Gee me Cnc
Please assess and mark | _NotYet | Borderline | Competent | Professional | NIA
the following domains | Competent
a 2) @ (a)
‘preparation
(Room and ecuipment eat up VM
{in ergata, nctding
patent comfort).
Tielucing eonmurieaton,
Consent and eoeleraion
“wards te paler)
Ee any,
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Total Max (Max possible 136): |
‘Comments:
Guet ac tie We Acme‘Suggestions for development (assessor comments):
Work support. herd hase +
Wale) b role arpliucos
Wh as posi
Toifzeffection (lo be completed by the Intern) - what did you learn from this experience,
what would you do differently next time. What steps can you implement to ensure the next
time you perform this procedure you will do It more professionally:
T nak & hae ty batt,
hifew Sy gpored’ cutth me) supperhre
hurd « wle also bring fre heaol
into wre wok range 50 LZ olouk
thaws! —thly the wreck
Figreed Action (Intern and Assessor initial):
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