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Lynchburg General Hospital School of Nursing
Graduate Follow-up Questions

Name:
LastFirstMiddle/MaidenYear of Graduation
Address:
,

I.Demographic Data
A.Employment Status
1.Are you currently licensed to practice nursing?
Yes No
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:
Are you currently seeking employment in nursing?
Yes No
Outside of nursing?
Yes No

B.Education
1.Are you currently attending college or have you attended since graduation?
Yes No
Name of School:
Degree pursued: Nursing
Other Field (please specify)
Do you plan to attend college in the future?
Yes No
2.Have you received specialty certification (ie. ACLS, CCRN, Med Song, PALS)?
Yes No
Specify:
3.Have you participated in continuing education programs since graduation?
Yes No
In-services:

Professional Seminars:


C.Memberships: Professional and Civic
1.Are you a member of:
Alumni Association of Lynchburg General Hospital School of Nursing?
Yes No
Other professional organizations?
Yes No
Specify:
2.Have you participated in a professional capacity in community activities?
Yes No
Specify:
3.Do you participate in community or religious organizations?
Yes No
Specify:

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

The purpose of Lynchburg General Hospital School of Nursing is to provide qualified men and women with educational experience which will result in their developing the knowledge, attitudes and competencies to practice as registered nurses in entry level positions in the community they serve. The goals 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.Utilize the nursing process as the foundation for the delivery of heath care to the individual, family, and community.

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

 1 2 3 4 5
D.Demonstrate responsibility as a contributing member of the community. 1 2 3 4 5

III.Curriculum Objectives
Instructions:
Listed below are the curriculum objectives for Lynchburg General Hospital School of Nursing. Please select the appropriate number for the qualifying statements under the objective to indicate how well you have attained the objective.

At the completion of the Lynchburg General Hospital School of Nursing curriculum the graduate:

Objective I: Functions as a beginning practitioner in acute, intermediate, ambulatory, and long term health care services and settings in the care of individuals, families, and groups of all ages.
.
Below Avg (1) - (2) - Avg (3) - (4) - Above Avg (5)
A.Identifies patient needs.

 1 2 3 4 5
B.Provides basic nursing care.

 1 2 3 4 5
C.Performs basic nursing skills.

 1 2 3 4 5
D.Documents appropriate data thoroughly and concisely.

 1 2 3 4 5
E.Include families/significant others in care.

 1 2 3 4 5
Objective II: Utilizes the nursing process to promote, maintain, and restore adaptive responses for individuals, families, and groups 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.Plans therapeutic nursing intervention based on data gathered through assessment.

 1 2 3 4 5
C.Administers therapeutic nursing interventions by using an interaction between technical and psychosocial skills.

 1 2 3 4 5
D.Evaluates patient response to therapeutic nursing interventions.

 1 2 3 4 5
Objective III: Practices nursing based on a theoretical body of knowledge, ethical principles, and legal standards.
.
Below Avg (1) - (2) - Avg (3) - (4) - Above Avg (5)
A.Applies a scientific knowledge base in the practice of nursing.

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

 1 2 3 4 5
C.Applies ethical principles in decision making.

 1 2 3 4 5
D.Functions according to legal guidelines and institutional policies established for Registered Nurses.

 1 2 3 4 5
Objective IV: Utilizes the principles of management/leadership in coordinating care for individuals, families and groups and collaborating with members of the interdisciplinary health care team.
.
Below Avg (1) - (2) - Avg (3) - (4) - Above Avg (5)
A.Collaborates with members of the heath care team in order to enhance care.

 1 2 3 4 5
B.Applies principles of organization and time management.

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

 1 2 3 4 5
D.Serves as a role model for nursing and ancillary personnel

.		 1 2 3 4 5
Objective V: Employs scientific knowledge and therapeutic use of self to assist individuals to strive for optimal health or to prepare for death.
.
Below Avg (1) - (2) - Avg (3) - (4) - Above Avg (5)
A.Employs therapeutic communication abilities in the provision of patient care.

.		 1 2 3 4 5
B.Teaches individuals and families at their level of understanding.

.		 1 2 3 4 5
C.Practices nursing in a nonjudgmental manner.

.		 1 2 3 4 5
D.Ensures the dignity, privacy, and rights of others.

.		 1 2 3 4 5
Objective VI: Demonstrates responsibility and accountability for professional practice.
.
Below Avg (1) - (2) - Avg (3) - (4) - Above Avg (5)
A.Accepts responsibility for nursing judgments.

.		 1 2 3 4 5
B.Employs measures to ensure client safety.

.		 1 2 3 4 5
C.Analyzes own behavior to improve performance.

.		 1 2 3 4 5
D.Utilizes appropriate resources in provision of patient care.

.		 1 2 3 4 5
Objective VII: Utilizes opportunities for continuing personal and professional development.
.
Below Avg (1) - (2) - Avg (3) - (4) - Above Avg (5)
A.Utilizes self-awareness and suggestions for improvement to enhance performance.

.		 1 2 3 4 5
B.Attends continuing education or 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
Objective VIII: Participates in health related community services.
.
Below Avg (1) - (2) - Avg (3) - (4) - Above Avg (5)
A.Contributes to activities that enhance the image of nursing.

.		 1 2 3 4 5
B.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 licensssure examiniation.

 1 2 3 4 5
D.Rate your overall satisfaction with Lynchburg General Hospital School of Nursing.

 1 2 3 4 5
E.Would you recommend Lynchburg General Hospital School of Nuring to others interested in nursing?

 1 2 3 4 5
F.In retrospect, would you select a diploma program?

 1 2 3 4 5
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