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PEER ASSISTANCE PROGRAM 2901 N. Classen Blvd. Suite 101 Oklahoma City OK 73106 www. ok. gov/nursing OKLAHOMA BOARD OF NURSING 405/525-2277 Fax 405/525-0350 REPORT OF SUPERVISED PRACTICE Name of Peer Nurse Reporting Month s Shift Hours per week Participant s position Unit assigned to Please evaluate the professional performance of the above named nurse.
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How to fill out report of supervised practice

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How to fill out a report of supervised practice:

01
Determine the format: Before filling out the report, determine the specific format or template required by your institution or organization. This could include sections such as objectives, activities, reflections, and evaluations.
02
Gather necessary information: Collect all relevant information related to your supervised practice. This could include details about the project or tasks undertaken, the duration of the practice, the supervisor's name and contact information, and any specific guidelines or requirements.
03
Fill in the objectives: Start by clearly stating the objectives of your supervised practice. This may involve outlining the specific skills or competencies you aimed to develop or the goals you set at the beginning of the practice.
04
Describe activities and accomplishments: Provide a detailed account of the activities you engaged in during your supervised practice. Highlight any significant accomplishments, challenges faced, and how you overcame them. Be specific and provide examples to support your statements.
05
Reflect on the experience: Reflect on your overall experience during the supervised practice. Discuss what you learned, how the practice has contributed to your personal and professional development, and any insights gained from the process. Reflecting on both positive and negative aspects is important as it demonstrates self-awareness and growth.
06
Evaluate your performance: Assess your own performance during the supervised practice. Evaluate how well you achieved the objectives set at the beginning, identify areas for improvement, and provide suggestions for future practice. Use objective criteria and provide evidence to support your evaluations.

Who needs a report of supervised practice?

01
Students: Students pursuing internships, practical training, or work-based learning programs often need to submit a report of supervised practice. This allows them to reflect on their experiences, demonstrate their learning, and receive feedback from supervisors or instructors.
02
Educational institutions: Schools, colleges, and universities may require their students to submit reports of supervised practice as part of their assessment criteria. These reports help institutions evaluate the student's progress, monitor the quality of the practice, and ensure the alignment with learning objectives.
03
Employers: Employers who offer supervised practice opportunities, such as internships or apprenticeships, may request reports from their participants. These reports enable employers to assess the effectiveness of their programs, evaluate the performance of participants, and provide valuable feedback for further improvement.
In summary, filling out a report of supervised practice involves determining the format, gathering necessary information, filling in objectives, describing activities and accomplishments, reflecting on the experience, and evaluating one's performance. Both students and educational institutions need these reports to assess progress, while employers require them to evaluate program effectiveness and participant performance.
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The report of supervised practice is a document that details the practical training and experience gained by a supervised individual in a specific profession or field.
The report of supervised practice is required to be filed by individuals who are completing a period of supervised practice as part of their professional development or licensing requirements.
To fill out the report of supervised practice, individuals need to provide comprehensive information about the tasks performed, skills acquired, and the duration of each supervised session. The specific format and requirements may vary depending on the profession or organization overseeing the practice.
The purpose of the report of supervised practice is to document and evaluate the practical experience gained by individuals under supervision. It serves as evidence of the individual's competency and can be used for professional development, licensing, or certification purposes.
The information that must be reported on the report of supervised practice generally includes details about the tasks performed, skills acquired, hours completed, the name of the supervisor, and any additional relevant information requested by the professional organization or licensing board.
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