Summative Performance Evaluation of New Hire RN Chamberlain University College of Nursing NR-537: Assessment and Evaluation in Education Date Submitted Successful Learner’s Summative Evaluation Practice setting: New hire RN being evaluated for professional development within a hospice agency that provides care to end-of-life patients within the home setting. The learner in this scenario is a new graduate associate degree RN without experience beyond clinical rotations during their educational experience. The learner has completed 15 days of precepting and is being evaluated on their skill level for the patient admission process to hospice services within the home setting. The learner is being evaluated by the director of clinical education within the hospice agency. The learner has completed 15 days of precepting with an RN who has 15 years of hospice experience. The learner has assisted in three hospice patient admissions within the home setting with varied terminal diagnoses. Instructor observation: Learner A Prior to arriving at the potential patient’s home, the learner obtained the history and physical of the potential admission to hospice services from the admission coordinator and reviewed the documentation to ensure the patient will meet the local coverage determination (LCD) as determined by Medicare guidelines. Learner A determined that the patient should qualify for hospice services with the diagnosis of heart failure due to an ejection fraction of 20%, shortness of breath at rest, and the inability to carry out activities of daily living without maximum assistance. Learner A contacted the hospice physician and primary care physician for an order to admit to hospice services. Learner A called the patient’s home to arrange a time for admission and gathered the appropriate paperwork and supplies prior to leaving the office. Upon arrival at the patient’s home Learner A introduced herself and this observer in a professional manner. Learner A identified the patient based on name, date of birth, and Medicare identifier.