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APPENDICES
APPENDIX C
Advanced Practice Clinical Nursing Diploma in Oncology
Trainee Performance Assessment
(To be completed monthly by the Preceptor on completion of the clinical hours required in
the specialty area)
Trainee Name:………………………………….ID Number:…………………
Evaluation For The Period From:……………………….To:…………………..
Performance Indicators: Weak: 1 Fair: 2 Good: 3 Very Good: 4 Excellent: 5
Skill Assessment Criteria 1 2 3 4 5
Demonstrates the ability to effectively
assess, diagnose, plan, implement, and
evaluate patient care
Plans patient-specific care and uses care
maps or clinical pathways (if appropriate)
for a clinical setting
Implements nursing interventions and
makes individualized therapeutic
decisions related to the patient’s
condition and planned outcomes
Demonstrates safe medication
administration practices at all times
Participates in formal and informal
teaching/training
Maintains professional behavior at all
times
Maintains complete documentation in
accordance with hospital policies
ONCOLOGY NURSING DIPLOMA CURRICULUM 35