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
- 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.
- 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
- Each shift entry must include the date of the shift as well as the start and end times of the shift.
- The Voluntary Clinical Faculty must sign each shift to verify the student was present completing the clinical hours on the date and times documented.
- It is the responsibility of the student provide the Voluntary Clinical Faculty the Daily Timesheet form and maintain the worksheet as current.
- 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.
- 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
| Content | Name (Please Print) |
|---|---|
| Medical Assisting Class | |
| Medical Office/Facility | |
| Voluntary Clinical Faculty | |
| Supervising HCC Faculty |
| 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:
