Currently Andrew is attending his Level 2 clinical rotation at the VA Medical Center with Mrs. Miller. I was asked to assist Mrs. Miller with her group while my students attended their OB rotation with Mrs. Frascella. Part of my responsibilities in assisting Mrs. Miller was to observe the students within the group.

My observations of Andrew caused some concern. Although Andrew completed his clinical preparation sheet sufficiently, he was unable to articulate the information when questioned. Although one diagnosis was heart failure and can be complex for a Level 2 student, Andrew was unable to explain basic anatomy of the heart. The other was cellulitis and again Andrew struggled. When discussing nursing interventions for both he again was unable to comfortably state important interventions. 

More concerning was Andrew\'s ability to perform a head-toe assessment on his patient. He struggled with what was to be assessed in a particular body system. In particular was the respiratory system and then the neurological portion. 

Neither of these above mentioned weaknesses are congruent with the group. I assessed with at least half of his clinical group and all but one other student were able to perform the assessment appropriate to level. The same was true for articulating the pathophysiology and important nursing interventions. 

Mrs. Nita