Undergraduate Clinical Preceptors for NURS 449
(Final Semester Senior Year)


  • Welcome to St. John Fisher’s senior nursing student preceptorship.
  • Thank you for lending your time and expertise.
  • This page and the linked documents will explain the purpose, expectations and paperwork related to this experience.


Clinical Preceptorship Purpose

Student/Faculty/Preceptor Agreement

Time Sheet

  • The student is expected to follow your schedule.
  • 110 hours need to be completed
  • The student will fill out this time sheet at your first meeting and submit a copy to their clinical faculty instructor.
  • You and the clinical instructor are to be notified of any changes in schedule by the student.
  • Preceptor Time Sheet must be signed by the preceptor to verify all hours.

Clinical Skills Checklist

  • The student should provide you with a Clinical Skills Checklist [pdf].
  • This will assist in planning experiences as you assess the student's progress.
  • Please review this form to understand the student's past experience.
  • The checklist should be updated during the preceptorship but all skills do not have to be demonstrated for the student to pass this course.


  • You will be asked to complete a Preceptor Evaluation of Student [pdf] at midway (~60 hr) and at completion of preceptorship hours.
  • The same form is used for both evaluations.
  • Please notify clinical faculty if the student is at risk for being unsuccessful in meeting competency for the preceptorship.
  • This form is signed by the preceptor and student and turned in to clinical faculty upon completion of the preceptorship.

Reference Forms


  • Review roles of preceptor, student, and faculty
  • Read and understand preceptorship goals and learning outcomes
  • Read and sign preceptor agreement with student
  • Fill out time sheet with student and sign
  • Be aware that the student will be completing log/blog for each clinical day
  • Complete Clinical Skills Checklist
  • Complete and sign mid and final student evaluations

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