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 hoursnf 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