Student Name _____________________________________
Directions:
Students need eight (8) hours of observational time in outpatient/inpatient/alternate clinical
arenas to complete clinical time for NURS 2410.
Students will notify your OB clinical instructor of your intended observational experience(s).
and turn this form into OB clinical instructor with the Clinical Observation Paperwork.
Students must have a group leader/manager sign and date with contact information to validate
attendance.
Date
Hours
Clinical Experience
Signature/contact phone