accountability, continuous
professional engagement & lifelong
learning.
Competencies:
1) Promote the image of nursing by modeling the values & articulating the knowledge, skills & attitudes of the nursing profession.
2) Protect patient privacy & confidentiality of patient records & other privileged communications.
3) Assume accountability for personal and professional behaviors
4) Recognize the impact of attitudes, values, and expectations on the care of the very young and other vulnerable populations &
incorporate professional attitudes, values and expectations
5) Demonstrate the application of psychomotor skills for the efficient, safe, & compassionate delivery of patient care.
Evaluated by: Date Rating Comments
Competency 1
1) Demonstrates understanding of the Edgewood
College SON Code of Professional Conduct, as it
applies to the clinical unit & provide examples of
violation and consequences through discussion
and reflection.
Competency 2
1) Student signs confidentiality contract.
2) Demonstrates understanding of HIPAA guidelines
in all clinical assignments
Competency 3
1) Notifies instructor/nurse of any errors made
during clinical
2) Arrives at clinical with all pre-clinical work
completed thoroughly
3) Demonstrates understanding of professionalism,
including attention to appearance, demeanor,
respect for self & others
Competency 4
1) Able to identify high risk populations in obstetric
& neonatal patient settings
2) Identifies how attitudes, values and expectations
influence patient care as evidenced in journal
entries
3) Recognizes the impact and values of dealing with
vulnerable populations by demonstrating respect
and completing evaluations for guest presenters
speaking on pediatric and obstetric topics.
Competency 5
1) Demonstrates safe practice of skills in clinical
settings
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The Edgewood values are important to me, and I try to incorporate these into my
clinical practice. I come to the hospital prepared and ready for the day. My attire is
professional, with clean and pressed scrubs, hair pulled back, and appropriate
footwear.
My confidentiality contract was signed and turned in before clinical began.
In assignments, I refer to patients by their initials to ensure privacy. I do not address
patients in the hallways unless necessary, in which case I refrain from any patient
identifiers.
I have not had to address any errors thus far.
I come prepared each day. I read the correlating assignments prior to my scheduled
days, and I turn in the designated medication cards on time.
Referring back to Competency 1, I come to clinical each day with a neat and orderly
appearance. I am aware of the Edgewood logo on my uniform, and I act appropriately
to uphold the values my school represents. 5/20 Demonstrates professionalism.
While I cannot directly participate in patient-care, I present with an open presence and
helpful manner during my NICU rotation. I vocalize the reasons for certain meds,
placements, and interventions for the neonates when asked by my attending RN. 5/27
Identified high risk NICU patients.
I listened intently to the four sections of guest speakers at the Clinical Seminar. I was
engaged, respectful, and courteous of their time to speak. I asked applicable
questions, and I graciously thanked each of them for their time. 5/28 This is a good way
to respond to the guest speakers, but it does not describe how you will use the
information you learned in your practice.

7. 7
2) Completes 2 reviews of guest speakers & topic
based on presentation and assigned article.
5-28
In the clinical, I needed to draw up a vaccine for my patient. I used safe practice by
reviewing the procedure, obtaining the correct amount, safely wasting the excess, and
recapping appropriately. I administered after reviewing the 6 R’s. 5/21 Demonstrated
safe medication administration.
5/31 Emily completed 2 guest speaker reviews on SANE and the Bereaved Parents panel.
She would have liked more information on statistics for sexual abuse in Madison, but she
learned many things that she will use including the importance of how to talk to children
about such sensitive topics.
Her second review on the bereaved parents panel, clearly described how their
presentation impacted her and that she will carry their message with her into nursing
practice.
Essential IX. Demonstrate knowledge
& skills in the care of patients,
including individuals, families, groups,
communities, and populations across
the lifespan and across the continuum
of healthcare environments.
Competencies:
1) Deliver compassionate, patient-centered, evidence-based care that respects patient & family preferences. *
2) Implement evidence-based nursing interventions as appropriate for managing the acute & chronic care of patients & promoting health
across the life-span.*
3) Monitor client outcomes in assigned care plans & revise plan of care based on ongoing evaluation of patient outcomes.
4) Facilitate patient-centered transitions of care, including discharge planning & teaching for both mother and baby to promote safe care.
5) Provide nursing care based on evidence that contributes to safe & high quality patient outcomes within healthcare microsystems.*
Evaluated by: Date Rating Comments
Competency 1
1) Demonstrates compassion & respect through
listening, empathy and reflection of patient’s
preferences as shown through their weekly clinical
encounters observed by the instructor and weekly
journal entries
2) Educates patient/families on all appropriate
options available to them
Competency 2
1) Demonstrate use of evidence-based nursing
interventions in SOAP note care plans.
Clinical practice includes:
 Postpartum assessment completed
independently
 Newborn assessment completed
independently
 Safe medication administration
 Knows normal health parameters of
postpartum and newborn care
Competency 3
Through
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I have stood by each of my patient’s wishes in order to advocate for them. With that
being said, in my 5-26 journal, I discuss the fine line between providing young parents the
time to sleep while their baby spends the majority of the day in the nursery, versus the
importance of the newborn’s early hours to be with mom and dad. 5/26 Good example of
the challenge of teaching about important bonding but still demonstrating compassion and
respect for your patients
5/31 Emily demonstrated compassion and respect for her laboring patient on her final day
of clinical, when there was a transition of care givers at the change of shift. She remained
the one constant care provider that continuously gave support while the other cargivers
gave bedside report.
I select new and pertinent topics to educate the families prior to discharge. I review
these topics first with professor to make sure that I have the correct information and to
answer potential questions beforehand. 5/26 Continually chooses effective teaching topics
for patients.
Each week I find two relatable topics to use in my SOAP notes regarding my patient(s)
that day. My notes are thorough and research-based. I complete revisions on time.
 5-26: I complete my first postpartum assessment independently with professor
observing.

8. 8
1) Demonstrate evaluation of the effectiveness of
psychobiological interventions of obstetric and
neonatal clients through direct observation by the
clinical instructor, and sharing their evaluation of
the outcomes in post-conference discussions.
2) Uses physical assessment data to alter plan of care
as appropriate
3) Demonstrates understanding of laboratory data
and alters plan of care as appropriate
4) Demonstrates ability to consider alternate
interventions for identified nursing diagnosis
Competency 4
1) Anticipate discharge needs of patient, family and
caregivers and provides appropriate teaching for
postpartum families
2) Includes discussion of discharge needs with
interdisciplinary team members including
physicians, nurses, or lactation consultants to
promote safe care.
Competency 5
1) Incorporate knowledge of pharmacology with
medication cards and diagnostic tests such as TC
bilirubin levels & pulse oximetry testing when
planning and providing patient care.
2) Formulates plan of care with SOAP notes that
includes safety and quality care outcomes for
weekly assigned patient(s).
3) Participates in and completes a write-up on an
obstetric alternate experience to understand the
continuum of care in the community for the
obstetric patient
Through
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 5-26: I finished two newborn assessments on my own. Of the few items I
missed, I was able to verbalize how I had seen them throughout the assessment.
 Throughout: I practice the 6 R’s in the med room first, then in the patient’s room
again.
 Throughout: I do my best while memorizing ranges, and I review normal
reference points when I am uncertain.5/26 At appropriate level for maternal and
newborn assessments.
5-31 In post-conference, I discussed how I saw anxiety play a role in the laboring process,
as well as the psychosocial-spiritual aspects that had such a key influence on my patient.
My POC included a bath for the neonate, but we had to wait for his temperature to rise;
skin-to-skin was used as an intervention to promote this increase before the bath.
I spent time daily reviewing the lab results in order to see what medications were
necessary PP. The majority included determining if Rhogam/Rhophylac was indicated.
The best example of this is my assistance in helping a laboring mother find alternate
methods to relieve pain throughout the process. 5/30 Continually used physical
assessment data and lab values to alter plan of care as indicated by the results.
Each day, I was able to complete proper teaching to the patient(s) to reiterate important
messages about caring for mother and baby at home. Every day I felt more confident in
my therapeutic communication, leading to the completion of more teaching topics.
I conversed with the lactation consultant, Rosie, in order to review my patient’s feeding
plan and discuss potential feeding issues. All of patients had breastfed, so I was able to
ask a lot of questions about supplementation with formula feedings.
The assigned medication cards have been prepared wholly prior to each clinical day. I
strive to have the most accurate information, and I actively take notes when I have
overlooked a crucial note. See bottom of CET for a complete list of the medications I
researched.
Each week my SOAP notes have more evidence-based information. I am working towards
a better understanding of applying the information to the general populace, instead of
individualizing the note to the specific patient from that day. 5/30 Worked on SOAP notes
to be individualized in the subjective data, but made the teaching plans more versatile and
applicable to other patients also.
The MWH clinic generously allowed me to follow a medical assistant for the morning,
where I was able to learn more about a setting outside of the hospital. I completed a
write-up addressing each question posed and submitted it on schedule. 5/27 Reviewed
MWH clinic and discussed the differences in care between the hospital and clinic setting for
the OB RN
 Competencies that began prior to ANRS 411 and continue throughout the entire program will be indicated by an *

9. 9
Medications completed via daily med. card assignments:
Wednesday, May 20, 2015: L&D—Pitocin, Numorphan, Magnesium Sulfate, Heparin, Ondansetron
5/20 Magnesium Sulfate: Antidote?
Thursday, May 21, 2015: PP—Ibuprofen, Lanolin Cream, Ketorolac, Lortab, Hemabate 5/20
Ibuprofen: Why contraindicated in 3
rd
trimester? Lanolin: Caution with what allergy? Lortab: 24 hour limits of components? 5/21 Revisions made
Tuesday, May 26, 2015: PP—Percocet, Methergine, MMR vaccine, Dilaudid, Benadryl 5/26 Effectively discussed medications in post conference.
Wednesday, May 27, 2015: NICU—Narcan, Erythromycin ointment, Vitamin K, HBIG, Surfactant5/27.
Saturday, May 30, 2015: PP—Americaine ointment, Influenza vaccine, Anusol ointment, Depoprovera 5/30 Effectively discussed medications in post conference
Sunday, May 31, 2015: L&D 2—Dinoprostone, Misoprostel, Terbutaline, Nifedipine, Zolpidem 5/31Effectively discussed medications in post conference
Clinical Final Instructor Comments: Emily progressed well in her OB clinical. She transitioned easily to the 3 different units within the
Family Birth Center including labor & delivery, postpartum and neonatal intensive care. She is working on her critical thinking to progress to
clinical reasoning. Emily does well with patient interaction and education. It is evident that she really enjoys patient interaction and she was able
to combine her previous knowledge with her increasing OB knowledge to provide competent care to her patients. I really appreciate how Emily
really made a difference to her patient’s care in labor when there was a change of nurses at shift change and Emily remained the one constant
positive factor for her patient.
________Emily Tarrell___________ has met the requirements for the OB clinical component of N411.
Date: ___________ Student: ________________________ Faculty: ______________________________