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Home
Specialty Area Clinical – Preceptor Evaluation of the Adult I Student
Date
(Required)
MM slash DD slash YYYY
Student Name
(Required)
First
Last
Preceptor Name
(Required)
First
Last
Specialty Area
(Required)
Wound Care
Respiratory
Vascular Access
Rural Health
Other
1.1 Arrives on time, ready to learn and completes clinical hours scheduled.
(Required)
Unsatisfactory
Satisfactory
Not Applicable
1.2 Adheres to NOC and facility uniform guidelines.
(Required)
Unsatisfactory
Satisfactory
Not Applicable
1.3 Communicates therapeutically with clients and family.
(Required)
Unsatisfactory
Satisfactory
Not Applicable
1.4 Demonstrates knowledge appropriate for this specialty area.
(Required)
Unsatisfactory
Satisfactory
Not Applicable
1.5 Actively engaged and expresses interest throughout clinical experience.
(Required)
Unsatisfactory
Satisfactory
Not Applicable
1.6 Asks appropriate questions for this specialty area.
(Required)
Unsatisfactory
Satisfactory
Not Applicable
1.7 Collaborates effectively with multidisciplinary healthcare team members.
(Required)
Unsatisfactory
Satisfactory
Not Applicable
1.8 Exhibits professional behavior.
(Required)
Unsatisfactory
Satisfactory
Not Applicable
1.9 Seeks out learning activities with enthusiasm.
(Required)
Unsatisfactory
Satisfactory
Not Applicable
1.10 Overall, impression of my student’s clinical performance today.
(Required)
Unsatisfactory
Satisfactory
Not Applicable
Please include any positive feedback and areas for improvement. Also include an explanation of any unsatisfactory areas.
(Required)
Δ