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