9/20/2010: Samantha was observed on several occasions sitting in a conference room as early as 830 am and then several other times throughout the shift. When asked about what she was doing she stated she was done with her work, at approximately 1130 Samantha was assigned for patients as a medication rotation on Wed Sept 22.                                    9/22/2010- Samantha was reassigned two new patients this am due to discharge of previous patient assignment for a total of 4 patients for med distribution.  Samantha was not able to verbalize basic nursing interventions or the rationale for several of the medications she was giving, she also had completed assessment of patient whom she was charting on during report and had not stayed to listen to report on the newly assigned patients, during the medication distribution, Samantha lacked knowledge basic principles of med administration in regard to insulin injection and in the auscultation of an apical rate, Samantha verbalized a rate of 56, upon the auscultation by myself a rate of 74 was obtained.  I spoke with Samantha about her lack of understanding of basic principles, medications, and speed at which she performs tasks with her assignment.                                                          9/24/2010: Clinical folder was reviewed in regard to past clinical evaluations of Samantha.  Diane Barush, MSN, CRNP, Clinical Corrdinator and myself Julie Ross RN, BSN met with Samantha this morning at approximately 945.  At this time, I reflected on past clinical performance of Samantha, which several instructors reflected on lack of preparation and speed at which she performs her patient assessments.  At this time Samantha was informed that she is in jeopardy of possible failure of 4th level clinical rotation, that she would be placed on clinical probation and will be reevaluated of assessment skills, medication rational and important nursing interventions, successful application of theoretical knowledge in clinical situations.                                                                      