You are on page 1of 1
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF NURSING DAILY STUDENT ANECDOTAL NOTE. studen’s ime Doi Lega ue [le course MSH semester 3 ‘Number of hours worked on unit: Assigned unit: _B ZCU_ CLINICAL PRECEPTOR: ‘hoe Apes Avene lm forge NA Paieet Assessment a a q B ils Sate xy o g Documentation y o g o Professionalism o o Comments: Yyuidl wal a rect Suclent, very eager tr Learn, asked good qusrans, har docuumin ration “very thorough Preceptor Signature: preceptor Name, LINAS LUpan buffalo Present Si Paekicy pp Puffol UDENT EVALUATION OF PRECEPTO! ‘Check all that apply. Above Average Average Below Average Knowledgeable g gq ag Encouraged learning Q oO co Supportive a og a ‘Acts a role model Q go Q Professionalism a a o Comments CLINICAL FACULTY: Ce snments (including preceptor Feedbuek): ee with evaluations ‘Student Signature Revised May 2012

You might also like