Nursing Orientation Weekly Evaluation Form
Weekly assessment of orientee nurse progress during orientation. Please complete all sections to provide a comprehensive evaluation.
Orientee Name
*
First Name
Last Name
Evaluator Name
*
First Name
Last Name
Evaluation Week
*
Date of Evaluation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Clinical Skills Competency
*
Needs Improvement
1
2
3
4
Excellent
5
1 is Needs Improvement, 5 is Excellent
Communication with Patients and Team
*
Needs Improvement
1
2
3
4
Excellent
5
1 is Needs Improvement, 5 is Excellent
Professionalism and Attitude
*
Needs Improvement
1
2
3
4
Excellent
5
1 is Needs Improvement, 5 is Excellent
Teamwork and Collaboration
*
Needs Improvement
1
2
3
4
Excellent
5
1 is Needs Improvement, 5 is Excellent
Time Management and Organization
*
Needs Improvement
1
2
3
4
Excellent
5
1 is Needs Improvement, 5 is Excellent
Strengths Observed This Week
Submit Evaluation
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