You are on page 1of 4

URDANETA CITY-UNIVERSITY

COLLEGE OF NURSING
___________________________________________________________________________________________________________________________

MONTHLY JOURNAL OF PRACTICUUM EXPERIENCES


MONTH/YEAR OF EXPOSURE _________________
AFFILIATING AGENCY/AREA__________________

TIME FRAME PRACTICUUM ACTIVITIES PROBLEMS ENCOUNTERED ACTIONS APPLIED REFLECTIONS


URDANETA CITY-UNIVERSITY
COLLEGE OF NURSING
___________________________________________________________________________________________________________________________
URDANETA CITY-UNIVERSITY
COLLEGE OF NURSING
___________________________________________________________________________________________________________________________

Remarks
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Prepared by Submitted to Noted Approved
Signature over printed name Signature over printed name Signature over printed name Signature over printed name
Name of Student Name of Clinical Instructor ANNALISA A. TELLES, MAN ZOSIMA C. GARIN, Ed. D.
Year Level ___________ Date _________________ Clinical Coordinator Dean, College of Nursing
URDANETA CITY-UNIVERSITY
COLLEGE OF NURSING
___________________________________________________________________________________________________________________________

You might also like