Evaluation of Clinical Rotation by Student Nurses/Faculty at Adventist LaGrange Memorial Hospital
Return to Laura Morrison, RN, MSN – Nursing Education
School: _________________________ Clinical Dates: ___________________
Unit: ___________________________ Instructor: ______________________
Evaluation Criteria of your experience with our nurses
The nurses …
1. Assisted me to achieve the clinical objectives of my rotation.
2. Communicated clearly using SBAR/AIDET.
Strongly
Agree
4 points
Agree
3 points
Disagree
2 points
Strongly
Disagree
1 point
3. Constructively provided me pertinent feedback.
4. Utilized spontaneous learning situations to enhance my experience.
5. Facilitated my inclusion in patient care by introducing me to other members of the healthcare team as well as patients.
6. Served as a positive role model.
7. Impressed me to the degree that I would consider working at this hospital based on this clinical experience.
8. If you were to apply for hospital employment at this time, which hospital would you most like to work at? Why?
9. If there is a nurse who you would like to recognize for being especially helpful to you, please write his/her name and describe the situation.
10. Expected graduation date:
Additional Comments :
8/10dmk/kc/jm
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