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Nursing Skills: Surgical Instrumentation

This document appears to be a skills assessment form for a nursing student. It evaluates the student's ability to perform surgical instrumentation in 10 areas, including gathering materials, enumerating surgical operation purposes and stages, identifying instrument types and classifications, and following sterile technique principles. The student is scored on a scale of exceptional, good, average, or poor for each dimension. An overall score of at least 30 out of 40 is needed to pass, otherwise the return demonstration must be repeated. The form is signed by a faculty member to verify the assessment.

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Alex Mendoza
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70 views2 pages

Nursing Skills: Surgical Instrumentation

This document appears to be a skills assessment form for a nursing student. It evaluates the student's ability to perform surgical instrumentation in 10 areas, including gathering materials, enumerating surgical operation purposes and stages, identifying instrument types and classifications, and following sterile technique principles. The student is scored on a scale of exceptional, good, average, or poor for each dimension. An overall score of at least 30 out of 40 is needed to pass, otherwise the return demonstration must be repeated. The form is signed by a faculty member to verify the assessment.

Uploaded by

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

OUR LADY OF FATIMA UNIVERSITY

College of Nursing – Cabanatuan City

PROGRAM Bachelor of Science in Nursing STUDENT NAME

COURSE NCMB-312 YEAR & SECTION


Care of Clients with Problem in
Oxygenation, Fluids & INSTRUCTOR
Electrolytes, Infectious,
Inflammatory & Immunologic DATE
Response, Cellular Aberrations
(Acute & Chronic)
(SKILLS LABORATORY)

PROCEDURE: SURGICAL INSTRUMENTATION


EXPECTED OUTCOME : The student should be able to perform surgical instruments correctly.
ASSESSMENT TASK : Return Demonstration

Assessment Exceptional Good Average Poor


SCORE
Dimension (4) (3) (2) (1)
Gathered all the Gathered the Gathered the Failed to gather
1. materials to be materials to be materials to be the materials to
Gather the materials to used with ease. used with minimal used with be used.
be used supervision. maximal
supervision.

2. Enumerate five (5) Enumerate three Enumerate one Failed to


Purpose of surgical purposes of (3) to four (4) (1) to two (2) enumerate some
Operation surgical operation. purposes of purposes of purposes of
surgical operation. surgical operation surgical operation.

Enumerate and Enumerate and Enumerate and Failed to


3. define the stages of define the stages define the stages enumerate and
Stages of operation operation with of operation with of operation with define the stages
ease. minimal errors. maximal errors. of operation.

Name at least Name at least two Name at least one Failed to name
4. three (3) functions (2) functions of (1) function of some functions of
Functions of Scrub of scrub and scrub and scrub and scrub and
and Circulating Nurse circulating nurse circulating nurse circulating nurse circulating nurse
respectively. respectively. respectively. respectively.

Enumerate twenty Enumerate fifteen Enumerate ten Enumerate five (5)


5. (20) principles of (15) principles of (10) principles of principles of
Principle of Sterile sterile technique. sterile technique. sterile technique. sterile technique.
technique
Name at least Name at least two Name at least one Failed to name
6. three (3) (2) classifications (1) classification classifications of
Classification of classifications and and give (2) and give (2) instruments.
Instruments give (2) sample sample each. sample each.
each
7. Identify five (5) Identify four (4) Identify three (3) Identify two (2)
Identification of types of blades types of blades types of blades types of blades
blades
8. Put the blade in the Put the blade in Put the blade in Failed to put the
Put the blade in the holder with ease. the holder with the holder with blade in the
holder minimal maximal holder.
supervision. supervision.

9. Enumerate twenty Enumerate fifteen Enumerate ten Enumerate five (5)


Identification of (20) instruments in (15) instruments (10) instruments instruments in the
instruments the sterile field. in the sterile field. in the sterile field. sterile field.

10. Disposed the Disposed the Disposed the Failed to dispose


Dispose the sharps sharps in the sharps in the sharps in the the sharps in the
and wash the sharps container sharps container sharps container sharps container
equipment and wash the and wash the and wash the and wash the
equipment equipment equipment equipment
properly properly minimal properly with properly
supervision. maximal
supervision.

OVERALL SCORE:

Target Raw Score: 30 out of 40. If raw score is less than 40, repeat the return demonstration.

FACULTY SIGNATURE OVER PRINTED NAME

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