Documente Academic
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College of Nursing
E. Rodriguez Ave. Bgry. San Isidro Taytay, Rizal, Philippines
658-8765/658-8728/660-4762
Name of Student:
Legend:
4 Competent (student performs consistently in an effective and efficient manner)
3 Progress acceptable (performance in usually effective and efficient but not always)
2 Needs improvement (progress in performance is too slow to judge satisfactorily; task
performance is not done properly majority of the time)
1 Progress unacceptable (no progress in performance has been demonstrated, and/or
Performance is consistently ineffective and inefficient)
Evaluated By:
____________________________________________ __ ____________________________
Signature over Printed Name Signature over Printed Name
Clinical Instructor Student