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Completed by Preceptor at End of Experience Preceptor’s Final Evaluation of the Student Directions: * Please provide a final evaluation of this student's skills/abilities. Include comments that will help the student and/or school faculty to have a final summary of the student's experience. ‘+ Once completed, please review with the student. Provide the student with a copy. )s]4)]3 /[2]4 ‘Comments Excel | Vey | Good | Fair | Poor ent _| Good | 1. Communicates information to others | // ina clear and accurate manner. Displays independent decision- ‘making, Handles stress in a positive manner. Demonstrates flexibility and the ability | wasableto PAI Ze Unch, to prioritize. CHOBE pacer, Smeuid BE seen in with other healthcare team members, and CASE qwaNOGeKS Demonstrates professional role responsibilities (related to Pl, standards, shift reports, etc.) | JexOneNt job giving epee | ie mconina aur Demonstrates accurate skills when performing procedures and using prcked op Fayt oy Oe. v Y v Demonstrates effective collaboration | / waved uw with PT]OT v v equipment. dumps Tn collaboration with the patient, family and other healthcare team members, the Student, under the direction of the MCC RN, can: '* Conduct initial and ongoing patient assessment. selected patients + Develop an appropriate plan of care, advocate for changes in plan, a8 appropriate ‘Identify patient care needs for we | ‘= Implement the plan of care. | «= Evaluate results of nursing care + Document accurately. Demonstrates professional responsibilty in the student role | 70. ‘Demonstrates skills related to the i management of selected emergency or urgent situations. Tou Preceptor Name - Printed Foulor Ashor Rev: 5/4/12 (ew)

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