I am writing this counseling summary as a result of several issues encountered with Makinde in the clinical setting On Wednesday January 30th. 

During post-conference I needed to address issues with the clinical group\'s performance as a whole. While I was speaking to the clinical group, Makinde became irate and defensive and was very disrespectful. He stated \"Your just riding my back.\" I informed him that this conversation was not directed personally toward him but to the entire group as a whole and the purpose was to ensure we move forward and rectify the issues at hand. I tried to diffuse the situation and informed him I will speak with him alone.

The group was dismissed and I attempted to speak to Makinde but he escalated and again began telling me he is doing fine in clinical and that he did not have a problem in his last rotation. I listed the issues I have encountered with him during this rotation but he continued to be defensive and not receptive to discussing and rectifying this issues.

Here are the main concerns from Wednesday January 30th:
1. Makinde failed to clearly communicate to his fellow students that he was leaving the unit and that his patient assignment needed to be monitored. As a result his patient waited for twenty minutes for assistance to the bathroom. She ambulated without assistance which placed her at risk for a fall. Another student and I found her standing at the bedside and assisted her into bed.

2. His subassign nurse asked him to pack a belongings bag for his discharged patient but he stated he was going to lunch. Only upon her insisting did he pack the belongings.

3. He was noted to have a cell phone in the clinical setting and admitted to using the phone on two occasions in an area not designated for cell phone use.

4. I observed him standing against the his patients radiator with his eyes closed while I was demonstrating a Head to Toe Assessment. When I mentioned this to him during our discussion following post-conference he became irate and stated \"I had my eyes closed. I was\'nt sleeping.\" I informed him he needs to keep his eyes open in clinical.

5.By far the most concerning issue with Makinde is his lack of respect or appreciation for the learning process in the clinical area. He remains defensive and resists any constructive advice in regard to his performance and deficits.