OPERATING ROOM Performance Checklist for Nursing Students

Name_____________________________ e!el _____ Section " Grou#__________ Affiliating Agenc%___________________ Inclusi!e $ates_________________ Shift_________

EGEN$& ' Com#etent( )Consistentl% #erforms in an effecti!e and efficient manners* + Progress is Acce#ta,le( )Performance is usuall% effecti!e and efficient ,ut not al-a%s* . Needs Im#ro!ement( )Progress in #erformance is too slo- to /udge satisfactoril%* 0 Progress Is 1nacce#ta,le( )No #rogress in #rformance has ,een demonstrated and"or
#erformance is consisitenl% ineffecti!e and inefficient*

COMPETENCIES
I( SA3E AN$ 41A IT5 PATIENT CARE
0( O,tains and anal%6es #atient data concerning #atient7s condition( .( $etermines and categori6es clinical assessment of the #atient and Inter#rets #rudentl% the #h%sician7s order( +( Identifies #atient and !erifies #rocedure to ,e done( '( Checks and accom#lishes #re8o#erati!e checklist #rior to surgical 9( Checks for clearance )cardio8#ulmonar%: #ediatric* and diagnostic #rocedures( ;( Monitors !ital signs immediatel% after surger% after the o#eration( <( E!aluates effecti!el% #atient7s reco!ering from anesthesia(

'

+ . 0

REMAR2S

II( MANAGEMENT O3 RESO1RCES AN$ EN=IRONMENT

0( Pre#ares and selects surgical su##lies concerning the #atient7s surgical #rocedure( .( Checks the functionalit% of the o#erating room"deli!er% room e>ui#ments such as suction machine: lights and cauter% machine( +( Maintains sterilit% of the sterile field and the o#erating room( 0( E@#lains #ro#er #ositioning for induction of anesthesia( .( $emonstrates #ro#er ase#tic"antise#tic techni>ue: sterile dra#ing and handling of instruments( +( $iscuss a##ro#riate health teaching )e(g( #ro#er -ound care* '( $iscusses the emergenc% resuscitati!e de!ices: e>ui#ment and emergenc% drugs in the reco!er% room(

III( ?EA T? E$1CATION

I=( EGA RESPONSIAI IT5

0( Checks and !erifies informed consent for surger% is signed and documented( .( #ro#erl% O,ser!es #atients rights in the #re: intra: and #ost o#erati!e #hase( =( ET?ICO8MORA RESPONSIAI IT5 0( Ensures #atients religious ,eliefs and #ractices are o,ser!ed and res#ected(

=I( PERSONA AN$ PRO3ESSIONA $E=E OPMENT

0( O,ser!es #ro#er decorum and conduct during o#eration( .( Partici#ates acti!el% in learning acti!ities

=II( 41A IT5 IMPRO=EMENT

0( Partici#ates acti!el% during #ost conference(

=III( RESEARC?
0( Conducts necessar% u#dates on current nursing trends in the o#erating room(

IB( RECOR$S MANAGEMENT

0( Performs #ro#er documentation and other im#ortant details as needed( .( Ensures #atient7s records are safe and secured at all times(

B( COMM1NICATION

0( Coordinates effecti!el% -ith other mem,ers of the health care team )e(g( makes #ro#er referral of ser!ice to a##ro#riate #erson: rela%s de!iations in !ital signs to a##ro#riate #erson*(

BI( CO
0(

AAORATION AN$ TEAMCOR2

$emonstrates #ro#er delegation of tasks to other mem,er of the o#erating room team(

TOTA

E=A 1ATE$ A5&

___________________________ Name and Signature of CI __________________________ Name and Signature of Student