Excellent Performance by aln90371

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									                                       Seattle Central Community College - Division of Health and Human Sciences
                                                            Surgical Technology Program
                                                                  Clinical Evaluation
                                                                                             Student's Name: _________________________________

1. Mechanical Ability
Very poor manual dexterity       Barely adequate manual         Average manual dexterity       Above average dexterity,       Excellent dexterity and
and poor assembling and          dexterity and poor             and equipment                  skill and equipment            equipment comprehension.
equipment comprehension          assembling and equipment       comprehension                  comprehension                  Very quick and accurate.
                                 comprehension

                             1                              2                              3                              4                              5

2. Knowledge of Duties
Very poor knowledge base,      Poor knowledge of routine Average knowledge of most Above average knowledge of Excellent understanding of
serious gaps                   phases of surgical technique phases of surgical      most phases of surgical   surgical techniques, very
                                                             technology             techniques                well informed on most
                                                                                                              phases
                             1                             2                      3                         4                            5

3. Performance of duties/Safety (including aseptic technique)
Very poor quality of work,   Poor performance, meets        Average performance,         Above average quality and            Excellent quantity and
unsafe, does not understand minimum requirements.           quality and quantity of work quantity, works at good              quality of work, clearly
A.T.                         Barely understands A. T.       is satisfactory              speed                                superior

                             1                              2                              3                              4                              5

4. Initiative
Very poor initiative, or      Poor initiative or acceptance Average initiative and        Above average initiative and Excellent, always
acceptance of responsibility of responsibility              acceptance of responsibility acceptance of responsibility demonstrates a high degree
                                                                                                                        of initiative and
                                                                                                                        responsibility
                            1                             2                             3                             4                         5
5. Judgment
Very poor judgment, often       Poor judgment, makes a lot Average judgment resulting Above average logical           Excellent judgment arrives at
wrong or ineffective            of errors                  from sound evaluation of   thinker, considers all factors, the right decisions even in
                                                           factors                    makes accurate decisions        more difficult matters

                            1                             2                            3                             4                                 5

6. Adaptability/Stress Management
Very poor, unable to         Poor performance, it          Average performance under Above average performance Excellent performance under
perform adequately even in declines under stress or in     stress or in unusual      under stress and unusual  stress meets challenges of
routine situations           other than routine situations conditions                conditions                difficult conditions

                            1                             2                            3                             4                                 5

7. Learning Ability
Very poor, fails to grasp     Poor, only able to follow     Average learning, learns at a Above average learner, fully Excellent learner, quick
even simple instructions      simple directions if repeated steady rate to understand      grasps ideas and concepts    thorough and anticipates
                                                            most phases of surgical
                                                            technology
                            1                             2                              3                            4                                5

8. Effectiveness in working with others
Very poor "people skills",     Poor "people skills" has      Average "people skills", gets Above average "people         Excellent "people skills",
ineffective with team          some difficulty getting along along well with most people skills", works in harmony       actively works with others,
members                        with others                   under normal circumstances with team members                promotes harmony

                            1                             2                            3                             4                                 5

9. Dependability
Very poor, cannot be            Poor, doubtful dependability Average dependability,        Above average                 Excellent, always completely
depended upon                                                usually reliable              dependability, wins           dependable
                                                                                           confidence of team
                                                                                           members
                            1                             2                            3                             4                                 5
10. Punctuality/Attendance
Very poor, usually late or           Poor, frequently late and/or Average, usually on time            Above average attendance       Excellent, never late or
absent                               absent                                                           and punctuality                absent

                                 1                                2                               3                              4                              5

11. Professional Attitude
Very poor, freely discusses          Poor, frequently discusses       Average, maintains              Above average, maintains     Excellent, overtly
patient and hospital                 pt/hospital information in       confidence                      confidences, discusses them conscientious about
information                          inappropriate situations                                         only in appropriate settings patient/hospital confidences

                                 1                                2                               3                              4                              5

12. Communication Skills
Very poor, unable to speak           Poor, initiates                  Average speaking and          Above average, initiates goal Excellent, consistently
or listen to staff, patient or       communication with help,         listening skills. Able to     directed communication to carries on goal directed
instructors independently            poor listener                    communicate effectively       all                           communication, very
                                                                                                                                  effective skills.
                                 1                                2                               3                             4                               5

13. Personal Appearance
Very poor, unacceptable OR Poor, appearance does not Average appearance and                           Above average appearance     Excellent, exceptional
standards                  meet OR standards for dress hygiene, including PPE                         and hygiene, always uses     standards of dress and
                           or hygiene                                                                 PPE                          hygiene including no jewelry,
                                                                                                                                   always uses PPE
                                 1                                2                               3                              4                            5

Comments: ____________________________________                                                        Student's Name: ________________________________
_______________________________________________                                                       Score: _________________________________________
_______________________________________________
_______________________________________________                                                       Evaluator's Signature: ____________________________________
_______________________________________________                                                       Student Signature: ______________________________
_______________________________________________                                                       Date: __________________________________________

								
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