Eric Karlin  has displayed difficulty in his clinical preparations in the beginning of this Kindred rotation(Dec 2010). The pathophysiologies were not done properly after private attempts x2 to correct the problem.It was verbally explained to him on each occasion what was needed,location of material,and what was expected in his prep.Finally after giving him an independent patho assignment, he was able to verbatim from the book a patho on Pneumonia.Along with this assignment, he was to also provide nursing interventions for Pneumonia- this part was not handed in for 2 more days. Although this did shown marked improvement, he has difficulty correlating the significance of learning the patho and intervention and relating it to his patients.On Jan 10,2010, at Kindred he was not able to answer questions concerning his specific patient who had surgery post subdural bleed,subtotal colectomy,g tube, j tube with tubefeeding.It was approximately 10-11am, no neuro assessment was  done-he failed to understand the importance,especially after crani. No attempt was made to acknowledge an incision on his head,nor do a pupillary check. He was unable to tell me what specific tubes were in this patient\'s abdomen, what tubefeeding or knowledge of correct rate for the TF,or basic anatomy of bowel with reference to colostomy location on abdomen. Almost any question asked went unanswered. He was spoken with at this time of his poor preparation for his patient.  