COLEGIO SAN AGUSTIN-BACOLOD
COLLEGE OF HEALTH AND ALLIED PROFESSIONS
P.O. Box 120, B.S. Aquino Drive,
Bacolod City, 6100 Philippines
Tel. No. (034) 434-2471/ (034) 434-7887
CSA-B Website: www.csab.edu.ph
NURSING PROGRAM
PERFORMANCE EVALUATION TOOL
PSYCHIATRIC NURSING
Name of Student: _________________________________________________
PSYCHIATRIC NURSING COMPETENCIES DESIRED 1ST 2ND
RATING RLE RLE
DATE
AREA
TOTAL No. OF HOURS
LEVEL
SEMESTER
ACADEMIC YEAR
I. SAFE AND QUALITY NURSING CARE
1. Demonstrates knowledge base on the mental illness of the psychiatric
patient.
a. Identifies the reason for the patient’s hospitalization 1
b. Identifies factors that lead to the patient’s mental illness 1
c. Identifies the patient’s present health problems and needs 1
d. Discusses the psychodynamics of the patient’s mental illness (genetic, 1
neuroanatomic and neurochemical, immunovirologic factors)
e. Identifies population at risk for mental illness 1
f. Recognizes key physiologic functions that are frequently impaired in 1
people with mental illness
2.Provides sound decision making in the care of psychiatric patients
considering their health beliefs and values
a. Identifies the patient’s health beliefs, practices, cultural and spiritual 1
beliefs in relation to his mental illness
b. Respects patient’s health beliefs, cultural and spiritual beliefs in relation to 1
his mental illness
c. Evaluates own feelings, beliefs, attitudes regarding care of patient with 1
mental illness
3. Promotes safety and comfort of psychiatric patients
a. Performs safety measures during the nurse patient interaction (asking 1
clients clearly and directly about suicidal ideation)
b. Monitors the patient for signs of extrapyramidal symptoms, tardive 1
dyskinesia, seizures and neuroepeliptic malignant symptoms
c. Frequent irregular rounds to monitor patient’s behavior (e.g. patient’s 1
with suicidal ideation)
d. Evaluates the effectiveness of antipsychotic and antidepressant 1
medication given
4. Prioritizes nursing care of psychiatric patients based on identified problems
a. Identifies the patient’s priority health needs 1
b. Analyzes the patient’s priority health needs 1
c. Determines appropriate psychiatric care to be provided 1
5. Ensures continuity of care of psychiatric patients
a. Refers identified problems to the clinical instructor and other members 1
of the health team
b. Endorses accurately to the staff the responses behavior of the patient 1
during therapeutic activities and nurse-patient interaction (NPI)
6. Prepares and administers medications
a. Adheres to the 10 rights in medication administration and health therapeutics 1
b. Assess for signs of dysphagia prior to administration 1
c. Ensures that patient swallow the medication 1
7. Performs a comprehensive and systematic assessment of psychiatric patient
a. Gathers a comprehensive client’s information through accurate history 1
taking and data gathering (NPI, patient’s chart, physical assessment)
b. Performs a thorough psychosocial assessment to include client’s history, 1
general appearance, self- concept, role and relationship, physiologic and self-
care considerations
c. Conduct a thorough functional and mental status examination on a 1
patient with mental illness
d. identify factors in the patient that can influence the psychosocial 1
assessment (e.g. ability to participate and give feedback, physical health
status, emotional well- being and perception of the situation, ability to
communicate
8. Formulates a plan of care in collaboration with patient significant others and
other members of the health team
a. Formulate a comprehensive nursing care plan on identified priority 1
nursing problems
b. Organizes and analyzes the data gathered 1
c. Identifies expected outcome of nursing interventions rendered 1
d. Involves the patient and significant others in the plan of care 1
9. Implements planned nursing care to achieve identified outcomes during
admission/consultation
a. Deals with socially inappropriate behaviors in a non-judgmental and 1
matter-of-fact manner
b. Presents and maintains reality for the client by frequent contact and 1
communication
c. Provides a supportive and non-confrontational approach 1
d. Maintains therapeutic relationship with the client by establishing trust 1
e. Sets contract with the client at the start of the nurse patient interactions 1
f. Implement appropriate nursing approach based on the client’s 1
behavioral manifestations
g. Supervises closely patients with suicidal ideation (e.g. frequent irregular 1
rounds, removing objects that the person could commit suicide)
h. Identifies clues to patient’s suicidal intent-both direct (making threats 1
of suicide) and indirect (giving away prized possessions, making vague
good-byes, putting his life inorder)
i. Allows the client to finish task without any hurry or interruptions 1
(ritualistic behavior)
j. Encourages the patient to perform task independently 1
10. Monitors effectiveness of nursing interventions 1
11. Revises nursing care plan when necessary 1
II. MANAGEMENT OF RESOURCES, ENVIRONMENT AND EQUIPMENT
1. Organizes workload to facilitate patient care
a. Performs the task or activities based on priorities 1
b. Accomplishes task or activities on time 1
2. Utilizes adequate and appropriate resources to support patient’s care 1
3. Adheres to policies, procedures and protocols on prevention and control 1
of infection
III. HEALTH EDUCATION
1. Provides information regarding patient’s mental illness, early signs of 1
relapse (lack of sleep, poor nutrition, fatigue, mood swings, lack of
control, hopeless feelings, anxiety and worry, etc.) avoidance of
stressful situations.
2. Conducts health teaching regarding self-care, proper nutrition and 1
adequate rest and sleep
IV. LEGAL RESPONSIBILITIES
1. Records and reports accurately any deviations/abnormal findings of 1
psychiatric patient
2. Documents all pertinent data correctly and completely in accordance to 1
the standards of nursing practice
3. Secures waiver of responsibility for refusal to undergo treatment and 1
procedures (e.g. ECT)
V. ETHICO-MORAL RESPONSIBILITY
1. Renders nursing care consistent with the psychiatric patient’s bill of rights
a. Maintains patient confidentiality at all times 1
b. Maintains patient privacy at all times (proper draping and screening) 1
c. Respects patient’s rights to psychiatric care 1
VI. PERSONAL AND PROFESSIONAL DEVELOPMENT
1. Updates oneself with the latest trends and development in psychiatric care 1
2. Exhibits a professional image of a psychiatric nurse
a. Dresses appropriately and well-groomed 1
b. Reports to duty on time 1
c. Maintains proper conduct and decorum at all times 1
d. Complies with RLE requirements on time and with complete paraphernalia 1
3. Performs functions in accordance to the RLE rules and regulations and 1
standards of nursing practice
VII. QUALITY IMPROVEMENTS
1. Gathers data for quality improvement of patient’s with mental illness
a. Detects variations in the patient’s mental illness 1
b. Solicits feedback from the patient and significant others regarding 1
psychiatric care rendered
2. Participates in nursing care audits and records of psychiatric patients
a. Coordinates with the health team current information regarding 1
particular patient condition
b. Encourages the patient to verbalize his feelings and concerns regarding 1
his mental illness
c. Documents all nursing care and activities rendered 1
VIII. RESEARCH
1. Identifies researchable problem related to psychiatric care 1
2. Identifies appropriate methods of research for a particular patient in the 1
mental institution
3. Conducts research works on the current updates related to psychiatric care 1
4. Formulates comprehensive psychiatric case study 1
5. Conducts an interactive case discussion 1
6. Submits research findings on psychiatric care 1
IX. RECORDS MANAGEMENT
1. Maintains accurate and updated documentation of patient’s care 1
2. Utilizes and organize records system of filing and keeping patient’s records 1
3. Observes confidentiality and the privacy of the patient’s record 1
X. COMMUNICATION
1. Establishes trust with the patients (set contract and limitations during NPI) 1
2. Establishes rapport with the significant others and other members of the 1
health team.
3. Listens attentively to patient’s verbalization of feelings. Thoughts and 1
Anxieties
4. Facilitates verbalization of patient concern, thoughts and feelings 1
regarding his mental illness
5. Identifies verbal and non- verbal cues of patient during NPI 1
6. Maintains therapeutic communication during activities and NPI 1
7. Utilizes therapeutic use of self in caring for psychiatric clients 1
XI. COLLABORATION AND TEAMWORK
1. Participates actively in patients care management 1
2. Respects the role of other members of the health team 1
3. Maintains good interpersonal relationship with patient, significant others, 1
colleagues, clinical instructor and other members of the health team
4. Establishes attainable goals with the client 1
5. Refers patients to allied health team appropriately 1
TOTAL SCORE 85
First Graded RLE : Academic Year __________ 1st Sem____ 2nd Sem____ Summer _____
_________________________________ _________________________________
Clinical Instructor’s Signature/Date Student’s Signature/Date
Second Graded RLE : Academic Year __________ 1st Sem____ 2nd Sem____ Summer _____
________________________________ _________________________________
Clinical Instructor’s Signature/Date Student’s Signature/Date
GRADING SYSTEM:
WRITTEN REQUIREMENTS: 60%
Objectives 10 points
Journal 10 points
Nurse Patient Interaction 50 points
Correctness of inference and evaluation 20 points
Relevance/accuracy of data gathered 15 points
Appropriateness of therapeutic communication used 15 points
Mental Status Examination 30 points
_________
100 points
THERAPEUTIC ACTIVITIES:25%
Group participation 10 points
Creativity 10 points
Therapeutic use of self 20 points
Content 20 points
Delivery/conduct of therapy 20 points
Use of therapeutic communication 20 points
_________
100 points
CASE DISCUSSION: 15%
Mastery/delivery 15 points
Ability to answer questions 15 points
Visual aid 5 points
_________
35 points
RLE GRADE:
Written requirements x 80%
Post test (score = equivalent) x 20%
_______
100% x 50%
Performance rating (PEC) score=equivalent x 50%
________
FINAL RLE GRADE - 100%
RLE GRADE:
Written requirements + Post Test/Skills Lab x 50%
Performance Rating (PEC): Scores = Equivalent x 50%
_________
RLE GRADE - 100%
IF WITH SURGICAL CASE STUDY:
RLE GRADE x 80%
Case Study (Equivalent) x 20%
_________
FINAL RLE GRADE - 100%
