1. Instructional Observation Instrument
Palm Beach Community College Nursing Program
Instructor Name: ____________________________________
Observer: _____________________________________
Date of Observation: ______________________________________
Time of Observation: ______________________________________
Course Observed: ______________________________________
Lesson Plan Observed: ______________________________________

2. A. Appraisal of Instruction in Alternative Learning Environments (Labs,
Clinicals, Studios, etc.)
Please use the following terms to record your observations of the instructor’s
job performance for the appraisal period: Meets Expectations, Needs
Improvement, Unsatisfactory, or Not Observed. These categories are
defined as follows:
Meets Expectations: Achieves professional performance standard in
this area. (Exceptional contributions are
documented in section B-2)
Needs Improvement: Marginally below performance standard in this
area. Improvement is expected.
Unsatisfactory: Substantially below performance standard in
this area. Improvement is necessary.
Areas marked “Needs Improvement” shall be fully explained below in Section
B-3.
1. The instructor was prepared for the class.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
a. Located the proper textbook and selected the correct pages that
correlate to the current lesson plan.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
b. Identified where required equipment and supplies were listed
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
c. Demonstrated the ability to locate the proper equipment and supplies
for each individual lesson.

3. ◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
d. Retrieved the necessary equipment and supplies to demonstrate the
task.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
e. Organized the supplies and equipment.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
f. Assemble the equipment and supplies together in a usable manner.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
g. Perform the assembling of the equipment and supplies in a step by
step fashion that is according to the textbook.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
h. Determine if the amount of equipment and supplies is sufficient
according to the lesson plan, and report insufficient skills lab
manager.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
2. The instructor started the class punctually and used class time effectively.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
a. Class was started on time.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed

4. b. Did not rush through the class and included all of the material with
sufficient time for student practice as outlined in the lesson plan.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
c. Class was ended on time.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
d. Students were not released early.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
3. The instructor clearly explained directions and procedures.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
a. Verbalized the objectives of the lesson.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
b. Verbalized throughout demonstration key issues and processes.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
4. The instructor provided any necessary level of individual attention and
instruction.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed

5. a. Assessed student performance of the skill, and gave constructive
feedback.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
b. Circulated throughout the room, stopping to provide encouragement
and constructive feedback.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
c. Circulated throughout the room, encouraging students to utilize skills
check-list and textbook to evaluate each other.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
5. The instructor provided any necessary safety supervision or direction.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
a. Assessed student performance of the skill, and gave constructive
feedback.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
b. Facilitated the students’ learning by utilizing equipment and supplies
according to the lesson and the textbook.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
c. Circulated throughout room identifying student’s breaks in
procedures or infection control/safety issues.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
6. The instructor demonstrated appropriate knowledge and competence in
the subject area.

6. ◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
a. Modeled the skill according to the textbook.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
b. Demonstrated expert level of understanding of the steps of the skills.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
c. Differentiated how the steps can be altered properly within the
constraints of following the textbook.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
d. Identified common areas of concern that can arise.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
e. Emphasized the consequences of omissions and mistakes.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
f. Justified any alterations of the steps listed in the textbook without
breaking professional standards of practice.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
g. Utilized additional resources/references i.e. videos, MyNursingLab,
quizzes, web links.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed

7. 7. The instructor demonstrated the appropriate and effective instructional
skills and techniques.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
a. Demonstrated the skills according to the textbook and skills check-
off.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
b. Utilized the textbook step by step list of the skill to evaluate the
students’ performance.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
c. Abstained from verbalizing during the evaluation process.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
d. Provided specific descriptive feedback with constructive
recommendations for improvement at the conclusion of the
evaluation.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
e. Critiqued student performances that correlates with other faculty
peers.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
8. The instructor was enthusiastic about the subject.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed

8. a. Exhibited positive non-verbal communication techniques in
discussions with students.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
b. Projected an air of confidence and professionalism in her behaviors.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
c. Articulated a working knowledge of the lesson and clinical practice
applications.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
d. Practiced open stance, facing forward toward the class while
speaking.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
e. Established eye contact and smiled with audience.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
f. Displayed a relaxed demeanor.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
9. The instructor actively involved the students in the learning process.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed

9. a. Related the lesson to real life experiences.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
b. Created a non-threatening environment.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
c. Generated open ended questions or ideas to empower the students
to ask questions.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
d. Provided the students an opportunity to report their
satisfaction/dissatisfaction in accomplishing the skills task.
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed
10.The overall quality of instruction:
◊ Meets Expectations ◊ Needs Improvement ◊ Unsatisfactory ◊Not Observed

10. B. Overall Evaluation and Performance Summary
Observers are encouraged to take more room than indicated by
expanding the boxes or adding attachments.
1. Provide a general summary of the instructor’s performance and
instructional effectiveness.
2. This is an optional opportunity for the observer to acknowledge
excellence.

11. 3. List the objectives that were not met and identify the plan for
improvement.
C. Signature of Reviewer:
_____________________________ ___________________________
Instructor Signature Date Observer Signature Date
Note: Instructor signature does not necessarily indicate agreement with the
observation results. The signature indicates that the appraisal was
discussed with the instructor.
D. Instructor Comments (Optional)
The instructor may make any comments relevant to the observation within
(14) working days after the receipt of this observation. Comments may be
typed below or submitted on a separate sheet(s) and submitted to the
supervisor. All instructor comments will be attached to this instrument, and
placed in the instructor’s personnel file.
Instructor Comments: