EVALUATION CRITERIA FORMAT FOR FIELD
VISIT
Name of the
subject: Community Health Nursing-I
Name of the
student: ……………………………………….
Date:……………………………………………… Name of
Course:………………………………..
Name of the field:………………………….
S.NO
|
CRITERIA
|
MARKS ALLOTED
|
MARKS OBTAINED
|
|||
1
|
Introduction
|
1
|
|
|||
2
|
Objectives
of visit
|
2
|
|
|||
3
|
Organization
setup
|
3
|
|
|||
4
|
Functions
of organization
|
2
|
|
|||
5
|
Relevant
to nursing
|
3
|
|
|||
6
|
Supportive
agencies
|
1
|
|
|||
7
|
Role of
the students nurse participation in the visit
|
3
|
|
|||
8
|
Budgeting
|
2
|
|
|||
9
|
Summary
and conclusion
|
2
|
|
|||
10
|
Time
management
|
1
|
|
|||
|
TOTAL
|
20
|
|
|||
REMARKS
|
POSITIVE
|
NEGATIVE
|
||||
|
|
|||||
SCORE AND
INTERPRETATION
GRADE
|
SCORE
|
GRADED
|
EXCELLENT
|
>75%
|
|
AVERAGE
|
51-75%
|
|
POOR
|
<50%
|
|
Signature
of the student:______________,
Signature of the supervisor:__________
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