Preceptor Evaluation of the Student - SMC This is not a grading tool. It is a communication tool. Faculty will follow up as needed. Preceptor Name(Required) First Last Date of Clinical(Required) MM slash DD slash YYYY 1.1 Arrives on time, ready to learn and completes clinical hours scheduled.(Required) Unsatisfactory Satisfactory Not Applicable 1.2 Adheres to NOC and facility uniform guidelines.(Required) Unsatisfactory Satisfactory Not Applicable 1.3 Assesses clients on an ongoing basis and intervenes appropriately to changes.(Required) Unsatisfactory Satisfactory Not Applicable 1.4 Communicates therapeutically with clients, families and coworkers.(Required) Unsatisfactory Satisfactory Not Applicable 1.5 Has a working knowledge of and safely administers medication and treatments.(Required) Unsatisfactory Satisfactory Not Applicable 1.6 Prioritizes care appropriately.(Required) Unsatisfactory Satisfactory Not Applicable 1.7 Completes documentation accurately.(Required) Unsatisfactory Satisfactory Not Applicable 1.8 Collaborates effectively with multidisciplinary healthcare team members.(Required) Unsatisfactory Satisfactory Not Applicable 1.9 Exhibits professional behavior.(Required) Unsatisfactory Satisfactory Not Applicable 1.10 Seeks out learning activities with enthusiasm.(Required) Unsatisfactory Satisfactory Not Applicable 1.11 Open to feedback and changes practice accordingly.(Required) Unsatisfactory Satisfactory Not Applicable 1.12 Overall impression of my student's performance during clinical today.(Required) Unsatisfactory Satisfactory Not Applicable 1.13 Add any positive feedback or areas of improvement in the comment box below.
