Form G (BSN Programs) » College of Nursing

Policy C-04

Clinical Site/Preceptor Assessment by Students

Semester*

Date

Faculty Name*

First Last

Faculty Email*

Preceptor Name*

First Last

Name of Site*

Clinical Unit*

Student Name*

First Last

Course Number*

Instructions: Use the drop down boxes to select your assessment for each statement. Space is provided below each statement if you choose to add any comments.

Clinical Site

1. Number of clients is sufficient*

Comments

2. There are opportunities to follow up with clients and/or clinical problems.*

Comments

3. Staff are available to help.*

Comments

4. Community resources, other agencies, and professional disciplines are involved with clients.*

Comments

Preceptor(s)

1. Assist in identifying student objectives for experience.*

Comments

2. Level of expectations is consistent with course objectives.*

Comments

3. Provides timely written/verbal feedback.*

Comments

4. Provides student rationale for own decisions.*

Comments

5. Reviews diagnoses with student.*

Comments

6. Discusses alternative management plan.*

Comments

7. Challenges the student to utilize critical thinking skills.*

Comments

General Comments

List ways this agency/individual provides quality clinical experience for students.

Recommendations

List other areas in which this agency/individual could provide optimal student learning.