Carissa was counseled in regards to her clinical performance. Carissa was made aware on her mid-level rotation that she had areas of weakness that she needed improvement on in order to pass the rotation. Unfortunately, Carissa continues to struggle in the same identified areas.
Carissa struggles with clinical preparation even with guidance and feedback.She is unable to articulate her pathophysiology and determine the correct nursing interventions for her patients. She is able to perform basic nursing care but requires guidance and is unable to explain the rationale for interventions or the diagnosis. She also often answers question with \"I don\'t know\". I informed her this is not acceptable at the end of the second level. 
I informed Carissa on Monday, 11-14-11 that she is not progressing well and that she is not ready to progress to level 3. I will continue on the last two days to work with Carissa.
She is struggling to transition the classroom content to the clinical setting. She admitted that \"it is all swirling in my head but I can\'t remember it after class\". 











