Evaluation of the Preceptor Form Complete this form for each preceptor who participates in your orientation. Return completed forms to your Manager/Educator/Designee. Thank you.
Name of Preceptor: __Pam einke_____________ Date:__!/"!/#$_____________ Name of Preceptee: __%ayla Monto&er____________'nit:__(nc/ )MT_______ Strongly Agree Agree Disagree Strongly Disagree Prolem Solving!Critical "hin#ing *elected assignments +ased upon my learning needs , *et realistic e-pectations for my performance , elped me prioriti.e/ organi.e/ and pro+lem sol&e , $esource Utili%ation!Clinical S#ills Pro&ided me 0ith a kno0ledge of ser&ice1 directed me to resources including '2 policy and procedures and the '2 3e+ Page , Re&ie0ed the standards for the department/ser&ice including documentation , *upported my research/understanding of diagnoses/ procedures/ and tasks to +e completed and asked key 4uestions to promote my critical thinking skills , *uper&ised my performance throughout the shift1 0as a&aila+le to ans0er my 4uestions , Feedac#!Communication 2olla+orati&ely de&eloped my goals/o+5ecti&es for the ne-t shift , Pro&ided daily constructi&e feed+ack1 a&aila+le to ans0er 4uestions1 used &arious teaching strategies , elped me to feel confident and competent1 con&eyed a positi&e attitude and acted as a supporti&e role model , 3as easily approacha+le/ patient and encouraging1 respected me as a person and learner , Respected co60orkers and patients , *upported sociali.ation into the unit/team +y introducing me to other care team mem+ers , Strengths!Areas for &mprovement 3hat did your preceptor do that 0as most helpful7 The most helpful thing Pam did 0as if 8 didn9t feel comforta+le doing something that she 0ould do it first so 8 could o+ser&e and then she 0ould 0atch me do it the ne-t time around. *he al0ays ga&e feed+ack if it 0as positi&e or gi&ing ad&ice for something that 8 could 0ork on for the ne-t time. 8 0as ne&er ner&ous asking for help and she 0as great at gi&ing me practice for delegation and lending a helping hand 0hen she sa0 8 0as o&er0helmed. 3hen 8 0as o&er0helmed she 0ould gi&e me ad&ice on things to do differently so 8 0ouldn9t +ecome so o&er0helmed. E&erything Pam taught me 0as ama.ing and got me to 0here 8 am today in my ne0 grad residence: (ne of the +est preceptors 8 ha&e had:: 3hat could your preceptor do differently7 Truthfully 8 can9t think of anything. 8t 0as an all around ama.ing and &ery helpful e-perience: ;ny other suggestions for impro&ement of your orientation process7 3hite 2opy to Preceptor Personnel <ile1 =ello0 2opy to Preceptor
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