College Fair Information Request Form

Preceptor Evaluation of the Student – Integris

This is not a grading tool. It is a communication tool. Faculty will follow up as needed.

Preceptor Name(Required)
MM slash DD slash YYYY
1.1 Arrives on time, ready to learn and completes clinical hours scheduled.(Required)
1.2 Adheres to NOC and facility uniform guidelines.(Required)
1.3 Assesses clients on an ongoing basis and intervenes appropriately to changes.(Required)
1.4 Communicates therapeutically with clients, families and coworkers.(Required)
1.5 Has a working knowledge of and safely administers medication and treatments.(Required)
1.6 Prioritizes care appropriately.(Required)
1.7 Completes documentation accurately.(Required)
1.8 Collaborates effectively with multidisciplinary healthcare team members.(Required)
1.9 Exhibits professional behavior.(Required)
1.10 Seeks out learning activities with enthusiasm.(Required)
1.11 Open to feedback and changes practice accordingly.(Required)
1.12 Overall impression of my student’s performance during clinical today.(Required)