 Ms. Dudeck has had multiple counceling on her behavior and attendance in the past two levels.  This counceling has been a positive reinforcement on her clinical experiance since her last note. Ms. Dudeck has made great strides in her attention to management and timliness of patient care.  Not only does she complete her care, she volunteers to help other students and staff with additional duties.  Her actions have been more professional and has become more dedicated to the nursing program. In addition, I have had no furthur episodes of use of medications.  