Practicum Time Log and Journal

Assignment Practicum Time Log and Journal

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Clinical Time Log and Journal

Student Name:

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E-mail Address:

Practicum Placement Agency’s Name:

Preceptor’s Name:

Preceptor’s Telephone:

Preceptor’s E-mail Address:

Time Log

Note: Add rows as needed.

Total: Weeks 1-3

Total Weeks 4-7

Total: Weeks 8-11

Total Practicum Hours Completed for Course

 

WK

 

Date

 

Time

 

# of hour

 

Learner Objective *Bloom’s Taxonomy

 

Course Objective

(Walden)

 

AACN Essential**

 

 

Projected Goal

 

Activities Completed

 

Status of completion

 

Journal

 

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Practicum Time Log and Journal

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