Daily Journal:

Health

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First Name:             

Last Name:                

County:                   

Location:                  

Other Specify:     

Month:    Year:    Date of Journal Entry:  

Primary Preceptor's Name:   

Which disciplines did you work with today? (please check ALL that apply).

Health Educator                     
Nurse Practitioner                 
Physician Assistant              
Pharmacist                              
Registered Nurse                  
Clinical Lab Sciences           
Physician
Nurse Aide
Social Worker                         
X-Ray Technician
Physical Therapist
Dietician
Occupational Therapist
License Practical Nurse
Medical Office Asst.
Health Info. Mgmt.          
Other (specify)



 

Summarize your experience today:  What did you do? What did you see?
What kinds of patients did you work with and how did they respond?




Summarize what you learned today from your experience:




Summarize your thoughts and feelings. What was good? What was uncomfortable?
What surprised you? What could be different?:




Summarize how you feel about your performance? What would you change or do differently?
How do you want to grow from this point?:


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