‘Suggestions for development (assessor comments); Sel-reffection (to be completed by the iniorn) = what did you Tearn from thie experience, what would you do differently next time, What steps can you implement to ensure the next | time you perform this procedure you will doit mere professionally: | oe as) tro much pressure onto the aera wrist when assessu Ge ( wil fird the f ka | | a ar fo ensure an accurore ready. | ‘Agreed Action (Intern and Assessor initial: Page 2 of 2tern Name & Student Number: ‘Assessor name and signature: Procedure to be assessed: UO S. cae Os Dea Wn yn ES Cee Please assess and mark the following domains Not Yet Competent a) Borderline @) Competent | Professional | NA] 3) Pre-procedure "preparation (Room and equipment set up Sid organization, neluding Pattont confor) Professional approach {including communication, Consent snd consideration tewards the patent), Knowledge {0f indications, anatomy, ‘equipment and tehnique) | | | 1 Technical aspects of ‘procedure (Would technical performance lol useful return) ‘Adapts procedure fo accommodate patient andorevents Post-procedure consideration towards the pation!) ‘Completes required ‘documentation ‘SelFanalyses andis ‘aware of own Jimitations, seeks help when appropriate Overall ability to perform procedure / probability of success Total Max (Max possible /36): Comments: