I did meet with Doreen regarding her clinical issues from Monday as well as the on-going inappropriate emotional behavior.  Mrs Nita was also present.   Doreen was very emotional at this meeting as well and,in fact, the discussion led to Mrs. Ross (her clinical instructor) and Mrs. Pacuska being asked to join. Doreen was made aware of the concerns regarding her poor performance of basic skills and it was discussed in detail the need to make her instructor aware of patient issues. Doreen did perform satisfactorily on Wednesday but was made aware that her performance must remain consistent.  Her emotional lability was also addressed and she was made aware that she must demonstrate appropriate behavior and self-control or she will be reviewed for dismissal from the program.