Nursing

NRSE 4600 Clinical Practice Project Log

Last Revised 8/16/23 School of Nursing - OHIO University

PLEASE TYPE IN THE COLUMNS BELOW –Signatures and initials are required, electronic signatures with typed initials or wet (ink signed) signatures with wet initials are accepted.

Student

Preceptor

Schedule of Clinical Practice Project Hours and Hours with Preceptor

Do not include Orientation off the Unit, Observation, writing or researching papers/assignments, Lunch or Break time.

Do include-Minimum of 3 hours with preceptor, Maximum of 6 hours on research of topic, a minimum of 1-2 hours in patient engagement and the remainder- 10-11 hours in implementation of your project, Total of 21 true hours

Date

Time (actual

time-ex;

1:00- 3:00pm)

Total Hours And description Examples:

Preceptor (may be virtual): describe what was discussed in project development/updated on project progress

Research: Reviewed literature –specify what- for example; researched EBP for prevention of falls

Patient Engagement: for example; educated 5 patients using new patient education (in-person, phone call or utilized telehealth) to reduce the number of falls on unit to improve patient safety. (Specifically describe the patient engagement and how you impacted the patient outcomes, i.e. improved patient quality/safety-to prevent falls). Implementation: can include but not limited to; time spent developing pt. education, time spent developing staff education on topic/new material, Time spent teaching staff on the use of this new material/topic, any staff/management meetings to gain staff input on new patient education. Please include at least one sentence describing each area below---include the date and time—this does not need to be in chronological order but must total at least 21 hours—see instructions above “do include”.

Total Time Spent

In Hours

(ex: 1 hour)

Preceptor's Initials

(All entries must

be initialed)

Preceptor:

Preceptor:

NRSE 4600 Clinical Practice Project Log

Last Revised 8/16/23 School of Nursing - OHIO University

Preceptor:

Research:

Research:

Research:

Research:

Patient Engagement (contact)-be specific (how many patients) and describe your actual/projected improved patient outcomes:

Patient Engagement (contact) -be specific (how many patients) and describe your actual/projected improved patient outcomes:

Implementation:

Implementation:

NRSE 4600 Clinical Practice Project Log

Last Revised 8/16/23 School of Nursing - OHIO University

Implementation:

Implementation:

Implementation:

Implementation:

Implementation:

Implementation:

Total Hours (minimum 21)=

By signing below I agree that the Clinical Practice Project was implemented as described by the student and all above

entries were completed as described. (Electronic signatures not accepted)

Student Signature: ________________________________________________________________________ Preceptor Signature: _______________________________________________________________________

NRSE 4600 Clinical Practice Project Log

Last Revised 8/16/23 School of Nursing - OHIO University

PLEASE TYPE IN THE COLUMNS BELOW –Signatures and initials are required, electronic signatures with typed initials or wet (ink signed) signatures with wet initials are accepted.

Student

Preceptor

Schedule of Clinical Practice Project Hours and Hours with Preceptor

Do not include Orientation off the Unit, Observation, writing or researching papers/assignments, Lunch or Break time.

Do include-Minimum of 3 hours with preceptor, Maximum of 6 hours on research of topic, a minimum of 1-2 hours in patient engagement and the remainder- 10-11 hours in implementation of your project, Total of 21 true hours

Date

Time (actual

time-ex;

1:00- 3:00pm)

Total Hours And description Examples:

Preceptor (may be virtual): describe what was discussed in project development/updated on project progress

Research: Reviewed literature –specify what- for example; researched EBP for prevention of falls

Patient Engagement: for example; educated 5 patients using new patient education (in-person, phone call or utilized telehealth) to reduce the number of falls on unit to improve patient safety. (Specifically describe the patient engagement and how you impacted the patient outcomes, i.e. improved patient quality/safety-to prevent falls). Implementation: can include but not limited to; time spent developing pt. education, time spent developing staff education on topic/new material, Time spent teaching staff on the use of this new material/topic, any staff/management meetings to gain staff input on new patient education. Please include at least one sentence describing each area below---include the date and time—this does not need to be in chronological order but must total at least 21 hours—see instructions above “do include”.

Total Time Spent

In Hours

(ex: 1 hour)

Preceptor's Initials

(All entries must

be initialed)

Preceptor:

Preceptor:

NRSE 4600 Clinical Practice Project Log

Last Revised 8/16/23 School of Nursing - OHIO University

Preceptor:

Research:

Research:

Research:

Research:

Patient Engagement (contact)-be specific (how many patients) and describe your actual/projected improved patient outcomes:

Patient Engagement (contact) -be specific (how many patients) and describe your actual/projected improved patient outcomes:

Implementation:

Implementation:

NRSE 4600 Clinical Practice Project Log

Last Revised 8/16/23 School of Nursing - OHIO University

Implementation:

Implementation:

Implementation:

Implementation:

Implementation:

Implementation:

Total Hours (minimum 21)=

By signing below I agree that the Clinical Practice Project was implemented as described by the student and all above

entries were completed as described. (Electronic signatures not accepted)

Student Signature: ________________________________________________________________________ Preceptor Signature: _______________________________________________________________________