UCLA Transition to Practice Clinical Log and Checklist Worksheet

  

I will provide a sample of how the chart should be filled. Please fill out for two days nov 2 and nov 9 12 hours each day. As if you are a nursing student. I will provide template fill everything including objectives and outcomes column.

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Transition to Practice Clinical Log and Checklist
Student Name:
Preceptor Name:
Develop clinical objectives for each clinical day, document the completion of activities and trainings, and submit per the course
instructions.
Outcomes
Date
Hours
Objectives
Total
Hours to
Date
4
(Sample)
May 2,
2018
(Sample)
4
(Sample)
1. Attended orientation and completed
course pre-assessments
2. Reviewed course documents
3. Understand course outcomes
4. Answered all student questions
Course orientation
1. Actively participate in the course
orientation
2. Review and understand program
documents
3. Review course outcomes and
requirements
4. Complete course pre-assessments
Orient to the unit
1. Meet preceptor
2. Complete scavenger hunt
3. Review unit orientation and policies
4. Begin working with nurse to complete
head to toe assessments, nursing
procedures, patient teaching.
12
(Sample)
May 5,
2018
(Sample)
Can be
done on
the same
day as
orientation
if needed
16
(Sample)
Add in your
actual
hours here
Met preceptor
1. Arranged clinical dates
2. Exchanged contact information
3. Received Pyxis access
4. Received electronic medical records
(EMR) password
5. Understand processes for initiating
safety codes, such as calling because
of fire, location of policy and
procedure manuals
6. Write in what was actually done on the
floor with your preceptor/nurse this
day
12592
Focus
English (United States)
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Transition to Practice Clinical Log and Checklist
Student Name: Maria M. Hernandez
Preceptor Name:
Develop clinical objectives for each clinical day, document the completion of activities and trainings, and submit per the course
instructions
Date
Hours
Total
Hours to
Date
Objectives
Outcomes
November
2. 2020
12
Course orientation
1. Actively participate in the course
orientation
2. Review and understand program
documents
3. Retriew course outcomes and
requirements
4. Complete course pre-assessments
5. Complete Swift River assignments
1. Attended orientation and completed
course pre-assessments
2. Reviewed course documents
3. Understand course outcomes
4. Answered all student questions
5. Completed Swift River Assignments
D Focus
30

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