Student: Virginia Jones

Clinical Facility: St. Catherine's Gateway Technical College Surgical Technology Program

Date: 3-7-2-2014

Clinical Evaluation
512-132 Clinical 3
Scoring for Clinical Evaluation 4 = Excellent 3.5 = Very Good 2.5 = Average 2 = Acceptable

3 = Good

a = Unacceptable

[Below 2]

Professional Characteristics Competency

A. Accept Responsibility Experiences. 1. Adheres for Own

Comments
4 3.5 3

2.5

to dress code Missed 1-17

4 3.5

3
.., .)

2.5

2 2

2. Demonstrates
.., .).

Dependabi

Iity

4 3:5

2.5

Communicates

effectively

Virginia needs to be more willing and involved when asked questions.

4 3.5

" 2.5
.)
')

0
0

4.

Demonsuates interpersonal

profess iona I relationsh ip behavior

4 3.5

.)

\2.5 2 I

B. Performs

Assigned

Duties.

4 3.5

')

-' 2.5
2.5

1. Acknowledges the S-T's limits of individual responsibility: self, profession ancl employer.

4 3.5 3

2. Adheres to legal responsibilities

3. Takes responsibility
behavior for own

4 3.5
4 3.5

.., .) ,., .)

,2.5
,

2 2

2.5

3.5

2.5

C. Demonstrates

Employability

Skills. 4 3.5 3 2.5 2 0

D. Assesses learning value of clinical Experiences.

-.

Instructor's

Comments:

Virginia

has progressed and assisting

nicely over the last 7 weeks. during the procedure.

She has always been very

capable while passing instruments work on learning the procedural improvement

She came in this rotati<1n needing to needs- she has shown nice
I

steps and start to anticipate

the surgeons

She was also in need of refreshing

her knowledge

in the area of anatomy and also recalling

information/instruction

that she was given both in lecture class and tips offered during this c1il1ical rotation. her knowledge by completing some procedural step exercises.

She has worked on improving

Virginia

has the skills to move on to the next clinical rotation where 1 believe she will be successful refreshing her foundational knowledge correctly and applying it during the next rotation. she did not complete

as long

as she continues Virginia's

clinical logging was completed

as instructe d .

and timely although

all of her I

.. (Iocumentanon

Clinical

logging - completed

timely and correctly that need more detail, suture type/needles and need to be revised.

Documentation Medication

- she has procedures

record also needs updates.

Student's

Com ments:

___________________________________________________ ~L

Competencies,

:::J':~t::"tiOO~~
Clinical Performance

& Skills 85%

= 82%

Final Grade:

8+

Student's

Signature:

Date: 3-7-2014