ALBANY STATE UNIVERSITY COLLEGE OF HEALTH PROFESSIONS FAMILY NURSE PRACTITIONER PROGRAM STUDENT CLINICAL EVALUATION & SUMMARY OF CLINICAL EXPERIENCES ‘This form is to be completed and turned in at Mid-Term and as a summary at the END of the semester with the clinical tally sheets attached, Course Number: NURS 6820 TODAY'S DATE STUDENT: Alexander Warten 04/17/2013 Course Name: Practicum, Urgent Care runing PRECEPTOR’S NAME (printed): Carol Williams CLINICAL DAILY TALLY DATES: FROM 03/12/2015 TO ‘aniddyyy IE V1 7/2015 2 ‘TOTAL HOURS OF CLINICAL THIS TALLY SHEE’ 100 ‘TOTAL HOURS OF CLINICAL FOR THE SEMESTER: 100 Use the scale below for the following evaluation: 1 = 100% of the time 2= At least 75% of the time 3= At least 50% of the time 4= At least 25% of the time cess than 25% of the time ‘THE PRECEPTOR. ‘A. Observed my history: 4 B. Observed my physical exam techniques C. Reviewed my findings D. Provided time for me to present case E, Provided adequate feedback fun} ar) an) F. Stimulated thinking from different perspectives G. Provided references for learning 4‘THE CLINICAL SITE... ‘A. Is conducive to learning Personnel were open and supportive B. C.__ Provided space for documentation D. Provided appropriate diagnostic equipment (microscope, wet mount solution, ete.) wlan) Summary of WHAT LHAVE LEARNED during this time period of clinical: My hands on skills were greatly improved this semester. I have done several [&D and suture placements throughout this rotation which was very helpful. My skills in identifying issues thRrablems beyond my scope and making the appropriate referral was also increased. I have enjoyed my time in Urgent Care and | am considering practicing in this area. This was the first time I read and interpreted x-rays also which was greatly needed. Student's Signature: Faculty Initial