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Centra Health School of Practical Nursing

Graduate Follow-up Survey

Name:
LastFirstMiddle/MaidenYear of Graduation
Address:
,

I.Demographic Data
A.Employment Status
1.Are you currently licensed as a practical nurse?
Yes No
State:
2.Did you pass the NCLEX Examination on the first attempt?
Yes No
3.Are you actively employed in nursing at this time?
Yes No
Part-Time Fulll-Time
Place:
Type of Unit:
a. If not actively employeed, are you currently seeking employment in nursing?
Yes No
b. Are you currently employed or seeking employment outside of nursing?
Yes No
Specify:

B.Education
1.Are you currently attending a program for preparation as a Registered Nurse?
Yes No
If yes, Name of School:
If No: Are you currently pursuing a degree in another field?
Yes No
If yes, Name of School
Field (please specify)
2.Have you participated in continuing education programs since graduation?
Yes Inservice
No Professional Seminars

C.Memberships: Professional and Civic
1.Are you a member of a nursing organization?
Yes No
Specify:
D.Have you volunteered in a nursing capacity in community activies?
Yes No
Specify:
E.Do you participate in community or religous organizations?
Yes No
Specify:

II.School Goals
Instructions:
Listed below are the School Goals of Centra Health School of Practical Nursing. Please select the appropriate number to indicate how well you think you have achieved the goals

The goals of the Centra Health School of Practical Nursing are to prepare graduates to:
Below Avg (1) - (2) - Avg (3) - (4) - Above Avg (5)
A.Function as beginning practitioners of nursing in acute, intermediate, long term, and ambulatory health care settings.

 1 2 3 4 5
B.Use the nursing process as a foundation to provide safe and comprehensive nursing care designed to promote, maintain and restore the health of individuals throughtout the life cycle.

 1 2 3 4 5
C.Practice within the scope of ethical, legal and professional standards.

 1 2 3 4 5
D.Act in a self-directed manner in pursuit of continuing education, personal, andprofessional growth. 1 2 3 4 5

E.
Participate in responsible citizenship activities.
1 2 3 4 5

III.Curriculum Objectives
Instructions:
Listed below are the curriculum objectives for Centra Health School of Practical Nursing. Please select the appropriate number for the qualifying statements under the objective to indicate how well you were prepared to attain the objective.

At the completion of the Centra Health School of Practical Nursing curriculum the graduate will:

Objective I: Collaborate with appropriate members of the health care team to promote, maintain or restore individual, family, and community health.
.
Below Avg (1) - (2) - Avg (3) - (4) - Above Avg (5)
A.Interacts with members of the health care team in order to enhance the care of the individuals and families.

 1 2 3 4 5
B.Functions effectively as a team member.

 1 2 3 4 5
C.Seeks guidance as indicated.

 1 2 3 4 5
D.Documents according to institutional policy.

 1 2 3 4 5
E.Reports significant observations.

 1 2 3 4 5
Objective II: Use the nursing process to promote, maintain, and restore adaptive responses for individuals, groups of individuals, and families at various developmental stages throughout the life cycle.
.
Below Avg (1) - (2) - Avg (3) - (4) - Above Avg (5)
A.Obtains accurate data by using appropriate assessment skills.

 1 2 3 4 5
B.Identifies priorities for therapeutic nursing interventions.

 1 2 3 4 5
C.Includes needs of families/significant others when performing therapeutic nursing interventions.

 1 2 3 4 5
D.Delivers nursing care in an organized manner.

 1 2 3 4 5
E.Performs technical skills safely.

 1 2 3 4 5
F.Evaluates patient/family responses to therapeutic nursing interventions.

 1 2 3 4 5
Objective III: Demonstrate responsibillity and accountability to oneself, the individual, the nursing profession, and the health care agency in delivering nursing care.

.
Below Avg (1) - (2) - Avg (3) - (4) - Above Avg (5)
A.Employs measures to assure client safety.

 1 2 3 4 5
B.Accepts responsibility for care given or not given.

 1 2 3 4 5
C.Uses critical thinking skills in decision making related to nursing judgment.

 1 2 3 4 5
D.Practices within the legal limits of nursing.

 1 2 3 4 5
E.Respects the rights and values of others. 1 2 3 4 5

Objective IV: Employ effective communication skills in establishing and maintaining therapeutic relationships with individuals, groups of individuals, and families.
.
Below Avg (1) - (2) - Avg (3) - (4) - Above Avg (5)
A.Communicates with patients and families at their level of understanding.

 1 2 3 4 5
B.Provides for continuity of patient care by communicating significant observations to the health care team.

 1 2 3 4 5
C.Communicates clearly, concisely, and using proper channels.

 1 2 3 4 5
D.Teaches patients and families on a formal and informal basis.

 1 2 3 4 5
Objective V: Identify appropriate resources for individuals and families in selected community agencies.
.
Below Avg (1) - (2) - Avg (3) - (4) - Above Avg (5)
A.Coordinates discharge planning with appropriate individuals/agencies.

 1 2 3 4 5
B.Assesses client's support systems.

.		 1 2 3 4 5
C.Consults with appropriate hospital and community resources to assist in meeting client's needs.

 1 2 3 4 5
Objective VI: Recognize the role of the practical nurse as a responsible member of the health care team.
.
Below Avg (1) - (2) - Avg (3) - (4) - Above Avg (5)
A.Identifies personal capabilities and limitations.

 1 2 3 4 5
B.Attends continuing education and staff development programs.

 1 2 3 4 5
C.Participates on nursing and institutional committees if opportunity is available.

 1 2 3 4 5
D.Seeks new learning opportunities.

 1 2 3 4 5
E.Participates in community health promotion activities.

 1 2 3 4 5

IV.Satisfaction
Below Avg (1) - (2) - Avg (3) - (4) - Above Avg (5)
A.Rate your overall preparation in the following areas:
1.Critical Thinking

 1 2 3 4 5
2.Interpersonal and Communication Skills

 1 2 3 4 5
3.Capacity for Therapeutic Nursing Intervention

 1 2 3 4 5
B.Rate your prepration for professional nursing practice.

 1 2 3 4 5
C.Rate your preparation for the licensure examination.

 1 2 3 4 5
D.Rate your overall satisfaction with Centra Health School of Practical Nursing.

 1 2 3 4 5
E.Would you recommend Centra Health School of Practical Nursing to others interested in nursing?

 Yes No
F.In retrospect, would you select a practical nursing program?

 Yes No
Comments:


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