Get the free PRACTICUM / PRECEPTOR INFORMATION SHEET - wpunj

Part I William Paterson University of NJ Department of Nursing Graduate Program Wayne, NJ 07470 973-720-3511 FAX: 973-720-3517 PRACTICUM / PRECEPTOR INFORMATION SHEET DOCTOR OF NURSING PRACTICE PROGRAM

How to fill out practicum preceptor information sheet

How to fill out a practicum preceptor information sheet:

1. Start by clearly indicating the name and contact information of the preceptor. This includes their full name, job title, email address, phone number, and any other relevant contact details.
2. In the next section, provide information about the preceptor's professional background. This should include details about their education, certifications, years of experience, and any relevant areas of expertise.
3. Include information about the organization or institution where the preceptor works. This may involve providing the name of the organization, its location, and a brief description of the services it offers.
4. Provide an overview of the preceptor's role and responsibilities during the practicum. This should include details about the tasks they will supervise, any direct patient care responsibilities, and any teaching or mentorship duties they will be involved in.
5. Next, outline the duration of the practicum and the expected number of hours the preceptor will be involved. This includes both the total number of hours and the distribution of those hours over time.
6. If there are any specific requirements or competencies that the preceptor should possess or demonstrate, make sure to include those in a separate section. This can include knowledge of certain procedures, specific clinical skills, or adherence to certain professional standards.
7. Finally, provide a space or section for the preceptor to sign and date the form, indicating their agreement to act as a practicum preceptor.

Who needs the practicum preceptor information sheet?

1. Students or individuals pursuing a practicum or internship in a healthcare or related field would typically need a practicum preceptor information sheet. This could include medical students, nursing students, pharmacy students, or other healthcare professionals seeking supervised practical experience.
2. Educational institutions or organizations offering practicum or internship programs typically require their students to submit a practicum preceptor information sheet. This helps ensure that students are placed with qualified and suitable preceptors who can provide the necessary supervision and mentorship.
3. Healthcare facilities or institutions hosting practicum or internship programs also benefit from having a practicum preceptor information sheet. It allows them to gather important details about potential preceptors, assess their qualifications and suitability, and ensure they meet any specific requirements or competencies.

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What is practicum preceptor information sheet?

The practicum preceptor information sheet is a document that provides details about the individual who will be supervising a student during their practicum experience.

Who is required to file practicum preceptor information sheet?

The practicum preceptor information sheet must be filled out by the institution or organization responsible for coordinating the practicum experience.

How to fill out practicum preceptor information sheet?

To fill out the practicum preceptor information sheet, the user will need to provide details about the preceptor's contact information, qualifications, and any other relevant information.

What is the purpose of practicum preceptor information sheet?

The purpose of the practicum preceptor information sheet is to ensure that the preceptor is qualified to provide supervision and guidance to the student during their practicum experience.

What information must be reported on practicum preceptor information sheet?

The practicum preceptor information sheet must include details such as the preceptor's name, contact information, qualifications, and any other relevant information.