ORIENTATION OF CLINICAL PRECEPTOR – Level IV

By TVCC Faculty

Date: _______________________

Faculty: _____________________

Preceptor: ___________________

The faculty reviewed the following items with the clinical preceptor:

(Faculty should initial as each is done)

______________ Philosophy

______________ Course Objectives – RNSG 2562

______________ Community Rotation Clinical Objectives for Level IV

Syllabus)

______________ Non-Acute Care Clinical Objectives

______________ Skills Lists

______________ Evaluation Tools

______________ Description of the responsibilities of the Clinical Preceptor,

Student, and Faculty

______________ Questions to Ask ADN Students

______________ A means for contacting the faculty liaison and/or Dean of Health Occupations if necessary

______________ Preceptor Evaluation of ADN Program

______________ Agreement

Please return this sheet to the Team Leader. Please return the signed agreement to the Dean’s office.

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