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NUR 460 — NURSING CAPSTONE PRACTICUM HOURS Verification Please use this form to document your practicum hours. Include the dates and times of your ‘experiences with a brief description* of what was accomplished. Students may include 2 hours of time for practicum preparation during Week 1. All students are required to document at least 45 total hours of experience. Please have this form signed by you and your preceptor (if applicable) during your last practicum experience. Student:__Abigail Angell Practicum Agency:__Eastern Arizona College__Preceptor:__Natali Carter, Date and Times Activity Completed Preceptor Hours Initials completed 09/02/2022- Skills Lab- Bed Bath, Vital Signs 6 hours Tam-11am, ne 12pm-2pm 09/09/2022- Skills Lab- Perineal Care of Female, 6 hours 7am-Liam, Perineal Care of Male w/ brief change | “>C 12pm-2pm 09/16/2022- Skills Lab- Feeding Dependent 6 hours Tam-L1am, Resident, Dressing Resident, Ted he 12pm-2pm Stockings 09/23/2022- Skills Lab- Denture Care, Making an 6 hours 7am-11am, occupied bed, Oral care/ brush teeth/ ne 12pm-2pm, mouth swab, Measuring Ht/Wt. 09/26/2022- Classroom- Vital Signs 4 hours 7am-Sam, AC 12pm-2pm 09/28/2022- Skills Lab- Extra Practice: mA 2 hours 6pm-8pm 09/30/2022- Skills Lab- Catheter Care and emptying 4hours Qam-L1am, _| a foley, Isolation Gown and Gloves/ We 12pm-2pm Bedpan w/ handwashing, Transfer w/ gait belt 10/05/2022- Classroom- Basic Nutrition 2 hours Sam-11am nN 10/10/2022- Classroom- Urinary and Bowel 4 hours 9am-11am, elimination AC 12pm-2pm 10/14/2022- Skills Lab- Re-positioning resident, 6 hours Tam-11am, __| Range of motion ne 2pm-2pm TOTAL HOURS COMPLETED. 46 hours nf attendan Students may claim up to 3 hours by attending a professional conference as a part of their practicum hours. Conferences must be pre-approved by your instructor. Students who attend a conference must document the information here and submit a copy of the CEU Certificate. Date ‘Time of Conference Title Total conference Hours Total Hours Completed__46 Hours, 45 hours are required to meet course expectations By signing below, | attest that all information is true, accurate, and complete. Student Signature Preceptor Signature — Wate ha lord en) 25

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