Externship/Practicum Clinical Daily Time Sheet | HCC

Externship/Practicum Clinical Daily Time Sheet

Clinical Daily Time sheet Instructions

Purpose

The Externship/Practicum Clinical Daily Time Sheet serves as the official record of clinical time spent in the Externship/Practicum at the assigned clinical facility.

Process

  1. The Externship/Practicum Clinical Daily Time Sheet is to be completed each day the student is at the facility in the for the student’s clinical experience.
  2. The Externship/Practicum Clinical Daily Time Sheet must include documentation of the start and end time of the student’s clinical experience of each day. *If the student completes multiple shifts in one day, each shift needs to be documented as two different shifts
  3. Each shift entry must include the date of the shift as well as the start and end times of the shift.
  4. The Voluntary Clinical Faculty must sign each shift to verify the student was present completing the clinical hours on the date and times documented.
  5. It is the responsibility of the student provide the Voluntary Clinical Faculty the Daily Timesheet form and maintain the worksheet as current.
  6. At the conclusion of the clinical Externship/Practicum Clinical Daily Time Sheet the Voluntary Clinical Faculty, the Student, and the Henderson Community College Supervising Faculty will sign and date the completed The Externship/Practicum Clinical Daily Time Sheet.
  7. It is the responsibility of the student to submit the completed Externship/Practicum Clinical Daily Time Sheet to the Henderson Community College Supervising Faculty.

Total Number of Externship/Practicum Hours Required by Course

MAI 281 - 60 total hours (1 credit hour course)

MAI 284 - 120 total hours (2 credit hour course)

MAI 284 - 180 total hours (3 credit hour course)

  • The total number of hours that you must complete for the course depends on the number of credit hours you receive for the course.

Externship/Practicum Clinical Daily Time SHeet

Class, Facility, and Faculty Information
Content Name (Please Print)
Medical Assisting Class  
Medical Office/Facility  
Voluntary Clinical Faculty  
Supervising HCC Faculty  
Daily Time Record
Date Time: Start of Shift Time: End of Shift # of Hours Signature of Voluntary Clinical Faculty Initials
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           

HCC Medical Assisting Student Signature:

Date:

 

Voluntary Clinical Faculty Signature:

Date:

 

Supervising HCC Clinical Faculty Signature:

Date: