Student Self-Evaluation Form For Nur 634: Advanced Health Assessment Page 4
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4TECHNICAL SKILLS - Refer to NP Clinical Skills and Procedures Checklist
Midterm Evaluation
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Provide rationale for rating and specific plan of self improvement
Final Evaluation
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Provide rationale for rating and specific plan of self improvement
MIDTERM EVALUATION
Student Signature___________________________________________ Date _________
Clinical Faculty Signature ____________________________________ Date _________
Clinical Faculty Comments:
FINAL EVALUATION
Student Signature___________________________________________ Date _________
Clinical Faculty Signature ____________________________________ Date _________
Clinical Faculty Comments:
Form # 17 - Student Self-Evaluation 634
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