Miami Dade College

Medical Center Campus

School of Nursing

Professional Nursing Leadership

NUR 2811C

PRECEPTOR EVALUATION TOOL

Thank you in advance for your support & dedication in making this leadership experience possible for our
students.

Please place an X in all applicable areas. For any area marked unsatisfactory performance, please
provide a comment for this rating.

STUDENT_________________________________________________________

CLINICAL INSTRUCTOR: ___________________________________________

Evaluation of Core Components Meets Expectations Unsatisfactory

Performance
COMMUNICATION
Gives & receives relevant information during shift report.
Completes/updates care plan on assigned patients.
Uses therapeutic communication techniques when providing care to
assigned patients.
ASSESSMENT
Performs comprehensive head-to-toe assessment on each patient
according to acuity level.
Discriminates assessment data & sets priorities for patient care.
MANAGING CARE
Coordinates care for groups of patients in a timely manner.
Prioritizes & individualizes care to meet patients needs.
Participates in admissions, transfers, & discharges.

Evaluation of Core Components Meets Expectations Unsatisfactory

Performance

CARING INTERVENTIONS
Promotes patients dignity & privacy.
Administers medications while demonstrating the five rights &
knowledge of medications being administered. Validates
classification, actions, safe dosage range, side effects, nursing
implications, & patient teaching with preceptor.
TEACHING-LEARNING
Validates teaching interventions with preceptor to support
achievement of patient outcomes.
COLLABORATION
Participates in one or more daily unit activities such as:
Trans-disciplinary rounds
Team meetings
Inter-shift report
Collaborates with health team members.
COMMENTS:
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Preceptor Name (printed) _______________________________________________________

Preceptor Signature: __________________________________Date:_____________________