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)