Thanks to visit codestin.com
Credit goes to www.scribd.com

Scribd
Upload
181 views8 pages

Operating Room Requirements Rubrics For Requirements

This document contains templates for evaluating a student's clinical requirements in the operating room. It includes rubrics to rate observations, requirements, and a quiz on various criteria such as level of detail, timeliness of submission, and substance. It also includes templates for setting objectives, documenting a surgical procedure, and a patient's pathophysiology. The templates are meant to guide students in properly documenting and being evaluated on their clinical operating room experience.

Uploaded by

ampal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
181 views8 pages

Operating Room Requirements Rubrics For Requirements

This document contains templates for evaluating a student's clinical requirements in the operating room. It includes rubrics to rate observations, requirements, and a quiz on various criteria such as level of detail, timeliness of submission, and substance. It also includes templates for setting objectives, documenting a surgical procedure, and a patient's pathophysiology. The templates are meant to guide students in properly documenting and being evaluated on their clinical operating room experience.

Uploaded by

ampal
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 8

Name: _______________________________________ Hospital: ____________________

Clinical Instructor: _____________________________ Date: _______________________


Shift: _______________________

OPERATING ROOM REQUIREMENTS

RUBRICS FOR REQUIREMENTS


SCRUB

CRITERIA RATING
Observations contain best details, are well-selected and very substantial
Submitted ahead of/on schedule 91 - 100
Observation contain better details, are well-selected and substantial.
Submitted ahead of/on schedule 81 - 90
Observation contain acceptable details, some are well selected and substantial
Submitted ahead of/on schedule 71 - 80
Observation contain few and minimal substance
Submitted within 3-12 hours after the scheduled time 61 - 70
Some observations contain acceptable details, are limitedly selected with
minimal substance 50 - 60
Submitted within 12-24 hours after the scheduled time.
Observations contain few details, are not well-selected and have very minimal
substance <50
Submitted within 24-36 hours after the scheduled time
No entry, with fewer words or sentences
Submitted after 36 hours after the scheduled time 0

REQUIREMENTS RATING SUGGESTIONS FOR


IMPROVEMENT
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
AVERAGE
QUIZ
PERFORMANCE EVALUATION

1
Students Name: _________________________________ Date: ______________________
Clinical Instructor: ________________________________ Place:______________________

GENERAL AND SPECIFIC OBJECTIVE (GOSO)

GENERAL OBJECTIVE:

SPECIFIC OBJECTIVES: (KNOWLEDGE, SKILLS AND ATTITUDE)

PLAN OF ACTIVITIES: (DAILY)

TIME ACTIVITIES
1st DAY 2nd DAY

2
SURGICAL PROCEDURE DISCUSSION
1. General Descriptions

2. Drawing/ Diagram of the Surgical Procedure


Instructions: Draw the procedure label the equipments/devices.

3
3. Preparations

4. Instruments
Directions: Draw and label the instruments, equipments, sutures on your mayo/back table.

4
5. Step- by- step Operative Procedure

6. Responsibilities/ Activities
Directions: Itemize the sequential resposibiities and activities of the scrub nurse during the operative
procedure.

Scrub Nurse Circulating Nurse

5
Medical Devices Used / Attached
Directions: Do a head to toe scanning of attached medical equipment/devices used by the client
preoperatively, intraoperatively and postoperatively. Draw and label the drawings and provide the
functions of each other.

6
Medical Devices Used / Attached
Directions: Do a head to toe scanning of attached medical equipment/devices used by the client
preoperatively, intraoperatively and postoperatively. Draw and label the drawings and provide the
functions of each other.

7
PATHOPHYSIOLOGY
Directions: Trace the pathway of the disease process down to the signs and symptoms being presented.
Please include the medical as well as nursing interventions. You have the liberty to choose the symbol
for your legend.

PATIENTS NAME:
Medical Diagnosis:

Overview of the disease condition:

MODIFIABLE FACTORS NON- MODIFIABLE FACTORS

You might also like