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Anexa M 1.1.3

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RAPORT PRIVIND REALIZAREA STAGIULUI DE PRACTICĂ

PRACTICA DE INIȚIERE ÎN NURSING

Numele și prenumele elevului: _______________________________________________________
Instituția de învățămănt: ____________________________________________________________
Tipul stagiului de practică: __________________________________________________________
Locul de efectuare:________________________________________________________________
Perioada și durata stagiului de practică: ________________________________________________
Conținutul activităților și sarcinilor de lucru, inclusiv individuale:
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
ACTIVITĂȚILE DESFĂȘURATE:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
________________________________________________________________________________________
PROPUNERI:
__1.______________________________________________________________
__2.______________________________________________________________
__3. ______________________________________________________________

CONCLUZII:
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
________________________________________________________________________________________

Data: __ Semnătură elevului _

Parafa instituției
Conducătorul stagiului de practică din partea agentului economic
_______/_______________/
semnătura numele și prenumele

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