Form G (Graduate Programs) » College of Nursing

Policy C-03

Clinical Site/Preceptor Assessment by Students

Semester*

Date

Preceptor Name*

First Last

Faculty Name*

First Last

Faculty Email*

Name of Site*

Clinical Unit

Student Name*

First Last

Course Number*

Clinical Track

Instructions: Use the drop down boxes to select your assessment for each statement. Space is provided next to 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. Lab report and x-ray are accessible.*

Comments

4. Staff are available to help.*

Comments

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

Comments

Preceptor(s)

1. Assist in identifying goals and needs for experience.*

Comments

2. Considers student's limits according to status in program.*

Comments

3. Provides timely feedback.*

Comments

4. Provides rationale for own decisions.*

Comments

5. Reviews differntial diagnoses with student.*

Comments

6. Discusses alternative management plan.*

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.