School of Nursing RN to BSN Student Self-Evaluation

Student Name:*

Student Email:*

Preceptor Name:*

Preceptor Email:*

Please reflect critically upon your practicum experiences in this course and your achievement of the key competencies of your degree. Provide an honest and thoughtful review of your perceived strengths and weaknesses. These will be areas of opportunity for your continued growth and development as you continue to progress through your remaining practicum courses. This survey will be open for one week. For any further clarification or concerns, please contact the Director of Clinical Training, Alicia Cooper (aliccoo@regent.edu), and cc her teacher’s assistant, Melijah Harris (melih21@regent.edu).

1. Please rate yourself on the following:

1a. The student demonstrates critical thinking in planning for the optimal patient outcome.*

1b. Document Practicum Example of Achievement*

2a. The student's appearance, demeanor, and reliability is appropriate.*

2b. Document Practicum Example of Achievement*

3a. The student responds well to constructive criticism and feedback.*

3b. Document Practicum Example of Achievement*

4a. The student establishes general patient acceptance/rapport.*

4b. Document Practicum Example of Achievement*

5a. The student provides the patient with empathy and support.*

5b. Document Practicum Example of Achievement*

6a. The student presents cases in an organized manner.*

6b. Document Practicum Example of Achievement*

7a. The student maintains confidentiality and adheres to HIPAA.*

7b. Document Practicum Example of Achievement*

8a. The student performs appropriate examinations on the patient.*

8b. Document Practicum Example of Achievement*

9a. The student analyzes and interprets problems correctly.*

9b. Document Practicum Example of Achievement*

10a. The student incorporates patient/family cultural preference, beliefs, and traditions into the management plan.*

10b. Document Practicum Example of Achievement*

11a. The student demonstrates appropriate clinical judgment.*

11b. Document Practicum Example of Achievement*

12a. The student demonstrates efficient use of time.*

12b. Document Practicum Example of Achievement*

13a. The student assumes responsibility.*

13b. Document Practicum Example of Achievement*

14a. The student has strong oral presentation skills.*

14b. Document Practicum Example of Achievement*

15a. The student exercises sound judgement.*

15b. Document Practicum Example of Achievement*

16a. The student pays attention to detail.*

16b. Document Practicum Example of Achievement*

17a. The student has a strong work ethic.*

17b. Document Practicum Example of Achievement*

2. Please list the student's strengths:*

3. Please list the areas where the student need to improve:*

4. Please list any goals the student and preceptor have discussed:*