UNIV y FLORIDA op souTHl COLLEGE of NURSING DAILY STUDENT ,NECDOTAL NOTE Student's Name: Page sitvens 3/8 (e Course ORB / PEDssemester_ a Number of hours worked on unit: (© Assigned unit CLINICAL PRECEPTOR: ‘above Average Average ‘Below Average = sia Motivation to Learn 4 | g 4 q a | | A a | | 5 a | Comments: \ : Shiva ® preaphshy m NOL) \ | ecparranee —_Pdgipr MNClaun | | Please Print) [_ resto Suture: Nuys STUDENT EVALUATION OF PRECEPTOR: call that apply Avene yerace wage en vere rvedeable Encouraged learning wy g o Supportive Q QO Acts as role model as a 0 By i CLINICAL FACULTY: Agree/Disagree with evaluations, Com ludling preceptor feedback): Clinical Faculty Signature, Revised May 2012