Get Student Name Course Emr Preceptor Name Emt Date Mm/dd/yy Type: Icu Shift Times Hh:mm Ems Ed Ped Or

Filling out the Student Name Course EMR Preceptor Name EMT Date MM/DD/YY Type: ICU Shift Times HH:MM EMS ED PED OR form is essential for documenting your clinical experiences and evaluations. This guide will help you navigate each section of the form to ensure accuracy and completeness.

Follow the steps to successfully complete your form.

1. Click the ‘Get Form’ button to access the form and open it in your online editing interface.
2. Enter your full name as the student in the 'Student Name' field. This ensures proper identification of your submissions.
3. Fill in the 'Course EMR' section with the relevant course name to which this form pertains.
4. In the 'Preceptor Name' field, provide the full name of your supervising preceptor during your shift.
5. Enter the date of your shift in the 'Date [MM/DD/YY]' field, using the specified format.
6. Indicate the type of location for your shift by selecting from the available options: ICU, EMS, ED, PED, OR, or PSYCH.
7. For 'Shift Times [HH:MM]', specify both the start ('Begin:') and end ('End:') times of your shift.
8. After completing the form, review the 'Evaluation' section and circle the appropriate ratings for the preceptor based on your experience.
9. Provide comments in the designated sections to support your ratings and to give additional feedback.
10. Sign and date the form at the bottom to confirm the information provided is accurate.
11. Finally, save your changes, and you can download, print, or share the completed form as required.

Complete your evaluation forms online to contribute to a supportive learning environment.