Barbara has been counseled regarding her lack of preparedness in the clinical setting as evidenced by her clinical assignment sheets.  Barbara is at times handing in assignment sheets with one-sentence definitions of a diagnosis without incorporating pathophysiology, etiology, and signs/symptoms, as well as only listing one or two nursing interventions.  I (Ms. Strelish) review these sheets before clinical and have informed Barbara on a few occasions that she is lacking the pertinent information to provide safe patient care.  Mrs. Barush has also spent a clinical day reviewing the clinical assignment sheets with my class.  Today\'s clinical assignment sheet was returned to Barbara and at that time Barbara was instructed to provide additional information before providing care to her patient. At this time (Oct. 4), Barbara has not shown improvement or demonstrated accountability in preparation.  A Level II competency is \"submits relevant and commplete written preparation on patient diagnosis and treatments prior to initiating care\" and thus far Barbara has received an unsatisfactory. 