The Clinical Case Experience (CCE) Case Log in Exxat Prism allows students to document and manage clinical experiences. It allows nurse anesthesia (CRNA) students to record daily patient encounters, procedures, anesthesia cases, competency development,  and clinical experiences within their current clinical course.

For Nurse Anesthesia programs, the CCE Case Log supports tracking requirements aligned with the National Board of Certification and Recertification for Nurse Anesthetists (NBCRNA). These requirements ensure appropriate exposure to case types, patient populations, anesthesia techniques, and competency domains prior to graduation.

Each log entry represents one patient encounter and contributes toward your overall case count and competency tracking.

The Clinical Case Log functions as your digital clinical diary, reflecting your hands-on learning and competency progression throughout your training.

Adding and Tracking CCE Case Log in Exxat Prism

Before You Begin

• Ensure you are enrolled in an active clinical course.

• Enter only non-identifiable patient information (HIPAA compliant).

• Log cases daily for accuracy and timely review.

Access the CCE Patient Log

1. Log in to Exxat Prism using your university credentials. 

2. From the student dashboard, navigate to My Coursework and click View All Coursework.
   

3. On the Coursework page, navigate to the Require Placement tab and click the course name to view its details.
   

4. In the course details page, navigate to the Course Activities tab and go to Patient Log section.
   

5. In the patient log section you can see  total logs, logs that need attention, logs in progress , and average log entries per day. 

   1. Click on the number for each parameter to see the details. 
      

   2. Click on the Statistics icon to see the log statistics for the course. 
      

   3. Click the add (+) icon to add a new case log. 
      

   Alternatively use this path: From the Student Dashboard > View Learning Activities > Patient Log > Select the course and Click on the Log Status for the course.
   

Add a New CCE Case Log

1. In the course details page, navigate to the Course Activities tab. 

2. Go to the Patient Log section and click the Add (+) icon. 
   
   alternatively: click on the number for any of the parameter and in the Logs tab click Add Patient Log.
   
    

3. Complete the Add Patient Log form. 

   1. Enter Encounter Details

      1. Select Preceptor

      2. Set Date of Service

      3. Total Hours of Anesthesia time

      4. Totoal Clinical Log Hours

      5. Total Cases

      6. Procedure
         

   2. Enter details of Patient Physical Status
      

   3. Enter Patient Assessment details. Use the + Add button to add additional details of the encounter with the patient. 
      

   4. Enter the details for special cases that you encountered.  Use the + Add button to add additional details of the encounter with the patient. 
      

   5. Enter the details for Anatomical Categories. Use the + Add button to add additional details of the encounter with the patient. 
      

   6. Enter the details for Methods of Anesthesia. Use the + Add button to add additional details of the encounter with the patient. 
      

   7. Enter the details for Arterial Technique. Use the + Add button to add additional details of the encounter with the patient. 
      

   8. Enter the details for Central Venous Catheter.  Use the + Add button to add additional details of the encounter with the patient. 
      

   9. Enter the details for Pulmonary Artery catheter.  Use the + Add button to add additional details of the encounter with the patient. 
      

   10. Enter Other Details. Use the + Add button to add additional details of the encounter with the patient. 
       
       

4. Click Save to save the progress of the form and continue at a later point. . The status of the case log is In Progress. 

5. Click Submit to submit the case log. and status changes to Pending Review. 

6. Click Export to export the case log as pdf.

7. Click Delete (Case logs In Progress) to delete the case log. . You can delete only when the case log is in Pending Review or In Progress status.

Log Status and Review Workflow

After submission, your log moves through the following statuses:

Pending Review

Your log is awaiting review from your preceptor or program administrator.

Needs Attention

If updates are required:

• You will be notified.

• You can edit and resubmit the log.

Approved

• The log is verified and locked.

• It becomes part of your permanent academic record.

Approved logs cannot be edited or deleted.

Track Your Clinical Progress

You can monitor your progress directly within Exxat Prism.

To view reports:

1. From the student dashboard, navigate to View Learning Activity Reports.
   

2. Go to Student Activity Insights report to track the daily activities in detail. 
   This report provides detailed insights and color coded indicators show where you are excelling, on track, or need improvement. 
   

   1. Select the Course Offerings and set the Filters.
      

   2. Click Generate Report to see the report.  
      

   3. Click Export to export the report as an excel file.
      

Green color Indicates: Value is between the program’s minimum and preferred benchmark — indicates you are on track.

Red color Indicates: Value is below the program’s minimum benchmark or below the competency threshold — indicates needing improvement or attention.

Yellow / Amber color Indicates: value is close to the  the program’s preferred benchmark — indicates performance or counts approaching the minimum requirement.

Regularly reviewing your report helps ensure you meet required NBCRNA case requirements, certification eligibility, and competency expectations.

Best Practices

• Enter logs daily.

• Submit entries promptly for review.

• Verify all information before submitting.

• Maintain patient confidentiality at all times.

• Use reflections to strengthen clinical reasoning.

The Clinical Case Log in Exxat Prism bridges clinical education, compliance, and certification readiness. It:

• Supports structured documentation of patient encounters

• Aligns with NBCRNA clinical experience standards

• Enables real-time tracking of case requirements

• Facilitates faculty review and reporting

• Encourages reflective and accountable practice

Consistent and accurate logging ensures you are fully prepared to meet both program expectations and national certification requirements.