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 EvaluationYesNo
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:☐☐