Get the free CLINICAL HOUR DOCUMENTATION FORM - NE EMS Institute

New England EMS Institute Elliot Hospital EMS×Trauma Services PARAMEDIC EDUCATION PROGRAM CLINICAL HOUR DOCUMENTATION FORM INTERNS NAME: DATE START TIME END TIME TOTAL PRECEPTORS SIGNATURE Paramedic

How to fill out clinical hour documentation form

How to fill out a clinical hour documentation form:

1. Begin by gathering all necessary information such as your name, contact information, and the name of the organization or institution where you completed the clinical hours.
2. Look for the date section on the form and enter the dates during which you completed the clinical hours. Make sure to include both the start and end dates.
3. Next, determine the total number of hours you spent at the clinical site and record this information accurately on the form. This may require some calculation if your clinical hours were completed over several days or weeks.
4. Pay attention to any specific details required for each entry. Some forms may require you to list the type of clinical experience or the specific tasks performed during those hours. Be sure to provide a clear and concise description of your activities.
5. If there is a section for supervisor or preceptor information, provide the name, contact details, and credentials of the person who supervised or mentored you during the clinical hours.
6. Carefully review the form for any additional sections or instructions that may need to be filled out. This could include sections for student evaluations, signatures, or comments.
7. Finally, ensure that all information provided is accurate and legible. Double-check for any spelling or grammatical errors before submitting the form.

Who needs a clinical hour documentation form:

1. Students in healthcare professions: Clinical hour documentation forms are commonly used by students pursuing careers in healthcare such as nursing, medicine, or physical therapy. These forms serve as proof of the practical experience gained during their clinical rotations.
2. Educational institutions: Many schools or programs require students to submit clinical hour documentation as part of their academic requirements. They use these forms to track and assess the progress and competency of their students during their clinical training.
3. Licensing or certification boards: Professionals in certain healthcare fields are required to obtain specific licenses or certifications. In order to qualify for these credentials, applicants must provide evidence of their clinical hours. Therefore, licensing or certification boards may require individuals to submit completed clinical hour documentation forms.

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What is clinical hour documentation form?

The clinical hour documentation form is a form used to track and report the hours spent by an individual in a clinical setting.

Who is required to file clinical hour documentation form?

Individuals who are completing clinical rotations or internships as part of their education or training are required to file the clinical hour documentation form.

How to fill out clinical hour documentation form?

The form typically requires the individual to input the dates, times, activities, and signature of a supervisor or preceptor for each clinical hour completed.

What is the purpose of clinical hour documentation form?

The purpose of the clinical hour documentation form is to ensure that individuals are meeting the required number of clinical hours for their program and to track their progress in a clinical setting.

What information must be reported on clinical hour documentation form?

Information such as dates, times, activities performed, and a supervisor or preceptor signature must be reported on the clinical hour documentation form.