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List of Families - by purok (Sample)

SDBORJA22 (^^,)v

FAR EASTERN UNIVERSITY

INSTITUTE OF NURSING

Primary Health Care II Related Learning Experience

2nd Semester, SY 2007-2008

 

Name: ____________________________                                                             Grade: ____________

Section: _______           Group: ________                                                            Date: ____________

 

RLE Day 3 – ENTRY & INTEGRATION

 

Direction: Please rate the student’s degree of performance on each expected behavior using the scale provided below:

            2- Expected competency was adequately met

            * principles and guidelines were applied/ followed; with minimal improvement needed

            * organization of content/ ideas is accurate and clear

 

            1- Expected competency was partially met

            *principles and guidelines were followed but some corrections were needed for improvement

            * organization of content/ ideas lacks some degree of clarity and accuracy

 

            0- Expected competency was not met

            * principles and guidelines were not followed, several corrections were necessary for improvement

            *content/ ideas presented are inaccurate and unclear

 

            NA – Not Applicable due to some circumstance(s)

           

Attendance and Attitude (5%)

Behavior

2

1

0

Remarks

1. Reports on time and attends activities punctually

 

 

 

 

2. Displays proper grooming and wears complete prescribed uniform

 

 

 

 

 

Community Integration (60%)

Behavior

2

1

0

Remarks

1. Actively participates in the courtesy call to Brgy. officials and other key leaders in the community

 

 

 

 

2. Participates in the ocular tour with willingness and enthusiasm.

 

 

 

 

3. Demonstrates courtesy and humility in establishing rapport with the community and its key leaders.

 

 

 

 

4. Identifies accurately and comprehensively the different facilities in the community

 

 

 

 

5. Identifies accurately significant / key persons in the community.

 

 

 

 

6. Volunteers ideas/suggestions relevant to the utilization of the community survey tool.

 

 

 

 

7. Promptly accomplishes assigned task relevant to assessment of the community.

 

 

 

 

8. Promptly submits the initial draft of the community spot map (assigned students)

 

 

 

 

Total

 

 

Note: Instructors should conduct individual post-conferences with each student in his/her group to accurately evaluate student performance for items 4 & 5.

Family Assessment Tool (30%)

BEHAVIOR

 

 

 

Remarks

1. Introduces self to foster family members

 

 

 

 

2. Greets foster family by name courteously

 

 

 

 

3. Explains purposes of integration with the family

 

 

 

 

4. Communicates with family members with tact

 

 

 

 

5. Spends lunch with foster family

 

 

 

 

6. Sets contract with the foster family

 

 

 

 

7. Submits draft of initial family assessment (demographic data)

 

 

 

 

Total

 

 

*Items marked as N.A. should not be included in the computation of the Perfect Score        

                       

PEER EVALUATION (5%) ------------------------------------------------------------ ___________

 

 

________________________________                                         _______________________________

Signature of Faculty Over Printed Name                                                             Signature of Student


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