Student Clinical Competency Evaluation Form Level 1 Novice Clinician Page 2

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Professional Conduct
Students are expected to demonstrate a high level of professional conduct throughout their
placement. Students should be made aware of any breaches in conduct as soon as they
occur. Failure to maintain an acceptable level of professional conduct after one warning
should be notified to the college. Persistent failure in any aspect of professional conduct will
result in a student failing that placement.
Mid placement
End of placement
Acceptable
Unacceptable
Acceptable
Unacceptable
Adheres to IASLT code of ethics
Communicates with clients in a professional
manner
Obtains client consent in accordance with
legal guidelines and the policies and
procedures of the host agency
Maintains all aspects of client confidentiality
in accordance with legal and professional
guidelines
Maintains appropriate professional
relationships with clients and carers
Maintains appropriate professional
relationships with colleagues
Communicates with colleagues in a
professional manner showing respect for
their position, views and opinions
Refrains from disparaging or unprofessional
comments about the competencies of
colleagues
Adheres to the policies and procedures of
the host agency e.g. health and safety,
administration, record keeping etc.
Shows punctuality in attendance, meeting
deadlines and managing clinic time
effectively
Presents a professional image adhering to
dress code and guidelines of the host
agency
Recognises own professional limits and
competencies and works within professional
boundaries
Participates actively in developing own
professional competencies
Comments:
Student signature
Practice Educator Signature
Date: (Mid) (End)
Level 1 Rating indicators should be used when completing this form page 2

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Parent category: Business