1. May, 4, 2016
To whom it may concern:
I was Stiffra’s Clinical Instructor for one semester in 2015. Stiffra was always accountable for her clinical
practice and recognizing what she could/could not do. For example: when asked to administer an intravenous
medication for the first time, she sought support from me to guide her through the process so as not to
administer it without the proper knowledge, skills and judgement to perform the skill.
Stiffra worked effectively and collaboratively with the interdisciplinary team to achieve optimal client-centred
care. She was very comfortable speaking with various physicians, RNs, RPNs, physiotherapists, etc about
post-operative care and how to facilitate a good transition home.
She consistently prioritized safety when caring for clients, for example: seeking assistance from myself and/or
other RNs when asked to help ambulate clients post-operatively.
Stiffra took the time to consult clients and their support systems regarding the care they were receiving in
order to ensure that the care she delivered was client-centred and met their needs. She spoke with various
clients and their families to discuss what their preferences and concerns were in terms of the post-operative
plan of care for the client; such as how they would be comfortable ambulating, which ADLs they felt
comfortable performing independently, etc.)
Stiffra always maintained effective open lines of communication with all members of the health care team.
She participated in rounds and provided reports on the clients she was assigned to, she relayed any
documentation to the RN she was working with to provide consistency and made sure that she spoke up if the
client she was working with had decompensated.
It was a pleasure working with Stiffra and any unit would be lucky to have her as a student nurse.
Francis Macapagal RN, BScN, MN