0830 9/28/2011
Met with Doreen regarding observed behaviors in clinical on 9/26/2011.  She had a patient with CHF, ascites and peripheral edema.  Passing by the room Doreen had her patient lying flat and was performing part of a neurological assessment and assessing pupils, with the lights on fully in the room.  Doreen was called into the hall and asked the rationale for her actions, she did not verbalized one, she was also asked about patients diagnosis and procedures he was going to have, but was unable to verbalize what was taking place.  She returned to the room after being instructed to raise the head of the bed to continue the assessment.  Approximately 900 am on Monday she came in the hall and began to cry that her patient was extremely mean and asked to be relieved of caring for him, Doreen was sent to bathroom to gather herself and return to the unit and assist other students.  Upon meeting with Doreen this morning she stated that she did know the diagnosis and definition of procedures, but that she was \"scared\" of her patient and was unable to function effectively and that she had a \"bad weekend\" due to personal health issues.  I spoke at length with Doreen regarding her having to leave personal problems outside of clinical setting to be effective as a nurse now and in the future.  Doreen was also notified that she needed to perform at the level in which a fourth level student should be achieving and that her performance Monday caused me concern for her ability to function effectively.  Doreen was also informed that she was now in excess of 12 days absent at 13.25 days and needed to meet with Mrs. Barush and Mrs. Nita on thursday morning to discuss these issues, Doreen further went on to state that she realized her attendance was an issue at the end of last school year when she absent three consecutive days. Doreen also interjects into conversations not allowing the instructor to finish complete statements. Doreen verbalized understanding of the discussion and was made aware that counseling would be documented.