ARC Respiratory Care Clinical Preceptor Evaluation of Student

CLINICAL PRECEPTOR EVALUATION OF STUDENT

Instructions: Please be frank and honest in reacting to the following statements regarding your opinion of the student’s clinical performance. Check the appropriate response.

Name


Student Name:




Dates of Clinical Rotation:




Respiratory Course Number:
51L
52L
53B
54B


Semester:


Fall
Spring


Clinical Facility:




Evaluator Name & Title:




Department / Area(s) Assigned:




The student had adequate knowledge to demonstrate understanding of the basic concepts related to the area assigned.


STRONGLY AGREE
AGREE
UNDECIDED
DISAGREE
NOT APPLICABLE
NOT OBSERVABLE


The student had adequate knowledge to demonstrate understanding of the basic concepts related to the area assigned.


STRONGLY AGREE
AGREE
UNDECIDED
DISAGREE
NOT APPLICABLE
NOT OBSERVABLE


The student was able to apply concepts to the correct application of equipment in the area assigned.


STRONGLY AGREE
AGREE
UNDECIDED
DISAGREE
NOT APPLICABLE
NOT OBSERVABLE


The student and clinical preceptors was supplied with specific written objectives and tasks that were current and appropriate to the assigned area.


STRONGLY AGREE
AGREE
UNDECIDED
DISAGREE
NOT APPLICABLE
NOT OBSERVABLE


There were adequate resources (personnel, supplies, equipment) available for student learning.


STRONGLY AGREE
AGREE
UNDECIDED
DISAGREE
NOT APPLICABLE
NOT OBSERVABLE


The student demonstrated initiative and professional behaviors.


STRONGLY AGREE
AGREE
UNDECIDED
DISAGREE
NOT APPLICABLE
NOT OBSERVABLE


The student was punctual and dependable in fulfilling the assignments.


STRONGLY AGREE
AGREE
UNDECIDED
DISAGREE
NOT APPLICABLE
NOT OBSERVABLE


The student was groomed in manner acceptable to the facility.


STRONGLY AGREE
AGREE
UNDECIDED
DISAGREE
NOT APPLICABLE
NOT OBSERVABLE


The student demonstrated sound judgment in the interactions with staff by his/her demeanor.


STRONGLY AGREE
AGREE
UNDECIDED
DISAGREE
NOT APPLICABLE
NOT OBSERVABLE


The student demonstrated sound judgment in the interactions with patients by his/her demeanor.


STRONGLY AGREE
AGREE
UNDECIDED
DISAGREE
NOT APPLICABLE
NOT OBSERVABLE


STRENGTHS OF THE STUDENT:




AREAS FOR IMPROVEMENT:




COMMENTS SECTION:

If you have additional information that you feel will provide valuable feedback, please respond here:







American River College, Respiratory Care Program
Sacramento, CA