zi F SoU; UNIVERSITY ©! TH FLORIDA COLLEGE OF NURSING DAILY STUDENT ANECDOTAL NOTE. Date: AA 6/15 Student's Name: PA\ Course, Semester__2_—_—— Assigned unit; CSU Number of hours worked on unit:_ 6 ‘ i se REET OR ave xepEe verte Reto average Msivain to Leaen g q Patient Assessment y 8 0 sia x a 8 Satey Q umentaton q Protestnatn wy a Gg Comments ens pleosor> ant ourge Pai woilling fo jue i one) conteloutes, Quick Lames Preceptor Name:_C\nad\otr-e [owt (Please Print) Preceptor Signature: STUDENT EVALUATION OF PRECEPTOR; Checkallthat apply Above Ayerage Average Below Average Koowledgeable a gq Encouraged learning we q o Supportive am gq Q ‘Acts as role model we a G Professionalism vg a oa Comments: Abuayys Nssae ba and very. hwetul CLINICAL FACULTY: Agree/Disagree with evaluations, Comments (inctuding preceptor feedback sc sn Fg Revised May 2012