Scribd
Upload
3K views1 page

Operating Room Checklist

This document provides an evaluation form for nursing students' clinical performance in the operating room. The evaluation is divided into 3 sections that make up the total 100% score: Knowledge and Understanding (35%), Skills and Activities (40%), and Professional and Personal Assets (25%). Each section lists specific criteria the student is expected to meet by the end of their 4-week assignment in areas like pre-operative and post-operative care, surgical techniques, communication, and professional conduct. Instructors are to evaluate the student's performance in each criteria and provide an overall final rating.

Uploaded by

api-3739910
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
3K views1 page

Operating Room Checklist

This document provides an evaluation form for nursing students' clinical performance in the operating room. The evaluation is divided into 3 sections that make up the total 100% score: Knowledge and Understanding (35%), Skills and Activities (40%), and Professional and Personal Assets (25%). Each section lists specific criteria the student is expected to meet by the end of their 4-week assignment in areas like pre-operative and post-operative care, surgical techniques, communication, and professional conduct. Instructors are to evaluate the student's performance in each criteria and provide an overall final rating.

Uploaded by

api-3739910
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

CU-QMS-NURSING-0013

CAPITOL UNIVERSITY
COLLEGE OF NURSING

EVALUATION OF CLINICAL PERFORMANCE IN THE OPERATING ROOM

Name:______________________________________ Year: _______________________


Date of Assignment:_________________________ Final Rating:_________________

I: Knowledge and Understanding ----------------------------------------------------------------------- 35%


At the end of 4 weeks, the student is expected to:
1. Explain the important scientific principles in the nursing care plan
Pre-operative and post operative patients in O.R. --------------------------------------- 5%
2. Explain intelligently the Pathophysiology of the disease
condition of the patients ----------------------------------------------------------------------- 10%
3. Identify correctly signs and symptoms of impending complications
referable to the disease condition of the pre-operative patients ----------------- 5%
4. State the action, contraindications, usual dosage, and side effects if
Anesthetic agents and other drugs are used by the patient ------------------------------ 5%
5. State the correct surgical aseptic techniques in the performance
of nursing procedure in the O.R. ------------------------------------------------------------ 10%

II: Skills and Activities --------------------------------------------------------------------------------- 40%


1. Implements planned nursing care inside the O.R. by
a. preparing the patient physical and emotional -------------------------------------- 5%
b. preparing the necessary instruments and articles needed for
the operation ---------------------------------------------------------------------- 5%
2. Perform effectively the duties and responsibilities
of the scrub nurse ------------------------------------------------------------------------------- 5%
3. Perform effectively the duties and responsibilities of the circulating
nurse ------------------------------------------------------------------------------------------ 5%
4. Carries out physician’s order accurately ----------------------------------------------- 5%
5. Writes accurate, concise and legible recording ------------------------------------ 5%
6. Communicates effectively with the operative team regarding
Patients condition in the O.R. ---------------------------------------------------------- 5%
7. Anticipates the needs of the operative team before, during
and after course of the operation ---------------------------------------------------------- 5%

III: Professional and personal Assets ------------------------------------------------ 25%


1. Attitudes, appreciation’s and interest
a. Accept nursing service responsibilities with interest
and eagerness to work and to use learning opportunities ---------------------- 5%
b. Accept constructive criticism and profit form it --------------------------- 5%
c. Establishes good relationship with the patient,
Family and other health team members --------------------------------------- 5%
d. Finishes work load and submits report on time ---------------------------- 5%

2. Personal Habits
a. Neat clean in appearance, and mindful of personal hygiene -------------------- 2%
b. Honest courteous and respectful --------------------------------------------------- 3%

Total 100%

Instructor. Head nurse remark

_________________________
Student Signature

_____________________________
Instructor/Head nurse’s signature

Issue: 05 April 2006 Revision Code: 003

You might also like