Joe received notification of mid level failure on 4/13/11. During this clinical day Joe was assigned a patient with a PEG tube who also required suctioning.  Joe never came to me or the primary care nurse to do any advanced care with the patient. I did ask him about this during his evaluation and he stated he didn\'t know why he didn\'t take advantage of the learning opportunity.  This reaffirms my contention that Joe is lacking the initiative and critical thinking skills to become a safe and competent Practical Nurse.   