Jessica and I have discussed this incident and the need for her to be certain of her patient assignment due to 1) risks related to patient safety; 2) professionalism; and 3) the implications to professional licensure (i.e. patient abandonment). 

A mid-rotation evaluation of Jessica\'s progress can not be accurately assessed at this time and continued monitoring of her progress with the \"plan\" is necessary due to her assigned pediatric rotation and scheduled observation rotations. 

10/27/2010
Jessica has demonstrated marked improvement in her performance and communication with the instructor