12/17/2013.  Candace\'s patient had a cast on her leg.  She obtained the patient\'s information on Sunday and did her research to prepare to care for this patient.  When I questioned Candace on the nursing interventions specific to her patient\'s casted extremity, she was unable to tell me what assessments she would make.  
I have discussed neurovascular checks (purpose and components of) several times in the classroom.  When I pointed her in the right direction, she stated that she did remember hearing about it, but was only able to remember two out of seven components of the neurovascular check.  

1/7/2013.  Candace was assigned to care for a patient with an admitting diagnosis of a CVA.  Candace did her research for this patient (it was brief and she was instructed on what to include in the future).  When we were discussing what assessments she needed to make on this patient, she was unable to tell me all the components of a neuro check.  She also came to clinical without her penlight.  

1/9/2013.  Today Candace told me she did not feel well, urinary problems.  I told her she could leave, but she wanted to stay and not miss the day.  Later in the day, she was performing a bedside glucose and I walked into the room.  She was applying the blood to the wrong side of the strip.  I corrected her and I then walked her through the procedure.  In front of the patient, she stated, I can\'t do anything right today.  I keep making mistakes.  Thats because I don\'t feel well.  I discussed this with her outside of the patient\'s room and stressed that you never speak like that in front of a patient.  If something does not go well, do not try to find excuses, work to correct it.  


2/4/2013.  Today Candace had one patient assigned to her.  She had not completed his head to toe assessment or provided AM care to her patient prior to physical therapy.