University of the East

Ramon Magsaysay Memorial Medical Center Inc

Graduate School - Nursing

Clinical Practicum Guidelines

Preceptor Guidelines

Clinical practicum hours are to be arranged at the convenience and availability of the preceptor.
The students personal and work schedules are expected to accommodate participation in the
required number of clinical hours prescribed by the clinical course. Students and preceptors need
to agree on the days and times that the student will be in the clinical area assigned prior to the
beginning of the practicum experience. In the event the student or preceptor got sick or weather
events make traveling hazardous, the student should notify the Graduate School clinical faculty
and also arrange to schedule a make-up time with the preceptor.

Attendance

It is the responsibility of the student to monitor the number of hours completed, and plan on
completing the required hours within the assigned semester of completion. There are times when
preceptors will choose the specific days of the week for clinical practicum due to availability of
patients, schedule of out-patient clinics, and location of clinics. The preceptor is required to date
and sign off the graduate student on each skill that was completed. When a student is unable to
report on the day of scheduled duty, the student should notify both the preceptor and the Clinical
Faculty. In times of prolonged unexpected illness, the student and or preceptor should discuss
with the Grad School clinical faculty a possibility of extension of clinical practicum.

Attire and Behavior of Graduate Student

Students must determine the appropriate dress attire prior to first clinical day. Some areas may
require that a lab coat or other specialized garb be worn in specialized patient care areas (e.g.
OR, Interventional radiology). The UERM name tag must be worn at all times during clinical
hours. Professional attire should be followed at all times particularly with patient contact.
Students are expected to be respectful to preceptors, patients/family, nursing staff and other
hospital/clinic personnel. Interactions with patients and other health care personnel are learning
opportunities for the graduate student to role model clinical expertise. Students are encouraged to
observe their preceptors interactions with other health care personnel as it relates to advanced
practice roles and to avoid falling back into staff RN role.
Clinical objectives
The graduate student should reflect and develop individual learning objectives that will meet and
facilitate his/her learning needs and enhance previous clinical experiences (e.g physical
assessment, suturing, reading of X-rays, development of patient education materials). Clinical
objectives must be measurable and be evaluated at the end of the clinical practicum until all are
met.

Evaluation of the Clinical Practicum

In general, it is the responsibility of the graduate student to arrange for evaluations to occur with
his/her preceptor. Evaluations should involve a brief summary of the experiences as well as
reflective and thorough self evaluation of strengths and weaknesses, progress and needs and
personal thoughts about how the clinical practicum could be improved in the future. The
graduate student should fill out the evaluation form first. It should be completed and signed off
by both the graduate student and the preceptor.

Preceptor qualifications

Physician preceptors should hold a medical degree from an accredited program and be board
certified. The physician must have at least 2 years of work experience and with a current license
to practice in the Philippines.
The Physician should provide the Graduate School a copy of his/her medical license and an
updated Curriculum Vitae.

Responsibilities of Preceptor

1. Facilitate graduate student learning experience based on specific clinical objectives

agreed upon.
2. Ensure that the learning experience of the student include collaboration with other health
care professionals (e.g. rehab, PT, staff nurses, etc.)
3. Assist student in identifying a patient for case study (for submission to the Clinical
Faculty at the end of the clinical practicum .
4. Provide feedback to the student every after each day of clinical duty.
5. Communicate with the Graduate School clinical faculty about progress or any issues that
may occur during the Clinical Practicum.
6. Evaluate the students performance (complete evaluation form with the student).
7. Serve as an expert, consultant and a role model for the student.
 University of the East
Ramon Magsaysay Memorial Medical Center Inc
Graduate School - Nursing

Graduate Preceptor Data Sheet and Preceptor Agreement

To be completed by the Student:
Student Name: Ronel M. Opulencia Year: 2nd year Semester: 2nd trimester
Contact Information: Email ronnnnel2yahoo.com Cell Phone: 09178350262
Course Number:_________ Course Title: MSN-AHN Required Hours:50 hours

Clinical Faculty Name:___________________________

Faculty Contact Information:
E-mail:_______________________________ Cell Phone:____________________________

To be completed by Preceptor:

Name/Credentials:__________________________________________________________

Position/Title:___________ Degree/s:_______________ Date Complete:______________

Number of years in Practice: _______ Specialization/s:____________________________

Name of Facility:___________________________________________________________
Address:__________________________________________________________________

Contact Information: Preference____________________

Office Phone: _____________________ Cell Phone: ______________________

E-mail address:______________________________

I, ________________________________________(preceptors name), agree to act as preceptor

for a graduate student, Ronel M. Opulencia (students name) and assist the student to
achieve the course outcomes for the period beginning _______________________ through
_____________________. I accept the responsibility outlined in the Preceptor Guideline
provided by the Graduate School. I verify accuracy of all the information and have received and
reviewed the learning objectives of the graduate student. I have attached a copy of my CV and
License.
________________________________________ ___________________
Preceptors Signature Date

________________________________________ ___________________
Program Director Date
 UERMMMCI Graduate Student-Nursing
Clinical Practicum Evaluation Tool

Student: Ronel M. Opuelncia Faculty/Evaluator: Dr. Arman Delo Tan M.D

Total Score____________

Please rate the following behaviors and skills as appropriate using the following rating scale:

1) Not Observed
2) Below Expected Level: consistently requires substantial assistance to perform tasks
adequately
3) Basic Level: performs tasks with basic skill and with moderate amount of
assistance/supervision
4) Intermediate Level: performs tasks with skill and able to interpret findings with minimal
assistance/ supervision
5) High Level: performs tasks with proficiency and skill, interprets findings and information
with good judgment, using assistance/supervision. Student would be safe to function in a
setting with consultation available.
6) Outstanding: performs tasks with high level of proficiency and skill, interprets findings
and information with outstanding judgment without assistance. Student would be safe to
function in a setting without consultation available
Note: Depending upon the setting, not all areas will be addressed. In this case, please rate
as 1.

*The expected level of functioning for this course is represented by the darkened areas.

Within the population and setting of interest, the Graduate student will:
A. Patient/Client Sphere of Influence (cont.) 1 2 3 4 5 6
1. Identify, plan, & utilize appropriate pharmacologic
interventions (pharmacotherapeutics and
pharmacodynamics)
2. Identify, plan, & utilize appropriate nonpharmacologic
interventions
3. Performs advanced Physical assessment and problem
focused
4. Discuss and interpret laboratory results and radiological
findings.
5. Performs psychological and cultural assessment (include
patientss developmental stage)
6. Includes patients/families/significant others in the
assessment, diagnosis, planning, intervention, &
evaluation process
7. Demonstrate skill in the use of Gordons health
assessment to an actual patient (patient Case Study)
8. Identifies and Prioritizes patient care problems based
 on assessments.
9. Articulate basic epidemiological statistical reports on
specialized area/ population of choice (include reports
among Filipinos).
10. Determine risk reduction interventions to promote
health of patient population (based on studies/
literature).
11. Identify disease management strategies with research
outcomes for specialized population
B. Leadership roles in Nursing Practice Sphere of Influence 1 2 3 4 5 6
1. Identify educational needs of patient/family/nursing staff
2. Articulates strengths and weaknesses and needs for self
improvement
3. Incorporate adult learning principles during design of
educational materials & delivery of educational content
4. Articulate new/updated clinical practice guide-lines, clinical
pathways about the patient population of choice.
5. Articulates scope and limitations of APN roles
6. Acts as patient advocate (consider cost of care/affordability)

Within the population and setting of interest, the Graduate student will:
C. Organizations/Systems Sphere of Influence 1 2 3 4 5 6
1. Identify problems about the health care delivery system within
the organization pertaining to the patient population.
2. Communicates with preceptor observations that could
potentially lead to issues, problems about patients condition
(e.g delays, cancellations, etc.)
8. Identify a population-based program of care (e.g. develop
patient education materials, support groups etc.)

D. Professional Competencies 1 2 3 4 5 6
1. Communicate clinical objectives clearly to preceptor &
clinical advisor
2. Seek assistance from preceptor appropriately
3. Adequately prepare prior to clinical activities
4. Recognize & remediate areas needing improvement
5. Retain composure under stress
6. Demonstrate professional behavior (timeliness, professional
attire, etc)
7. Become more independent as clinical experience progresses
8. Develop more in-depth understanding of the APNs role as the
 clinical activities progress
9. Demonstrate accuracy in documentation according to facility
policy
10. Verbally communicate effectively with nurses & other health
care team members

Please describe the students major strengths:

Score Grade
180 175 1.0
174 160 1.25
159 150 1.5
Please describe the students 149 140 1.75 areas for continued growth:
139 135 2.0

Additional comments:

Student
Signature ___________________________________Date____________________________

Faculty/Evaluator
Signature___________________________________Date_____________________________