Checklist for Preceptor Selection and Approval Process

Checklist for Preceptor Selection and Approval Process

You may contact a potential preceptor once you have obtained permission from faculty to do so. You will need to inform them of the time commitment and determine the days of the week they are available.  Remember, you will need to be flexible with your time/availability in order to accommodate the preceptor's schedule.

Step 1 - For Students: 

☐ Review Guidelines for Selecting a Preceptor.
☐ Submit a completed Clinical Agency form to the course faculty via Blackboard in the Faculty Approval Drop Box.  

Step 2 - For Faculty:

☐ Review student request for contacting potential preceptor. Check to see that preceptor has not already been contacted.
☐ Notify student via Blackboard of approval/denial to contact preceptor within a week of receiving request.   

Step 3 - For Student Placement Coordinator (SPC)

☐ Upon approval to contact preceptor, check for a Preceptor Profile, Resume/CV, and Board Certification file. 
☐ If Preceptor Profile form and supporting documents are not on file, SPC will request the student submit these documents.

    (It is the student's responsibility to complete the forms and submit via Blackboard back to SPC in the appropriate BB Drop Boxes).

☐ SPC will use the Clinical Agency form to research as to whether or not KU School of Nursing has a contract with the requested facility.  If there is not a contract or contract has expired, SPC will initiate a contract.
☐ Once all clinical placement material is complete the placement coordinator will inform the student and faculty.

☐ All Preceptor and Clinical Facility information will be entered into Typhon

Step 4 -  For Students:

☐ Contact preceptor and identify:

  • Willingness of preceptor to take a student
  • The day(s) of the week that the student is permitted at the site
  • Name of contact person for contracts and fax/address info to send agency contract (if needed)
  • If another provider is available to work with in case the primary preceptor is absent on the scheduled clinic day.

Step 5 - For Faculty:

☐ Faculty will review completed Preceptor Profile form and CV within Blackboard. 
☐ Faculty will communicate with SPC as to the status of any contracts.
☐ Prepare course letter for preceptor (should include student name, course number, number of days per week in clinic, course objectives/student expectations and contact information for faculty). This may be      placed in Blackboard for the students to retrieve and present to their Preceptor. Some faculty may wish to personally distribute to the students.

☐ The Preceptor Acknowledgment of Orientation form will be retrieved from Blackboard by the students.  After signed by the Preceptor the student will then place it in the appropriate BB Drop Box.

*Note: Clinical hours in CNS courses and Midwifery courses are individually arranged with the course coordinator of each track at the beginning of the semester.

Last modified: Aug 22, 2016