ENCL. (2) TO COMDTINST 6400.1A
duty/misconduct determinations in legal or administrative proceedings. Accurate,
concise, and complete entries are mandatory. All entries made by student externs shall be
in the SOAP format and countersigned by their preceptors prior to the dismissal of
Laboratory Requests. Student externs may be expected to recommend and compose the
appropriate lab requests. All lab request forms shall be countersigned by their preceptor.
Medication Prescriptions. All medication prescriptions shall be countersigned by the
preceptor prior to dispensing or administering to the patient.
Complaints or Suggestions. Externs should feel free to address suggestions or complaints
to their preceptor in a discreet manner which does not compromise patient confidentiality
and confidence in the treatment being administered.
10. Universal Precautions. In the interest of patient and provider safety, externs shall use
universal precautions with all pertinent patient interactions. Although not provided,
Hepatitis B Virus immunization is required for all externs involved in invasive
ACKNOWLEDGMENT OF RECEIPT AND UNDERSTANDING
I have read the Student Extern Program (SEP) Orientation and understand-its contents.
Additionally, I have received a local orientation concerning working hours, dress code, conduct,
required courtesies, lodging and subsistence procedures and the procedures to be used for my
NAME OF EXTERN (PRINT OR TYPE)
SIGNATURE OF EXTERN
SIGNATURE OF PRECEPTOR
SIGNATURE OF DIVISION CHIEF