SCHOOL OF NURSING BETTY WHITE HEALTH CENTER
Graduate Nursing Program
Adult-Gerontology Primary Care DNP Program
Clinical Practicum Preceptor Evaluation
Student Form
Student ___
Course ___
Semester and Year ___
Preceptor ___
| Check one |
| Preceptor Evaluation | Yes | No |
|---|
| 1.) Preceptor makes time for student to review chart and plan care with preceptor before patient encounter, as appropriate for student’s development level.Comments: | ☐ | ☐ |
| 2.) Preceptor makes time for student to review visit and plan of care after encounter.Comments: | ☐ | ☐ |
| 3.) Preceptor provides opportunities for student to learn how to consult appropriately.Comments: | ☐ | ☐ |
| 4.) Expectations for student performance are consistent with accepted professional and competencies for safe beginning level practices.Comments: | ☐ | ☐ |