NUR 2811C Syllabus Page 22 of 23
Miami Dade College
Benjamin Leon School of Nursing
Medical Center Campus
Professional Nursing Leadership
NUR 2811C
PRECEPTOR EVALUATION TOOL
Thank you in advance for your support & dedication in making this leadership experience
possible for our students.
Please place an “X” in all applicable areas. For any area marked unsatisfactory performance,
please provide a comment for this rating.
STUDENT. ) \W \ \ On x da
CLINICAL INSTRUCTOR: ( L Cay 6
Evaluation of Core Components Meets Expectations | Unsatisfactory
i Performance
COMMUNICATION ¥
Gives & receives relevant information during shift i
report.
‘Completes/updates care plan on assigned patients,
Uses therapeutic communication techniques when rl
providing care to assigned patients.
ASSESSMENT.
Performs comprehensive head-to-toe assessment on ai
‘each patient according to acuity level.
Discriminates assessment data & sets priorities for
patient care.
MANAGING CARE
‘Coordinates care for groups of patients in a timely
manner.
Prioritizes & individualizes care to meet patients”
needs,
Participates in admissions, transfers, & discharges. a
Evaluation of Core Components Meets Unsatisfactory
Expectations Performance
CARING INTERVENTIONS
Revised 11/2019NUR 2811C Syllabus Page 23 of 23
Promotes patient's dignity & privacy. N
‘Administers medications while demonstrating the
“five rights” & knowledge of medications being
administered. Validates classification, actions, safe
dosage range, side effects, nursing implications, &
patient teaching with preceptor.
TEACHING-LEARNING
support achievement of patient outcomes.
COLLABORATION
Validates teaching interventions with preceptor to a
Participates in one or more daily unit activities such :
as: IN
> Trans-disciplinary rounds
> Team meetings
D Inter-shift report
Collaborates with health team members.
COMMENTS:
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Preceptor Name & Credentials (printed) om ws Yor ny
Preceptor awa
Signature: Date:!O-|10, A014
Revised 11/2019NUR 2811C Syllabus
Page 22 of 23,
Miami Dade College
Benjamin Leon School of Nursing
Medical Center Campus
Professional Nursing Leadership
NUR 2811C
PRECEPTOR EVALUATION TOOL
Thank you in advance for your support & dedication in making this leadership experience
possible for our students.
Please place an “X” in all applicable areas. For any area marked unsatisfactory performance,
please provide a comment for this rating.
STUDENT. una Marylanda
CLINICAL INSTRUCTOR: Hie GUN GVO Sle
Evaluation of Core Components
‘Meets Expectations
Unsatisfactory
Performance
COMMUNICATION
Gives & receives relevant information during shift
report.
Completes/updates care plan on assigned patients.
Uses therapeutic communication techniques when
providing care to assigned patients.
ASSESSMENT
Performs comprehensive head-to-toe assessment on
each patient according to acuity level.
Discriminates assessment data & sets priorities for
patient care.
MANAGING CARE
Coordinates care for groups of patients in a timely
manner,
Prioritizes & individualizes care to meet patients”
needs.
Participates in admissions, transfers, & discharges.
Evaluation of Core Components
Meets
Expectations
Unsatisfactory
Performance
CARING INTERVENTIONS
Revised 11/2019NUR 2811C Syllabus
Page 23 of 23
Promotes patient's dignity & privacy.
| Administers medications while demonstrating the
“five rights” & knowledge of medications being
administered. Validates classification, actions, safe
dosage range, side effects, nursing implications, &
patient teaching with preceptor. _
TEACHING-LEARNING
‘Validates teaching interventions with preceptor to
support achievement of patient outcomes.
COLLABORATION
Participates in one or more daily unit activities such
as:
> Trans-disciplinary rounds
> Tcam meetings
> Inter-shift report
Collaborates with health team members.
COMMENTS:
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Preceptor Name & Credentials (printed)
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Signature:_[
Wicok Galvez QN
Revised 11/2019
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