UNIVERSITY OF soUTH FLORIDA COLLEGE OF NURSING DAILY STUDENT ANECDOTAL NOTE Student’s Name: Date: Course, Semester_________ssigned unit: Number of hours worked on unit: CLINICAL PRECEPTOR: Above Average Average Below Average NA Motivation to Learn Oo Patient Assessment u oO [ Skills a oO Oo Safety A a Documentation oO Professionalism xy Qo Comments: Fouller shes, Verw modwobed be learwee Preceptor Name: (Please Print) Preceptor Signature: STUDENT EVALUATION OF PRECEPTOR: Above Average Average Below Average Check all that apply Knowledgeable Encouraged learning Supportive Acts as role model Professionalism IOOOWUNIVERSITY OF SOUTH FLORIDA COLLEGE OF NURSING DAILY STUDENT ANECDOTAL NOTE ‘Student's Name: Betiny Vawlas__ Course Med uucye 2 Semester_3 Number of hours worked on unit: CLINICAL RECEPTOR: bes bere Avepan vue 0 Bese Areri Ree aceemers ae q 4 Qo sunt x a o a ease xe q o a Professionalism a a a te ‘Comments: =o have * \ Fosvel Siena i se a aA ROOK sour tl exes: Foyaredretettranion a Nearten eothean ste nen Beer Spa AGM sdb Ul (UI CIP. 1ST Nr eEVALU) ErroR: Check all that apply: ‘Average Below Average ees 8 in| Encouraged learning QO o g q o 5 a D hee hed. E leerred so much end ser cble to tit g Situstion. F tq (q enjoy He TC0 Ah Dhoatha Wa great role Maret LO One ce. Yery Gop petit And erceuresirg.Comments: Lae Preceptor Name: (Please Print) Preceptor Signature: (DENT EVA! Check all that apply Above sperage Knowledgeable Encouraged learning wy Supportive Acts as role model ProfessionalismUNIVERSITY og souTH FLORIDA COLLEGE OF NURSING DAILY STUDENT ,ygCDOTAL NOTE Student's Name: Babb Vavlay _ pate: Velie Course_ed Surge 2 Semester__3 ____ssigned unit: _M1CU Number of hours worked on unit: _(2~ CLINICAL PRECEPTOR: ‘Above sey aay ‘Average Below Average NA Motivation to Learn Patient Assessment Skills Safety Documentation Professionalism o00000; 000000 oo Comments: Daur preceptor « Preceptor Namet JON (1a Amato €N (Please Print) D Preceptor Signature: A> STUDENT EVALUATION OF PRECEPTOR: Check all that apply So ~ Above Average Ante Below Average Encouraged learning o o Supportive a Qo Acts as role model oG A Professionalism Qo oO Commins: Stydent ya be “Booby N vey deailed and +horough so Aves: NE asks quertione ard Follows directory WA ene SUNICALEACULTY: AQ Wel\ (A Mumiag Mors forwnrc. Agroe/Disagree with evaluations, Loox forwyapa 40 Ws gon ae Career deveropre* 2 aT tor feedback)