Brad\'s clinical prep sheets to date have not been level-appropriate.  On March 23, his prep sheet was lacking both pathophysiology and nursing interventions.  I reviewed his prep sheet with him with the med-surg book as a reference.  On March 28, his prep-sheet was lacking both pathophysiology and appropriate nursing interventions.  He stated that he had completed the prep sheets in \"five minutes before clinical\" that morning.  I reviewed the prep sheet with him and asked that he redo his nursing interventions.  When he returned it to me on March 30, it was improved, but still not level-appropriate in terms of nursing interventions.  I sat with Brad after post-conference and explained to him what is required in terms of patho, etiology, signs/symptoms, treatments, and nursing interventions.  I explained to him that his next prep sheet must be improved because at that time he should be receiving a \"needs improvement\" in preparing for clinical.  On April 4, Brad handed in an incompleted prep sheet, stating he was out of town and got to the hospital late and didn\'t have time to complete it.  Furthermore, his patient\'s diagnosis was diabetes, and he did not mention signs/symptoms of hypoglycemia in his interventions.  Coincidentally, his patient did have a hypoglycemic event that morning.  It is concerning that, as evidenced by his prep sheet, Brad could not recognize the signs/symptoms of a hypoglycemic event.  Brad was asked to redo his prep sheet, focusing on nursing interventions for the diabetic patient, and that prep sheet did not show improvement.  Brad is continuing to demonstrate difficulty with nursing interventions.  At this time Brad will be receiving an \"unsatisfactory\" in clinical preparation.