There have been two incidents of concern regarding Anna within the clinical setting.                                                                            The first incident involved a wound treatment. I found Anna completing a wound treatment on a patient she was not assigned to on the first day of clinical. When I questioned Anna about the treatment orders she did not know what they were. Subsequently it was determined that she applied the wrong treatment ointment, using the wrong technique without any guidance from her clinical instructor. She was counseled verbally regarding the issue and informed she is to consult with her instructor and the physician\'s orders before performing any treatment on her or other patients.

The second incident of concern is in regard to the administration of medication. Anna noted in her journal that she administered medications to a patient. She stated in her journal \"the patient took her pills for me\". There are several issues with her action: She was not assigned to the patient, she did not inform or request permission to administer medication to a patient, the instructor and student were not familiar with the patient, she administered medication she did not prepare which is of extreme concern and goes against the foundational rules of medication administration. 


Anna is a Level 2 student and has much to learn in the clinical setting before she can function independently. It is important that she work within the level of expectation and meet the Level 2 objectives. 


