I spoke with Charleen on Monday February 14 reguarding several concerns I have pertaining to her clinical performance.  I cited several incidents that had occured.  At the time of each occurance she was made aware of her errors and how those errors could have beeen avoided.  On one occasion Charleen submitted clinical preparation on the wrong patient.  I reminded her that when I post patient information, I include patient room number, initials age and gender.  On two seperate occasions Charleen failed to receive report on her assigned patient.  The first time this happened she said that because the staff nurses were talking during taped report she could not hear.  Last week in clinical she failed to receive report on her assigned patient.  When I approached her and asked her why she did not listen to report she said she did not think we were getting report on our patients that day.  At that point and after speaking with another clinical instructor, I decided to write up the incident but wanted to speak with Charleen first.  I planned on speaking with her on our next clinical day Feb 14. Charleen called me on Sunday Feb 13 stating assigned patient was discharged.  When I arrived for clinical I found the patient to be on same floor just different room.  I addressed clinical group on how to avoid making this mistake.  I then spoke with Charleen at the end of clinical.  I listed the formentioned incidents.  Charleen was visibly upset.  I told her that it appears to me that she has been distracted during clinical and that her performance needs to improve.  Charleen was crying and I told her to gather her thoughts and we will speak and work together on Wednesday Feb 16 , our next clinical day.  On Tuesday Feb. 15, I reported my concerns to Mrs. Barrish clinical coordinator.  On Feb. 16,  I made morning rounds with Charleen and her patients.  Mrs. Barrish arrived on unit and worked with Charleen.  I then assissted Charleen with assessing her patient and getting her out of bed.  At that point she seemed unsure and unable to answer patient related questions and unable to transfer patient to chair.  Then after charting on her patient it was noticed that she put the wrong patient labels on  patient flow sheet.  I then spoke with her after clinical at legnth.  I stated to her that at this point she is not meeting clinical objectives and will fail this clinical rotation.  I acknowledged that she is obviously distracted by personal problems at this time, but did counsel her that these distractions have caused too many dangerous patient care errors.        

