Clinical Experience Evaluation

Student Evaluation of Clinical Experience & Facility

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* 1. Name of the facility
- Allendale Community for Senior Living, Allendale, NJ
- Children’s Specialized Hospital, New Brunswick, NJ
- Columbus L-Tach, Newark, NJ
- St. Michael's Medical Center, Newark, NJ
- HUMC - Mountainside Hospital, Montclair, NJ
- Neighborhood Health Services Corp., Plainfield, NJ
- Christ Hospital, Jersey City
- Rainbow Children's Medical Day Care

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* 2. Please pick a semester from the drop down menu OR write the answer

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* 3. About your clinical facility.

Please rate your clinical experience on each item using the following scale.

5 Strongly Agree
4 Agree
3 Somewhat Agree
2 Disagree
1 Strongly Disagree
N/A

If you answered disagree or strongly disagree to any question please provide an explanation and recommendation
below.

	5 Strongly Agree	4 Agree	3 Somewhat Agree	2 Disagree	1 Strongly Disagree	N/A
There were clearly defined expectations for this clinical rotation.	There were clearly defined expectations for this clinical rotation. 5 Strongly Agree	There were clearly defined expectations for this clinical rotation. 4 Agree	There were clearly defined expectations for this clinical rotation. 3 Somewhat Agree	There were clearly defined expectations for this clinical rotation. 2 Disagree	There were clearly defined expectations for this clinical rotation. 1 Strongly Disagree	There were clearly defined expectations for this clinical rotation. N/A
It was provided with clearly defined objectives and expectation.	It was provided with clearly defined objectives and expectation. 5 Strongly Agree	It was provided with clearly defined objectives and expectation. 4 Agree	It was provided with clearly defined objectives and expectation. 3 Somewhat Agree	It was provided with clearly defined objectives and expectation. 2 Disagree	It was provided with clearly defined objectives and expectation. 1 Strongly Disagree	It was provided with clearly defined objectives and expectation. N/A
I was provided timely feedback regarding my clinical performance.	I was provided timely feedback regarding my clinical performance. 5 Strongly Agree	I was provided timely feedback regarding my clinical performance. 4 Agree	I was provided timely feedback regarding my clinical performance. 3 Somewhat Agree	I was provided timely feedback regarding my clinical performance. 2 Disagree	I was provided timely feedback regarding my clinical performance. 1 Strongly Disagree	I was provided timely feedback regarding my clinical performance. N/A
Pre-conference was related to the course content.	Pre-conference was related to the course content. 5 Strongly Agree	Pre-conference was related to the course content. 4 Agree	Pre-conference was related to the course content. 3 Somewhat Agree	Pre-conference was related to the course content. 2 Disagree	Pre-conference was related to the course content. 1 Strongly Disagree	Pre-conference was related to the course content. N/A
Post conference was related to the course content.	Post conference was related to the course content. 5 Strongly Agree	Post conference was related to the course content. 4 Agree	Post conference was related to the course content. 3 Somewhat Agree	Post conference was related to the course content. 2 Disagree	Post conference was related to the course content. 1 Strongly Disagree	Post conference was related to the course content. N/A
I received timely feedback on my written assignments.	I received timely feedback on my written assignments. 5 Strongly Agree	I received timely feedback on my written assignments. 4 Agree	I received timely feedback on my written assignments. 3 Somewhat Agree	I received timely feedback on my written assignments. 2 Disagree	I received timely feedback on my written assignments. 1 Strongly Disagree	I received timely feedback on my written assignments. N/A
I was aware or made aware of the focus and objectives of each clinical day.	I was aware or made aware of the focus and objectives of each clinical day. 5 Strongly Agree	I was aware or made aware of the focus and objectives of each clinical day. 4 Agree	I was aware or made aware of the focus and objectives of each clinical day. 3 Somewhat Agree	I was aware or made aware of the focus and objectives of each clinical day. 2 Disagree	I was aware or made aware of the focus and objectives of each clinical day. 1 Strongly Disagree	I was aware or made aware of the focus and objectives of each clinical day. N/A
The clinical evaluation form was explained at the beginning of this rotation.	The clinical evaluation form was explained at the beginning of this rotation. 5 Strongly Agree	The clinical evaluation form was explained at the beginning of this rotation. 4 Agree	The clinical evaluation form was explained at the beginning of this rotation. 3 Somewhat Agree	The clinical evaluation form was explained at the beginning of this rotation. 2 Disagree	The clinical evaluation form was explained at the beginning of this rotation. 1 Strongly Disagree	The clinical evaluation form was explained at the beginning of this rotation. N/A
I was given an opportunity in my clinical evaluation.	I was given an opportunity in my clinical evaluation. 5 Strongly Agree	I was given an opportunity in my clinical evaluation. 4 Agree	I was given an opportunity in my clinical evaluation. 3 Somewhat Agree	I was given an opportunity in my clinical evaluation. 2 Disagree	I was given an opportunity in my clinical evaluation. 1 Strongly Disagree	I was given an opportunity in my clinical evaluation. N/A
My clinical instructor explained new or unfamiliar procedures.	My clinical instructor explained new or unfamiliar procedures. 5 Strongly Agree	My clinical instructor explained new or unfamiliar procedures. 4 Agree	My clinical instructor explained new or unfamiliar procedures. 3 Somewhat Agree	My clinical instructor explained new or unfamiliar procedures. 2 Disagree	My clinical instructor explained new or unfamiliar procedures. 1 Strongly Disagree	My clinical instructor explained new or unfamiliar procedures. N/A
My clinical instructor demonstrated skills, attitudes and values that promoted awareness of professional responsibilities.	My clinical instructor demonstrated skills, attitudes and values that promoted awareness of professional responsibilities. 5 Strongly Agree	My clinical instructor demonstrated skills, attitudes and values that promoted awareness of professional responsibilities. 4 Agree	My clinical instructor demonstrated skills, attitudes and values that promoted awareness of professional responsibilities. 3 Somewhat Agree	My clinical instructor demonstrated skills, attitudes and values that promoted awareness of professional responsibilities. 2 Disagree	My clinical instructor demonstrated skills, attitudes and values that promoted awareness of professional responsibilities. 1 Strongly Disagree	My clinical instructor demonstrated skills, attitudes and values that promoted awareness of professional responsibilities. N/A
My individual learning needs were met.	My individual learning needs were met. 5 Strongly Agree	My individual learning needs were met. 4 Agree	My individual learning needs were met. 3 Somewhat Agree	My individual learning needs were met. 2 Disagree	My individual learning needs were met. 1 Strongly Disagree	My individual learning needs were met. N/A
My clinical experience challenged me and motivated me to learn.	My clinical experience challenged me and motivated me to learn. 5 Strongly Agree	My clinical experience challenged me and motivated me to learn. 4 Agree	My clinical experience challenged me and motivated me to learn. 3 Somewhat Agree	My clinical experience challenged me and motivated me to learn. 2 Disagree	My clinical experience challenged me and motivated me to learn. 1 Strongly Disagree	My clinical experience challenged me and motivated me to learn. N/A
My clinical assignments were varied and allowed for new learning experiences.	My clinical assignments were varied and allowed for new learning experiences. 5 Strongly Agree	My clinical assignments were varied and allowed for new learning experiences. 4 Agree	My clinical assignments were varied and allowed for new learning experiences. 3 Somewhat Agree	My clinical assignments were varied and allowed for new learning experiences. 2 Disagree	My clinical assignments were varied and allowed for new learning experiences. 1 Strongly Disagree	My clinical assignments were varied and allowed for new learning experiences. N/A
My clinical assignments were related to the course content.	My clinical assignments were related to the course content. 5 Strongly Agree	My clinical assignments were related to the course content. 4 Agree	My clinical assignments were related to the course content. 3 Somewhat Agree	My clinical assignments were related to the course content. 2 Disagree	My clinical assignments were related to the course content. 1 Strongly Disagree	My clinical assignments were related to the course content. N/A
My written assignments were related to course content.	My written assignments were related to course content. 5 Strongly Agree	My written assignments were related to course content. 4 Agree	My written assignments were related to course content. 3 Somewhat Agree	My written assignments were related to course content. 2 Disagree	My written assignments were related to course content. 1 Strongly Disagree	My written assignments were related to course content. N/A
My written assignments strengthened my ability to think critically.	My written assignments strengthened my ability to think critically. 5 Strongly Agree	My written assignments strengthened my ability to think critically. 4 Agree	My written assignments strengthened my ability to think critically. 3 Somewhat Agree	My written assignments strengthened my ability to think critically. 2 Disagree	My written assignments strengthened my ability to think critically. 1 Strongly Disagree	My written assignments strengthened my ability to think critically. N/A
I would recommend this facility to other students.	I would recommend this facility to other students. 5 Strongly Agree	I would recommend this facility to other students. 4 Agree	I would recommend this facility to other students. 3 Somewhat Agree	I would recommend this facility to other students. 2 Disagree	I would recommend this facility to other students. 1 Strongly Disagree	I would recommend this facility to other students. N/A
The nurses served as professional role models for students.	The nurses served as professional role models for students. 5 Strongly Agree	The nurses served as professional role models for students. 4 Agree	The nurses served as professional role models for students. 3 Somewhat Agree	The nurses served as professional role models for students. 2 Disagree	The nurses served as professional role models for students. 1 Strongly Disagree	The nurses served as professional role models for students. N/A
The staff was cooperative and courteous.	The staff was cooperative and courteous. 5 Strongly Agree	The staff was cooperative and courteous. 4 Agree	The staff was cooperative and courteous. 3 Somewhat Agree	The staff was cooperative and courteous. 2 Disagree	The staff was cooperative and courteous. 1 Strongly Disagree	The staff was cooperative and courteous. N/A
The staff maintained effective communication with students.	The staff maintained effective communication with students. 5 Strongly Agree	The staff maintained effective communication with students. 4 Agree	The staff maintained effective communication with students. 3 Somewhat Agree	The staff maintained effective communication with students. 2 Disagree	The staff maintained effective communication with students. 1 Strongly Disagree	The staff maintained effective communication with students. N/A
The staff was supportive when problems occurred.	The staff was supportive when problems occurred. 5 Strongly Agree	The staff was supportive when problems occurred. 4 Agree	The staff was supportive when problems occurred. 3 Somewhat Agree	The staff was supportive when problems occurred. 2 Disagree	The staff was supportive when problems occurred. 1 Strongly Disagree	The staff was supportive when problems occurred. N/A
The clinical learning objectives were met.	The clinical learning objectives were met. 5 Strongly Agree	The clinical learning objectives were met. 4 Agree	The clinical learning objectives were met. 3 Somewhat Agree	The clinical learning objectives were met. 2 Disagree	The clinical learning objectives were met. 1 Strongly Disagree	The clinical learning objectives were met. N/A
This unit provided me with a variety of learning experiences	This unit provided me with a variety of learning experiences 5 Strongly Agree	This unit provided me with a variety of learning experiences 4 Agree	This unit provided me with a variety of learning experiences 3 Somewhat Agree	This unit provided me with a variety of learning experiences 2 Disagree	This unit provided me with a variety of learning experiences 1 Strongly Disagree	This unit provided me with a variety of learning experiences N/A

Other (please specify)

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* 4. What positive experiences did you have during this rotation?

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* 5. In what way(s) might this clinical experience be improved?

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Thank you

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* 2. Please pick a semester from the drop down menu OR write the answer

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* 3. About your clinical facility.Please rate your clinical experience on each item using the following scale. 5 Strongly Agree4 Agree3 Somewhat Agree2 Disagree1 Strongly DisagreeN/AIf you answered disagree or strongly disagree to any question please provide an explanation and recommendationbelow.

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* 4. What positive experiences did you have during this rotation?

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* 5. In what way(s) might this clinical experience be improved?

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Thank you