NURS 4440: Preceptor Evaluation of Student’s Clinical Performance

Student Natalia Marzejon Semester Summer Year 2021

Please rate the student’s clinical performance on the following scale:

0 = Does not exhibit skills;
1 = Novice; beginning skills displayed only; ability is basic
2 = Advanced beginning; acceptable performance; one step above beginning level
3 = Competent; skillful at meeting criteria
4 = Proficient; skillful at meeting the criteria in an articulated, integrated, flowing manner
5 = Expert; mastery of the skills

The student’s change project topic was: Hand hygiene

1. Student applied an evidence -based 0 1 2 3 4 5

model to propose a change project.

2. Student discussed how the change 0 1 2 3 4 5

impacts patient-centered care.

3. Student incorporates evidence-based practice 0 1 2 3 4 5

Into the clinical experience and professional practice

4. Student incorporates inter-professional 0 1 2 3 4 5

collaboration, teamwork, and role
development into the clinical experience

5. Student maintains legal and ethical standards. 0 1 2 3 4 5

6. Student collaborates with other health team 0 1 2 3 4 5

members to promote maximum health potential.

7. Student displays critical thinking and decision- 0 1 2 3 4 5

making abilities.

8. Student is responsible and accountable for 0 1 2 3 4 5

nursing practice.

9. Student exhibits leadership and management skills. 0 1 2 3 4 5

Comments: Natalia effectively applied evidence-based practice to introduce a change that successfully impacted
patient care on her unit. She was able to bring change into the culture and practice of her coworkers and has shown
leadership capabilities. She is a positive force on the unit and to her peers. This project has given Natalia the
confidence to participate in several unit initiatives and to have her voice heard. She has most recently initiated a
change regarding scheduled medication times in EPIC to prevent error messages for cumulative daily overdoses and
to alleviate medications being administered too closely between shifts. It was a pleasure to precept Natalia for this
project.

Preceptor (Print Name)__Betsy Mundell

Preceptor Signature:_Betsy Mundell Date: July 21, 2021

(The parties agree that the electronic signatures appearing on this document are the same as handwritten
signatures)